• Title/Summary/Keyword: Dental restoration

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The Aspiration of Foreign Body in the Left Tracheobronchial Tree during Gold Crown Restoration -A Case Report- (금관 수복치료 후 발생한 좌측 기관지 내로의 금관 흡인에 관한 증례보고)

  • Shin, Teo-Jeon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.1
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    • pp.54-57
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    • 2010
  • Foreign body aspiration (FBA) into the tracheobronchial tree could be life threatening requiringprompt intervention. Any objects placed in the oral cavity put patients at a risk of aspirating or swallowing the objects slipped or broken by physical injuries. Here, we report a case of 30 yr old patient with FBA during gold crown replacement was successfully treated with the use of the flexible bronchoscope. Case: A 30 yr old woman was admitted to Seoul National Dental Hospitalfor an amalgam restoration. She was scheduled to gold crown restoration for replacement of the damaged amalgam at #37 site. After performing crown lengthening procedure, the aspiration of gold crown occurred during the cementation of the crown. After aspiration, the patients complained of the subjective distress of respiration. Chest radiograph revealed that gold crown was enlodged to the left bronchus. Flexible fiberoptics was inserted to the bronchus to remove the aspirated crown. Fiberoptic assisted removal of the aspiratedcrown was successfully performed. After removal, there was no radiopaque material in the left bronchus on follow-up chest radiograph. Discussion: When aspiration of dental materials occurs, flexible fiberoptic can be used in the treatment of FBA. It is also very useful to take preventive management such as rubber dam, application of dental floss in dental procedure where there is high likelihood of FBA.

Three-dimensional evaluation of the internal adaptation of single and three-unit fixed dental restoration by CAD/CAM milling system (CAD/CAM 밀링 시스템을 활용한 단일 치관과 3본 교의치의 3D 적합도 평가)

  • Kim, So-Ri;Kim, Chong-Myeong;Kim, Woong-Chul;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.39 no.1
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    • pp.35-42
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    • 2017
  • Purpose: The purpose of this paper was to evaluate the occurrence of errors regarding adaptation by conducting a three-dimensional assessment comparing the bridge type dental restoration after the cutting process, which has multiple abutments, with a single type dental restoration. Methods: By using ten identical files obtained by scanning the master model, thirty designs were created consisting of ten maxillary right first premolars and ten maxillary right first molars with single crown abutments, along with ten bridge designs with the identical abutment. A 5-axis milling machine was used to produce the design file. The produced denture prostheses were scanned using a silicone replica for a STL file. An evaluation was conducted using 3D analysis software on the master model and each of the thirty data files. Results: The RMS value of the pre-molar (14) was $38.4{\pm}4{\mu}m$ for single and $54.7{\pm}6{\mu}m$ for bridge abutment; therefore, a statistically significant difference was observed for single and bridge designs although both shared the same abutment form (P<.05). Also, the RMS value of the molar (16) was $47.6{\pm}2{\mu}m$ and $56.6{\pm}5{\mu}m$ for the single and bridge designs, respectively, thereby presenting a statistically significant difference (P<.05). Conclusion: As a result, dental prosthesis fabricated using the single method presented better internal adaptation outcomes.

Fabricating a Ceramic-Pressed-to-Metal Restoration with Computer-Aided Design, Computer-Aided Manufacturing and Selective Laser Sintering: A Case Report

  • Lee, Ju-Hyoung;Kim, Hyung Gyun
    • Journal of Korean Dental Science
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    • v.8 no.1
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    • pp.41-47
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    • 2015
  • Even though a conventional metal ceramic restoration is widely in use, its laboratory procedure is still technique-sensitive, complex, and time-consuming. A ceramic-pressed-to-metal restoration (PTM) can be a reliable alternative. However, simplified laboratory procedure for a PTM is still necessary. The article is to propose a technique that reduces time and effort to fabricate a PTM with the aid of computer-aided design, computer-aided manufacturing and selective laser sintering technologies.

Correlation between amalgam restorations and urinary mercury level in children for 1 year (일부 대도시지역 혼합치열기 아동의 아말감 충전물과 뇨중 수은농도: 1년 추적조사)

  • Baek, Hye-Jin;Jeong, Seong-Hwa;Choi, Youn-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.425-430
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    • 2014
  • Objectives : The purpose of this study is to investigate the correlation between amalgam restorations and urinary mercury levels in children for 1 year. Amalgam restoration has been widely used for over 200 years. But released mercury from amalgam can increase the concentration of mercury in the body. Methods : The subjects were 463 elementary school children. Oral examination, urine sampling, and questionnaire survey were performed at baseline and after 1 year. Results : Amalgam restoration increased the urinary mercury level to $0.55{\pm}0.13{\mu}g/g$ creatinine. In the regression analysis, variation of urinary mercury excretion were positively associated with amalgam surfaces and fish consumption. Conclusions : Small amount of mercury release from amalgam restoration was closely associated with increasing urinary mercury level.

Traditional approach with ceramic (임상가를 위한 특집 2 - 심미 수복 - 같은 결과, 다른 접근 세라믹을 이용한 전통적인 접근법)

  • Lee, Seung-Kyu
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.595-603
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    • 2013
  • The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

Correlation between clinical clerkship achievement and objective structured clinical examination (OSCE) scores of graduating dental students on conservative dentistry

  • Bang, Jae-Beum;Choi, Kyoung-Kyu
    • Restorative Dentistry and Endodontics
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    • v.38 no.2
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    • pp.79-84
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    • 2013
  • Objectives: This study aimed to investigate the effect of clinical clerkship-associated achievements, such as performance of procedures at the student clinic, observation, and attitude towards a clerkship, on the objective structured clinical examination (OSCE) scores of dental students graduating in restorative dentistry. Materials and Methods: The OSCEs consisted of two stations designed to assess students' clinical skills regarding cavity preparation for a class II gold inlay and a class IV composite restoration. The clerkship achievements, consisting of the number of student clinical procedures performed, observation-related OSCE, and scores of their attitudes towards a conservative dentistry clerkship, were assessed. Correlation and multiple regression analyses were conducted. Results: The correlation coefficient between the OSCE scores for cavity preparation for a class II gold restoration and clerkship attitude scores was 0.241 (p < 0.05). Regarding a class IV composite restoration, OSCE scores showed statistically significant correlations with the observation (r = 0.344, p < 0.01) and attitude (r = 0.303, p < 0.01) scores. In a multiple regression analysis, attitudes towards a clerkship (p = 0.033) was associated with the cavity preparation for a class II gold inlay OSCE scores, while the number of procedure observations (p = 0.002) was associated with the class IV composite restoration OSCE scores. Conclusions: The number of clinical procedures performed by students, which is an important requirement for graduation, showed no correlation with either of the OSCEs scores.