• Title/Summary/Keyword: Esthetics, dental

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Clinical management of amelogenesis imperfecta in primary dentition

  • Kim, Ga-Yeong
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.12 no.2
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    • pp.31-38
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    • 2003
  • Amelogenesis imperfecta patients suffered common clinical problems of poor esthetics, teeth sensitivity, and loss of occlusal vertical dimension. Amelogenesis imperfecta is a group of inherited disorders primarily affecting dental enamel. Variants of amelogenesis imperfecta generally classified hypoplastic, hypocalcified, or hypomaturation types based on the primary enamel defects. The mildest problems were found in the pitted hypoplastic type whereas the most severe problems were encountered in the hypocalcified type amelogenesis imperfecta. Management stragies include composite resin veneer and jacket crowns for anterior teeth as well as steel crowns for posterior teeth. Knowledge of the clinical features and dental complications of each variants if amelogenesis impecta helps in the diagnosis of the condition and allows institution of early preventive measures. The objective of this paper is to provide a review of the current concepts of the wide spectrum of etiological factors involved in the pathogenesis of this significance clinical entity in the primary dentition.

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EFFECT OF THE CURING TEMPERATURE OF DENTURE RESINS ON THE STRENGTH (의치용 수지의 온성온도가 강도에 미치는 영향)

  • Sunoo, Young-Gook
    • The Journal of the Korean dental association
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    • v.16 no.3 s.106
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    • pp.235-237
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    • 1978
  • Dr. Walter Wright first presented the results of his studies on acrylic resins in July, 1937. The use of resins for adaptation in inlay and crown and bridge prosthesis was first reported in June 1940 by Harris. There has been now and acceptable list of several physical and mechanical properties of acrylic resins which have been studied to a considerable extent by various researchers, or determined from clinical experience. They include; pleasant esthetics, taste, odor, cleanliness, compatibility with oral tissue, dimensional stability, water sorption by imbibition, hardness, ease and success of repair, weight, thermal coefficient of expansion and strength to resist functional stress. The author carried a series of experiments forward to check the strength. Specimens which were cured at boiling temperature showed weaker strength than those ones which were cured at 72℃.

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DUPLICATORY DENTURE, REPORT OF ONE CASE (복제의치 제작의 일예)

  • Shim, Tae-Suk;Chin, Yong-Whan;Cho, Kun-Ok;Kim, Yung-Soo;Kim, Jae-Kwon
    • The Journal of the Korean dental association
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    • v.9 no.9
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    • pp.549-555
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    • 1971
  • The authors developed a techinic of duplicating dentures which are worn and fully satisfied by the patient herself in shape, in function, in esthetics, and in psychological aspect. It needs not any complicated conventional procedures, but just two appointments and simple laboratory works. The result of the duplicated dentures as the spare ones was successful.

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Clinical Practice of Class IV Direct Compoiste Resin Restoration (4급 와동의 직접 레진 수복의 과정)

  • Jang, Hee-seon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.1
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    • pp.18-23
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    • 2018
  • With the increasing demand for esthetics and minimum intervention concept, people want to restore the fractured tooth with direct composite restoration. But even now, many dentists hesitate to do the direct resin restoration in the anterior region and shift the responsibility to dental technicians. This article describes each steps in restoring Class IV cavity. To obtain an esthetic result in anterior restoration, layering technique is mandatory and clinical tips suggested in this article would be useful.

A prospective study of patient satisfaction after implant supported mandibular overdenture treatment in fully edentulous patients (완전 무치악 환자에서 하악 임플란트 지지 피개의치 사용 후의 환자만족도에 관한 전향적 연구)

  • Hong, Ju-Hee;Jung, Gyu-Un;Shin, Sang-Wan;Pang, Eun-Kyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.1-8
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    • 2015
  • Purpose: The purpose of this prospective study was to compare the satisfaction levels of the patients worn implant supported mandibular overdentures and conventional complete dentures. Materials and methods: Full edentulous patients (n=40) who were planned to do implant supported mandibular overdentures, aged 51 to 82 years, were enrolled in this study. All subjects rated their satisfaction levels (mastication, pronunciation, esthetics, pain, and general satisfaction) of their original conventional dentures prior to treatment and their new overdentures 1 week and 12 weeks after the delivery on 10 cm visual analogue scales. Repeated-measures ANOVA was performed to compare the satisfaction level of each three period (P<.05). Results: The mean satisfaction levels of the implant supported overdentures after 1 week and 12 weeks of delivery were significantly higher than those of the conventional complete dentures in all scoring parameters (P<.05). After 12 weeks of overdenture delivery, the increase of the satisfaction levels in mastication, pronunciation, and pain and the decrease in esthetics and general satisfaction were observed in comparison with those after 1 week of delivery, however, no significant difference was found between the satisfaction levels of 1 week and 12 weeks after delivery. Conclusion: An implant supported overdenture might be one of the effective ways to give more satisfaction to patients who were not gratified with a conventional denture and eventually to improve their quality of life.

Perception of Maxillary Anterior Esthetics by General Public and Dental Hygiene Student of the Specific College (일반인과 일부 치위생과 학생들의 상악 전치부 심미 선호도)

  • Lee, Byung-Ho
    • Journal of dental hygiene science
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    • v.7 no.3
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    • pp.201-205
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    • 2007
  • This study was designed to compare the perception of dental hygiene students and general public with respect to minor variations in maxillary anterior tooth size, alignment and their relation to the surrounding soft tissues. Maxillary anterior teeth were intentionally diagrammed in varying degree of deviation with respect to one of three common anterior esthetic discrepancies including variations in crown length, shape of gingival margin, and length of interproximal contact. Seventeen images were generated to be preferentially selected by 2 groups consisting of dental hygiene students and lay people in Busan(total of 216). The obtained results were as follows; 1. Both group preferred gingival margin of lateral incisor to be 0.5mm lower than that of central incisor. 2. Both group preferred the gingival margin shape of central incisor has 1/9 horizontal component of the crown width. 3. Both group preferred length of the interproximal contact has 1/2 of the crown length. The results of this study may be considered to influence the decision making process by dental professionals with respect to designing the anterior esthetic gingival line.

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Long-term stability after multidisciplinary treatment involving maxillary distraction osteogenesis, and sagittal split ramus osteotomy for unilateral cleft lip and palate with severe occlusal collapse and gingival recession: A case report

  • Kokai, Satoshi;Fukuyama, Eiji;Omura, Susumu;Kimizuka, Sachiko;Yonemitsu, Ikuo;Fujita, Koichi;Ono, Takashi
    • The korean journal of orthodontics
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    • v.49 no.1
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    • pp.59-69
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    • 2019
  • In this report, we describe a case involving a 34-year-old woman who showed good treatment outcomes with long-term stability after multidisciplinary treatment for unilateral cleft lip and palate (CLP), maxillary hypoplasia, severe maxillary arch constriction, severe occlusal collapse, and gingival recession. A comprehensive treatment approach was developed with maximum consideration of strong scar constriction and gingival recession; it included minimum maxillary arch expansion, maxillary advancement by distraction osteogenesis using an internal distraction device, and mandibular setback using sagittal split ramus osteotomy. Her post-treatment records demonstrated a balanced facial profile and occlusion with improved facial symmetry. The patient's profile was dramatically improved, with reduced upper lip retrusion and lower lip protrusion as a result of the maxillary advancement and mandibular setback, respectively. Although gingival recession showed a slight increase, tooth mobility was within the normal physiological range. No tooth hyperesthesia was observed after treatment. There was negligible osseous relapse, and the occlusion remained stable after 5 years of post-treatment retention. Our findings suggest that such multidisciplinary approaches for the treatment of CLP with gingival recession and occlusal collapse help in improving occlusion and facial esthetics without the need for prostheses such as dental implants or bridges; in addition, the results show long-term post-treatment stability.

Bone-level implants placed in the anterior maxilla: an open-label, single-arm observational study

  • Gao, EnFeng;Hei, Wei-Hong;Park, Jong-Chul;Pang, KangMi;Kim, Sun Kyung;Kim, Bongju;Kim, Soung-Min;Lee, Jong-Ho
    • Journal of Periodontal and Implant Science
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    • v.47 no.5
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    • pp.312-327
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    • 2017
  • Purpose: This study assessed marginal bone remodeling and soft tissue esthetics after the loading of single bone-level implants in the anterior maxilla. Methods: An open, single-arm observational clinical trial with 3 years of follow-up was performed, including 22 implants. The patients presented with a single tooth gap in the anterior maxilla (tooth positions 14-24), with natural or restored adjacent teeth. An implant was placed at least 8 weeks post-extraction and healed submerged for 6 weeks. After the second-stage operation, a fixed provisional prosthesis was provided. The final restoration was placed 6 months after the provisional restoration. The time of the provisional crown connection was considered to be the baseline in this study. Esthetic parameters and the marginal bone level were assessed at 6, 12, 24, and 36 months. Results: All implants were well integrated in the bone. A statistically significant increase was found in the mean implant stability quotient between the time of the provisional prosthesis and the time of the final prosthesis. Most implants (95.5%) revealed marginal bone resorption (<0.5 mm), and just 1 implant (4.5%) showed a change of 2.12 mm from baseline to 36 months (mean $0.07{\pm}0.48mm$), while the crestal bone level decreased significantly, from $2.34{\pm}0.93mm$ at baseline to $1.70{\pm}1.10mm$ at 36 months. The facial gingival margin and papilla were stable and the esthetic scores indicated high patient and dentist satisfaction. Conclusions: Platform-switching bone-level implants placed in maxillary single-tooth gaps resulted in successful osseointegration with minimal marginal bone resorption. The peri-implant soft tissue was also esthetically satisfying and stable.

Level of perception of changed lip protrusion and asymmetry of the lower facial height (하안면부에서 입술의 돌출 정도와 안면 비대칭의 인지도에 관한 연구)

  • Kim, Kyu-Sun;Kim, Young-Jin;Lee, Keun-Hye;Kook, Yoon-Ah;Kim, Young-Ho
    • The korean journal of orthodontics
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    • v.36 no.6
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    • pp.434-441
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    • 2006
  • Objective: While one of the most prevailing motivations for seeking orthodontic treatment is to achieve good facial esthetics, understanding the level of a person's perception to the changes that have occurred on the face after orthodontic treatment is critical to the process of orthodontic diagnosis and treatment planning. Methods: 40 students attending art school participated in determining the level of their perception of changed lip position and facial asymmetry. Computer-graphic frontal face and facial profile photographs with balanced proportions were used to evaluate the level of a participant's perception of the changes in facia! asymmetry and in lip position. Results: Change of lip position over 2 mm and over a 3 mm change of facial asymmetry was perceived significantly. Conclusion: The results indicated that at least a 2 mm change of lip position was needed to be perceived after orthodontic treatment. The level of perception of the change in facial asymmetry was lower than that of the change in lip position. Information about facial changes given prior to the evaluation enhanced the level of perception.

Case report - Rehabilitation of a patient's smile by applying a simple digital smile design method on a complex clinical situation. (Case report - 복잡해 보이는 전악 구강 재건 케이스에 간단한 digital smile design을 적용하여 환자의 미소를 회복시켜 주기)

  • Im, Hyung gu
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.2
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    • pp.103-117
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    • 2020
  • A beautiful smile has a great impact on the quality of life. It gives you confidence, and makes you function with a positive attitude, which will eventually bring the joy and happiness to daily lives. As dental practitioners, our mission is to bring back the bright smile of the people who come to see us. Restoring masticatory function is one thing but one should always remember that the esthetics should always come first in any kind of restorative procedures. When treating complex rehabilitation cases, treatment planning is probably the most important step before you start any dental procedures. Obviously, esthetics should be the ultimate goal of the treatment and one should approach a case step by step to achieve an optimal result. For the past few years, "digital smile design" has been introduced in the field of dentistry. It can be applied by using various methods and tools. In this article, a very basic form of 2-dimensional digital smile designing was utilized to treat a complete mouth rehabilitation case. We will discuss how the DSD concept can be applied to your daily practice with a simple photograph and photoshop.