• Title/Summary/Keyword: Dental restoration

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Long-term outcomes of adjacent and antagonistic teeth after implant restoration: a focus on patient-related factors

  • Park, Su-Yeon;Kim, Yong-Gun;Suh, Jo-Young;Lee, Du-Hyeong;Lee, Jae-Mok
    • Journal of Periodontal and Implant Science
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    • 제51권2호
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    • pp.135-143
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    • 2021
  • Purpose: To investigate factors affecting the antagonistic and adjacent teeth in patients after implant restoration and prosthetic rehabilitation. Methods: In total, 160 patients who visited Kyungpook National University Dental Hospital for implant surgery, prosthesis placement, and supportive periodontal therapy (SPT) were included in this study. The average follow-up period was 88.06 months, and the maximum was 175 months. Patients' history of smoking, diabetes, hypertension, and osteoporosis was investigated, and panoramic radiographs were taken after surgery and prosthetic treatment. During the follow-up period, extraction and prosthetic/endodontic treatments of the antagonistic and adjacent teeth were analyzed. The statistical analyses were performed using descriptive statistics, the chi-square test, the Fisher exact test, and multiple logistic regression analyses. Results: Treatment was performed on 29.4% of the studied antagonistic teeth with extraction performed in 20.0% and prosthetic treatment in 10.0%. Furthermore, 19.4% of the studied adjacent teeth underwent treatment, of which extraction was performed in 12.5% and prosthetic treatment in 7.5%. The treatment rate for adjacent teeth was 25.3% in smokers, which was higher than that of non-smokers (12.3%) (P=0.039). Patients who were non-adherent to SPT showed a significantly higher rate (19.6%) of antagonistic prosthetic treatment than did those who were adherent (5.5%) (P=0.006). Conclusions: Implant restoration can affect the adjacent and antagonistic teeth. Smoking, osteoporosis history, and absence of SPT may be risk factors for the treatment of the adjacent and antagonistic teeth.

최근 5년간 광주지역 소아치과에 내원한 신환의 분포와 진료 내용에 대한 조사 (A STUDY ON THE CHANGES OF PATIENT DISTRIBUTION AND TREATMENT PATTERN FOR THE LAST 5 YEARS IN PEDIATRIC DENTAL PRACTICE OF GWANGJU)

  • 김하나;이난영;이상호
    • 대한소아치과학회지
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    • 제39권4호
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    • pp.348-356
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    • 2012
  • 최근 사회 경제적인 변화로 소아치과의 진료 양상도 변화하고 있다. 이런 변화 양상을 파악하여 미래에 소아치과가 나아갈 방향성을 제시하고자 본 조사를 실시하였다. 2005년부터 2010년까지 조선대학교 소아치과와 광주의 소아전문 개인치과의원 두 곳에 내원한 모든 신환을 대상으로 조사하였다. 신환의 수는 꾸준한 증가 추세를 보였고, 이 중 남아의 비율이 더 높았으며, 연령별 분포에서는 3~4세군의 내원율이 가장 높았다. 조선대학교 소아치과의 경우 방학 중 내원율이 높았으나, 소아전문 개인 치과의원은 특정 기간과 상관관계가 없었다. 주소 분포에서는 충치가 가장 높은 비율을 보였으며, 예방 및 검진을 위한 내원율의 증가와 함께 불소도포가 증가하였다. 치료 중에서는 수복치료의 비율이 가장 높았으며, 이 중 레진과 글라스아이오노머의 수복이 가장 많았고, 아말감 수복은 감소하였다. 진정치료의 비율은 약간 감소하였고, 소아전문 개인치과의원과 비교해 조선대학교 소아치과에서 더 높은 비율을 보였다.

다른 특성을 가지는 도재가 반복소성에 따라 색조변화에 미치는 영향 (The Effect of Repeated Firing on the Color Difference of a Metal-Ceramic System with Different Porcelain Powder)

  • 황재선
    • 대한치과기공학회지
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    • 제31권1호
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    • pp.23-36
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    • 2009
  • The goal of esthetic restoration is to achieve morphologic, optical, and biologic acceptance. Creation of a natural looking ceramic restoration, which blends harmoniously with surrounding dentition, is not always achieved. A successful color match is an important aspect of any esthetic dental restoration. Since natural enamel has inherent translucency, it is important that ceramic restorations reproduce the translucency and color of the natural teeth. However, the final color match of porcelain crowns to adjacent natural dentition remains some problem. Difficulties related to color matching arise from the structural differences that exist between metal ceramic crowns and natural teeth, the limited range of available ceramic shades, inadequate shade guides, different types of metal alloys, repeated firing, the condensation technique, and varying compositions of ceramic materials. Many factors contribute to the esthetic success of dental restoration: optical properties such as color and its elements of hue, value, and chroma; translucency and opacity; light transmission and scattering; and metamerism and fluorescence. The purpose of this study was to determine the color changes of metal-ceramic system with different veneering porcelain powder after repeated firing. The objectives of this in vitro study were to measure the lightness($L^*$), chromaticity($a^*$), chromaticity($b^*$), chroma($C^*$), hue(h), reflectance(%), color difference(${\Delta}E$). The following conclusions were obtained: 1. An increase in the number of firings resulted in decrease in lightness($L^*$) but increase in chromacticity($a^*$) with all porcelain. After the second sintering resulted in decrease in chromacticity($b^*$) with opaque-dentin porcelain and dentin porcelain but in increase with enamel porcelain and translucency porcelain. And after the second sintering resulted in decrease in chroma($C^*$) with opaque-dentin porcelain and dentin porcelain, but on the whole side in decrease with enamel porcelain and translucency porcelain. 2. After the second firing, a increase in the number of firings resulted in decrease reflectance(%) in all wavelength. 3. There were noticeable color differences(${\Delta}E$) between first sintering and multiple firings(dentin porcelain: 5.29~8.15, opaque-dentin porcelain: 4.83~8.2, enamel porcelain: 8.93~13.15, translucency porcelain: 9.37~12.91), but the color difference(${\Delta}E$) after second sintering were down to 4.87 in all porcelain. 4. Given the NBS Criteria, a 'trace' was not found this study but a 'slight' was found 2-3, 3-5 in dentin porcelain, 2-3 in opaque-dentin porcelain, 3-5, 5-10 in enamel porcelain and translucency porcelain, a 'noticeable' was 2-5, 3-10, 5-10 in dentin porcelain and opaque-dentin porcelain, 2-3, 2-5, 3-10 in enamel porcelain 2-3, 3-10 in translucency porcelain, an 'appreciable' was 1-2, 1-3, 2-10 in dentin porcelain 1-2, 1-3, 2-10, 3-10 in opaque-dentin porcelain, 2-10 in enamel porcelain, 2-5, 2-10 in translucency porcelain, a 'much' was 1-5, 1-10 in dentin porcelain and opaque-dentin porcelain, 1-2, 1-3, 1-5 in enamel porcelain 1-2, 1-3, 1-5, 1-10 in translucency porcelain, a 'very much' was 1-10 in enamel porcelain.

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풀지르코니아 수복물의 실용성과 전망 (Practicality and prospect of full-zirconia restoration)

  • 황정원
    • 대한심미치과학회지
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    • 제24권2호
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    • pp.101-121
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    • 2015
  • 지르코니아 폴리크리스탈은 (Y-TZP) 다른 치과용 세라믹에 비해 기계적 강도와 파절저항성이 우수하다. 지르코니아 기반 세라믹은 캐드캠 시스템을 바탕으로 고정식 수복물 제작에 성공적으로 소개되어 왔다. 이는 고정식 수복물을 위한 금속 구조물의 임상적 대안으로 제시되었다. 지르코니아 수복물의 가장 흔한 합병증은 상부 도재의 파절이다. 다른 옵션은 고도로 반투명한 지르코니아를 전부지르코니아 고정식 수복물로 사용하는 것이다. 본 논문에서는 전부지르코니아 수복물의 장점, 지르코니아 수복물의 임상적용, 지대치 삭제, 대합치 마모, 지르코니아와 레진시멘트와의 접착, 그리고 기공소와의 의사소통에 관하여 보고하였다.

마모된 치열을 지닌 고령 환자의 상악 전악 고정성 수복 증례 (Maxillary full-arch fixed dental prosthesis of the elderly patient with worn dentition)

  • 이재현;최연조;류재준
    • 구강회복응용과학지
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    • 제33권2호
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    • pp.154-162
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    • 2017
  • 노인 환자 구강의 생리적 변화 중 하나인 생리적 치아 마모는 일반적으로 치료를 필요로 하지 않으나 교합 부조화, 저작기능의 저하, 치수 노출 등 구강 내 문제 발생 시 보철 수복을 필요로 한다. 마모된 치열을 지닌 환자의 보철 수복 시 우선적으로 고려되는 사항들 중 하나가 바로 수직고경에 대한 고려이다. 이에 정확한 진단 및 분석과 예지성 있는 치료계획을 위한 악간관계에 대한 올바른 판단이 요구되며, 노인 환자의 치과 치료를 감안한 단계별 치료접근을 필요로 한다. 본 증례는 93세 남자 환자로 전반적인 치아 마모 및 기존 고정성 보철물의 동요도를 보이고 있었다. 진단 및 평가 후 수직교합 고경을 유지한 상악 구강회복술을 시행하였으며, 기능 및 형태적으로 만족할만한 결과를 보여 보고하는 바이다.

The level of buccal gingival margin around single and two adjacent implant restorations: a preliminary result

  • Kim, Young-Bum;Shim, June-Sung;Han, Chong-Hyun;Kim, Sun-Jai
    • The Journal of Advanced Prosthodontics
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    • 제1권3호
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    • pp.140-144
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    • 2009
  • STATEMENT OF PROBLEM. Little information is available about the buccal gingival level of multiple implant restorations. PURPOSE. This study was aimed to evaluate the relationship between width and height of buccal soft tissue around single and 2 adjacent implant restorations. MATERIAL AND METHODS. Four implant restoration groups (first and second molars, single second molars, posterior single restorations between teeth, and anterior single restorations between teeth) were randomly chosen from one dental institute. Each group comprised of 6 patients. After 6 months of function, silicone impressions were taken and stone models were fabricated for each restoration group. The stone models were cut in bucco-lingual direction at the most apical point of buccal gingival margin. The height and width of buccal supra-implant soft tissue were measured. One way ANOVA and Tukey HSD post hoc tests were performed to analyze the data obtained (P < .05). RESULTS. The most unfavorable width-height ratio was noted for the group, which was comprised of the second molar in the multiple adjacent (first and second molar) implant-supported restorations. The group also resulted in the shorter height of buccal supra-implant mucosa rather than that of anterior single implant restorations between natural teeth. CONCLUSION. To achieve a favorable level of buccal gingival margin, greater thickness of buccal supra-implant mucosa is required for the implant restorations without a neighboring natural tooth compared to the implant restorations next to a natural tooth.

개선된 설측 고정 나사 시스템(T-screw system)을 이용한 임플란트 보철 수복 증례 (Clinical cases of implant-supported fixed dental prosthesis using modified lingual screw system (T-screw system))

  • 홍태영;김만용;윤준호
    • 대한치과보철학회지
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    • 제54권4호
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    • pp.423-430
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    • 2016
  • 임플란트 보철물은 나사 유지형 보철물과 시멘트 유지형 보철물로 나눌 수 있다. 각 방법은 장점과 함께 임플란트를 유지 관리하는데 불리한 단점을 가지고 있다. 이러한 단점을 극복하기 위해 개선된 설측 고정 나사 시스템(T-screw system)이 개발되었다. T-screw system은 설측 방향의 나사를 이용하여 임플란트 보철물을 유지하는 방법으로, 보철물의 탈부착이 쉽고, 수동적 적합이 가능하며, 심미적이고 기능적인 교합면을 형성할 수 있다는 장점이 있다. 기존의 수평 나사를 이용한 보철은 기공 과정이 어려워 다수 유닛의 보철물의 경우 제작이 쉽지 않았고, 완전 도재를 이용한 보철물에서는 사용할 수 없다는 한계를 가지고 있었다. 본 증례에서 T-screw system을 이용하여 임플란트 보철물을 제작함으로써 유지 관리가 용이하고 심미적, 기능적으로 우수한 결과를 얻었다. 또한 다수 유닛의 임플란트 보철 및 완전 도재를 이용한 임플란트 보철에서 T-screw system을 이용하는 방법을 보고하고자 한다.

Alternate metal framework designs for the metal ceramic prosthesis to enhance the esthetics

  • Vernekar, Naina Vilas;Jagadish, Prithviraj Kallahalla;Diwakar, Dr Srinivasan;Nadgir, Ramesh;Krishnarao, Manjunatha Revankar
    • The Journal of Advanced Prosthodontics
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    • 제3권3호
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    • pp.113-118
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    • 2011
  • PURPOSE. The objective of the present study was to evaluate the effect of five different metal framework designs on the fracture resistance of the metal-ceramic restorations. MATERIALS AND METHODS. For the purpose of this study, the central incisor tooth was prepared, and the metal analogue of it and a master die were fabricated. The counter die with the 0.5 mm clearance was used for fabricating the wax patterns for the metal copings. The metal copings with five different metal framework designs were designed from Group 1 to 5. Group 1 with the metal collar, Group 2, 3, 4 and 5 with 0 mm, 0.5 mm, 1 mm and 1.5 mm cervical metal reduction respectively were fabricated. Total of fifty metal ceramic crown samples were fabricated. The fracture resistance was evaluated with the Universal Testing Machine (Instron model No 1011, UK). The basic data was subjected to statistical analysis by ANOVA and Student's t-test. RESULTS. Results revealed that the fracture resistance ranged from 651.2 to 993.6 N/$m^2$. Group 1 showed the maximum and Group 5 showed the least value. CONCLUSION. The maximum load required to fracture the test specimens even in the groups without the metal collar was found to be exceeding the occlusal forces. Therefore, the metal frameworks with 0.5 mm and 1 mm short of the finish line are recommended for anterior metal ceramic restoration having adequate fracture resistance.

일부 시판 폴리비닐실록산 인상재의 정밀도에 영향을 미치는 요인분석 (Investigation of factors influenced on accuracy of polyvinylsiloxane)

  • 김수화;이선미;한지민
    • 한국치위생학회지
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    • 제8권4호
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    • pp.89-99
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    • 2008
  • In this study, polyvinylsiloxane impression materials were investigated to examine the characteristics of the impression materials that affect the accuracy of the final restoration. The flow property of impression materials which can reproduce the detail in the oral cavity and accurately duplicate it, and the tear strength and strain-in-compression which can cause problems when it is being removed from the oral cavity were studied. The results are as follows. 1. As for the flow properties of impression materials, Imprint II was 18.24${\pm}$0.30, which was the highest: and Twinz was 8.9${\pm}$0.62, which was the lowest. There was no significant difference among Imprint II, Examixfine, and Genie(p<0.05). 2. As for the tear strength of impression materials, Imprint II had the highest level, while Genie had the lowest value. There was no significant difference between Twinz and Genie(p<0.05). 3. As for the strain-in-compression, there were significant differences by impression material groups(p<0.05); the strain-in-compression of Examixfine was shown to be the highest at 5.56${\pm}$0.56, Twinz and Imprint II followed respectively, and Genie has the lowest at 3.19${\pm}$0.23. 4. Flow showed the correlation with tear strength but no significant connection to strain-in-compression. Also, there was no significant correlation between the tear strength and strain-in-compression (p<0.05). Making impression to reproduce oral tissue and tooth is an important part of making final restoration. The accuracy of impressions is influenced by the methods of taking impression or other condition. However the property itself of impression materials is the most essential and the materials with proper qualities should be selected.

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Comparative assessment of antibacterial activity of different glass ionomer cements on cariogenic bacteria

  • Naik, Rahul Gaybarao;Dodamani, Arun Suresh;Khairnar, Mahesh Ravindra;Jadhav, Harish Chaitram;Deshmukh, Manjiri Abhay
    • Restorative Dentistry and Endodontics
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    • 제41권4호
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    • pp.278-282
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    • 2016
  • Objectives: Glass ionomer cements (GICs), which are biocompatible and adhesive to the tooth surface, are widely used nowadays for tooth restoration. They inhibit the demineralization and promote the remineralization of the tooth structure adjacent to the restoration, as well as interfere with bacterial growth. Hence, the present study was conducted to assess and compare the antimicrobial activity of three commercially available GICs against two cariogenic bacteria. Materials and Methods: An agar plate diffusion test was used for evaluating the antimicrobial effect of three different GICs (Fuji IX, Ketac Molar, and d-tech) on Streptococcus mutans (S. mutans) and Lactobacillus acidophilus (L. acidophilus). Thirty plates were prepared and divided into two groups. The first group was inoculated with S. mutans, and the second group was inoculated with L. acidophilus. These plates were then incubated at $37^{\circ}C$ for 24 hours. Zones of bacterial growth inhibition that formed around each well were recorded in millimeters (mm). Results: The zones of inhibition for Fuji IX, Ketac Molar, and d-tech on S. mutans were found to be $10.84{\pm}0.22mm$, $10.23{\pm}0.15mm$, and $15.65{\pm}0.31mm$, respectively, whereas those for L. acidophilus were found to be $10.43{\pm}0.12mm$, $10.16{\pm}0.11mm$, and $15.57{\pm}0.13mm$, respectively. Conclusions: D-tech cement performed better in terms of the zone of bacterial inhibition against the two test bacteria, than the other two tested glass ionomers.