• 대한치과마취과학회지
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• 제14권2호
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• pp.119-126
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• 2014

Difficulty in breathing can be very disconcerting to a patient who is conscious yet unable to breath normally. The common causes of acute respiratory distress include hyperventilation, vasodepressor syncope, asthma, heart failure, and hypoglycemia. In most of these situations, the patient does not exhibit respiratory distress unless an underlying medical disorder becomes acutely exacerbated. Examples of this include acute myocardial infarction, anaphylaxis, cerebrovascular accident, hyperglycemia, and hypoglycemia. A major factor that leads to the exacerbation of respiratory disorders is undue stress, either physiologic or psychologic. Psychologic stress in dentistry is the primary factor in the exacerbation of preexisting medical problems. Therefore, the most dental patient should be cared gently as the stress reduction protocol. This is a case report of acute respiratory distress with vasodepressor syncope during alginate impression taking of mandibular teeth in a long-standing temporomandibular joint dislocated 93-years-old pneumonic patient.

• The Journal of Advanced Prosthodontics
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• 제3권1호
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• pp.33-36
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• 2011

In process of fabrication of a fixed partial denture, dies are trimmed to expose margins of the preparations. The need for the soft tissue cast is quite evident as the soft tissue emergence profile that surrounds the prepared tooth is destroyed in the process of fabrication. This article describes a modified technique to fabricate the soft tissue cast for the conventional fixed partial denture. The impression made with the polyvinylsiloxane was first poured to prepare the die cast. After retrieval of the cast, the same impression was poured second time with the resin based resilient material to cover the facial and proximal gingival areas. The remaining portion of the impression was poured with the gypsum material. This technique does not require additional clinical appointment, second impression procedure, technique sensitive manipulations with impression, or cumbersome laboratory procedures. The simplicity of this technique facilitates and justifies its routine use in fabrication of the fixed partial denture.

• 대한치과보철학회지
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• 제38권2호
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• pp.191-199
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• 2000

Wettability of addition silicone impression material is very important property for making an accurate restoration. This study examined the impression quality in clinical condition and the wettability of impression and die material. Four commercially available addition silicone impression material (Express, Examix, Contrast, Perfect) and three die materials (Die-Keen, Vel-Mix, Fuji-Rock) were studied. A total of 50 putty/wash and heavy body/wash impressions of wet intact permanent molar teeth were examined for definition of the gingival sulcus reproduction and then classified in quality ranking. The percentage of the sulcus reproduction ability of each material was calculated from the sulcus depths of cross-sectioned epoxy resin casts from the impressions and clinically measured sulcus depths, The same impression materials were used to produce 3 groups of die stone casts form void entrapment die had been exposed to milk. Voids in the impression body and stone casts ere counted under a stereoscopic microscope. From the experiment, the following results were obtained : 1. Sulcus reproduction ability of additional silicone impression material were diminished in order of Express, Examix, Perfect, Contrast. The significant difference was found between Perfect and other material. Heavy body/wash combination was superior In putty/wash method n Perfect impression material. 2. In direct observation, Contrast showed least void in impression body but correlations ere not found between sulcus reproduction and void production. 3. In void entrapment laboratory test, wettability were diminished in order of Examix, Contrast, Express, Perfect. Clinical impression recording seems not to correlate with laboratory test. 4. The wettability of die material to impression material was not different in Express, Examix, Contrast. But, in Perfect, Die-Keen had superior wettability to others.

• 구강회복응용과학지
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• 제25권1호
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• pp.31-40
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• 2009

고무인상재의 유변학적 특성은 높은 정확성을 가진 인상체의 채득에 중요한 역할을 한다. 그러나 국산 고무인상재의 유변학적 특성에 관한 연구가 거의 이루어지지 않았다. 이 연구는 국산 및 수입 고무 인상재의 유변학적 특성을 측정, 연구함으로써 임상적 과정에서 정확성 높은 인상채득에 도움이 되고자 함이다. 시판중인 Type 3 점성을 가진 6종의 고무인상재의 유변학적 특징을 측정하였다. 2종의 국산 폴리비닐실록산, 3종의 수입 폴리비닐실록산, 1종의 폴리이써, 1종의 폴리썰파이드에 대하여 plate 대 plate 형의 rotational rheometer인 HAAKE RHEOSTRESS $1^{(R)}$ 이용하여 Mixing 후 900초간 G′, Loss tangent 값을 측정하였다. 각 제품 당 3회씩 측정 후 통계분석하였다. 국산 PVS, 수입 PVS, Polyether, Polysulfide 모두 G′의 S자형 증가와, Loss tangent 값의 S자형 감소를 보였다. 경화 후 G′ 값의 최대치는 Polyether였으며, 최소치는 Polysulfide였다. Loss tangent의 초기값은 폴리이써 인상재에서 가장 높았으며 국산 폴리비닐실록산 인상재에서 가장 낮았다. 같은 점조도를 가진 국산 PVS 와 수입 PVS의 G′ 값은 유의한 차이가 없었으나, 초기 Loss tangent 값에서 유의한 차이가 나타났다.

• The Journal of Advanced Prosthodontics
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• 제16권1호
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• pp.57-65
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• 2024

PURPOSE. The aim of this stuldy was to compare the clinical marginal fit of CAD-CAM inlays obtained from intraoral digital impression or addition silicone impression techniques. MATERIALS AND METHODS. The study included 31 inlays for prosthodontics purposes of 31 patients: 15 based on intraoral digital impressions (DI group); and 16 based on a conventional impression technique (CI group). Inlays included occlusal and a non-occlusal surface. Inlays were milled in ceramic. The inlay-teeth interface was replicated by placing each inlay in its corresponding uncemented clinical preparation and taking interface impressions with silicone material from occlusal and free surfaces. Interface analysis was made using white light confocal microscopy (WLCM) (scanning area: 694 × 510 ㎛²) from the impression samples. The gap size and the inlay overextension were measured from the microscopy topographies. For analytical purposes (i.e., 95-%-confidence intervals calculations and P-value calculations), the procedure REGRESS in SUDAAN was used to account for clustering (i.e., multiple measurements). For p-value calculation, the log transformation of the dependent variables was used to normalize the distributions. RESULTS. Marginal fit values for occlusal and free surfaces were affected by the type of impression. There were no differences between surfaces (occlusal vs. free). Gap obtained for DI group was 164 ± 84 ㎛ and that for CI group was 209 ± 104 ㎛, and there were statistical differences between them (p = .041). Mean overextension values were 60 ± 59 ㎛ for DI group and 67 ± 73 ㎛ for CI group, and there were no differences between then (p = .553). CONCLUSION. Digital impression achieved inlays with higher clinical marginal fit and performed better than the conventional silicone materials.

• 한국콘텐츠학회논문지
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• 제18권12호
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• pp.639-645
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• 2018

본 연구의 목적은 3차원 중첩 기술 차이에 따른 디지털 치과용 지대치 인상체 및 경석고 모형의 스캐닝 정밀도를 비교 평가하는 것이다. 상악 제1 소구치 지대치 인상체와 경석고 모형를 제작했다. 청색광 스캐너로 스캔하여 stereolithography (STL)을 얻었다. 지대치 인상체와 경석고 모형에 대하여 스캐너 테이블에서 이동하지 않은 채로 10번의 추가 스캔을 수행하였다. no control과 best-fit-alignment 기술을 사용하여 지대치 인상체와 경석고 모형 스캐닝 데이터를 중첩시킴으로써 10개의 color-difference maps과 root mean square (RMS) 데이터를 얻었다. 서로 간의 그룹 사이에 RMS data를 가지고 독립 t 검정을 수행하였다(${\alpha}=0.05$). 지대치 인상체 스캐닝에 있어서 no control과 best-fit-alignment의 RMS${\pm}$StandardDeviation (SD) 값은 $6.86{\pm}0.94$, $5.04{\pm}0.24$로 나타났고, 경석고 모형 스캐닝에 있어서는 $4.98{\pm}1.16$, $3.39{\pm}0.07$로 나타났으며, 모든 그룹 간에 유의한 차이를 보였다(P<0.001). 본 연구 결과를 통해 best-fit-alignment뿐만 아니라 no control은 디지털 치과캐드캠 연구 분야 및 임상 분야에 활용될 수 있다고 생각한다.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1996년도 추계학술대회
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• pp.52-56
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• 1996

The elevation of present medical service using advanced science contributes to offer medical examination and treatment of good quality under the subject of patient satisfaction as well as patient impression. The dental service field charging some part of public health promotion and public welfare promotion also intends to improve the dental examination and treatment quality utilizing advanced science. The object of this research is the development of dental patient education system (DPES) using multimedia of new technology. DPES can be employed for these object, harmonious operation of dental examination and treatment, treatment quality improvement, disease notice to patient under the subject of patient satisfaction and patient impression, explanation of some selective treatment course, the verification of treatment necessities and treatment validation, and the improvement of treatment effect through the oral cavity sanitation education in the sense of prevention. This research also serves the development environment, the step to collect educational document, visual information and to structure those, and the examination of DPES efficiency in clinic.

• 한국멀티미디어학회논문지
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• 제20권2호
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• pp.179-187
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• 2017

The fourth industrial revolution is a phenomenon where productivity is improved in each field by the convergence of IT technology and existing industries. In the dental treatment process, prosthetic treatment time is drastically shortened through AI and expert software. Oral imaging, prosthesis design, and prosthesis manufacturing are performed continuously, so the treatment can be completed in a few hours. In this paper, we introduce the research trend of multimedia technology in the prosthetic process. We also propose a new method for accelerating the fusion of surface data during the optical impression. Proposed method enables high-speed optical impression and accelerates the overall automated production process of dental prosthesis.

• 대한치과기공학회지
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• 제7권1호
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• pp.33-40
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• 1985

When full denture is being fabricated, pronounciation, recovery of aesthetics of function and mastificatory function should be satisfies for patients. To satisfy for the function of denture, following is the difference between this new way of fabricating and formerly one of it. 1. The size of fabricating tooth which is harmony of original oral structure for patients is deaded by manufacturing labial index and artificial tongue. 2. By the use of artificial tongue and labial index, the arranges of artificial tooth is to become harmony of oral structure. 3. Formation of gingival decided functional impression which is used by impression paste, is harmony of oral structure. Therefore, this full denture can be satisfied with pronouncing oral function of recovery of aesthetics as well as mastificatory through physiological movement of oral tissue not disturbed with anything but cooperated drastically. In manufacturing of this full denture, both dentist and dental technician under cooperation need to proceed the work on the base of importance of communication.

• 대한치과보철학회지
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• 제43권3호
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• pp.352-362
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• 2005

Statement of problem. Accurate impression is essential to success of implant prostheses. But there have been few studies about the accuracy of fixture-level impression techniques in internal connection implant systems. Purpose. The purpose of this study was to compare the accuracy of two fixture-level impression techniques in two conditions (parallel and divergent) and to assess the effect of tightening sequences and forces on stresses generated on superstructures in internal connection implant system (Astra Tech). Material and methods. Two metal master frameworks made from two abutments (Cast-to Abutment ST) each and a corresponding, passively fitting, dental stone master cast with four fixture replicas (Fixture Replica ST) were fabricated. Ten dental stone casts for each impression techniques (direct unsplinted & splinted technique) were made with vinyl polysiloxane impressions from the master cast. Strain gauges for each framework were fixed midway between abutments to measure the degree of framework deformation on each stone cast. Pairs of strain gauges placed opposite each other constituted one channel (half Wheatstone bridge) to read deformation in four directions (superior, inferior, anterior, and posterior). Deformation data were analyzed using one-way ANOVA and the Tukey test at the .01 level of significance. And the effect of tightening sequences (right-to-left and left-to-right) and forces (10 Ncm and 20 Ncm) were assessed with ten stone casts made from parallel condition by the splinted technique. Deformation data were analyzed using paired t-test at the .01 level of significance. Conclusions. Within the limitations of this study, the following conclusions could be drawn. 1. Frameworks bent toward the inferior side on all casts made by both direct unsplinted and splinted impression techniques in both parallel and divergent conditions. 2. There was no statistically significant difference of accuracy between the direct unsplinted and splinted impression techniques in both parallel and divergent conditions (P>.01). 3. There was no statistically significant difference of stress according to screw tightening sequences in casts made by the splinted impression technique in parallel condition (P>.01). 4. Greater tightening force resulted in greater stress in casts made by the splinted impression technique in parallel condition (P<.01).