• Title/Summary/Keyword: Esthetics, dental

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ORTHODONTIC TREATMENT OF IMPACTED MAXILLARY INCISOR : A CASE REPORT (매복된 상악 전치의 교정적 치료 : 증례보고)

  • Kim, Hae-Ri;Oh, So-Hee;Kim, Young-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.4
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    • pp.709-717
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    • 2007
  • Impaction of maxillary incisor is rare than the third molar and canine, but its rate is higher than the other anterior teeth due to frequent mesiodens, trauma and variation of root formation (root dilaceration etc.). It is often observed in the dental age of about eight years and over. It will be occurred that the space loss, midline deviation and cyst formation due to the impaction of maxillary incisor. So it is important to evaluate the precise location of impacted tooth and to make appropriate treatment plan. Treatment would be surgical extraction or expectation for spontaneous eruption. If the impacted tooth has no pathologic change and development of the root is favorable, orthodontic traction is recommended for recovery of function and esthetics. In these cases, we performed orthodontic traction for the eruption of impacted maxillary incisors, and obtained satisfactory results.

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Osseointegration of Ceramics & Zirconia : A Review of Literature (세라믹과 지르코니아의 골유착에 관한 고찰)

  • Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.319-326
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    • 2012
  • For many years, ceramics have been used in fixed prosthodontics for achieving optimal esthetics. but, they have another use as well. Many studies today show ceramics can be used for biomaterials. In the beginning researchers made a start in the study of aluminium oxide and sapphire for biomaterial. The appearance of Zirconia began a new phase of research. Zirconia was introduced into implantology as an alternative to titanium, because of its white color, good mechanical properties and superior biocompatibility. But it is not easy to surface treatment in comparison with titanium. To overcome the limitation, interconnected porous bodies of zirconia were fabricated by sintering technique. And the technique of coating was developed. Therefore, some zirconia implants are currently available. It is thought that Research of biomaterials as a variety of puposes for the use of zirconia is looking very promising. The purpose of this paper reviews are to evaluation of zirconia as biomaterials.

Palate bone exposure from flexible denture: a case report (탄성의치에 의한 구개부 골노출 증례)

  • Jin, Soo-Yoon;Kim, Mi-Gyeong;Kim, Hee-Jung;Lee, Gyeong-Je
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.1
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    • pp.19-24
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    • 2017
  • Recently, flexible denture is widely used with some advantages such as esthetics, flexibility and biocompatibility. However, there is an opposite opinion about stability because of the movement of denture by the material's flexibility. As the denture moves to tissue surface during mastication, it irritates the supporting tissue. It can lead to trauma and rapid resorption of residual ridges if this irritation lasts for a long time. In this case, the patient has used flexible denture with insufficient stability, retention and support for several years and thus continuous irritation of the supporting tissue resulted in palate bone exposure. The patient discomfort and palate bone exposure underwent improvements by the new denture with stability and retention. A careful case selection for flexible denture, regular checkup and proper treatment are necessary to prevent the side effects.

Application of Targis-Vectris Provisional Restorations for an Oro-Maxillofacial Cancer Patient: A Case report (악성암종 수술 환자에서 임시수복물로서 Targis-Vectris의 응용)

  • Kim, Jin-Man;Han, Jung-Suk;Lee, Sun-Hyung;Yang, Jae-Ho;Lee, Jae-Bong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.18 no.2
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    • pp.113-118
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    • 2002
  • Conventional radiograph, computed tomograph (CT), magnetic resonance image (MRI) are commonly used methods for diagnosis of oro-maxillofacial cancer. MRI is an effective tool to verify soft tissue lesion however, metal produces black artifacts in the image. Therefore, metal structure should be removed before taking MRI to diagnose head and neck cancer patients. A 52-year-old female patient with adenocarcinoma in the posterior right soft palate was referred to take a MRI before surgery. She has 7-unit porcelain fused to metal bridge in the maxilla. Eight-unit Tagis-Vectris fixed partial denture was fabricated to replace her existing PFM bridge to take a MRI without any artifact before and after surgery. The patient satisfied with her restorations in terms of esthetics, function after 11 months. Even though minor staining was detected, Tagis-Vectris restoration fixed partial denture was intact during observation period.

Mandibular Implant-Supported Telescopic Overdenture using Gold Electroforming System : A Case Report (Gold Electroforming System을 이용한 하악 임플란트 지지 텔레스코프 피개의치)

  • Choi, Jee-Ha;Kim, Seung-Kyun;Yu, Byoung-Il;Ahn, Seung-Geun;Park, Ju-Mi;Song, Kwang-Yeob;Park, Charn-Woon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.2
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    • pp.193-201
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    • 2008
  • In edentulous mandible, implant supported overdenture was considered as a first treatment option. In case of a implant supported telescopic overdenture, sufficient inter-arch space needs for arrangement of artificial teeth and attachment. Passive fit of the implant prosthesis is important factor for preventing mechanical failure. Gold Electroforming System is particularly useful to achieve a passive fit of telescopic attachment and results in precision marginal fit and the small thickness of the coping provides optimal space for narrow inter-arch space. This article presents that application of Gold Electroforming System can provide excellent esthetics and function on four-implant supported telescopic overdenture.

Full Mouth Rehabilitation in a Patient with Severely Worn Dentition (심하게 마모된 치열을 가진 환자의 완전구강회복)

  • Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.463-476
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    • 2010
  • Inadequate or unstable posterior support cause extrusion of antagonistic teeth and overloading of remaining teeth. Extrusion of antagonistic teeth result in collapsed occlusal plane and decreased prosthetic space. Also, overloading of remaining teeth increase occlusal wear or anterior extrusion of anterior teeth, which is resulting in loss of anterior guidance, disharmony of occlusion and decreased prosthetic space. In this case, careful evaluation of OVD(occlusal vertical dimension) is the general first trial to regain appropriate function and esthetics. Simultaneously, adequate anterior guidance and harmonious occlusal plane should be established in the repeatable reference position of the mandible. We report this case because severely worn dentition achieved functional and esthetic results from full mouth rehabilitation with increased vertical dimension and use of centric relation.

Evaluation of the facial dimensions of young adult women with a preferred facial appearance

  • Kim, Sae Yong;Bayome, Mohamed;Park, Jae Hyun;Kook, Yoon-Ah;Kang, Ju Hee;Kim, Kang Hyuk;Moon, Hong-Beom
    • The korean journal of orthodontics
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    • v.45 no.5
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    • pp.253-260
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    • 2015
  • Objective: The aim of this study was to evaluate the facial dimensions of young adult women with a preferred facial appearance and compare the results with those from the general population. Methods: Twenty-five linear, nine angular, and three area measurements were made and four ratios were calculated using a sample of standardized frontal and lateral photographs of 46 young adult women with a preferred facial appearance (Miss Korea group) and 44 young adult women from the general population (control group). Differences between the two groups were analyzed using multivariate analysis of variance (MANOVA). Results: Compared with the control group, the Miss Korea group exhibited a significantly greater facial height, total facial height (TFH; trichion-menton), facial width (tragus right-tragus left), facial depth (tragus-true vertical line), and trichion-nasion/TFH ratio and smaller subnasale-menton/TFH and facial width/TFH ratios. Furthermore, the control group had smaller intercanthal and interpupillary widths. Conclusions: The Miss Korea group exhibited longer, wider, and deeper faces compared with those from the general population. Furthermore, the Miss Korea group had larger eyes, longer but less protruded noses, longer and more retruded lower lips and chins, larger lip vermilion areas, and smaller labiomental angles. These results suggest that the latest trends in facial esthetics should be considered during diagnosis and treatment planning for young women with dentofacial abnormalities.

PSYCHOLOGICAL ASPECT OF PATIENT SATISFACTION AND ACCEPTANCE OF COMPLETE DENTURES (총의치 환자 만족도에 대한 정신의학적 측면)

  • Chung, Moon-Kyu;Lee, Suk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.4
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    • pp.494-505
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    • 1999
  • In spite of the progress in techniques and materials of the prosthodontic rehabilitation of patients with complete edentulous arches, prosthodontists still face patients' complaints about dissatisfaction and discomfort from their dentures. In the past several decades, prosthodontists tried to find the factors that influence the patient's satisfaction with dentures. However the results are contraversial especially with the psychological factor. In this study using 'patient denture satisfaction questionnaire' and Hopkins Symptom Checklist, we tried to find the correlation between the patient's denture satisfaction and the patient's psychological aspects. 23 complete edentulous patients who have visited the Department of Prosthodontics, Yonsei University Dental Hospital from September 1998 to June 1999 for complete denture treatment were asked to complete the questionnaires 4 to 6 weeks after the upper and lower complete delivery. After the measurement of validity of the questionnaires, correlations between the patient's general satisfaction with their new upper and lower complete dentures and the other satisfaction questions including the satisfactions with esthetics, retention, mastication, speech, comfort and other people's opinion and between the patient's general satisfaction with their new upper and lower complete dentures and the 5 symptoms of Hopkins Symptoms Checklist including somatic, obsessive-compulsive, interpersonal sensitivity, depression and anxiety were analyzed. Among the several satisfaction questionnaire items, comfort with the lower denture showed highest relation to the patient's general satisfaction with dentures. However, only the anxiety scale of Hopkins Symptoms Checklist among the other symptom scales was related to the patient's general satisfaction with dentures. The two questionaires used in this study turned out to be valid means of analyzing patient's denture satisfaction and psychological status before and after the complete denture treatment.

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Full-mouth rehabilitation of skeletal anterior open bite with severely decayed dentition: A case report (심한 우식을 동반한 골격성 전치부 개방 교합 환자의 전악 수복 증례)

  • Kim, Seong-A;Noh, Kwantae;Pae, Ahran;Woo, Yi-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.79-87
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    • 2017
  • The open bite malocclusion is a common clinical entity and has multifactorial causes. Development of effective treatment plan and management is dependent on proper diagnosis. The skeletal open bite patient requires a coordinated orthodontic and orthognathic surgical approach to achieve stable occlusion, acceptable esthetics, and improved function. But in case of open bite with severely decayed dentition, restoration in the entire dentition is necessary. Using the facial analysis and diagnostic wax-up, the most effective treatment was prosthetic rehabilitation. The provisional restorations were fabricated to satisfy esthetic and functional requirements, which result in the uniformly distributed occlusal force, anterior and canine guidance. The inter-arch relationship, labio-dental harmony, and the soft tissue aspect, which is important to estimate the longevity were evaluated. Definitive restorations of monolithic zirconia were made by replicating provisional restorations by using the latest CAD/CAM technology. They were delivered to the patient and clinical follow-up observation was satisfactory.

Reconstruction of upper anterior by implant using customized zirconia abutment and all ceramics: a clinical report (맞춤형 지르코니아 지대주와 완전도재관을 이용한 상악 전치부 임플란트 보철 수복)

  • Kim, Ja-Yeong;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.1
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    • pp.81-92
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    • 2014
  • It is so hard to obtain optimal anterior esthetics in the implant prosthesis. This is not only because of hard and soft tissue problem such as alveolar bone resorption and interdental papilla loss but also because of prosthetic limitation related to marginal exposure of metal abutment and metal ceramics and low transillumination. In this case, guided soft tissue healing is obtained using a long term provisional restoration with soft and hard tissue augmentation or immediate implantation. Then, this healed tissue is transferred to final master model using a customized impression coping and the implant is restored with a customized zirconia abutment and a all ceramics. This case presents satisfying result esthetically and functionally.