• Title/Summary/Keyword: Inlay/onlay

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Stress distribution in premolars restored with inlays or onlays: 3D finite element analysis

  • Yang, Hongso;Park, Chan;Shin, Jin-Ho;Yun, Kwi-Dug;Lim, Hyun-Pil;Park, Sang-Won;Chung, Hyunju
    • The Journal of Advanced Prosthodontics
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    • v.10 no.3
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    • pp.184-190
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    • 2018
  • PURPOSE. To analyze stress distribution in premolars restored with inlays or onlays using various materials. MATERIALS AND METHODS. Three-dimensional maxillary premolar models of abutments were designed to include the following: 1) inlay with O cavity (O group), 2) inlay with MO cavity (MO group), 3) inlay with MOD cavity (MOD group), and 4) onlay (ONLAY group). A restoration of each inlay or onlay cavity was simulated using gold alloy, e.max ceramic, or composite resin for restoration. To simulate masticatory forces, a total of 140 N static axial force was applied onto the tooth at the occlusal contact areas. A finite element analysis was performed to predict the magnitude and pattern of stresses generated by occlusal loading. RESULTS. Maximum von Mises stress values generated in the abutment teeth of the ONLAY group were ranged from 26.1 to 26.8 MPa, which were significantly lower than those of inlay groups (O group: 260.3-260.7 MPa; MO group: 252.1-262.4 MPa; MOD group: 281.4-298.8 MPa). Maximum von Mises stresses generated with ceramic, gold, and composite restorations were 280.1, 269.9, and 286.6 MPa, respectively, in the MOD group. They were 252.2, 248.0, 255.1 MPa, respectively, in the ONLAY group. CONCLUSION. The onlay design (ONLAY group) protected tooth structures more effectively than inlay designs (O, MO, and MOD groups). However, stress magnitudes in restorations with various dental materials exhibited no significant difference among groups (O, MO, MOD, ONLAY).

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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An External Surfaces Modeling of Inlay/onlay Using Geometric Techniques (기하학 기술을 이용한 인레이/온레이의 외면 모델링)

  • Yoo kwal-Hee;Ha Jong-Sung
    • The KIPS Transactions:PartA
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    • v.12A no.6 s.96
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    • pp.515-522
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    • 2005
  • This paper presents a method for effectively modeling inlay/onlay prostheses restoring a tooth that are partially destroyed. An inlay/onlay is composed of internal surface adhering to an abutment, and external surface revealed to the outside sight. Internal surfaces are modeled using Minkowski sum expanding the grinded surface parts of abutments so that the internal surfaces can adhere to the abutments with closer contact. In modeling external surfaces, we exploit 3D mesh deformation techniques: DMFFD(direct manipulation free-form deformation)[19] and MWD(multiple wires deformation)[17] with three kinds of informations: standard teeth models, mesh data obtained by scanning a plaster cast of a patient's tooth, FGP(functionally guided plane) measuring the occlusion of the patients's teeth. The standard teeth models are used for building up the basic shapes of external surfaces, while the plaster fast and FGP data are used for reflecting the unique properties of adjacent md occlusal surfaces of the patients's teeth, which are slightly different to each other but very important for correct functioning. With these informations as input data, the adjacent and occlusal surfaces are automatically generated as mesh data using the techniques of DMFFD and m, respectively. Our method was implemented so that inlay/onlay prostheses fan be designed more accurately by visualizing the generated mesh models with requirements by dentists.

An Efficient Modeling of Inlay/Onlay Prostheses using Computer Graphics Deformation Techniques (컴퓨터 그래픽스 변형 기법을 이용한 인레이/온레이 보철물의 효율적인 모델링)

  • Yoo, Kwan-Hee
    • Journal of the Korea Computer Graphics Society
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    • v.11 no.2
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    • pp.1-8
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    • 2005
  • 하나의 치아가 일부 파손되어 수복되어야 할 보철물을 인레이/온레이(Inlay/Onlay)라 한다. 본 논문에서는 3차원 메쉬 기반 모델에서 보다 정확한 인레이/온레이를 효과적으로 모델링하기 위한 기법을 제안한다. 인레이/온레이는 지대치와 접하는 내면과 밖으로 들어나는 외면으로 구성된다. 인레이/온레이의 내면 모델링은 2차원 다각선상의 Minkowski Sum 알고리즘을 이용하여 지대치와의 접합력을 확보한다. 그리고 미리 데이터베이스에 저장된 표준 치아 모델, 치과의사에 의해 만들어진 FGP(functionally guided plane) 및 메쉬의 변형 기법인 DMFFD(direct manipulation free-form deformation) 기법[16]과 MWD(multiple wires deformation) 기법[24]을 이용하여 외면을 모델링한다. 데이터베이스에 저장된 표준 치아는 인레이/온레이 외면의 형태를 결정하기 위해 사용되며, FGP는 환자의 인접면과 교합면의 특성을 반영하기 위해 사용되었다. 마지막으로 3차원 메쉬의 두 변형 기법인 DMFFD와 MWD 기법은 환자의 인접면과 교합면을 반영한 치아의 형태를 만들어 내기 위해 사용된다. 본 논문에서 제안한 방법은 인레이/온레이의 내면과 외면을 설계할 때 필요한 정보를 미리 설정하여 처리하므로 기존의 방법에 비해 짧은 시간에 보다 정확한 인레이/온레이를 설계할 수 있었다.

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Preparation and problem solving in indirect esthetic restorations

  • Choi, Kyoung-Kyu
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.594-594
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    • 2001
  • Increased demand for esthetic restorations has promoted a growing interest in tooth-colored restorations even in the posterior regions. Preparation for specific types of indirect inlay and onlays may vary because of differences in fabrication steps for each commercial system and variations in the physical properties of the restorative materials. Preparations for indirect inlay/onlay basically are meant to provide adequate thickness for restorative material and at the same time a passive insertion pattern with rounded internal angles and well defined margins after deciding what type of restoration is indicated.(omitted)

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Fiber Reinforced Inlay Adhesion Bridge

  • Cho, Lee-Ra;Yi, Yang-Jin;Song, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.366-374
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    • 2000
  • FRC/ceromer system provides the clinician with a durable, flexible, and esthetic alternative to conventional porcelain fused to metal crowns. FRC is the matrix which is silica-coated and embedded in a resin matrix. The ceromer material which is a second generation indirect composite resin contains silanized, microhybrid inorganic fillers embedded in a light-curing organic matrix. FRC/ceromer restoration has a several advantages: better shock absorption, less wear of occluding teeth, translucency, color stability, bonding ability to dental hard tissues, and resiliency. It has versatility of use including inlay, onlay, single crown, and esthetic veneers. With adhesive technique, it can be used for single tooth replacement in forms of inlay adhesion bridge. In single tooth missing case, conventional PFM bridge has been used for esthetic restoration. However, this restoration has several disadvantages such as high cost, potential framework distortion during fabrication, and difficulty in repairing fractures. Inlay adhesion bridge with FRC/ceromer would be a good alternative treatment plan. This article describes a cases restored with Targis/Vectris inlay adhesion bridge. Tooth preparation guide, fabrication procedure, and cementation procedure of this system will be dealt. The strength/weakness of this restoration will be mentioned, also. If it has been used appropriately in carefully selected case, it can satisfy not only dentist's demand of sparing dental hard tissue but also patient's desire of seeking a esthetic restorations with a natural appearance.

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Augmentation of Pyriform Margin Using Porous High-Density Polyethylene Sheet In Unilateral Cleft Lip Nasal Deformity (일측성 구순열비변형에서 다공성 폴리에틸렌 판을 이용한 상악골이상구증대술)

  • Han, Ki Hwan;Kim, Jin Han;Choi, Tae Hyun;Kim, Jun Hyung;Son, Dae Gu
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.431-438
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    • 2008
  • Purpose: The common deformity after the correction of unilateral cleft lip nasal deformity is nasal asymmetry, and it is caused by the hypoplasia of the pyriform aperture. To correct this, many procedures have been applied, but still many problems are present. Authors performed the inlay and onlay insertion of porous high density polyethylene sheet(1 mm thickness $Medpor{(R)}$ sheet) in the hypoplastic pyriform margin of cleft side and obtained satisfactory results. Methods: 11 cases were performed and the mean follow up period was 15.1 months. Their mean age was 23.6 years. Under general anesthesia, bilateral pyriform margin was exposed. $Medpor{(R)}$ sheets in "match stick" like shaped were inlay inserted, and kidney shaped were onlay inserted fixating with two 6 mm titanium screws. After the surgery, the results was evaluated by photogrammetric analysis. On the basal view, the distance from the subalare and labiale superius' to the transverse baseline connecting the both cheilions was measured from the cleft side and the non-cleft side. Then, the postoperative symmetry was assessed by obtaining the cleft side against the non-cleft side as proportion index, defined as lateral and medial upper lip contour index. Results: There were 2 infections. The cause was because the inserted implant was too long and thus protruded to the base of nasal cavity. The lateral upper lip contour index was from 95.49 to 103.27, and medial upper lip contour index was from 90.92 to 100.49, it was statistically increased, and thus the symmetry was improved. However clinically mild depression remained at nostril floor. Conclusion: Authors performed porous high density polyethylene sheet inlay and onlay insertion for the hypoplasia of the pyriform margin in unilateral cleft lip nasal deformity. It was found that depressed pyriform margin and upper lip were corrected effectively except for the nostril floor, for which an additional soft tissue augmentation would be necessary. The inlay insertion has risk of protrusion, thus the guideline of the use of artificial prosthesis should be observed strictly.