• 제목/요약/키워드: Dental esthetic

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Simultaneous Hard Tissue and Soft Tissue Graft with Dental Implant Placement and Provisionalization: A Case Report

  • Hyunjae Kim;Young-Dan Cho;Sungtae Kim
    • Journal of Korean Dental Science
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    • 제17권2호
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    • pp.84-91
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    • 2024
  • Achieving both esthetic and functional implant rehabilitation is crucial for the successful treatment of the anterior maxilla. Adequate peri-implant alveolar bone and soft tissue are essential for optimal rehabilitation of the esthetic area, and there is a direct association between the implant position and prosthetic outcomes. Immediate provisionalization may also be advantageous when combined with augmentation. This case report described the implant placement in a 25-year-old female patient who had lost her right maxillary lateral incisor (#12) due to trauma-induced avulsion. The treatment involved simultaneous grafting and collagenated, deproteinized bovine bone mineral, along with subepithelial connective tissue taken from the right maxillary tuberosity. A polyetheretherketone abutment and non-functional immediate provisionalization were performed by removing both the proximal and occlusal contacts on the composite resin crown. Clinical and radiographic evaluations revealed maintenance of stable ridge contour aspects for six months following surgical treatment. In summary, implant rehabilitation in the esthetic zone can be successful using simultaneous soft and hard tissue grafts. Moreover, soft tissue stabilization post-subepithelial connective tissue grafting can be achieved through early or immediate visualization, along with immediate implant placement.

치주질환으로 인한 전치부 정출(Extrusion)의 심미적 수복에 관한 증례 (Esthetic Realignment of Periodontally Compromised Anterior Teeth)

  • 최원석
    • 대한심미치과학회지
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    • 제8권1호
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    • pp.60-63
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    • 1999
  • Dental clinicians commonly encounter extrusion of the anterior teeth due to localized alveolar bone loss in adult patients with chronic periodontitis. This pathologic migration of the anterior not only may cause loss of functional anterior guidance and continuous periodontal destruction, but also can lead to esthetic disaster. In fact, most frequently reported chief complaint of the patients with extruded anterior teeth is the 'loss of esthetics', not the periodontal problem itself. The utilization of the expertise and skills in the various dental disciplines is thought to be the best treatment modality for the ultimate functional and esthetic attainment. Interdisciplinary therapy, involving periodontics, orthodontics, and restorative dentistry, was performed for the highest levels of patient and provider satisfaction in this case.

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다층 지르코니아를 이용한 임플란트 전치부 수복 증례 (Restoration of anterior teeth with dental implant using multilayer zirconia)

  • 이성희;이영후;홍성진;백장현;노관태;배아란;권긍록;김형섭
    • 대한치과보철학회지
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    • 제59권4호
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    • pp.469-477
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    • 2021
  • 상악 전치부 임플란트의 성공적인 수복을 위해서는 pink esthetics와 white esthetics가 모두 충족되어야 한다. Pink esthetics 부분의 경우 적절한 임시보철물의 역할이 중요하고, white esthetics 부분의 경우에는 최종 보철물의 색상과 형태가 중요하다. 다층 지르코니아는 기존의 단일구조 지르코니아에 비해 절단 부위의 투명도가 높기 때문에 추가적인 도재 축성 없이 자연스러운 보철물 제작이 가능하다. 따라서 본 증례에서는 상악 전치를 상실한 환자에서 적절한 임시보철물을 통해 기능과 심미성을 충분히 회복한 후 다층 지르코니아를 통해 white esthetics를 달성하였다.

성공적 직접 심미 수복을 위한 3가지 열쇠 (3 keys for successive direct esthetic restoration)

  • 조상호
    • 대한치과의사협회지
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    • 제54권1호
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    • pp.16-20
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    • 2016
  • There is a difficulty for many practioner in anterior direct restroation with composit resin. Because its result is various according to patient, a practioner have a fear about that unpromisable result. Moreover in esthetic region, there is difference in satisfaction by patient character. That is one of difficulty in this practice. But if we make a manual for parctice it will be easier. So I will summarize the process and things to note in direct anterior composite resin restoration.

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임상가를 위한 특집 1 - Comprehensive approach with implant

  • 이동현
    • 대한치과의사협회지
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    • 제51권11호
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    • pp.586-594
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    • 2013
  • The critical factors affecting the esthetics of anterior implants can be summarized as following: 1) Correct positioning of implant fixture 2) Enough amount of alveolar bone 3) Optimum volume of soft tissue. The position of implant is probably the most important factor in obtaining esthetic treatment outcome. The 3-dimensional orientation of implant is determined by the position on the alveolar ridge and its direction. Clinicians often try to mimic natural teeth when fabricating restorations. During the course of esthetic diagnosis and treatment, however, one should not forget to consider the correlation between facial pattern, lips, gingiva, alveolar ridge, as well as remaining dentition. Since anterior region is biologically unfavorable when compared with posterior region, one minor discrepancy in positioning of implant can cause esthetically undesirable treatment outcome. If one understands the biological and prosthetic meaning of implant's 3-dimensional position, he or she can achieve superior esthetic outcome in anterior region.

임상가를 위한 특집 3 - 악교정 수술과 함께하는 mandibular angle management (Mandibular Angle Management for Improving the Esthetic Result of Orthognathic Surgery)

  • 한세진
    • 대한치과의사협회지
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    • 제50권11호
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    • pp.677-681
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    • 2012
  • Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don't only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan. Patients with prominent mandibular angle want to have the narrower face of so called 'V-line' shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time. We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.