• Title/Summary/Keyword: Dental wear

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Mandibular full-arch rehabilitation with increased vertical dimension of a patient with severe tooth wear (심한 치아 마모 환자의 수직 교합고경 증가를 동반한 하악 편악 수복 증례)

  • Kim, Hyun-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.162-170
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    • 2022
  • In the case of patients with pathological tooth wear, it is necessary to evaluate the loss of the vertical dimension. Setting the appropriate vertical dimension is important to rehabilitate the patient's stable intermaxillary relationship. A 77-year-old female patient's chief complaint was the pain of the mandibular incisors and the lack of molars. At the first visit, pathologic tooth wear of the mandibular incisors were observed. After diagnosis and evaluation, loss of vertical dimension was not observed, but insufficient intermaxillary space for prosthetic restoration was confirmed. Mandibular rehabilitation was performed with vertical dimension increase and this showed satisfactory results both functionally and aesthetically.

Understanding and Practice of Eating-Swallowing Disorder (치과의사 맞춤형 마우스가드의 제작방법)

  • Noh, Kwantae
    • The Journal of the Korean dental association
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    • v.56 no.6
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    • pp.333-338
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    • 2018
  • The mouth guard is a device with elasticity to be installed in the oral cavity. It has a function to reduce the trauma in the oral cavity and to protect the teeth and surrounding tissues from trauma. The purpose of mouth guard is to prevent trauma and concussion. It is mandatory to wear a mouthguard in sports where there is a lot of contact and the possibility of trauma or concussion in the mouth area is high. The mouse guard is divided into a stock type, a mouth formed type, and a custom made type according to the manufacturing method. The custom made type is made on the individual dentition model and has excellent retention because of its excellent fit. Also, the effect of trauma prevention is excellent. It is possible to design and adjust by the dentist and reduce the complaint the athlete has about the mouthguard. In this article, the process of making a dentist-customized mouthguard was described.

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Cases Report on Conservative Treatment for the Chronic Closed Lock of Temporomandibular Joint

  • Lee, Gi-Cheol;Park, Su-Hyun
    • Journal of Korean Dental Science
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    • v.4 no.2
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    • pp.85-91
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    • 2011
  • Some treatment methods have been proposed for patients with chronic closed lock of temporomandibular joint. We report a conservative treatment for patients who had chronic closed lock of temporomandibular joint and who did not want surgical treatment. Two patients who had been treated in the Template clinic, Soonchunhyang University Bucheon Hospital, are the subjects of this report. The subjects had chronic closed lock symptom for over 3 months after an onset of locking; conventional therapies had no effect. The subjects were treated by making them wear a Template appliance while sleeping and exercise for 10 hours a day. After periodic follow-up, significant improvement was observed for Template treatment in terms of the maximal mouth opening range. When conventional therapy is expected to be ineffective, The Template appliance can be used as conservative treatment for temporomandibular disorders patients with chronic closed lock of temporomandibular joint.

Comparison of stress distribution in bone and implant-supported dental prosthesis with zirconia and titanium implants: a 3-dimensional finite element analysis (지르코니아 및 티타늄 임플란트를 사용한 지지골 및 임플란트 유지 수복물의 응력 분포 비교: 3차원 유한 요소 분석)

  • Hong, Min-Ho
    • Journal of Technologic Dentistry
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    • v.42 no.4
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    • pp.348-354
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    • 2020
  • Purpose: Zirconia is differentiated from other ceramics because of its high resistance to corrosion and wear, excellent flexural strength (900~1400 MPa), and high hardness. Dental zirconia with proven mechanical/biological stability is suitable for the manufacture of implants. However, there are limited in vivo studies evaluating stress distribution in zirconia compared with that in titanium implants and studies analyzing finite elements. This study was conducted to evaluate the stress distribution of the supporting bone surrounding zirconia and titanium implants using the finite element analysis method. Methods: For finite element analysis, a single implant-supported restoration was designed. Using a universal analysis program, eight occlusal points were set in the direction of the occlusal long axis. The occlusal load was simulated at 700 N. Results: The zirconia implant (47.7 MPa) von Mises stress decreased by 5.3% in the upper cortical bone compared with the titanium implant (50.2 MPa) von Mises stress. Similarly, the zirconia implant (20.8 MPa) von Mises stress decreased by almost 4% in the cancellous bone compared with the titanium implant (21.7 MPa) von Mises stress. The principal stress in the cortical and cancellous bone exhibited a similar propensity to von Mises stress. Conclusion: In the supporting bone, the zirconia implant is able to reduce bone resorption caused by mechanically transferred stress. It is believed that the zirconia implant can be a potential substitute for the titanium implant by reinforcing aesthetic characteristics and improving stress distribution.

Study of the safety education condition and injury occurrence in dental technicians- in Seoul and Gyeonggi (치과기공사의 안전교육 실태 및 상해발생 조사연구 -서울·경기 지역을 중심으로)

  • Kim, Jin;Choi, Se-Woong;Shin, Su-Jeong;Cho, Yoon-Sang;Lim, Su-Min;Shim, Jeong-Seok;Lee, Jung-Soo;Bae, Eun-Jeong
    • Journal of Technologic Dentistry
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    • v.39 no.3
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    • pp.179-185
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    • 2017
  • Purpose: It is intended to raise awareness of importance of protective equipment and necessity of safety education by examining the actual condition of measures to deal with accident, occurrence of injury, whether safety education is received or not, the actual condition of wearing protective equipment, and working environment of dental lab and dental technician. Methods: A self-administered survey was conducted for a total of 150 dental technologists. A chi-squared test and independent-samples t-test was carried out by using SPSS WIN Program (version 12.0) in order to analyze the actual condition of safety education according to work experience and position and whether injury occurred according to whether to wear protective equipment. Significance level was 0.05. Results: With regard to whether injury occurred according to whether safety education was received, there was 'receiving the safety education-injured (71.8%)', 'not receiving the safety education-injured (79.7%)', 'receiving the safety education-not injured (28.2%)', and 'not receiving the safety education-not injured (20.3%)'. The statistical results of injury occurrence according to safety education were not significant. With regard to whether to be injured according work experience, there was 'less than 10 years-injured (68.4%)', 'less than 10 years- not injured (31.6%)', '10 years or above-injured (89.1%)', and '10 years or above-not injured (10.9%)'. The statistical results of injury occurrence according to work experience were significant (p<0.001). Conclusion: Dental lab and specialized agencies should continue to be interested in periodic safety training, recommending wearing protective equipment and personal protective equipment support and so on.

Bruxism and Oromandibular Dystonia after Brain Injury Treated with Botulinum Toxin A and Occlusal Appliance -A Case Report- (뇌손상 후 발생한 이갈이증과 근육긴장이상에 대한 보튤리눔 독소 A와 교합안정장치를 이용한 치료 증례 -증례 보고-)

  • Kim, Tae-Wan;Baek, Kwang-Woo;Song, Seung-Il
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.10 no.1
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    • pp.13-19
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    • 2010
  • Bruxism is nonfunctional jaw movement that includes clenching, grinding and gnashing of teeth. It usually occurs during sleep, but with functional abnormality of brain, it can be seen during consciousness. Oromandibular dystonia (OMD) can involve the masticatory, lower facial, and tongue muscles and may result in trismus, bruxism, involuntary jaw opening or closure, and involuntary tongue movement. Its prevalence in the general population is 21%, but its incidence after brain injury is unknown, Untreated, bruxism and OMD cause masseter hypertrophy, headache, temporomandibular joint destruction and total dental wear. We report a case of successful treatment of bruxism and OMD after brain injury treated with botulinum toxin A and occlusal appliance. The patient was a 59-year-old man with operation history of frontal craniotomy and removal of malformed vessel secondary to cerebral arteriovenous malfomation. We injected with a total 60 units of botulinum toxin A each masseteric muscle and took impression for occlusal appliance fabrication under general anesthesia. On follow up 2 weeks and 2 months, the patient remained almost free of bruxism. We propose that botulinum toxin A and occlusal appliances be considered as a treatment for bruxism and OMD after brain injury.

A Scanning Electron Microscope Study of the Bristles (시판 잇솔의 특성 및 잇솔모의 주사전자현미경적 연구)

  • Yang, Jung-Seung
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.2
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    • pp.159-173
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    • 2002
  • The 180 toothbrushes out of 18 models( ten brushes for each model) were used for this examination among the toothbrushes for adults which were sold in the domestic markets. After three-month brushings through a roll ing method and Bass method were practiced with Toothbrush Stroke Tester which reproduced brushing methods outside the mouth, I investigated the morphology bristle tips of using scanning electron microscope(SEM). The conclusions are as follows. 1. Soft bristle toothbrushes(of 8 models out of 9 models) were badly damaged at the bristles end after 3 month toothbrushing. 2. Medium bristle toothbrushes(of four models out of five models) were irregularly worn at the bristles end after 3 month toothbrushing. 3. Hard bristle toothbrushes(of three models out of four models) were chisel-shapedly worn at the bristles end after 3 month toothbrushing. 4. Taper-shaped toothbrushes were very irregularly bent at the bristles end after 3 month toothbrushing. 5. It was examined in the bristle stiffness that soft bristle toothbrushes were found in 9 models(50.00%), medium bristle toothbrushes in 5 models(27.78%), and hard-bristle toothbrushes in 4 models(22.22%).

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Effects of ta-C Coatings on Surface Characteristics of Dental Ni-Ti Files (치과용 Ni-Ti파일의 표면특성에 미치는 ta-C코팅효과)

  • Sun-Kyun Park;Han-Cheol Choe
    • Corrosion Science and Technology
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    • v.22 no.5
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    • pp.368-376
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    • 2023
  • Dental Ni-Ti files must ensure stability and resistance to fatigue fracture. DLC and ta-C were coated to remove defects on the surface and ensure stability, and the surface characteristics were investigated. When coated with DLC, it was black, and in case of ta-C coating, it was blue-black. Scratches, which are defects caused by mechanical processing, were formed on the surface of the un-coated Ni-Ti file from the end of the file along the direction of processing, with the Pro-file appearing in the vertical direction and the K-file appearing in the file direction. Scratches were reduced on the coated surface, and the surface roughness was greatly reduced after coating compared to before coating. The un-coated Ni-Ti file had the lowest hardness, the DLC-coated file had the highest hardness, and ta-C showed relatively high hardness. The elastic modulus of the DLC coating film was high, and the ta-C elastic modulus was low. The adhesion of the DLC coating film tended to be higher than that of ta-C, and the wear loss amount of DLC coating of taC was lower. The corrosion potential of the ta-C coating increased significantly, and the corrosion current density decreased.

Prevalence of Putative Periodontopathogens in Subgingival Dental Plaques from Gingivitis Lesions in Korean Orthodontic Patients

  • Lee Seung Mi;Yoo So Young;Kim Hwa-Sook;Kim Kwang-Won;Yoon Young-Joo;Lim Sung-Hoon;Shin Hee-Young;Kook Joong-Ki
    • Journal of Microbiology
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    • v.43 no.3
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    • pp.260-265
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    • 2005
  • The objective of this study was to detect and compare the presence of periodontopathogens in the subgingival plaques of gingivitis lesions in adults who wore fixed orthodontic appliances, as opposed to adults who did not wear any orthodontic appliances. Thirty-six individuals participated in this study. Ninteen of these subjects did not wear any orthodontic appliances, and these subjects comprised the control group. The other 17 individuals had been wearing fixed orthodontic appliances for at least 3 months each. After a periodontal examination, we collected subgingival plaque samples from the gingivitis lesions of each patient. Using PCR based on 168 rDNA, we detected the presence of 6 putative periodontopathogenic species, Treponema denticola, Porphyromonas gingivalis, Tannerella forsythia (formerly Bacteroides forsythus), Prevotella nigrescens, Prevotella intermedia, and Actinobacillus actinomycetemcomitans. With regard to the presence of individual periodontopathogens, we found that T. forsythia, T. denticola, and P. nigrescens were significantly more common in the samples obtained from the orthodontic patients than in the samples obtained from the non-orthodontic patient controls. Our results indicate that the local changes associated with the wearing of fixed orthodontic appliances may affect the prevalence of periodontopathogens in subgingival dental plaques.

A STUDY ON THE PHYSICAL PROPERTIES AND BIOLOGICAL CHARACTERISTICS OF DENTAL MAGNETIC ATTACHMENTS (치과용 자석부착장치의 물리적, 생물학적 특성에 관한 연구)

  • Lim, Yong-Sik;Kim, Yung-Soo;Kim, Chang-Whe;Kim, Yong-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.1
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    • pp.1-22
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    • 1999
  • In order to investigate various physical and biological properties of dental magnetic attachments studies on retentive characteristics, corrosion properties, cytotoxicity of different magnetic systems for dental applications were done. For the study of retentive characteristics changes of retentive force by increasing air gap, wear properties of various attachment systems and loss of magnetic force by heat treatment were measured. Forte study of corrosion property of magnet covering metal electrochemical corrosion was done in artificial saliva and 0.9% NaCl solution between $-1,000mV_{SCE}\;and\;+1,000mV_{SCE}$. Anodic polarization curves are obtained about 6 types of samples and 2 types of solution. Corroded surfaces were examined with metallurgical microscope, scanning electron microscope and surface profilometer. For the study of cytotoxicity of magnetic attachment and its field cell growth and agar overlay test were done. The results of this study were as follows. 1. In Magnetic attachments using closed circuit retentive force at zero air gap was greater than magnets using open circuit, but decrease of retentive force by increasing air gap was also greater than open systems. 2. After 40,000 cycles of wear test all mechanical attachment resulted in varing degree of retention loss but in magnetic attachments no loss of retentive force was observed. 3. The magnetic attachment using Neodymium magnet showed early loss of retentive force about $200^{\circ}C$ but attachment using Samarium magnet showed some resistance to heat treatment and complete retention loss was observed about $500^{\circ}C$. The keeper was not influenced by heat treatment in retention. 4. In electrochemical corrosion test Dyna magnetic attachment covering metal showed the highiest corrosion resistance and Shiner magnet covering metal showed the least corrosion resistance and examination of corroded surface with metallurgical microscope, scanning electron micro-scope and surface profilometer also showed same results with anodic polarization corves. 5. The result of cell culture tests on the magnet covered with metal showed least recognizable cytotoxicity.

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