Journal of the korean academy of Pediatric Dentistry
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v.26
no.1
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pp.146-150
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1999
With the improved cure rates for childhood malignant conditions in the past decade, late effects of cancer therapy must be recognized to minimize their impact on the quality of life in long-term survivors. Chemoradiation therapy is a major part of pediatric oncology treatment and is implicated in causing tooth agenesis, microdontia, root shortening, early apical closure, and coronal hypocalcification. Dental development may be affected by illness, trauma, chemotherapy, or radiation therapy at any point prior to complete maturation. Treatment given during the first 3.5 years of life was more likely to affect the dental lamina and crown formation and result in a small tooth. Dental treatment affected by chemoradiation damage to developing teeth includes orthodontic tooth movement, prosthetic abutment consideration, periodontal health, space maintenance, requirement for home fluoride regimens to protect hypomineralized teeth, and enodontic procedures. Dental abnormalities are common in patients treated for cancer, and these children require aggressive dental follow-up. Meticulous surveillance may facilitate detection of abnormalities, enabling the dental practitioner to intervene earlier in promoting a more aggressive regimen of oral care, thus reducing the morbidity associated with dental sequelae of oncotherapy, specifically periodontal disease and malocclusion. In this case, we report microdontia of all permanent second premolar and second molar in an 8 year old boy treated with chemotherapeutic agents during period of active dental development(14 months to 38 months of age).
This study was accomplished to analyse and compare the occlusal contact patterns during eccentric mandibular movements in adult with normal occlusion. 50 subjects(male 27, female 23), who had natural occlusion and no symptom of temporomandibular disorder, were selected. Teeth contact patterns during mandibular eccentric movements were recorded and the distribution of tooth contacts in maximum intercuspation analysed by T-scan system. And then, tooth contact numbers recored by T-scan and silicone bite registration at centric occlusion were analysed and compared. The results obtained were as follows : 1. Antero-posteriorly, the qualitative center of occlusal contacts in centric occlusion were in the first molar areas, but there was a slight deviation in left-right directions. Thus, distribution of occlusal contacts were not bilaterally symmetric. 2. During the mandibular movements from centric occlusal position to right lateral and left lateral directions, the frequency that maxillary canine joined in lateral guidance was relatively high, but pure canine protected occlusion or pure group function occlusion had small frequency. 3. During mandibular protrusive movement, one or more maxillary central incisors frequently joined in protrusive guidance. 4. During mandibular eccentric movements, working and balancing side premature contact was observered in relatively high frequency. 5. In centric occlusal position, the numbers of occlusal contacts recorded on T-scan were relatively smaller than on silicone bite registration.
Objective : The purpose of this study was to evaluate the effects of low level lasers on bone healing and new bone formation around titanium dental implants in canine models. 18 oxidized surface treated implants and a Dens-bio laser were used. Study design : Low level lasers were irradiated with a total of 8J for 4 minutes by pulse wave type and 1 minute by continuous type. For the experimental group, a low level laser was used to irradiate the first premolar implant's insertion area at the time of insertion, a low level laser was used to irradiate the second premolar implant's insertion area daily for one week after implant insertion, and a low level laser was used to irradiate the third molar implant's insertion area daily for 2 weeks postoperatively. At the conclusion of the study, sacrificed tissue sections were made from investing tissue and observed under an optical microscope. Results : The rate of new bone formation around the implant showed no significant difference between the control group and the experimental group. New bone formation rates of the control and experimental group 2 weeks following implant placement were higher than that of immediately after implant placement and 1 week after implant placement. Conclusions : Based on these results, a low-level laser showed no statistically significant increase in bone formation following implant placement.
Journal of Korean Academy of Oral and Maxillofacial Radiology
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v.17
no.1
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pp.259-269
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1987
The purpose of this study was to evaluate the specialized Orthopantomograms and standard films compared with Waters' views in the diagnosis of maxillary sinusitis. The author analysed the types of mucosal thickening, the types of bony wall change, the relation between the types of chief complaints and mucosal thickening on the Waters' views of 156 patients with 206 maxillary sinuses demonstrating radiographic changes. And the pathologic change of antral floor was observed on 187 standard films and total amount of agreement in the diagnosis of maxillary sinusitis was evaluated at 156 specialized Orthopantomograms and 187 standard films. The results were obtained as followings. 1. Among 206 mucosal thickenings classified by 6 types, generalized increased radiopacity was 69 cases (33.5%) and the entire thickening of mucosa except an ostium area was 66 cases (32.0%), 2. The bony wall change was seen in 128 cases (62.1%) and the incidence of indistinct antral wall was the highest as 55 cases (43.0%) among 5 types. 3. Among 148 chief complaints, pain was 71 cases (48.0%), swelling was 19 cases (12.8%) and discomfort was 18 cases (12.2%). 4. The most frequent change of antral floor was indistinct antral floor as 25 cases (13.4%) and elevation of antral floor was 23 cases (12.3%). And the first molar presented the most frequent involvement of antral floor as 47 cases (57.3%). 5. In 156 specialized Orthopantomograms, 101 cases (49.0%) presented apparent increased radiopacity and 72 cases (35.0%) showed suspicious increased radiopacity in comparison with Waters' view. In 187 standard films, 47 cases (25.1%) presented apparent increased radiopacity and 53 cases (28.4%) showed suspicious increased radiopacity in comparison with Waters' views.
The purpose of this study was to investigate the influence of the occlusal interference on the activity of anterior temporal and masseter muscles during maximal biting. In seven subjects, cast hard gold cap providing new occlusal surface approximately 0.5mm above its occlusal level was cemented on the mandibular right first molar during aquired experimental period. EMG recordings were taken bilaterally during one second hardest possible clenching four times. This procedure was done not only before, immediately after, 48 hours after and one week after cementation of interfering crown but also immediately after and one week after removal of occlusal interfering crown. The results were as follows : 1. Immediately after cementation of interfering crown, the activity was significantly decreased in all muscles studied. 2. One week after cementaion of interfering crown, the lowest muscle activity was recorded. But clinical sign and symptoms were significantly subsided. 3. Immediately after removal of interfering crown, the activity was increased in all muscles studied. 4. One week after removal of interfering crown, the activity of masseter muscles was increased to the level of before cementation of interfering crown. 5. There was no significant activity difference between right and left in the muscle studied. 6. Masseter muscle activity showed significant change than anterior temporalis with the unilateral mandibular posterior tooth interference.
PURPOSE. The present study investigated the influences of various gypsum materials on the precision of fit of CAD/CAM-fabricated prostheses and analyzed their correlation with surface roughness. MATERIALS AND METHODS. The master model of the mandibular right first molar was replicated, and four experimental groups based on two types of Type IV stone (GC Fujirock EP, Die keen) and two types of scannable stone (Aesthetic-Basegold, Everest Rock) were created to include a total of 40 specimens, 10 in each group. The surface roughness of the working models for the respective experimental groups was measured. Once the zirconia cores had been fabricated, the marginal and internal fits were measured with a digital microscope using the silicone replica technique. The mean and standard deviation of the respective points of measurement were computed and analyzed through the one-way ANOVA and Tukey's HSD test. The correlation between surface roughness and the precision of fit of the zirconia core was analyzed using the Pearson correlation analysis (${\alpha}$=.05). RESULTS. The zirconia cores fabricated from the scannable stone working models exhibited a superior precision of fit as compared to those fabricated from the Type IV stone working models. The correlation analysis results showed a clear positive correlation between surface roughness and the precision of fit of zirconia cores in all of the experimental groups (P<.05). CONCLUSION. The results confirmed that the surface roughness of dental working models has a decisive influence on the precision of fit of zirconia cores.
Journal of Dental Rehabilitation and Applied Science
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v.33
no.4
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pp.299-306
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2017
In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.
Partial or complete prosthesis is needed when teeth are lost due to various kinds of reason. Artificial teeth recover occlusion instead of natural teeth. Artificial teeth are required of esthetics, fragile resistance and abrasive resistance. Artificial tooth is made of acrylic resin or porcelain. Nowadays, acrylic resin artificial teeth are mainly used. Acrylic resin teeth are occluded with natural teeth, gold alloy, Ni-Cr alloy or porcelain etc. Acrylic resin teeth have similar translucency, gloss of natural teeth. And it has good chemical bond with denture base material, but it has low wear resistance. The aim of this study is to compare wear resistance among several denture teeth(Endura, SR-orthosit-PE, Planustar) and between artificial resin denture teeth and opposing 3 restorative materials(gold, Ni-Cr alloy, porcelain). Wear tests were conducted with a rotating wear testing apparatus(pin-on-disk type wear tester) under conditions of rpm 180, 75 minutes and constant loading of 50N. The upper part was the cusp of maxillary first molar and the lower part was a disk type restorative materials. To make similar oral environment, water was supplied continually. The acrylic resin teeth wear was determined by weighing the cusp each 5 minutes during 75 minutes test. Vicker's hardness tester was used to evaluate the surface hardness of test specimens. The SEM was used to evaluate the wear surfaces. The results were as follows: 1. Wear rates of acrylic resin teeth opposing to the restorative materials were high in order of Porcelain, Gold, Ni-Cr alloy (p<.05). 2. Wear resistance rate opposing to the Porcelain disk, was shown in order of Endura, SR-orthosit-PE, Planustar. The wear rate of opposing to porcelain disk was above two times more than that of other groups (p<.05). 3. Wear resistance rates opposing to the Gold, Ni-Cr alloy disk, was shown in order of Endura, SR-orthosit-PE, Planustar (p<.05). 4. A degree of the surface hardness is directly proportional to the degree of wear resistance. There are statistically significant differences between each groups (p<.05).
Purpose: To quantify the effect of the crystallization process on lithium disilicate ceramic crowns that are fabricated using a computer-aided design/computer-aided manufacturing(CAD/CAM) system, and to determine whether they are clinically acceptable by comparing values before and after the crystallization process. Methods: The maxillary first molar was selected as the abutment for the experiments. Ten working models were prepared. Marginal and internal gap of 4 groups of lithium disilicate crowns(n=10) fabricated with conventional method. Comparison was performed using the silicone replica technique and 3D superimposition analysis. The marginal and internal gaps of the restoration were measured before and after the crystallization process of this prosthesis. The average value of each part(the average of values measured before and after the crystallization) was statistically analyzed using paired t-test(α=0.05). Results: The results from the second phase of this research, which compared the average value of the gap between the marginal and internal fits of the lithium disilicate single crown before and after the crystallization process, indicated that the marginal gap was larger and the internal gap was smaller after the crystallization process, and this difference was statistically significant (P<0.05) in all the parts evaluated. Conclusion: While the shrinkage that occurs during crystallization does affect the marginal and internal fit of the prosthesis, it cannot be concluded to be a major effect because the resultant distortion was within the clinically acceptable range.
The effect of molar substitution (MS, 0.030-0.118) on the dynamic rheological properties of hydroxypropylated rice starch pastes (5%, w/w) was investigated by small-deformation oscillatory measurements during aging. The magnitudes of storage (G#) and loss (G") moduli measured at $4^{\circ}C$ before aging increased with an increase in MS in the range of 0.030-0.118, while those of tan ${\delta}$ (the ratio of G"/G#) decreased. The G# values of hydroxypropylated rice starches, as a function of aging time (10 hr) at $4^{\circ}C$, increased rapidly at the initial stage, and then reached a plateau region at shorter aging times. However, for the native starch, the plateau values were not observed for G# after a long aging time. Increasing the MS resulted in a decrease in plateau values. The rate constant (K) for structure development during aging was described by first-order kinetics. The K values of hydroxypropylated rice starches at 0.086 and 0.118 MS were much lower than the K value at 0.030 MS.
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