• Title/Summary/Keyword: Dental esthetic

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Fabrication and Properties of the Pressable Dental Porcelain (가압성형용 치과도재의 제조와 특성)

  • Lee, Eun-Hee;Choi, Hee-Rak;Jeong, Hae-Yong
    • Korean Journal of Materials Research
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    • v.16 no.3
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    • pp.157-162
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    • 2006
  • Pressable ceramics have many applications in the field of dental industry because of their excellent esthetic, compressive strength, chemical durability. Despite these attractive characteristics, they have not been widely used since they are very brittle and extremly sensitive to porcelain. In this study, the fabrication of pressable dental porcelain ($SiO_2-Al_2O_3-K_2O-Na_2O$) as a function of contents of $Al_2O_3,\;BaO\;and\;ZrO_2$ were investigated. And then compressive strength, Vickers hardness, density and thermal expansion coefficient (TEC) tests have been carried out to evaluate properties of pressable dental porcelain fabricated. The property of pressable dental porcelain fabricated by adding of 15%$Al_2O_3$ and 2%BaO contents was closely approximated to that of natural tooth.

Dental treatments for patients with severe mental challenges (임상가를 위한 특집 2 - 중증 지적 장애인을 위한 효과적인 치과치료)

  • Chang, Ju-Hea
    • The Journal of the Korean dental association
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    • v.49 no.12
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    • pp.739-748
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    • 2011
  • Patients with severe mental challenges are often subjected to extensive dental problems. Their impaired communication and lack of cooperation unable to receive timely dental treatments, which deteriorates their adverse oral conditions. In spite of a limited time frame, well-planned comprehensive treatments can be delivered in an one-day operation setting under general anesthesia. This multidisciplinary treatment regimen primarily comprises of single-visit endodontics, direct bonded restoration, periodontal treatment, and surgical extraction. Further, one or two additional visits for prosthetic procedures are able to accomplish functional reestablishment and esthetic enhancement. This article discusses on clinical managements for severely mentally challenged patients under a single-day operation.

Type and Characteristics of Polymer-based Luting Materials (레진시멘트의 종류와 특성)

  • Kim, Ah-Jin;Bae, Ji-Myung
    • The Journal of the Korean dental association
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    • v.53 no.3
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    • pp.178-186
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    • 2015
  • Dental polymer-based luting materials are classified into esthetic resin cement, adhesive resin cement and self-adhesive resin cement. Due to the different component of each type of resin cement, the preconditioning method of tooth surface and the steps are different from each type of resin cement. The pre-treatment of adherend (ceramic, resin and metal) surface also varies with the type of resin cement and the manufacturer. In this study, the characteristics of each type of resin cement, mechanical properties, indication and advantages were investigated. Through these, clinical tips on using resin cements were suggested.

Practicality and prospect of full-zirconia restoration (풀지르코니아 수복물의 실용성과 전망)

  • Hwang, Jung-Won
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.2
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    • pp.101-121
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    • 2015
  • Zirconia polycrystalline (Y-TZP) showed better mechanical properties and superior resistance to fracture than other conventional dental ceramics. Zirconia-based ceramics have been successfully introduced into the clinic to fabricate fixed dental prostheses (FDPs), along with a dental computer-aided/computer-aided manufacturing (CAD/CAM) system. It has been clinically available as an alternative to the metal framework for fixed dental prostheses (FDPs). The most frequent clinical complication with zirconia-based FDPs was chipping of the veneering porcelain that was affected by many factors. Another option was full-contour zirconia FDPs using high translucent zirconia. Full-contour zirconia FDPs has many clinical advantages but it caused concern about the wear of antagonist enamel, because the hardness of Y-TZP was over double that of porcelain. However, many articles demonstrates that highly polished zirconia yielded lower antagonist wear compared with porcelains. In this article (1) advantages of full zirconia restorations, (2) clinical applications of zirconia restorations, (3) abutment preparation, (4) surface finish of zirconia restoration and antagonist enamel wear, (5) bond of zirconia with resin-based luting agents, (6) communication in clinical & lab.procedures for full zirconia restorations are reviewed.

Full mouth rehabilitation of severely worn dentition using posterior implants: a clinical report (심하게 마모된 치열의 구치부 임플란트 식립을 통한 전악 수복 증례)

  • Kang, Hyun-Sun;Lee, Cheol-Won;Lee, Won-Sup;Lee, Su-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.255-262
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    • 2016
  • This clinical report focuses on the treatment of a patient with esthetic and functional impairments due to severe worn dentition. Absence of posterior support for a prolonged period require comprehensive prosthetic restoration. Accurate clinical and radiographic examinations, diagnostic wax-up, and occlusal vertical dimension evaluation were performed and the degree of patient adaptability was evaluated using an interim restoration. After 8 weeks of stabilization with interim restoration and confirmation of absence of any abnormal findings, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes were observed after 6 months of follow-up.

Pontic site development with an implant submergence technique for unaesthetic implant in the anterior maxilla (상악 전치부 임플란트의 비심미성 개선을 위한 임플란트 침수(submergence)를 동반한 치조제 증대술)

  • Song, Yujeong;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.289-295
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    • 2020
  • Improving implant esthetics is very difficult, especially in cases where unaesthetic problems are related to implants in the maxillary anterior dentition. A 69-year old male patient was referred by a prosthodontist for periodic pus discharge and an unaesthetic implant prosthesis (maxillary right lateral incisor). The implant was placed too deeply and showed soft tissue volume deficiency and a long clinical crown. After a clinical and radiographic examination, implant submergence and alveolar ridge augmentation were performed to enhance the aesthetics instead of an explantation. The treatment plan was as follows: extraction the adjacent teeth with tooth mobility, secondary caries, and poor prognosis; placement an additional dental implant with hard and soft tissue grafting; fabrication a fixed bridge using implant abutments. A fixed esthetic prosthesis using implants was fabricated, and the patient was satisfied with the prosthesis. A ridge augmentation with implant submergence may be an alternative for solving the problems of unaesthetic implant restorations in the esthetic zone.

An efficient way of communication between dentists and dental technicians to ensure optimum clinical outcome with implant restorations (임플란트 보철물 제작시 치과의사와 기공사가 효과적으로 소통하는 한가지 방법)

  • Kim, Chonghwa
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.66-74
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    • 2020
  • Communication and cooperation between dentists and dental technicians are two essential elements for the fabrication of high quality 'custom' prosthesis. For successful communication and cooperation between the two groups, however, dentists and dental technicians must share common understanding about clinical dentistry. Ironically, it is often noticed that they are not really sharing the same clinical knowledge. Although there is a strong association between 'Emergence Profile' of implant prostheses and periodontal health or esthetics, no definite guideline has ever been provided for ideal emergence profile of implant prosthesis in literature. Problems resulted from inherent differences between implants and natural teeth must be acknowledged and shared between dentists and dental technicians so that they can come up with desirable clinical results with implant prostheses.

Clinical and patient-reported outcomes after recession coverage using modified vestibular incision subperiosteal tunnel access with a volume-stable collagen matrix as compared to a coronally advanced flap with a subepithelial connective tissue graft

  • Chun-Teh Lee;Marlena Lange;Alain Jureidini;Nurit Bittner;Ulrike Schulze-Spate
    • Journal of Periodontal and Implant Science
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    • v.52 no.6
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    • pp.466-478
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    • 2022
  • Purpose: Coronally advanced split-or full-thickness (CAST or CAFT) flaps in combination with subepithelial connective tissue grafts (SCTGs) are commonly used in root-coverage procedures despite postoperative pain and bleeding from the graft donor site. Therefore, the modified vestibular incision subperiosteal tunnel access procedure (VISTAX) uses a novel collagen matrix (VCMX) instead of autogenous tissue to address the limitations associated with autogenous tissue grafting. This retrospective study compared the clinical outcomes of VISTAX to the results obtained after using a CAST or CAFT flap in combination with SCTG for root coverage. Methods: Patients with single or multiple adjacent recession I/II defects were included, with 10 subjects each in the VISTAX, CAFT, and CAST groups. Defect coverage, keratinized tissue width, esthetic scores, and patients' perceived pain and dentinal hypersensitivity (visual analogue scale [VAS]) were assessed at baseline, 3 months, and 6 months. Results: All surgical techniques significantly reduced gingival recession (P<0.0001). Defect coverage, esthetic appearance, and the reduction in dentinal hypersensitivity were comparable. However, the VAS scores for pain were significantly lower in the VISTAX group than in the CAFT and CAST groups, which had similar scores (P<0.05). Furthermore, the clinical results of VISTAX and CAFT/CAST generally remained stable at 6 months. Conclusions: The clinical outcomes of VISTAX, CAFT, and CAST were comparable. However, patients perceived significantly less pain after VISTAX, indicating a potentially higher patient acceptance of the procedure. A prospective trial with a longer follow-up period and a larger sample size should therefore evaluate VISTAX further.

3D printed interim immediate denture by using the occlusal plane digital transfer method of the POP BOW system in a patient planning to extract upper and lower residual teeth: a case report (상하악 전악 발거 환자에서 POP BOW 시스템의 교합평면 디지털 전이법을 이용한 3D 프린팅 임시 즉시의치의 수복 증례)

  • Park, Do-Hyun;Bae, Eun-Bin;Jung, In-Hwan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.178-188
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    • 2022
  • Interim immediate denture is fabricated to minimize the period of edentulousness after removal of the patient's remaining teeth and before delivery of final prosthesis. In the case of using the CAD/CAM system, there is an advantage in that the manufacturing process in the clinic and laboratory can be simplified by overcoming some of the limitations of manufacturing interim immediate dentures in the traditional way. However, there are also disadvantages in that errors occur in the process of transmitting information about the patient's intermaxillary relationship to the digital network of the laboratory, resulting in unstable occlusal relationships or non-esthetic prostheses. To overcome this problem, using the simple and accurate POP BOW system's occlusal plane digital transfer method, it was possible to fabricate an esthetic and functional 3D printed interim immediate denture after removal of the remaining upper and lower anterior teeth.

Periodontal plastic surgery for anterior esthetics (전치부 심미치주성형술)

  • Lee, Yong-Moo
    • The Journal of the Korean dental association
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    • v.48 no.12
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    • pp.880-888
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    • 2010
  • Periodontal disease, trauma, deformity of tooth can jeopardize the esthetics of oral and maxillo-facial region. Moreover, increasing the demand and concern about the esthetics, clinicians should place high value on esthetics during periodontal treatment. Analysis of various anatomical considerations; lip line, shape and location of marginal gingiva, and biologic width; and diagnosis should be performed prior to periodontal plastic surgery.