• The Journal of Korean Academy of Prosthodontics
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• v.47 no.1
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• pp.1-11
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• 2009

Statement of problem: There are two methods of color choice for the esthetic restoration. One is visual shade matching which draws a comparison between shade guide and teeth in dentist's own eye and the other is using a digital shade analysis system recently introduced. Although the visual shade matching has a lot of problems, decision of color by this visual shade matching and the ways of expression for the decided color are still applicable to clinical dentistry. Purpose: This study is designed to investigate shade guides used in the dental clinics and laboratories have the same value using ShadeEye-$NCC^{(R)}$ dental chroma meter (Shofu Inc., Kyoto, Japan) using shade guide are evaluated. Material and methods: At the first experiment, eight Vita Lumin Vacuum shade guides (Vident Inc., California, USA) were collected from the dental clinics. A1 and B1 shade tabs are chosen and the colors are analyzed five times each in both tooth and porcelain modes by digital shade analysis system, ShadeEye-$NCC^{(R)}$. In the second experiment, twelve Vita shade guides using practically in the dental clinics and laboratories were collected and also A1 and B1 shade tabs are chosen and the colors of A1 and B1 are analyzed one time each in both tooth and porcelain modes by ShadeEye-$NCC^{(R)}$. Results and conclusion: There were significant differences among eight shade guides in terms of shade (chroma), value and hue in both of A1 and B1 (P<.05). Shade guides using in present both dental clinics and laboratories did not show significant differences, except A1 in the porcelain mode, it showed significant differences (P<.05) in the shade even though the shade tab has the same name.

• Journal of the korean academy of Pediatric Dentistry
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• v.33 no.1
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• pp.43-52
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• 2006

Topical fluoride application for children is a widely peformed procedure in the field of pediatric dentistry to prevent dental caries. However, it is recently recognized as having some unwanted effects on several esthetic restorative materials as it roughens the surface of the restorative materials. The aim of this study was to evaluate the surface changes in composite resins to topical fluoride. Composite resins(Z $250^{(R)}$, Ultraseal $XT^{(R)}$ Filtek $flow^{(R)}$ $Revolution^{(R)}$, $Denfil^{(R)}$) in topical fluoride agents were immersed and their surface roughness, weight loss and SEM were evaluated. The results were as follows : 1. The 4 minutes-immersion groups showed more roughened surface than 1 minute-immersion groups and the control groups showed the smoothest surface among all the materials, and there was statistically significant difference except the revolution between the groups. 2. There was no significant difference between the 1 minute-immersion groups and 4 minutes-immersion groups in weight loss. 3. The experimental group treated with topical fluoride gel showed the generally mere roughened surface than control group in the SEM findings.

• Journal of Periodontal and Implant Science
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• v.41 no.6
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• pp.273-278
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• 2011

Purpose: To analyze the dimensions of the embrasure space between the maxillary central incisors as potential factors influencing interdental papilla fill and height. Methods: The embrasure dimensions between the maxillary central incisors of 100 subjects (40 females/60 males) were assessed with clinical, study model, and radiographic examinations. Variables of the complete and deficient papilla fill groups were compared. Multiple regression analyses were performed to investigate potential influence of the distance between the contact point and bone crest (CP_BC), horizontal interdental distance (HID), and facio-lingual thickness (FLT) at the papilla base on complete/deficient papilla fill and papilla height (PH). Results: CP_BC was the only variable that showed a significant difference between the complete and deficient papilla groups (P<0.05). When the CP_BC was less than 5 mm, the embrasure spaces between the maxillary central incisors were completely filled with interdental papilla. Multiple regression analyses revealed that a significant predictor for complete/deficient papilla fill was CP_BC, and significant predictors for PH were CP_BC and HID (P<0.05). Conclusions: The chances of complete papilla fill increased as CP_BC decreased, while PH increased as CP_BC and HID increased. However, the FLT of the papilla base did not appear to affect papilla fill or PH. From an esthetic perspective, CP_BC as well as HID should be considered as factors influencing the topography of interdental papilla.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.28 no.3
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• pp.242-246
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• 2006

Objective : This is to report the criteria of success of intraoral distraction osteogenesis for alveolar augmentation in the severely atrophied alveolar defects through clinical result of 2 cases. Subjects and Methods : Anterior segmental osteotomy was performed and alveolar distractors (Martin and Leibinger, Germany) were applied each in 2 patients with severely defected anterior maxillary area. The osteomized alveolar segments were distracted by 1mm a day after latency period. After the consolidation period implants were installed with removal of distractor. The implants were evaluated clinically and radiographically. Results : In Case I, the distracted bone was directed to the palatal side, and another augmentation treatment - block bone graft, guided bone regeneration - was needed. In Case II, the successful alveolar bone augmentation was achieved. Dental implant was placed on distracted alveolar bone, and showed good osseointegration and good function without any complication. Conclusion : Distraction osteogenesis can be a good choice for alveolar ridge augmentation of severely atrophied ridges. However, the anterior esthetic prosthetics relies on the control of the vector, the kind of distractor, the healing capacity of patient and the etiology of atrophy. Therefore another study of each category would be needed.

• The korean journal of orthodontics
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• v.37 no.3 s.122
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• pp.204-211
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• 2007

Objective: With an increasing demand for esthetic orthodontic appliances, the interest in polycarbonate brackets has also increased. However, polycarbonate bracket wings are prone to fracture. The purpose of this study was to evaluate the clinical usefulness of a newly-developed polycarbonate bracket by measuring the fracture strength of bracket tie wings. Methods: Alice (K.M. Daicom, Seoul, Korea) and Spirit MB (Ormco, Glendora, CA, USA) brackets were used as an experimental and control bracket respectively. Each bracket group was divided into halves. One half was untreated and the other half was treated with 2,000 times of thermocycling between $5^{\circ}C\;and\;55^{\circ}C$. The fracture strength of the wing was measured by a universal testing machine. Results: Alice bracket wings showed significantly higher strength than Spirit MB bracket wings in both untreated and thermocycled bracket cases. Conclusion: Alice brackets may be used clinically in terms of the strength of bracket wings.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.43 no.5
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• pp.318-323
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• 2017

Objectives: Mandibular angle reduction or reduction genioplasty is a routine well-known facial contouring surgery that reduces the width of the lower face resulting in an oval shaped face. During the intraoral resection of the mandibular angle or chin using an oscillating saw, unexpected peripheral nerve damage including inferior alveolar nerve (IAN) damage could occur. This study analyzed cases of damaged IANs during facial contouring surgery, and asked what the basic standard of care in these medical litigation-involved cases should be. Materials and Methods: We retrospectively reviewed a total of 28 patients with IAN damage after mandibular contouring from August 2008 to July 2015. Most of the patients did not have an antipathy to medical staff because they wanted their faces to be ovoid shaped. We summarized three representative cases according to each patient's perceptions and different operation procedures under the approvement by the Institutional Review Board of Seoul National University. Results: Most of the patients did not want to receive any further operations not due to fear of an operation but because of the changes in their facial appearance. Thus, their fear may be due to a desire for a better perfect outcome, and to avoid unsolicited patient complaints related litigation. Conclusion: This article analyzed representative IAN cutting cases that occurred during mandibular contouring esthetic surgery and evaluated a questionnaire on the standard of care for the desired patient outcomes and the specialized surgeon's position with respect to legal liability.

• The Journal of Korean Academy of Prosthodontics
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• v.55 no.3
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• pp.331-335
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• 2017

An immediate complete denture is considered as restoration for lost natural teeth, which is fabricated following the extraction of the remaining teeth. Current esthetics and function can be retained by using immediate denture without edentulous period. However, the major disadvantages of immediate denture relate to the difficulties associated with taking accurate definitive impression and predicting the results of immediate denture. In this case report, the Campagna tray technique was used to take the final impression in a 49-year-old male patient presented with all remaining teeth diagnosed as hopeless teeth. Surgical templates were used for alveoloplasty after extraction. The immediate complete dentures were then delivered. The clinical assessments of immediate dentures showed good esthetic and functional outcomes. The patient showed high level of satisfaction.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.1
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• pp.20-25
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• 2015

Purpose: This study was evaluated the shade of feldspathic porcelain with various concentration of silver ion. Materials and Methods: The control group was conventional feldspathic porcelain with no silver ion, the experimental groups were the feldpathic porcelain with 5%, 10%, 20%, 30% silver ion. The number of specimens on the each group was 5. Commission Internationale de I'Eclairage (CIE) $L^*a^*b^*$ parameters were recorded twice for each specimen with a spectrophotometer (Model CM-2600d, Minolta, Japan). One-way Anova was used for statistical analysis. Results: L value was similar. a value was increasing and b value was decreasing with silver ion statistically significantly. ${\Delta}E$ was increasing according to silver ion significantly. Conclusion: The shade of feldspahtic porcelain was influenced by silver ion. Ag ion under 10% concentration is acceptable clinically.

• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.1
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• pp.38-43
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• 1999

Tooth transposition is the phenomenon in which two teeth in the dental arch are exchanged. The tooth most frequently involved in transposition is the permanent maxillary canine, especially with the first premolar. The etiology of transposition is still an enigma. Interchange of tooth germs, migration during eruption, genetic factor, local pathologic factors may be suggested as possible etiologic factors. There are three main options for treatment, which are the extraction of one of the transposed teeth, the alignment in the transposed position, the orthodontic movement of the teeth to their correct positions. If complete transposition occurred especially in mandible, alignment of teeth in the transposed position followed by occlusal reduction and esthetic restoration is usually recommended. The presented two-case report will describe the maxillary canine to the first premolar and to lateral incisor transposition with associated peg lateralis and retained primary canines. Although alignment the transposed teeth in original position is ideal treatment, it companies many complication as root resorption, alveolar bone destruction, gingival deheisence, etc. Therefore the treatment procedures in these case was relative cost-benefit effective method to both clinician and patients.

• Journal of the korean academy of Pediatric Dentistry
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• v.26 no.1
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• pp.103-108
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• 1999

Restoration of severly carious, malformed or traumatically fractured primary incisors is one of the most difficult challenges in restorative dental care for preschoolers. In restoring primary anterior teeth, four types of complete coverage crowns have been attempted over the years. Stainless steel crowns, open-faced stainless steel crowns, acid-etched crowns(strip crowns), and preformed polycarbonate crowns have been the choices. While these restorations have been acceptable for many patients, they all have very distinct limitations. The ideal full coronal restoration for a primary incisor requires durability, retention, and esthetics. This paper reported veneered stainless steel crown restoration of primary anterior teeth by silicoater technique. Veneered stainless steel crown restoration by silicoater technique is considered to be a durable, retentive, and esthetic restoration.