• Title/Summary/Keyword: Excessive crown height space

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Implant restoration considering maintenance for a patient with excessive crown height space (과도한 치관높이 공간을 가진 환자에서 유지관리를 고려한 임플란트 수복증례)

  • Ma, Juri;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.2
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    • pp.107-112
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    • 2013
  • Complications increases when crown height space is excessive and one should be careful of choosing type of fixed prosthesis in case crown height space is over 12 mm. In this condition, tooth seems to be longer, therefore, it is needed to use gingival shade in aesthetically important area for fixed prosthesis. In this case, fixed prosthesis which has inappropriate maintenance and hygiene could hold food, plaque, calculus, thus increase incidence of inflammation and infection. Moreover, it could lead to chronic inflammation and infection and in that case surgical improvement could be necessary. In present case report, gingival inflammation and swelling developed around prosthesis after having made it considering articulation and aesthetic view in patient who had excessive crown height space. Finding out that design of prosthesis is a factor to make it hard to maintain oral hygiene, a temporary prosthesis which has enough interproximal space and proper emergence profile was fabricated. After two months of observation, significant abnormal symptoms are not found and oral reconstruction is performed using fixed prosthesis with zircornia infrastructure and porcelain build-up based on convenient self hygiene design. Through serial treatment, inappropriate soft tissue response is not observed and satisfactory result in functional aspect comes out.

The Ground Reinforcement on Daylight Collapsed Block in Driving Work at the National Road No. 3 Line (국도 3호선 터널건설 공사 중 붕락구간에 대한 지반보강)

  • 천병식;정덕교;이태우;정진교
    • Proceedings of the Korean Geotechical Society Conference
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    • 1999.02a
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    • pp.14-22
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    • 1999
  • Daylight collapse have been occurred by about 6.$^{0}$ m deep at ground surface which connected to the ground surface and excessive overbreak have been occurred by the space and height of 3.$^1$~6.$^2$m at crown head part of the tunnel during tunnelling of lower-half part after completing upper-half part on tunnelling of a phyllite mountain by NATM method at the construction work of two way-double track national road. This study is a successful illustration case of earth improvement by confirming structural safety of the tunnel in a whole through solving the cause of the tunnel collapse and the work have completed successfully through applying such earth strengthening method as cement mortarㆍcement milk injection, S.G.R, steel pipe reinforced multi-step grouting etc.

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Implant overdenture using milled bar and attachment in partially edentulous mandible: a case report (하악 부분 무치악 환자에서 Milled Bar와 부착장치를 이용한 임플란트 피개의치 수복 증례)

  • Kim, Min-Jung;Huh, Jung-Bo;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Jo, Yong-Bum
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.71-79
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    • 2022
  • Excessive crown height space increases can cause crestal bone loss and screw loosening after prosthesis is placed. Milled bar and implant overdenture can be used as a treatment method for partially edentulous patients who have severe alveolar bone loss and excessive crown height space. Milled bar can provide primary splinting effect and stability between implants. Also, milled bar with additional retention device such as Advanced Dental Device-Treatment Of Choice (ADD-TOC) and magnet can provide additional retention force for implant overdenture. In this case, the patient has a partially edentulous mandible that has severe alveolar bone loss and multiple number of teeth loss after excision due to leiomyosarcoma. Because of the long-term loss of mandibular molars, the opposing teeth were extruded. Maxillary left molars were corrected to the occlusal plane through molar intrusion, and mandibular left molar region were treated with implant overdenture, using milled bar with ADD-TOC and magnet after implant placement. The clinical result was satisfactory on the aspect of esthetic and masticatory function.