• Title/Summary/Keyword: Esthetic restoration

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The Esthetic Gingival Porcelain Restoration as Implant-Supported Fixed Prosthesis (도재치은 보철법에 의한 심미적 임프란트 상부구조의 제작)

  • Lee, Sung-Bok;Lee, Kyung-Ho
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.1
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    • pp.104-113
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    • 2001
  • This article described a procedure for fabricating an esthetic gingival porcelain restoration as an implant-supported fixed prosthesis for edentulous maxilla. Alternative treatments for fully edentulous patients include an implant-supported overdenture or a fixed implant-supported prosthesis with bilateral distal cantilevers. But, from a functional and biomechanical point of view, the fixed implant-supported prosthesis with posterior cantilevers or implant-supported tissue-borne overdenture do not significantly improve masticatory effectiveness compared with a distributed implant restoration as a fixed implant-supported prosthesis. The fact that the prosthesis is supported by distributed implants over eight for edentulous maxilla in general, provides increased masticatory efficiency as a fixed restoration and similar gingival appearance with esthetic gingival porcelain. It is also detachable by dentist to allow easier after-care of soft tissue and the prosthesis.

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Esthetic restoration using Digital Smile Design: a case report ('Digital Smile Design'을 이용한 심미수복증례)

  • Kim, Kwanghyun;Lee, Kyuho;Pae, Ahran;Noh, Kwantae;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.144-149
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    • 2015
  • To achieve an esthetic restoration, visualized information considering the facial aspect of patient is required. As for the reasons of esthetic failure, it could be explained by lack of communication and information such as horizontal, vertical and esthetic line. Therefore, it is important to deliver that the visualized information to dental technicians or other dentists for the success of esthetic treatment. This case report presents the process of visualizing esthetic information and designing the restoration using a digital diagnostic tool; Digital Smile Design.

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.

Cross mounting technique for successful final restoration (성공적인 최종 보철물 제작을 위한 크로스 마운팅 테크닉)

  • Lim, Jinyoul
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.2
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    • pp.44-52
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    • 2021
  • In this article, I would like to introduce the concept, detailed method, and clinical tips of cross mounting technique, which is one of the methods to accurately transmit provisional restoration information to the final restoration.

- Esthetic Retreatment of Old Restorations with Cervical Discolorations - (구 보철물 치경부 변색의 심미 재수복)

  • Kim, Hak-Su;Kim, Uk-Jung;Jo, Mun-Sang;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.11 no.2
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    • pp.33-36
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    • 2002
  • As patients have concerned the esthetics of dental restorations, the porcelain fused to metal restorations have gain their popularity due to their strength and esthetic appearance for many years. However, metal collar in subgingival level of porcelain fused to metal restoration often causes black shadows. Inadequately positioned metal collar causes plaque depositions, gingival inflammations, black shadows, and discolorations of margin area. Those problems can be avoided by a clear finishing line, well-fabricated provisional restorations with precise margin and fine polishing, collarless porcelain fused to metal restoration, and all ceramic restoration. In this case report, collarless porcelain fused to metal restoration was used to treat cervical discoloration from old restorations.

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Esthetic restoration of upper anterior teeth by porcelain laminate veneer (도재 라미네이트 비니어를 이용한 상악 전치부의 심미적 수복)

  • Oh, Sang-Chun;Shin, Young-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.1
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    • pp.35-41
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    • 2003
  • With the understanding of tooth crown biomechanics and the progress of dentin adhesives, bonded porcelain restorations including a porcelain laminate veneer present an extended spectrum of indications for anterior teeth. Porcelain laminate veneer as a restoration offers the conservative solution that balances the functional and esthetic needs of the anterior dentition. Porcelain's stiffness, its surface characteristics, and the biomechanical strength achieved through bonding to tooth surface enable the restoration of the tooth as a whole supporting occlusal force and masticatory function. Namely, the optical effects inherent in the tooth and the lifelike features of the porcelain make that this restoration approaches the ultimate in esthetic satisfaction for both the dentist and the patient. A 49-year-old female patient with the incisal discoloration of upper central incisors and black triangle between the central incisors was referred to correct her esthetic problems with prosthodontic approach. The patient was satisfied with two porcelain laminate veneers that were made according to prof. Magne and Belser's recommendation.

Clinical Guide for Adhesion of Zirconia Restoration (지르코니아 수복물의 접착을 위한 임상 가이드)

  • Hwang, Sung-Wook
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.23 no.2
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    • pp.58-69
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    • 2014
  • In case of esthetic restorative procedure with zirconia restoration, we have to use resin cement because of not only just for retention but also esthetic reason. In such a clinical situation, we have to consider two bonding interfaces, one is tooth surface to resin cement and the other is zirconia surface to resin cement. There is well established bonding protocol between tooth surface to resin cement, but bonding protocol of zirconia surface to resin cement is still controversial. In scientific point of view, there are two mechanism for bonding of zirconia restoration.. One is mechanical retention and the other is chemical adhesion. However, we have three different options for bonding of zirconia restoration in clinical situation; 1) Tribo-chemical coating with silica and silane coupling agent 2) Zirconia primer with phosphate chemistry 3) Self-adhesive resin cement with phosphate chemistry.

Esthetic anterior restoration using 3M LavaTM Esthetic monolithic zirconia (3M LavaTM Esthetic monolithic zirconia를 이용한 전치부 심미 수복 증례)

  • Kim, Hyung Joon;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.4
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    • pp.306-316
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    • 2018
  • Monolithic zirconia has been widely used in fixed partial dentures due to high strength and fracture toughness. Nevertheless, the usage of monolithic zirconia in anterior restoration was limited because of opacity. Recently, esthetic monolithic zirconia blocks are developed by improving translucency and using various shading systems. Manufacturer introduces 3M $Lava^{TM}$ Esthetic with increased cubic phase and fluorescent ingredients is more esthetic than previous monolithic zirconia. This case report describes favorable anterior restorations using translucent monolithic zirconia.

Achieving Esthetics in Anterior Region using Monolithic Zirconia Restoration (Monolithic Zirconia Crown을 이용한 심미적 접근)

  • Kim, Chonghwa
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.1
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    • pp.4-14
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    • 2016
  • Although CAD/CAM technology has been used in dentistry for more than decades, the present CAD/CAM dentistry is still quite inefficient or unesthetic. Zirconia restoration has faced with two contradictory words, 'Efficiency' and 'Esthetics'. One can consider monolithic zirconia restoration to be efficient with CAD/CAM. The monolithic zirconia restoration, however, is rarely esthetic due to the current limitations with zirconia. On the contrary, porcelain build-up is almost indispensible in fabricating esthetic restoration, especially in anterior region. In this article, the current status of monolithic zirconia restoration and clinical cases will be presented.

Understanding and trends of esthetic treatment in prosthodontics : IPS e.max (심미보철 치료의 경향과 이해 : part 1. IPS e.max)

  • Kang, Jung-In;Heo, Yu-Ri;Lee, Myeong-Seon;Son, Mee-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.447-452
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    • 2014
  • With the increase of esthetic demands, most patients want to have restorations which are not only functional but also esthetic. For the esthetic restoration, many ceramic systems have been introduced and applied in dentistry. Among those ceramic restorations, IPS e.max system composed of lithium disilicate glass ceramic is one of the most commonly used systems because it has strength and esthetic characteristics. IPS e.max system is divided into IPS e.max Press and IPS e.max CAD according to the manufacturing methods. IPS e.max Press is fabricated through heat-pressed technique with ceramic ingot, which is very simple. The restorations which are made using IPS e.max system can apply to 3 units restoration for the anterior teeth and premolar, and single posterior tooth restoration. Cementation is one of the most important clinic procedure for the longevity of the restorations. All ceramics are bonded by resin cements, it is classified into three groups including adhesive, self-adhesive, and conventional. Variolink N, which is an adhesive resin cement and manufactured by same company with IPS e.max, is recommended for the bonding of IPS e.max restoration. Conventional and self-adhesive resin cement is also available. The aim of this review article is to provide the understanding of material properties, production procedure and clinical application of IPS e.max system.