• Title/Summary/Keyword: Dental esthetic

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Patients' Functional Satisfaction of Dental Implant Treatment (임플란트 시술에 대한 환자의 기능별 만족도)

  • Lee, Myeong-Ju;Han, Gyeong-Soon;Choi, Jun-Seon
    • Journal of dental hygiene science
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    • v.8 no.2
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    • pp.97-101
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    • 2008
  • This study was aimed to provide basic data which are fairly useful to improve satisfaction level of patients by analyzing factors related to each functional satisfactions of dental implant treatment. The subjects of this study were 120 patients who received implant treatment and analyzed with t-test, one-way ANOVA and pearson's correlation. The results of this study were as follows. 1. Differences of each functional satisfaction according to general characteristics was not reveal statistically significant. 2. A group to got periodic scaling and tooth brushed four or more times a day showed the highest satisfaction of social and esthetic function(p < .05). 3. A group to implantation in premolar area showed the highest satisfaction of masticatory function and a group to implantation in incisor to be high in satisfaction of social and esthetic function, but the differences were not statistically significant 4. A group to got implant treatment at a dental hospital showed the highest satisfaction of both social and esthetic function, and at a general hospital were found lowest(p < .05). 5. Masticatory function, social function, esthetic function, and overall satisfaction were found to be in a positive correlations, and especially, the correlation coefficient between the overall satisfaction and social function was found to be highest(p < .01).

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Biometry of width between labial transitional line angles in anterior teeth: an observational study

  • Wen, Chao;Ye, Hongqiang;Chen, Hu;Zhou, Yongsheng;Huang, Mingming;Sun, Yuchun
    • The Journal of Advanced Prosthodontics
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    • v.14 no.1
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    • pp.1-11
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    • 2022
  • PURPOSE. The maximum width between the mesial and distal labial transitional line angles, described as "esthetic width" herein, could significantly influence the visual perception of the teeth and smile. This study aimed to conduct biometric research on esthetic width and to explore whether regular distribution exists in the esthetic width of human teeth. MATERIALS AND METHODS. A total of 4,264 maxillary and mandibular anterior teeth were measured using the Geomagic studio software program. The proportions of maxillary to mandibular homonymous teeth and proportions between the adjacent teeth were calculated. Bilateral symmetry and the correlation between the esthetic and mesiodistal widths were both accounted for during the measurement procedures. RESULTS. The mean esthetic widths were 6.773 ± 0.518 mm and 4.329 ± 0.331 mm for maxillary and mandibular central incisors, respectively, 5.451 ± 0.487 mm and 5.008 ± 0.351 mm for maxillary and mandibular lateral incisors, respectively, and 3.340 ± 0.353 mm and 5.958 ± 0.415 mm for maxillary and mandibular canines, respectively. Except for the mandibular canines, no significant difference in esthetic width was found among homonymous teeth from the same jaw. A high linear correlation was found between the esthetic and mesiodistal widths of the same tooth, except for the maxillary canines. Esthetic width proportions among different tooth categories showed some regular patterns, which were similar to those of the mesiodistal width. CONCLUSION. Esthetic width is regularly distributed among the teeth in the Chinese population. This could provide an important reference for anterior dental restorations and dimension recovery in esthetic reconstruction of anterior teeth.

Factors affecting fracture of full contour monolithic zirconia dental prosthesis in laboratory process (구치부 심미수복, 풀지르코니아 크라운의 파절원인과 그 해결방안)

  • Lee, Soo Young
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.77-79
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    • 2014
  • There are several factors affected fractures of full contour zirconia (FCZ) dental prosthesis in laboratory process. First, residual moisture can cause zirconia cracks. Complete dry is requisite before zirconia sintering to prevent zirconia cracks. Second, slow cooling rate is essential to prevent cracks during zirconia sintering process. Cracks in bridge pontic area, thick dental implant prosthesis can be prevented by slow cooling rate such as 3 degree Celsius per minute during zirconia sintering. Third, slow heating rate and slow cooling rate during staining and glazing procedure is necessary to inhibit thermal shock of sintered dental zirconia. Lower preheat temperature of porcelain furnace is recommended. Finally, using diamond disc to open embrasure can lead cracks.

Orthodontic Traction of the Extra-large Impacted Canine (매복된 거대 견치의 교정적 견인과 reshaping에 의한 치험례)

  • Choi, Yong-Hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.9 no.1
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    • pp.58-61
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    • 2000
  • Usually, orthodontic treatment has been difficult or confused. But orthodontic treatment for prosthodontic/periodontic therapy is usually simple and have a lot of advantages to dental clinicians. Biological occlusion concept is very important in dental treatment of clinician. The following clinical case shows the combination of orthodontic occlusion in the upper arch and normal in the lower.

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Management of Space Distribution Problem in Upper Dentition (심미성 회복을 위한 상악 전치부 공간 분배 문제의 해결)

  • Hong, Sun-Jae;Song, Byeong-Gi
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.17 no.1
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    • pp.7-14
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    • 2008
  • 치아의 공간 분배 및 배열은 심미적인 수복물의 가장 근본이 되는 중요한 요소이다. 상악 전치부에 과도한 공간으로 심미적으로 부적절한 수복물을 가진 중례에서 기능적으로 그리고 심미적으로 개선시키기 위해 무엇을 고려하고 어떻게 접근하였는지 증례를 통해 반성해보고자 한다.

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A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

  • Choi, Sunyoung;Yeo, In-Sung;Kim, Sung-Hun;Lee, Jai-Bong;Cheong, Chan Wook;Han, Jung-Suk
    • Journal of Periodontal and Implant Science
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    • v.45 no.4
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    • pp.152-155
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    • 2015
  • Purpose: This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone. Methods: Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented. Results: The submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch. Conclusions: The results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.

Clinical and radiographic evaluations of implants as surveyed crowns for Class I removable partial dentures: A retrospective study

  • Yoo, Soo-Yeon;Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young
    • The Journal of Advanced Prosthodontics
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    • v.14 no.2
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    • pp.108-121
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    • 2022
  • PURPOSE. The purpose of this study was to evaluate survival rates and marginal bone loss (MBL) of implants in IC-RPDs. MATERIALS AND METHODS. Seventy implants were placed and used as surveyed crowns in 30 RPDs. The survival rates and MBL around implants based on multiple variables, e.g., position, sex, age, opposing dentitions, splinting, type of used retainer, and first year bone loss, were analyzed. Patient reported outcome measures (PROMs) regarding functional/esthetic improvement after IC-RPD treatment, and complications were also inspected. RESULTS. The 100% implant survival rates were observed, and 60 of those implants showed MBL levels less than 1.5 mm. No significant differences in MBL of implants were observed between implant positions (maxilla vs. mandible; P = .341) and type of used retainers (P = .630). The implant MBL of greater than 0.5 mm at 1 year showed significantly higher MBL after that (P < .001). Splinted implant surveyed crowns showed lower MBL in the maxilla (splinted vs. non-splinted; P = .037). There were significant esthetic/functional improvements observed after treatment, but there were no significant differences in esthetic results based on implant position (maxilla vs. mandible). Implants in mandible showed significantly greater improvement in function than implants in the maxilla (P = .002). Prosthetic complication of IC-RPD was not observed frequently. However, 2 abutment teeth among 60 were failed. The bone loss of abutment teeth was lower than MBL of implants in IC-RPDs (P = .001). CONCLUSION. Class I RPD connected to residual teeth and strategically positioned implants as surveyed crowns can be a viable treatment modality.

Diagnostic keys of the overcoming risk factors and achieving predictable esthetics in anterior single implant

  • Choi, Geun-Bae;Yang, Jong-Sook
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.16 no.2
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    • pp.7-18
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    • 2007
  • There is now an increased demand for harmony between the peri-implant gingiva and adjacent dentition. In the event of a pending loss of a single tooth in the aesthetic zone with healthy periodontium, expectation for optimal gingival and prosthodontic aesthetics are often very high. Unfortunately, bone resorption is common following the removal of an anterior tooth, compromising the gingival tissue levels for the eventual implant restoration. Also, improper implant placement and inadequate osseous-gingival support potentially deleterious aesthetic result. The creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentitionis formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient's own presenting anatomy rather than the clinician's ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, a considering of diagnostic keys is essential. This presentation addresses the useful diagnostic keys that affect the predictability of peri-implant gingival aesthetics and the overcoming of the risk factors in anterior single-tooth replacement; it also describes a surgical and prosthodontic technique in achieving a long term successful esthetic outcome. Proper diagnosis and understanding of the biological and periodontal variables of failing dentition and their response to surgical and prosthodontic procedures are the essence of predictability. Using a smart protocol that alters the periodontium toward less risk and more favorable assessment of the diagnostic keys before implant placement will provide the most predictable esthetic outcome. Simple diagnostic keys suggested this presentation are useful method to evaluate the overcoming of the risk factors in anterior single implant restoration.

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Esthetic Restoration of Complicated Crown-Root Fractures Utilizing Orthodontic Extrusion (복합 치관-치근 파절의 교정적 정출술을 이용한 심미적 수복)

  • Kim, Minji;Kim, Jinyoung;Kim, Suhyun;Lim, Sumin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.60-69
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    • 2016
  • Complicated crown-root fracture of permanent incisors cause esthetic, functional, and psychological problems to patients. Therefore, treatment is important and multidisciplinary treatment is required. This case report describes the clinical procedures involved in the treatment of trauma-induced complicated crown-root fractures in the maxillary incisor of two young patients. Conventional root canal treatment and apexification were performed in each patient. To expose the fracture margins to the supragingival level and to reestablish the biologic width, orthodontic extrusions with fixed appliances were performed followed by a retention period. During the retention period, fiber-optic posts and cores were built up and provisional crowns were placed. Finally, ceramic crowns manufactured using a computer-aided design/computer-aided manufacturing (CAD/CAM) system were placed. In both patients, the teeth presented satisfactory functional and esthetic outcomes without relapse. The periodontal tissues were healthy.

Assessing the Influence of Anteroposterior Lip Position Based on Esthetic Line on the Perceived Attractiveness

  • Jung, Ha-Yoon;Oh, Je-Seok;Zheng, Hui;Chung, Kwang;Jung, Seunggon;Park, Hong-Ju;Oh, Hee-Kyun;Kook, Min-Suk
    • Journal of Korean Dental Science
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    • v.6 no.2
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    • pp.78-86
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    • 2013
  • Purpose: The purpose of this study was to assess the effects of lip anteroposterior position based on esthetic line on the perceived attractiveness. Materials and Methods: We selected a 20s female standard lateral photograph which was within average range of cephalometric analysis, modified lips anteroposterior position based on esthetic line into 5 pictures. This study investigated and compared the preference of facial profile among the groups; male : female and dental relevance: non-dental relevance. Total 255 judges (male : female=138 : 117, relevant : non-relevant=159 : 96) who were 20s to 30s were asked to rate these photographs based in lip attractiveness using visual analogue scale (VAS). Result: All groups had similarity the average of VAS of moved backward lips 2 mm were highest and moved forward lips 4 mm were lowest. Comparing between male group and female group, there were significant differences in all pictures except for original which was not modified. In the dental groups, moved forward lips 2 mm had significant difference and the average in dental relevant group were lower than non-relevant group in lip protrusion. Conclusion: The preference about lip protrusion was similar irrespective of dental knowledge or gender. All groups preferred retrusion of lips to protrusion of lips. In female group, they had higher the average of VAS. In relevant group, they disliked protrusion rather than retrusion of lips significantly.