• Title/Summary/Keyword: Emergence profile

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The Use of Ovate Pontics in the Maxillary Anterior Esthetic Zone: A Clinical Report (Ovate Pontic을 이용한 상악 전치부 심미수복)

  • Choi, Mee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.1
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    • pp.23-29
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    • 2009
  • The ovate pontic was first described by Dewey and Zugsmith in 1933, but used clinically as a clinical alternative for esthetics in the late 1990s. The ovate pontic has been suggested as a more accurate duplication of emergence profile for natural teeth to provide an esthetic, cleanable prosthesis. If the resin temporary prosthesis with the ovate pontic is used during the healing period after the tooth extraction, it is possible to preserve the interdental papilla and eliminate or minimize the black triangle between the teeth. Ultimately it can become a esthetic final restoration without saliva leakage and phonetic discomfort. In this case we tried to treat the maxillary anterior area by the use of the ovate pontic and minimize the loss of the interdental papilla via duplicate the emergence profile of the natural tooth.

Gingival recontouring by provisional implant restoration for optimal emergence profile: report of two cases

  • Son, Mee-Kyoung;Jang, Hyun-Seon
    • Journal of Periodontal and Implant Science
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    • v.41 no.6
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    • pp.302-308
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    • 2011
  • Purpose: The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. A provisional crown was fabricated on the model. The soft tissue around the implant fixture on the model was trimmed with a laboratory scalpel to produce the scalloped gingival form. Light curing composite resin was added to fill the space between the provisional crown base and trimmed gingiva. After 4 to 6 weeks, the final impression was taken to make a definitive implant restoration, where the soft tissue and tooth form were in harmony with the adjacent tooth. Results: At the first insertion of the provisional restoration, gum bleaching revealed gingival pressure. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. Conclusions: Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. The implant restoration with the optimal emergence profile is expected to provide superior esthetic and functional results.

An efficient way of communication between dentists and dental technicians to ensure optimum clinical outcome with implant restorations (임플란트 보철물 제작시 치과의사와 기공사가 효과적으로 소통하는 한가지 방법)

  • Kim, Chonghwa
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.66-74
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    • 2020
  • Communication and cooperation between dentists and dental technicians are two essential elements for the fabrication of high quality 'custom' prosthesis. For successful communication and cooperation between the two groups, however, dentists and dental technicians must share common understanding about clinical dentistry. Ironically, it is often noticed that they are not really sharing the same clinical knowledge. Although there is a strong association between 'Emergence Profile' of implant prostheses and periodontal health or esthetics, no definite guideline has ever been provided for ideal emergence profile of implant prosthesis in literature. Problems resulted from inherent differences between implants and natural teeth must be acknowledged and shared between dentists and dental technicians so that they can come up with desirable clinical results with implant prostheses.

The Effects of Onomatopoeia and Mimetic Word Productive Training Program on Auditory Performance and Vocal Development in Children with Cochlear Implants (의성어.의태어 산출 프로그램이 인공와우 착용 아동의 청능 및 발성 발달에 미치는 효과)

  • Kim, Yu-Kyung;Seok, Dong-Il
    • Speech Sciences
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    • v.11 no.2
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    • pp.51-67
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    • 2004
  • The objective of this study was to investigate the effects in auditory performance and vocal development of Onomatopoeia and Mimetic Word Productive Training Program in prelingually deafened children with cochlear implantation. The effects were measured with Lip-profile (Listening progress profile: LiP), the number of utterances, vocal developmental level and phonetic inventory. Subjects were four children with cochlear implants who were able to detect speech sounds and environmental sounds. The Onomatopoeia and Mimetic word Productive Training Program was made up of 3 steps with 24 Onomatopoeia and Mimetic words. This study was pre and post design. The results of the study were as follows: First, after Onomatopoeia and Mimetic word Productive Training Program was treated, LiP score was significantly higher. Second, after this program was treated, the number of utterances and emergence of both canonical and postcanonical utterances were increased. Emergence of vowel and consonant Features were increased and diversified. In conclusion, Onomatopoeia and Mimetic Word Productive Training Program appeared to facilitate efficient auditory performance and vocal development.

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Diastema closure with direct composite: architectural gingival contouring (레진 직접법을 이용한 치가이개의 수복: 치은 형태 회복술)

  • Kim, Yeon-Hwa;Cho, Yong-Bum
    • Restorative Dentistry and Endodontics
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    • v.36 no.6
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    • pp.515-520
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    • 2011
  • One of the most challenging task in closing anterior diastema is avoiding "black triangle" between the teeth. This paper reports a case that the closure of diastema in anterior teeth could be successfully accomplished using direct adhesive restorations and gingival recontouring. The traditional technique using Mylar strip was modified to increase the emergence profile with natural contours at the gingival-tooth interface. Mylar strip was extended out of the sulcus by approximately 1 mm high from the gingival margin, and a small cotton pellet was used to provide the emergence contour. This modified approach is acceptable for the clinical situation.

Modified soft tissue cast for fixed partial denture: a technique

  • Patil, Pravinkumar G.
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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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.

Food impaction related with trauma from occlusion (임플란트 보철물의 식편압입: 교합적 원인분석과 대처)

  • Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.52 no.8
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    • pp.491-505
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    • 2014
  • Food impaction between the implant prostheses and adjacent teeth is the most frequently observed problem. It may be caused by the migration of the adjacent teeth. This symptom may be observed at the mesial aspect of implant prostheses especially, and related with the multiple contributing factors including teeth vitality and antagonist. Idal proximal contact with optimal strength and shape should be made for preventing the food impaction. Shape of customized abutment and prosthesis should have optimal emergence profile. Long duration from the extraction to the delivery of implant prostheses, the adjacent teeth and antagonist teeth may have possibility of occlusal interferences. Remained teeth mobility can induce the food impaction regardless of interproximal contact strength. Occlusal adjustment to remove occlusal interferences can be a method for enhancing the stability of interproximal contact.

Conservative and esthetic closure of maxillary midline diastema without creating "black triangle" using direct resin composite (Black triangle이 존재하지 않는 보존적이고 심미적인 상악 정중이개의 치료)

  • Jung, Kyoung-Hwa;Kwon, Eun-Young;Choi, Youn-Kyung;Kim, So-Yeun;Jeon, Hye-Mi;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.163-168
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    • 2017
  • Anterior diastemas are common esthetic problems. One of the challenges in clinical esthetic dentistry is closing anterior diastemas without creating "black triangles" between the teeth. The success of a restorative treatment in anterior teeth depends on the esthetic integration between soft tissues and hard tissues. This report describes the successfully accomplished diastema closure case by producing the emergence profile with natural contours at the gingival-tooth interface and then generating of gingival recontouring process.

Intracrevicular restoration and dentogingival junction(DGJ);Part: restorative contour and DGJ (치은열구내 수복과 Dentogingival junction(DGJ);제 2 부:수복물형태와 DGJ)

  • Lee, Young-Kyoo;Son, Seong-Heui
    • Journal of Periodontal and Implant Science
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    • v.29 no.1
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    • pp.117-130
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    • 1999
  • All contours of the restoration not directly related to occlusion are related to the gingival tissues only.And proper contour of restoration is essential for the health of the periodontal tissues.But there are so many controversies about the contour of the restoration, and there is no uniform agreement in the literature as to which contour of restoration is best for periodontium. In general, the contour of restoration means the supragingival contour only but in the case of the intracrevicular restorative procedure the subgingival contour of restoration must be considered. Because a portion of the restoration is placed in a gingival sulcus which is extremely vulnerable to periodontal disease. In this article the concepts or theories of the supragingival contour, the subgingival contour, and the emergence profile were discussed.The contour of the restoration and the biotype of the periodontium must be considered in intracrevicular restorative procedure.And sufficient tooth preparation is important factor to develop the proper contour of restoration which is kind to periodontium.

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