• Title/Summary/Keyword: Esthetic restorative dentistry

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ESTHETIC RESTORATION OF ANTERIOR STAINLESS STEEL CROWN WITH COMPOSITE RESIN VENEER (Stainless steel crown 순면위에 레진피복을 이용한 전치부 심미적 수복)

  • Park, Jong-Ha;An, Soo-Hyeon;Kim, Jae-Gon;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.805-812
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    • 1997
  • Despite dentistry's attempts to improve the dental health of the public and to minimize the effects of caries, many children still present with extensive destruction of primary anterior teeth. One of dentistry's most challenging tasks is to repair these teeth with restoration which are durable, retentive, and esthetic. Esthetic restoration can often be achieved with polycarbonate crowns, strip crowns, conventional S-S crowns, open-faced S-S crowns, commercially veneered S-S crowns. But, all of these have limitation. Advances in restorative materials and metal-bonding procedures have made possible new restorative techniques that combine the advantages of S-S crowns with the cosmetics of composite restoration methods. The described technique of bonding composite to trimmed and fitted S-S crowns offers many advantages over other techniques currently used to restore primary anterior teeth. 1. If S-S crowns are accurate trimmed and contoured, good retention of crowns is achieved. 2. The patient time required is similar to that of conventional S-S crowns. 3. Good esthetics and high bond strengths are achieved. 4. It is possible to use this veneering technique intraorally on crowns that have fractured veneers.

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ESTHETIC RESTORATION WITH FIBER-REINFORCED POST FOR CHILDHOOD AND ADOLESCENT PATIENTS (소아, 청소년 시기의 섬유 강화형 포스트를 이용한 심미 수복)

  • Park, Duck-Yong;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.78-83
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    • 2009
  • In case of endodontic treatment and extensive restoration of severe dental caries, trauma, and developmental defect, esthetic restoration of primary incisors and permanent anterior teeth for children and adolescents period is delicate matter for pediatric dentists. Existing restorative methods for anterior teeth have retentive and esthetic limitations for badly damaged teeth, especially for the adolescent anterior teeth. Therefore, the preparative stage for setting the permanent prosthesis as well as the retention and esthetics have to be considered. In this case, esthetic restoration for badly destroyed anterior teeth was tried with fiber-reinforced post and the result was satisfactory.

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THE COLOR CHANGE OF VISIBLE LIGHT-CURED COMPOSITE RESINS AND COMPOMERS ACCORDING TO THE THICKNESS AND BACKGROUND COLOR (광중합형 복합레진과 콤포머의 두께와 배경색에 따른 색변화)

  • Im, Ju-Hwan;Han, Jin-Sun;Lee, Su-Jong;Im, Mi-Kyung
    • Restorative Dentistry and Endodontics
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    • v.25 no.1
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    • pp.71-77
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    • 2000
  • The color of an esthetic restorative material is controlled primarily by thickness of the material and background color. Although the effects of the two factors on the color coordinates of esthetic dental materials have been reported, the mechanism has not been clarified well enough to explain the effects quantitatively. The purpose of this study was to evaluate the effect of thickness and background color on the color of tooth colored restorative materials quantitatively. One hundred sixty samples were fabricated from two commercial light-cured composite resins and two commercial compomers. The color characteristics and changes in the color coordinates were measured by a tristimulus colorimeter (Model TC-6FX, Tokyo Denshoku Co. Japan) using the CIELAB system. The results were as follows: 1. As thickness increased from 1.0 to 4.0mm, values of $L^*$ $a^*$ $b^*$ changed irregulary for white and dentin color background, but showed no obvious difference in color for black background. 2. The colors of composite resins and compomers were significantly influenced by background color. 3. The color difference was recognized even the same shade name in four representative kinds of composite resins and compomers. 4. As thickness changed, values of color difference for same products and same background color showed constancy, but showed difference for different background color.

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An esthetic appliance for the management of crown-root fracture: a case report

  • Jeon, Sang-Min;Lee, Kang-Hee;Jung, Bock-Young
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.226-229
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    • 2014
  • Orthodontic extrusion is usually performed by means of a fixed orthodontic appliance that utilizes arch wire attached to adjacent teeth and transfers the desired force by elastic from the wire to the root. However, clinicians often encounter cases where the bonding required for tooth traction is not possible because the adjacent teeth have been restored with ceramic or veneer. The purpose of this case report is to describe a modified orthodontic extrusion appliance that is useful when conventional orthodontic treatment is not possible. The modified appliance was fabricated using an artificial tooth, clear plastic sheeting, and a braided fiber-reinforced composite strip that covered adjacent teeth without bonding. It satisfied the esthetic and functional needs of the patient and established the optimal biologic width.

Influence of modeling agents on the surface properties of an esthetic nano-hybrid composite

  • Kutuk, Zeynep Bilge;Erden, Ecem;Aksahin, Damla Lara;Durak, Zeynep Elif;Dulda, Alp Can
    • Restorative Dentistry and Endodontics
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    • v.45 no.2
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    • pp.13.1-13.10
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    • 2020
  • Objective: The aim of this study was to evaluate the influence of different modeling agents on the surface microhardness (Vickers hardness number; VHN), roughness (Ra), and color change (ΔE) of a nano-hybrid composite with or without exposure to discoloration by coffee. Materials and Methods: Sixty-four cylinder-shaped nano-hybrid composite specimens were prepared using a Teflon mold. The specimens' surfaces were prepared according to the following groups: group 1, no modeling agent; group 2, Modeling Liquid; group 3, a universal adhesive (G-Premio Bond); and group 4, the first step of a 2-step self-adhesive system (OptiBond XTR). Specimens were randomly allocated into 2 groups (n = 8) according to the storage medium (distilled water or coffee). VHN, Ra, and ΔE were measured at 24 hours, 1 week, and 6 weeks. The Kruskal-Wallis test followed by the Bonferroni correction for pairwise comparisons was used for statistical analysis (α = 0.05). Results: Storage time did not influence the VHN of the nano-hybrid composite in any group (p > 0.05). OptiBond XTR Primer application affected the VHN negatively in all investigated storage medium and time conditions (p < 0.05). Modeling Liquid application yielded improved Ra values for the specimens stored in coffee at each time point (p < 0.05). Modeling Liquid application was associated with the lowest ΔE values in all investigated storage medium and time conditions (p < 0.05). Conclusion: Different types of modeling agents could affect the surface properties and discoloration of nano-hybrid composites.

Influence of different universal adhesives on the repair performance of hybrid CAD-CAM materials

  • Demirel, Gulbike;Baltacioglu, Ismail Hakki
    • Restorative Dentistry and Endodontics
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    • v.44 no.3
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    • pp.23.1-23.9
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    • 2019
  • Objectives: The aim of this study was to investigate the microshear bond strength (${\mu}SBS$) of different universal adhesive systems applied to hybrid computer-aided design/computer-aided manufacturing (CAD-CAM) restorative materials repaired with a composite resin. Materials and Methods: Four types of CAD-CAM hybrid block materials-Lava Ultimate (LA), Vita Enamic (VE), CeraSmart (CS), and Shofu Block HC (SH)-were used in this study, in combination with the following four adhesive protocols: 1) control: porcelain primer + total etch adhesive (CO), 2) Single Bond Universal (SB), 3) All Bond Universal (AB), and 4) Clearfil Universal Bond (CU). The ${\mu}SBS$ of the composite resin (Clearfil Majesty Esthetic) was measured and the data were analyzed using two-way analysis of variance and the Tukey test, with the level of significance set at p < 0.05. Results: The CAD-CAM block type and block-adhesive combination had significant effects on the bond strength values (p < 0.05). Significant differences were found between the following pairs of groups: VE/CO and VE/AB, CS/CO and CS/AB, VE/CU and CS/CU, and VE/AB and CS/AB (p < 0.05). Conclusions: The ${\mu}SBS$ values were affected by hybrid block type. All tested universal adhesive treatments can be used as an alternative to the control treatment for repair, except the AB system on VE blocks (the VE/AB group). The ${\mu}SBS$ values showed variation across different adhesive treatments on different hybrid CAD-CAM block types.

Interdisciplinary treatment of restoring congenitally missing lateral incisor and unrestorable molars (선천결손된 상악 측절치와 수복 불가능한 대구치들의 심미수복을 위한 다학제 진료)

  • Park, Chul-Wan
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.2
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    • pp.101-114
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    • 2017
  • Successful treatment outcome of esthetic dentistry often requires team approach including orthodontist, surgeon and restorative dentist. Clinician should consider various treatment options to restore missing teeth, especially in anterior region. In this article, interdisciplinary treatment of restoring congenitally missing lateral incisor and unrestorable molars will be presented.

Recent characteristics of dental esthetic restorative ceramics (임상가를 위한 특집 1 - 치과심미수복용 세라믹의 최신 특성평가)

  • Oh, Seunghan
    • The Journal of the Korean dental association
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    • v.51 no.1
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    • pp.6-11
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    • 2013
  • Dental ceramics is well known to have excellent esthetics, biocompatibility as well as high compressive strength. However, the fragility of ceramics against tensile and shear loads leading to the delayed fracture of micro crack on ceramic surface and the backwardness of ceramic fabrication technique limit the usage of ceramic materials in dentistry. Among all ceramic materials, zirconia has been introduced to overcome the drawback of conventional dental ceramics in the field of dentistry due to the nature of zirconia featuring proper opalescence and high fracture toughness. Also, novel manufacturing techniques enable ceramic materials to prepare high esthetic anterior and posterior all ceramic system. In this paper, it is introduced and discussed that novel techniques characterizing the bond strength between zirconia core and veneering ceramics and analyzing the fluorescence of dental ceramics in order to overcome the gap between the results of basic research and the feasibility of the results in the field of dental clinics.

The use of zirconia hybrid abutment for the anterior esthetic restoration and anterior implant utilizing CAD/CAM technology (캐드캠 기능을 이용한 전치부 심미 수복 및 전치부 임플란트에서 지르코니아 링크 지대주(Hybrid abutment)의 사용)

  • Kim, Jongyub
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.22 no.1
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    • pp.9-21
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    • 2013
  • Aesthetics means differ from cultures and times and also differ from each person's own thinking. But as a restorative dentist who works for esthetic areas, we need to have certain principles and rationale. Some functions in CAD/CAM looks very useful to match harmonious shape to adjacent teeth and also very effective and efficient when compare to the traditional laboratory technics. Also we will discuss about link abutment (Titanium-Zirconia abutment) which we need for dental implant placed anterior area where the soft tissue is thin.

Pressable Ceramic을 이용한 전치부 Spacing의 무삭제 심미보철수복

  • Im, Ui-Bin;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.2
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    • pp.15-20
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    • 2001
  • The spaced dentition is a common clinical finding. The careful analysis of clinically spaced dentition is a necessity for effective treatment planning. Spaced dentition often exists in the presence of intact teeth. Therefore, special care should be taken in order to obtain the most successful esthetic effect and to prevent overtreatment as well. The aesthetic restorative dental treatment using the porcelain laminate veneers is getting more popular than the complex orthodontic treatment, and prosthetic solutions that require sacrifice of sound tooth structure. The physical strength of porcelain laminate veneers is not as good as porcelain fused metal crowns, and more researches are needed in the field of bonding between composite cement and porcelain laminate veneer. However, the esthetic results from this unprepared porcelain laminate veneers were satisfactory with Authentic (Ceramay, Germany) pressable ceramic technique and resin cement (Rely X Veneer, 3M). This article deals with 2 cases of unprepared porcelain laminate veneers on anterior teeth.

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