• Title/Summary/Keyword: Esthetic

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Novel design of implant prosthesis considering esthetics and periodontal maintenance: case report (심미성 및 치주 조직의 유지 관리를 고려한 임플란트 보철 증례)

  • Paek, Janghyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.70-76
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    • 2014
  • After extraction of tooth, alveolar ridge resorption is inevitable in most cases. Clinicians confront with horizontal and vertical resorption of alveolar bone. Without massive amount of bone and soft tissue graft, dental implant will be placed apically to gain stability. In those cases, not only white esthetic part, but also pink esthetic part should be restored with pink porcelain. The margin of prosthesis should be located apically to reproduce natural look with adjacent teeth. However, when the margin is located apically, it is always hard to remove remaining cement, thus complications may arise. In this report, a novel design of implant prosthesis is introduced to solve those issues. The novel design is consisted of zirconia framework with pink porcelain and separate crowns on top of the framework. It eliminates the possibility of cement remnants by bringing the crown margin coronally. Pink esthetic part is incorporated in abutment part instead of crown part and the screw hole is covered with separate crowns.

Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers : a case report

  • Moon, Ji-Eun;Kim, Sung-Hun;Han, Jung-Suk;Yang, Jae-Ho;Lee, Jai-Bong
    • The Journal of Advanced Prosthodontics
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    • v.2 no.2
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    • pp.61-63
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    • 2010
  • If orthodontists and restorative dentists establish the interdisciplinary approach to esthetic dentistry, the esthetic and functional outcome of their combined efforts will be greatly enhanced. This article describes satisfying esthetic results obtained by the distribution of space for restoration by orthodontic treatment and porcelain laminate veneers in uneven space between maxillary anterior teeth. It is proposed that the use of orthodontic treatment for re-distribution of the space and the use of porcelain laminate veneers to alter crown anatomy provide maximum esthetic and functional correction for patients with irregular interdental spacing.

SIMULTANEOUS SURGICAL REPOSITIONING OF THE MAXILLA, MANDIBLE, AND CHIN (상악골, 하악골 및 이부의 외과적 동시 이동술)

  • Lee, Jae-Hwy;Lee, Ho-Jun;Hwang, Byung-Nam;Lee, Jeong-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.2
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    • pp.184-199
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    • 1996
  • The challenges to achieve three dimensional facial proportionality and occusal stability in many patients with complex dentofacial deformity have been met by the development and use of the maxilla, mandible, and chin surgery techniques in combination with efficient orthodontic treatment. There is a clinical, biological, and biomechanical foundation for simultaneous surgical repositioning of the maxilla, mandible, and chin in a significant proportion of adult and adolescent patients. A combination of the surgical and orthodontic approach may provide increased treatment efficiencies and optimal esthetic results. Art and science to determine the treatment objectives, specifically, the desired soft tissue changes are firstly established by using the clinician's "esthetic sense" of the facial beauty and proportion aided to a few cephalometric guidelines. In this sense, the dependence on the clinician's "esthetic eye" by Dr. Bell is more important in analyzing the facial proportion than the satisfaction of rigid cephalometric norms. The purpose of this article was to elucidate the indication for simultaneous surgical repositioning of the maxilla, mandible, and chin, and to describe the clinical cephalometric analysis for orthognathic surgery. Representative 6 case reports were presented and discussed to illustrate the esthetic, orthodontic, and surgical treatment objectives with long-term follow-up.

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DETERMINATION OF ESTHETIC REFERENCE PLANE FOR SEMI-ADJUSTABLE ARTICULATORS (반조절성 교합기의 심미적 기준 평면에 관한 연구)

  • Hwang, Hie-Seong;Jeon, Young-Chan;Jung, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.3
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    • pp.448-456
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    • 1996
  • The purpose of this study is to evaluate suitable anterior reference point similar to esthetic reference plane of the patient while transferring the suitable facebow. So those who live in Pusan with the normal occlusal relationship were chosen as subjects. The esthetic reference planes determined by the participants themselves and the superior reference line (anterior reference point) in Hanau & Denar articulator were compared with F-H plane in the standard lateral cephalogram. The results were as follows. 1. The angle between the esthetic reference plane and F-H plane was $2.81{\pm}5.7^{\circ}$. 2. The reference line, 43mm from Beyron point to the edge of the upper incisor, was the reference plane that had the closest paralleled relationship with the esthetic reference plane. 3. Transferring with ear piece type face-bow, the anterior reference point that showed the esthetic reference plane was 17mm below orbitale or 43mm above, the edge of the upper incisor.

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The use of granulation tissue for the esthetic implant restoration for missing tooth due to alveolar bone loss (치조골 소실로 발치하게 된 치아의 심미적인 임플란트 수복을 위한 granulation tissue의 활용)

  • Lee, Chang Kyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.33-39
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    • 2021
  • When maxillary anterior tooth is extracted due to alveolar bone loss, the augmentation of alveolar ridge is very important for esthetic implant restoration. Because alveolar bone loss increases after extraction, the ridge preservation performed right after tooth extraction is meaningful for esthetic implant restoration. However, no achievement of primary closure during ridge preservation can negatively affect bone regeneration. To overcome this problem, we can use granulation tissue in the extraction socket for primary closure. This case report confirmed that primary closure using granulation tissue resulted in not only ridge preservation but also ridge augmentation by providing an environment more advantageous of bone regeneration than the open wound.

Biometry of width between labial transitional line angles in anterior teeth: an observational study

  • Wen, Chao;Ye, Hongqiang;Chen, Hu;Zhou, Yongsheng;Huang, Mingming;Sun, Yuchun
    • The Journal of Advanced Prosthodontics
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    • v.14 no.1
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    • pp.1-11
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    • 2022
  • PURPOSE. The maximum width between the mesial and distal labial transitional line angles, described as "esthetic width" herein, could significantly influence the visual perception of the teeth and smile. This study aimed to conduct biometric research on esthetic width and to explore whether regular distribution exists in the esthetic width of human teeth. MATERIALS AND METHODS. A total of 4,264 maxillary and mandibular anterior teeth were measured using the Geomagic studio software program. The proportions of maxillary to mandibular homonymous teeth and proportions between the adjacent teeth were calculated. Bilateral symmetry and the correlation between the esthetic and mesiodistal widths were both accounted for during the measurement procedures. RESULTS. The mean esthetic widths were 6.773 ± 0.518 mm and 4.329 ± 0.331 mm for maxillary and mandibular central incisors, respectively, 5.451 ± 0.487 mm and 5.008 ± 0.351 mm for maxillary and mandibular lateral incisors, respectively, and 3.340 ± 0.353 mm and 5.958 ± 0.415 mm for maxillary and mandibular canines, respectively. Except for the mandibular canines, no significant difference in esthetic width was found among homonymous teeth from the same jaw. A high linear correlation was found between the esthetic and mesiodistal widths of the same tooth, except for the maxillary canines. Esthetic width proportions among different tooth categories showed some regular patterns, which were similar to those of the mesiodistal width. CONCLUSION. Esthetic width is regularly distributed among the teeth in the Chinese population. This could provide an important reference for anterior dental restorations and dimension recovery in esthetic reconstruction of anterior teeth.

Diagnostic keys of the overcoming risk factors and achieving predictable esthetics in anterior single implant

  • Choi, Geun-Bae;Yang, Jong-Sook
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.16 no.2
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    • pp.7-18
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    • 2007
  • There is now an increased demand for harmony between the peri-implant gingiva and adjacent dentition. In the event of a pending loss of a single tooth in the aesthetic zone with healthy periodontium, expectation for optimal gingival and prosthodontic aesthetics are often very high. Unfortunately, bone resorption is common following the removal of an anterior tooth, compromising the gingival tissue levels for the eventual implant restoration. Also, improper implant placement and inadequate osseous-gingival support potentially deleterious aesthetic result. The creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentitionis formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient's own presenting anatomy rather than the clinician's ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, a considering of diagnostic keys is essential. This presentation addresses the useful diagnostic keys that affect the predictability of peri-implant gingival aesthetics and the overcoming of the risk factors in anterior single-tooth replacement; it also describes a surgical and prosthodontic technique in achieving a long term successful esthetic outcome. Proper diagnosis and understanding of the biological and periodontal variables of failing dentition and their response to surgical and prosthodontic procedures are the essence of predictability. Using a smart protocol that alters the periodontium toward less risk and more favorable assessment of the diagnostic keys before implant placement will provide the most predictable esthetic outcome. Simple diagnostic keys suggested this presentation are useful method to evaluate the overcoming of the risk factors in anterior single implant restoration.

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A Study on the aesthetic factors of product design according to user's preference - Foucsed on Jeollabuk-do, Chungcheongnam-do and Daegu - (제품디자인의 사용자 선호에 따른 심미성 요소에 관한 연구 - 전라북도, 충청남도, 대구지역을 중심으로 -)

  • Jeong Su-Kyoung;Hong Jung-Pyo
    • Science of Emotion and Sensibility
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    • v.8 no.3
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    • pp.203-212
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    • 2005
  • In the highly developing industrial society the design has been playing the central role in the managerial strategy of a company and has been one of the central agendas in determining the economical competence of a country, and it is also regarded as a means to acquire sustainable superior competence And these trends suggest that the esthetic value of a product has become more important than the technological function. In this study we review theoretically esthetic factors influencing the preference of a product, so that we can make a list of eight esthetic factors based on the various referential studies. They are simplicity, balance, unity, rhythm, style, novelty, typicality, and proportion. We research esthetic factors affecting consumers' preferences and evaluation of a product and typical esthetic factors specific to the characteristics of each product. Therefore, in this study we tried to provide available materials in developing product design by present of esthetic guideline and to put this materials to practical use in product design by finding considered elements and importance of esthetic factors which had important effects on the tastes of the consumers classified by manufactures.

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Esthetic restoration of malpositioned anterior teeth by tooth shape and gingival contour modification : a clinical report (위치이상 치아의 치은 성형을 동반한 심미적 보철수복)

  • Kim, Ja-Yeong;Kim, Kyoung-A;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.143-149
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    • 2015
  • In esthetic treatments, it is important to consider the arrangement of teeth and the relation between the teeth and soft tissues. A precise diagnosis and establishing an appropriate treatment plan is essential in an esthetic treatment of anterior maxillary teeth. For a fixed prosthesis to meet esthetic expectations, It is crucial to achieve symmetry and adequate proportions of the gingival contour around the crowns. To achieve an esthetic improvement and creating a favorable environment for gingival healing of a physiologic gingival contour, gingivectomy, crown lengthening and forced eruption can be applied to the appropriate site. All ceramics or porcelain laminate veneer can be selected for esthetic improvement of teeth contour and shade. In this case report, malposition of the remaining teeth made it hard to get an esthetic appearance. Gingivectomy, crown lengthening and provisional restoration insertion were performed before the final prosthesis fabrication to reform the gingival form. This case presents satisfying result esthetically and functionally.