• Title/Summary/Keyword: Esthetic restorative dentistry

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TEMPERATURE CHANGES IN THE PULP ACCORDING TO VARIOUS ESTHETIC RESTORATIVE MATERIALS AND BASES DURING CURING PROCEDURE (광중합 시 수종의 심미적 수복재와 이장재의 사용에 따른 치수내 온도변화)

  • 장혜란;이형일;이광원;이세준
    • Restorative Dentistry and Endodontics
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    • v.26 no.5
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    • pp.393-398
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    • 2001
  • Polymerization of light-activated restorations results in temperature increase caused by both the exothermic reaction process and the energy absorbed during irradiation. Within composite resin, temperature increases up to 2$0^{\circ}C$ or more during polymerization. But, insulation of hard tissue of tooth lowers this temperature increase in pulp. However, many clinicians are concerned about intrapulpal temperature injury. The purpose of this study was to evaluate temperature changes in the pulp according to various restorative materials and bases during curing procedure. Caries and restoration-free mandibular molars extracted within three months were prepared Class I cavity of 3$\times$6mm with high speed handpiece fissure bur. 1mm depth of dentin was evaluated with micrometer in mesial and distal pulp horns. Pulp chambers were filled with 37.0$\pm$0.1$^{\circ}C$ water to CEJ. Chromium-alumina thermocouple was placed in pulp horn below restorative materials for evaluating of temperature changes. This thermocouple was connected to temperature-recording device(Multiplication analyzer MX, 6.000, JAPAN). Temperature changes was evaluated from initial 37.$0^{\circ}C$ after temperature changes to 37.$0^{\circ}C$. Tip of curing unit was placed in the center of prepared cavity separated 1mm from restorative materials. Curing time was 40s. The restorative materials were used with Z 100, Fuji II LC, Compoglass flow and bases were used with Vitrebond, Dycal. Resrorative materials were placed in 2mm. The depth of bases were formed in 1mm and in this upper portion, resin of 2mm depth was placed. This procedure was performed 10 times. The results were as follows. 1. All the groups showed that the temperature in pulp increased as curing time increased 2. The temperature increase of glass ionomer was significantly higher than that of Resin and Compomer during curing procedure (P<0.05). 3. The temperature increase in glass ionomer base was significantly higher than that of Calcium hydroxide base during Resin curing procedure (P<0.05).

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THE PRACTICE PATTERN OF PEDIATRIC DENTISTS IN KOREA (소아치과 개원의 진료 현황 분석)

  • Choi, Eun-Jung;Jung, Tae-Ryun;Hahn, Se-Hyun;Kim, Young-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.504-509
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    • 2006
  • Pediatric dentistry is differentiated from other fields of dentistry in that it provides comprehensive dental care for children and adolescents. In early days, pediatric dentistry used to be confined to the caries treatment and extraction of primary teeth However, the practice spectrum of pediatric dentistry has broadened to the orthodontic, surgical, esthetic and preventive treatments A survey that contained questions about practice patterns were mailed to 50 pediatric dentists, and 21 surveys were returned. Results were as follows: 1. The average number of patients per week was 82.4, and the average number of treated teeth per patient was 2.35. 2. Preventive treatments comprised 15.7%, restorative treatments 55.7%, endodontic treatments 15.6%, surgical treatments 10.5%, and orthodontic treatments 2.4%. 3. In restorative treatments, amalgam restoration comprised 3.8%, glass ionomer 5.5%, composite resin 63.0%, and stainless steel crown 27.7%.

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The effects of different polishing techniques on the staining resistance of CAD/CAM resin-ceramics

  • Sagsoz, Omer;Demirci, Tevfik;Demirci, Gamze;Sagsoz, Nurdan Polat;Yildiz, Mehmet
    • The Journal of Advanced Prosthodontics
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    • v.8 no.6
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    • pp.417-422
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    • 2016
  • PURPOSE. The purposes of this study were to evaluate the staining resistance of CAD/CAM resin-ceramics polished with different techniques and to determine the effectiveness of the polishing techniques on resin-ceramics, comparing it with that of a glazed glass-ceramic. MATERIALS AND METHODS. Four different CAD/CAM ceramics (feldspathic ceramic: C-CEREC Blocs, (SIRONA) and three resin-ceramics: L-Lava Ultimate, (3M ESPE), E-Enamic, (VITA) and CS-CeraSmart, (GC)) and one light cure composite resin: ME-Clearfil Majesty Esthetic (Kuraray) were used. Only C samples were glazed (gl). Other restorations were divided into four groups according to the polishing technique: nonpolished control group (c), a group polished with light cure liquid polish (Biscover LV BISCO) (bb), a group polished with ceramic polishing kit (Diapol, EVE) (cd), and a group polished with composite polishing kit (Clearfil Twist Dia, Kuraray) (kc). Glazed C samples and the polished samples were further divided into four subgroups and immersed into different solutions: distilled water, tea, coffee, and fermented black carrot juice. Eight samples ($8{\times}8{\times}1mm$) were prepared for each subgroup. According to CIELab system, four color measurements were made: before immersion, immersion after 1 day, after 1 week, and after 1 month. Data were analyzed with repeated measures of ANOVA (${\alpha}=.05$). RESULTS. The highest staining resistance was found in gl samples. There was no difference among gl, kc and cd (P>.05). Staining resistance of gl was significantly higher than that of bb (P<.05). Staining resistances of E and CS were significantly higher than those of L and ME (P<.05). CONCLUSION. Ceramic and composite polishing kits can be used for resin ceramics as a counterpart of glazing procedure used for full ceramic materials. Liquid polish has limited indications for resin ceramics.

A CASE REPORT ON PRIMARY INCISOR TREATMENT USING OPEN-FACE STAINLESS STEEL CROWN (Open-face Stainless Steel Crown을 이용한 유전치의 치료에 대한 증례보고)

  • Kim, Jong-Min;Choi, Hyung-Jun;Lee, Jae-Ho;Choi, Byung-Jae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.781-787
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    • 1997
  • In spite of the improvements of the techniques in the field of preventive dentistry, many children still present with extensive destruction of primary anterior teeth. Not only the practioner must consider the pulp state of the primary incisor, but also restore the form, function and esthetics of the tooth. Restorative treatment of primary incisor tooth requires durability, retention and esthetics. Stainless steel crowns used in restoring primary anterior teeth is retentive and durable in comparison with the composite resin, celluloid crown. But they are not esthetic. To enhance the esthetics of the anterior stainless steel crown without reducing its superior retention, an open-face stainless steel crown has been suggested. Several authors have suggested cutting away the labial portion of the stainless steel crown and placing the composite resin in that area. By following this technique, the practioner can prepare a retentive, durable, and esthetic restoration for primary teeth which have suffered from extensive loss of teeth structure. In addition, the single missing primary anterior teeth can be successfully restored by soldering the stainless steel crown together. Open-face stainless steel crown is indicated in the areas of large interproximal lesions involving incisal edge, crown fracture with pulp exposure and congenital malformation of the teeth. By this technique, the practioner can restore primary anterior teeth successfully regardless of the amount of remaining tooth structure, bruxism habit and presence of attrition. In this case, rampant caries with extensive loss of tooth structure and single missing of primary anterior tooth hart been successfully treated with open-face stainless steel crown.

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Post-endodontic Restoration on Erupting Permanent First Molars Using Endocrown with a Polyglass Composite Resin: Report of Two Cases (맹출 중인 제1대구치의 근관 치료 후 엔도크라운을 통한 수복 증례 보고)

  • Jeong, Hyuntae;Kim, Seonmi;Kim, Jaehwan;Choi, Namki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.111-118
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    • 2019
  • Post-endodontic restorations are both important and challenging for clinical success in endodontically treated posterior teeth. Several options have been proposed to restore endodontically treated molars. In pediatric dentistry, restoration using conventional single crowns, especially for partially erupted molars with insufficient retentive tooth structure, has proven to be difficult. However, the endocrown presents a conservative and esthetic restorative alternative to conventional crowns with post-and-core, as it acquires additional retention within the pulp chamber. The tooth preparation consists of a circular, equigingival, butt-joint margin and a central retention cavity in the pulp chamber that helps to construct both the crown and core as a single unit. This case report describes the esthetic and conservative endocrown restorations of erupting permanent first molars with extensive coronal destruction.

Management of apicomarginal defect in esthetic region associated with a tooth with anomalies

  • Meharwade, Vinayak Venkoosa;Shah, Dipali Yogesh;Mali, Pradyna Prabhakar;Meharwade, Vidya Vinayak
    • Restorative Dentistry and Endodontics
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    • v.40 no.4
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    • pp.314-321
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    • 2015
  • Tooth related factors such as palatoradicular groove can be one of the causes for localized periodontal destruction. Such pathological process may result in apicomarginal defect along with inflammation of pulp. This creates challenging situation which clinician must be capable of performing advanced periodontal regenerative procedures for the successful management. This case report discusses clinical management of apicomarginal defect associated with extensive periradicular destruction in a maxillary lateral incisor, along with histopathologic aspect of the lesion.

ANALYSIS OF PAPERS PUBLISHED IN THE JOURNAL OF KOREAN ACADEMY OF CONSERVATIVE DENTISTRY DURING THE LAST TEN YEARS (최근 10년간 대한치과보존학회지에 게재된 논문의 경향 분석)

  • Kim, Ki-Ok
    • Restorative Dentistry and Endodontics
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    • v.27 no.6
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    • pp.622-631
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    • 2002
  • To understand the recent characteristics of the papers published in the Journal of Korean Academy of Conservative Dentistry(JKACD), All the papers in the JKACD of 1992 to 2001 were analyzed. A total of 513 papers were classified according to its type, fold and subject of the study, school and the number of authors, references, and written language. The results were as follows ; 1 According to the type of the paper, 506(98.6%) were original articles, 3(0.6%) were review articles, and 4(0.8%) were case reports. 2. Anual proportion of papers in the fold of operative dentistry was similar to that of endodontics 3. In the field of operative dentistry, esthetic restorative materials and bonding to tooth constituted major subjects of the studies. In the field of endodotics, pulp biology was prominent and canal shaping, endodontic microbiology and canal obturation were steadily reported. 4. According to author's school, similar number of papers were published in the field of operative den tistry and endodontics in general. However, some schools showed preponderances. 5. Most studies were done by two or more authors. Studies published by two authors were most 6. Fifty(9.7%) papers were done in collaboration with workers of the other field. 7. Average number of references cited in the papers was 41.2, including domestic references of 1.8. 40.7% of the papers was shown to cite no domestic papers at all. 8. Twenty-eight(5.5%) papers were written in English, with increasing ratio.

Preparation guidelines for CAD/CAM inlay/onlay restorations (CAD-CAM 인레이/온레이 수복을 위한 와동형성의 가이드라인)

  • Son, Song Ae
    • The Journal of the Korean dental association
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    • v.54 no.8
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    • pp.651-657
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    • 2016
  • Currently with the continuous development of ceramic and cementation materials, CAD-CAM(Computer-aided design/Computer-aided manufacture) restorations are becoming increasingly popular in esthetic dentistry. Preparation design is influenced by the selected restorative material, the fabrication method, and the ability to bond the restoration. For long-lasting CAD/CAM inlay/onlay restoration, clinicians should understand the basic knowledge of CAD/CAM restoration's cavity design to obtain the fracture resistance and proper fitting margin. This article gives an overview of preparation guidelines for CAD/CAM inlay/onlay restorations.

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THE ORTHODONTIC CASE REPORT OF THE IMPACTED TEETH (매복치의 교정치험례 (Orthodontic Case Report of the Impacted Teeth))

  • Hyun, Sug-Hwan;Park, Seung-Jong;Lee, Dong-Joo
    • The korean journal of orthodontics
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    • v.21 no.3
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    • pp.711-722
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    • 1991
  • The first patient of this case was 13 year and 8 month old girl who had the Angle's class I malocclusion with uneruption of upper left central incisor and left canine. The second patient was 12 year old boy who had the Angle's class I malocclusion with uneruption of right central incisor. After surgical exposure of impacted teeth of those patients and bonding of attachment on exposed crown, those teeth were orthodontically pulled with removable appliances. The results were obtained as follow. 1. The functionally proper occlusion was established by guidance of the impacted teeth into the normal position in the arch. 2. Establishment of esthetic and balanced arch form was achieved. 3. The possibility of restorative prosthetic treatment induced by extraction of impacted teeth was eliminated. 4. The psychologic relief of pubertal patient who was very sensitive to facial esthetics was gained.

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Tooth preparation and Intraoral scanning for successful CAD/CAM restorations (성공적인 캐드캠 수복을 위한 치아형성과 구강스캔)

  • Bae, Jin Woo;Son, Song Ae
    • The Journal of the Korean dental association
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    • v.57 no.7
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    • pp.380-391
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    • 2019
  • In recent years, with the introduction of various restorative materials, restorations using CAD/CAM equipment have been increasing in the esthetic dentistry. The critical steps in the fabrication of indirect restorations with CAD/CAM equipment are proper cavity preparation and making accurate impressions. The process of tooth preparation for CAD/CAM restoration should include a mechanical understanding of milling. In addition, during tooth preparation, the clinician should be familiar with additional equipment and techniques for obtaining the convenience. In order to obtain an accurate oral scan, the clinician should understand the limitations of the oral scan and be skilled at techniques for obtaining a successful image when making oral scans. This article focused clinical guidelines for the preparation of CAD/CAM restorations and introduced clinical methods for making successful impression of oral scans in narrow and deep tooth cavity areas.

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