• Title/Summary/Keyword: Dental technique

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TRAUMATIZED TOOTH STABILIZATION USING VACUUM-FORMED SPLINT IN A CEREBRAL PALSY PATIENT (뇌병변 장애 환자의 외상 치아에서 vacuum-formed splint를 이용한 교합 안정술)

  • Nam, Ok Hyung;Park, Jae-Hong;Kim, Kwang Chul;Choi, Yeong Chul;Choi, Sung Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.2
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    • pp.89-92
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    • 2014
  • Reposition and splinting has been widely recommended when clinicians treat traumatically dislocated tooth. This case represents stabilization of traumatized tooth in a cerebral palsy patient who failed resin wire splint because of parafunctional oral habit and lack of cooperation. Clinically, mobility of traumatized tooth decreased due to stabilization using vacuum-formed splint with posterior occlusal block in 2 weeks. Vacuum-formed splint may be a simple and effective stabilization technique for traumatized tooth in a cerebral palsy patient.

Cosmetic Grinding Revisited (Cosmetic Grinding의 재조명)

  • Lee, Dong-Hwan;Chung, Wounho
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.2
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    • pp.134-142
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    • 2015
  • Esthetic dentistry has been developed through the diverse material and technique. Approach and interest in esthetic of anteriors was driven by needs and wants of patients. Alpha and omega of esthetics is determined by patients, as Charles Pincus who is the pioneer of esthetic dentistry described in his article 1967. To meet with wants and needs of patients, dentists suggest possible various treatment options. Cosmetic grinding quoted by Pincus is one of the conservative approaches and provide effective esthetic improvement with minimal invasive concepts. In a high technology era, cosmetic grinding needs to be revisited. Review of some clinical cases shows the value and limitation of it.

Clinical Evaluation of Simultaneous Implants Placement Following Augmentation of the Maxillary Sinus with Deproteinized Bovine Bone (탈단백 우골을 이용한 상악동 거상술 후 즉시 임플란트 식립에 대한 임상적 평가)

  • Kim, Hyun-Kuk;Kim, Jin-Wook;Kim, Chin-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.3
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    • pp.249-255
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    • 2011
  • Purpose: Placement of endosseous implants in the atrophic maxilla is often restricted because of the lack of supporting bone. In this article, augmentation of the maxillary sinus floor with deproteinized bovine bone to enable insertion of endosseous implants is described. The technique is aimed at providing a cortical layer on top of the graft to ensure a reliable seal of the maxillary sinus and to achieve optimal stability of the bone graft in case of simultaneously placement of dental implants. Methods: The procedure was used in 200 patients (839 implants), using deproteinized bovine bone. The mean follow-up was 28.5 months. No inflammation of the bone grafts nor of the maxillary sinus occurred. The patients received implant supported overdentures or bone-anchored bridges. Results: The survival rate of implant restoration of this study was 97.6%. The total average of marginal bone loss in radiographs was $0.20{\pm}0.38$ mm. Insufficient primary stability, bony quality, and infection were thought to be associated factors in the failed cases. Conclusion: This study documented that deproteinized bovine bone, when used as a grafting material for augmentation of the sinus floor, may lead to proper osseointegration of a endosseous implant.

Clinical application of an intraoral scanner for serial evaluation of orthodontic tooth movement: A preliminary study

  • Yun, Dalsun;Choi, Dong-Soon;Jang, Insan;Cha, Bong-Kuen
    • The korean journal of orthodontics
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    • v.48 no.4
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    • pp.262-267
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    • 2018
  • The aim of this study was to test the clinical application of an intraoral scanner for serial evaluation of orthodontic tooth movement. The maxillary dentitions of eight patients with fixed orthodontic appliances were scanned using an intraoral scanner at the beginning of treatment (T0), and at 1 month (T1), 2 months (T2), 3 months (T3), and 4 months (T4) after T0. The serial digital models were superimposed on the palatal surface as a reference area, and the linear and angular changes of the central incisors, canines, and first molars were evaluated. The intraclass correlation coefficient and method errors showed that this method was clinically acceptable. Various types of orthodontic tooth movements, including minute movements, could be observed every month. The intraoral scanner and digital superimposition technique enabled the serial evaluation of orthodontic tooth movement without taking serial impressions and/or acquiring radiographs.

Vertical Dimension in Complete Denture : A Literature Review & Clinical Procedures (총의치 수직고경 설정에 대한 고찰)

  • Chung, Jun-Yong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.18 no.3
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    • pp.185-195
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    • 2002
  • Purpose This article describes the historic and clinical aspects of the determination of the vertical dimension of occlusion and the synoptic procedure of the determination of the vertical dimension of occlusion in complete denture. The determining procedure of the susceptible vertical dimension of occlusion is one of the most important steps in construction of complete denture and prosthodontic treatment. It is considered essential for the improvement and the recovery of facial esthetics and stomatognathic functions. Results Several methods have been suggested for measurement of the vertical dimension of occlusion in the construction of complete denture and the prosthodontic rehabilitation. These range from pre-extraction records to the use of physiologic rest position, swallowing, phonetics, esthetics and facial proportion, etc. But, there is no universally accepted or completely accurate method. There seems to be no significant advantages of one technique other than those of cost, time and equipment requirements, and seems to be in controversial in determining the vertical dimension. Conclusion The vertical dimension of occlusion should be determined and reinspected carefully by dentist for a successful prosthesis with several methods. The more investigations are necessary for more objective and scientific techniques in determining the vertical dimension of occlusion.

Retromandibular Approach for the Open Reduction of Fractured Mnadibular Condyle (하악과두 골절의 관혈적 정복술을 위한 하악 후방 접근법)

  • Kim, Hak-Kyun;Kim, Su-Gwan;Kang, Dong-Wan;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.283-288
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    • 2006
  • There are several manners for surgical approaches to the mandibular condyle. With the retromandiular approach, the condyle and fracture are exposed directly and allow for good inspection and reduction. The retromandibular scar is very well camouflaged and practically invisible. The aim of this study was to evaluate clinical results of retromandibular approach for the reduction and fixation of fractured mandibular condyles. We described postoperative complications such as temporary facial nerve weakness involving the marginal mandibular branch, mouth opening limitation and malocclusion in 13 patients with mandubular condylar fractures; 11 subcondylar fractures and 2 condylar neck fractures. The follow-up period was longer than 6 months in all patients. The retromandibular approach was successful in all subcondylar fracture cases. 2 patients with condylar neck fracture had mouth opening limitation and temporary marginal nerve palsy longer than 3 months. But there were no cases of permanent nerve injury and malocclusion. Our findings indicate that retromandibular approach is an easy and safe technique for subcondylar fracture but not for condylar neck fracture.

Crowding with no posterior crossbite treatment by rapid Palatal expansion (구치부 반대교합이 없는 총생 증례의 급속구개확장에 의한 치료)

  • Kook, Yoon-Ah;Akhavan, Mojdah;Zernik, Joseph H.
    • The korean journal of orthodontics
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    • v.31 no.6 s.89
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    • pp.611-618
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    • 2001
  • This is a case report of a 12.5-year-old girl who presented with moderate to severe anterior dental crowding and rotations. Treatment involved no extraction, but expansion of both the maxillary and the mandibular arches. Maxillary expansion was assisted by rapid palatal expansion despite the fact that this patient did not present with posterior crossbite. Crowding and rotations in both arches were corrected and good occlusal function and improved facial esthetic were achieved, with acceptable overbite and overjet. The application of rapid maxillary expansion in cases with no posterior crossbite, which has increased in recent years, calls for re-evaluation of the diagnostic basis and indications for the use of this technique.

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EFFECT OF SEVERAL RESTORATIVE MATERIALS ON ULRASTRUCTURAL CHANGES OF L929 CELLS USING TRANSMISSION ELECTRON MICROSCOPE (투과전자현미경을 이용한 수종의 수복재가 L292세포의 미세구조 변화에 미치는 영향)

  • Im, Mi-Kyung
    • Restorative Dentistry and Endodontics
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    • v.21 no.1
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    • pp.385-402
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    • 1996
  • Cytotoxicity of dental restorative materials using cell culture technique has been extensively studied by various quantitative assays. The aim of this study was to investigate the microstructural change of damaged L292 cells which could not observed with light microscope. Cytotoxic effect of ZOE, Prisma APH (Densply International Inc., U.S.A.), Clearfil FII(Kuraray Co., Japan), Fuji II(GC Co., Japan) and Fuji II LC(GC Co., Japan) on cultured L292 cells were observed. Irreversible cell damage and cytolysis were found in ZOE and Fuji II groups. In Clearfil FII, mild to moderate cell damage was observed. APH group showed variable cytotoxicity. Moderate cell damage was found in Fuji II LC group. Cytotoxic effect were as follows : A condensation of the chromatin occureds along or adjacent to the inner membrane of the nuclear envelops. The nuclear envelope remained resonably intact but the contents were partially or completely lost. The cell nucleus contains clusters of markedly electron-dense interchromatin granules. The rough endoplasmic reticulum were dilated. In some mitochondira, matrix was disoriented and fused cristae were discernible. Mitochondiral swelling and woolly appearance were recognized. Large vacuoles and autolysosmes were found in cytoplasm. Some breaks of the cytoplasmic membrane and even cytolysis could be seen in dying cells.

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A STUDY OF ATTITUDES TOWARD AND USE OF PIT AND FISSURE SEALANTS BY DENTISTS IN CHON-BUK AREA (전북지역 치과개원의의 열구전색제 사용실태에 관한 연구)

  • Kim, Jae-Gon;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.429-438
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    • 1994
  • Since the introduction of pit and fissure sealants in the early 1970's, many studies have been published amply documenting the efficacy of these materials as caries-preventive agents. However, the acceptance of the technique by dentist has been questionable. This survey was investigated the attitudes toward and use of pit and fissure sealants by dentist in Chonbuk area. The results were as follows: 1. Utilization of pit and fissure sealants is very high. Only 15% of dentists never use pit and fissure sealants, whereas 85% generally use pit and fissure sealants. 2. Most dentists reported that their knowledge of pit and fissure sealants was gained through dental schools education. 3. Concern about difficult to sell' to patient, poor retention of pit and fissure sealants and unsubstantiated by research were given as the main reasons why pit and fissure sealants was not used. 4. Patient demands and various educate program were given as important factors that would lead to increase use of pit and fissure sealants.

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Resorption of bone graft after maxillary sinus grafting and simultaneous implant placement

  • Kim, Young-Kyun;Kim, Su-Gwan;Kim, Bum-Su;Jeong, Kyung-In
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.3
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    • pp.117-122
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    • 2014
  • Objectives: The purpose of this study was to evaluate the sinus bone graft resorption over 3 years after two-stage implant placement. Materials and Methods: The subjects for this study included 30 patients whose maxillary posterior ridges were too atrophic for implants. Bone-added osteotome sinus floor elevation was used in 15 maxillary sinuses, while the bone graft by lateral approach technique was used in 25 maxillary sinuses. The height from the top of the fixture to the sinus floor was estimated immediately after implant placement and the follow-up period was over 3 years. The surgery was classified with two groups: sinus bone grafting with and without autogenous bone. All implants were placed simultaneously. Results: The mean vertical bone loss was $3.15{\pm}2.95mm$. The survival rate of implants was 94.7%. Conclusion: The amount of bone resorption was not significantly associated with the surgical methods, the type of bone graft materials used, or sinus perforation during surgery.