• Title/Summary/Keyword: Dental esthetic

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Using 3-dimensional digital smile design in esthetic restoration of anterior teeth: A case report (3차원 Digital Smile Design을 활용한 전치부 심미수복 증례)

  • Hong, Sungman;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.451-458
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    • 2021
  • Currently, digital technology is being used in various fields of dental treatment. In particular, in the case of anterior esthetic restoration, the traditional restoration method cannot contain facial information and it is difficult for the patient to predict the treatment result. However, in the case of esthetic restoration through digital design, the visualization of the prosthesis design and the ease of reflecting patient feedback, and expecting the treatment result is available. In this case, the patient confirmed the results of restoration treatment using a digital method before treatment and obtained consent for treatment in an anterior tooth trauma patient. In addition, since the conventional digital smile design method uses only the patient's facial and smile information, the design was made on a two-dimensional plane, and its application was somewhat limited. However, in this case, a three-dimensional virtual patient was created and thus the designed restoration was viewed from various angles. Through this case, it was possible to obtain a high degree of satisfaction with the ease of communication with the patient and the technician during the esthetic restoration using the digital method, the simplicity of the procedure, and the treatment result.

Esthetic considerations for anterior implant-supported prostheses: focus on surgical and prosthetic treatment (전치부 임플란트의 연조직 심미성을 달성하기 위한 외과적, 보철적 고려사항)

  • Park, Yeon-Hee;Ahn, Seung-Geun;Kim, Kyoung-A;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.186-198
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    • 2021
  • As the increased certainty of osseointegration, new parameters are now being used to assess implant success. Accordingly, patients' and clinicians' high demands and expectation for esthetics have expanded and implant-supported restorations show better esthetic outcomes. The pre-implant treatment planning process, the implant surgical steps and the post-surgery prosthetic process can affect all esthetic outcomes. Prevention of esthetic implant failures can be achieved by appropriate treatment at each stage, considering the 3 factors of alveolar bone, soft tissue, and implants. It is necessary to achieve the esthetic implant prostheses followings: minimal invasive surgery, bone augmentation, ideal 3-dimensional implant position, peri-implant soft tissue management, and provisional restorations to optimize peri-implant soft tissue architecture.

Full mouth rehabilitation of a patient with occlusal plane discrepancy with milling machine for clinic (진료실용 밀링머신을 이용한 교합평면 부조화 환자의 완전 구강 회복술)

  • Park, Ji-Man
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.2
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    • pp.68-78
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    • 2016
  • Recently, digital technology has become increasingly prevalent in the dental clinic. Using a milling machine for clinic, it is possible to produce provisional restoration inside the clinic. This can promote large clinical cases such as full mouth rehabilitation with the help of a tabletop scanner, which is capable of semi-adjustable articulator equipment, and a powerful dental CAD software with excellent user convenience. In this case report, a full-mouth rehabilitation was done with digital technology to a 55 year-old female patient, who has lost vertical dimension through the attrition, and has got inclined occlusal plane with unplanned and repeated dental reconstruction. Through the design and milling of the provisional restoration in the clinic and the duplication of these provisionals by double scanning technique, a good functional and esthetic result could be achieved.

Esthetic restoration using Noritake powder through communication with the dental clinic (진료실과의 소통과 Noritake powder를 이용한 심미보철제작)

  • Hwang, Boah
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.2
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    • pp.105-115
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    • 2018
  • Not to recreate the final prosthesis is the shortest way to get a successful outcome. In the case of an aesthetic prosthesis, it is important not only the condition of the oral cavity but also the whole harmony in the face such as the interpupillary line and the smile line. But the dental technician creates the prosthesis only based on the oral model. So if you want to prevent the failure of the prosthesis due to discordance with the face, it is a good idea to use patient's facial photography and provisional restorations to reproduce facial features, shapes and aesthetics before switching to a final prosthesis. To prevent the failure of the final prosthesis, it is important to communicate among the patient, the technician and the doctor according to the model diagnosis, facial and oral photos. Then all the technicians will get satisfactory results. In addition, the technician have to understand the form of natural teeth, to analyze and reproduce colors, and to understand materials in order to produce a successful aesthetic prosthesis. From now on, I will explain two parts. At first, the communication in the dental office for the successful production of aesthetic prosthesis through the clinical case. And the second, my opinion for the successful aesthetic prosthesis.

Novel CAD/CAM hybrid blocks: PICN and RNC (새로운 CAD/CAM 블록의사용 : PICN and RNC)

  • Ko, Kyung-Ho
    • The Journal of the Korean dental association
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    • v.56 no.3
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    • pp.167-174
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    • 2018
  • The development of dental materials has widened the scope of materials by changes in processing methods. CAD/CAM processing enables the use of zirconia as a dental material. Recent esthetic materials development has been made. For aesthetic purposes, a block for CAD/CAM processing by mixing polymer and ceramic materials are fabricated. However there is no guideline of how these materials should be used in actual clinical practice. Mechanical properties, wear and clinical studies were reviewed.

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Ceramic fabrication for actual color and shape (실제적인 색과 형태를 위한 세라믹 제작)

  • Baek, Seung-Hun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.2
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    • pp.86-100
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    • 2015
  • To harmonize with the remaining natural teeth a dentist and technician make an effort to do. Dental ceramic perfectly reproduce the functionality and esthetic is so moved that will deliver to the patient. However It is not easy to overcome the problem. Actually, it can't have the same spectrum curve between different object. The spectrum curve and reflectance is a unique feature of an object like fingerprints. So it is not that the identification of spectral curves that we usually focuses color. We need to understand the process of matamerism makes something like a combination of color perception. In other word that will tell in our field with ceramic teeth of the patient wish to match the color matching process to simulate the cone in our retinas with the same combination.

What would we meet for the implant dentistry: A Case Report (임플란트를 하면서 만나게 되는 문제들: 증례보고)

  • Lee, Jung-Sam
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.49-67
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    • 2015
  • Since the implant became the important treatment modality in dentistry, the research and clinical effort to mimic natural tooth appearance have been pursued. While the rehabilitation of mastication and occlusal appearance was focused in the past, more esthetic and functional restoration was preferred recently. To fulfill this demand, the clinicians should consider the axial contour, papilla space, subgingival appearance, as well as the shape of occlusal surface. In the surgery part, there have been significant advances in the adequate formation of bone and soft tissue through the careful reflection on the surgery time and incision. When the dentist has good knowledge about this aspect and passion for the final product, he or she can acquire better results.

Mucosal dehiscence coverage for dental implant using sprit pouch technique: a two-stage approach

  • Hidaka, Toyohiko;Ueno, Daisuke
    • Journal of Periodontal and Implant Science
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    • v.42 no.3
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    • pp.105-109
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    • 2012
  • Purpose: Soft tissue recessions frequently cause esthetic disharmony and dissatisfaction. Compared with soft tissue coverage around a tooth, the coverage of an implant site is obviously unpredictable. Particularly in the cases of thin mucosa, a significant greater amount of recession takes place compared to thick mucosa. To overcome this problem, this case report demonstrates a two-step mucosal dehiscence coverage technique for an endosseous implant. Methods: A 33-year-old female visited us with the chief complaint of dissatisfaction with the esthetics of an exposed implant in the maxillary left cental incisor region. A partial-thickness pouch was constructed around the dehiscence. A subepithelial connective tissue graft was positioned in the apical site of the implant and covered by a mucosal flap with normal tension. At 12 months after surgery, the recipient site was partially covered by keratinized mucosa. However, the buccal interdental papilla between implant on maxillary left central incisor region and adjacent lateral incisor was concave in shape. To resolve the mucosal recession after the first graft, a second graft was performed with the same technique. Results: An esthetically satisfactory result was achieved and the marginal soft tissue level was stable 9 months after the second graft. Conclusions: The second graft was able to resolve the mucosal recession after first graft. This two-step approach has the potential to improve the certainty of esthetic results.

Esthetic rehabilitation of single anterior edentulous space using fiber-reinforced composite

  • Kim, Hyeon;Song, Min-Ju;Shin, Su-Jung;Lee, Yoon;Park, Jeong-Won
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.220-225
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    • 2014
  • A fiber-reinforced composite (FRC) fixed prosthesis is an innovative alternative to a traditional metal restoration, as it is a conservative treatment method. This case report demonstrates a detailed procedure for restoring a missing anterior tooth with an FRC. A 44-year-old woman visited our department with an avulsed tooth that had fallen out on the previous day and was completely dry. This tooth was replanted, but it failed after one year. A semi-direct technique was used to fabricate a FRC fixed partial prosthesis for its replacement. The FRC framework and the pontic were fabricated using a duplicated cast model and nanofilled composite resin. Later on, interproximal contact, tooth shape, and shade were adjusted at chairside. This technique not only enables the clinician to replace a missing tooth immediately after extraction for minimizing esthetic problems, but it also decreases both tooth reduction and cost.