• 제목/요약/키워드: Margin preparation

검색결과 48건 처리시간 0.029초

라미네이트 치아형성 디자인에 관한 문헌고찰 (Tooth preparation design of dental laminate veneer: a review article)

  • 조은혜;고경호;박찬진;조리라;허윤혁
    • 구강회복응용과학지
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    • 제32권3호
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    • pp.149-157
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    • 2016
  • 성공적인 라미네이트 치료를 위해서는 치아형성 방법이 매우 중요하다. 법랑질에 국한된 보존적인 치아형성, 치태조절이 용이한 치은연선상(equigingival) 변연, 가능한 존재하는 접촉점의 유지 등의 조건이 일반적으로 알려져 있으나 구체적인 치아형성 디자인에 관하여는 논쟁의 여지가 존재한다. 생역학적으로 고려해볼 때, 다음과 같은 사항들이 추천된다. 절단면 피개는 심미적 요구와 전방유도의 재설정 필요 여부 측면에서 결정해야 하며, 법랑질 두께가 충분한 경우에는 구개측 연장을 하는 것이 좋으나 응력 집중이 큰 구개오목(palatal concavity)에 변연이 위치하는 것은 부적절하다. 인접면 연장은 증례에 따라 선택적으로 시행하며, 인접면에 레진수복물이 존재하는 경우에는 표면처리 후 레진 수복물을 절반 이상 피개하는 형태의 라미네이트로 수복한다. 변색이 심하지 않은 근관치료가 시행된 치아의 경우 라미네이트 수복을 고려해 볼 수 있으며, 이 때 섬유강화레진 포스트를 사용하는 것을 추천한다.

Photon-induced surface conductivity measurement of MgO in an AC PDP

  • Ha, Chang-Hoon;Kim, Joong-Kyun;Whang, Ki-Woong
    • 한국정보디스플레이학회:학술대회논문집
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    • 한국정보디스플레이학회 2006년도 6th International Meeting on Information Display
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    • pp.130-133
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    • 2006
  • In order to study the relationship between the discharge characteristics of an ac PDP and the surface conductivity of MgO thin film, the surface current across a ring shaped MgO film was measured by exposure to monochromatic vacuum ultraviolet from the synchrotron radiation source whose wavelength ranges from 60nm to 240nm $(5.5eV{\sim}25eV)$. The experimental results show that the surface current begins to increase rapidly at the photon energy of about 9 eV which might correspond to the valence band edge of MgO. The difference in the surface current level correlate well with the differences in the preparation method of MgO films and their respective discharge characteristics such as the firing, minimum sustain voltages, address voltage margin and address discharge delay time.

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구강 스캐너를 사용한 고정성 보철 수복 시 고려사항 (Use of Intraoral Scanners for Fabricating Fixed Restoration: Clinical Tips)

  • 윤형인
    • 대한치과의사협회지
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    • 제57권9호
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    • pp.524-528
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    • 2019
  • With the advances of CAD-CAM (computer-aided design and computer-aided manufacturing) technology, the field of modern clinical dentistry has been dramatically changed. The first step in the digital workflow for tooth-supported dental prosthesis is a data acquisition with intraoral digital or conventional impression techniques. For the accuracy of intraoral digital impression data, the basic principles of conventional impression should be applied. It is necessary to obtain a good visibility with properly-dried field and well-exposed margin of the prepared abutment. Currently, the equi- or supra-gingival finish line can be recommended as an indication for intraoral digital impression. The scan data are generally exported to '.stl' file format, which has only morphological information of black and whitem while '.obj' file format can store data on color and texture.

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V 급 와동 변연부 형태 및 복합레진 종류에 따른 변연 누출에 관한 실험적 연구 (An Experimental Study on the Effects of the Margin Designs and Composite Resins on the Marginal Leakage of Class V Resin Restorations)

  • 신용필;이찬영;이승종;이정석
    • Restorative Dentistry and Endodontics
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    • 제12권1호
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    • pp.107-116
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    • 1986
  • The primary aim of this study was to assess the effects of the margin designs and composite resins on the marginal leakage of Class V resin restorations. 60 Class V cavities with $90^{\circ}$ butt joint, 60 with $45^{\circ}$ bevel joint, and 60 with concave joint were prepared on the labial surfaces of 38 extracted anterior teeth and the buccal and lingual surfaces of 71 premolars, and classified as the butt group, bevel group and concave group, respectively. After completion of the cavity preparation, Heliosit${(R)}$ was filled in 20 butt joint cavities, 20 bevel joint cavities, and 20 concave cavities. And Hi-Pol$^{(R)}$ and Palfique$^{(R)}$ were filled in the same manner, respectively. After finishing, all specimens were subjected manually to 50 thermal cycles at $4^{\circ}C$, $37^{\circ}C$, and $60^{\circ}C$. They were immersed in 0.5% methylene blue solution for 24 hours, and buccolingually sectioned with sectioning machine. The sectioned specimens were examined under the light microscope. The results indicated the following: 1. The bevel group showed the least amount of marginal leakage compared with the other two design groups, but the statistical analysis showed no significant difference at the 95% confidence level. 2. Hi-Pol$^{(R)}$ group showed the most severe marginal leakage compared with the other composite resin materials, but there was no significant difference in the groups. 3. The bevel-Heliosit$^{(R)}$ subgroup, which was filled with Heliosit$^{(R)}$ in the beveled cavities, showed the least amount of marginal leakage, but there was no significance in all the subgroups.

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A new manufacturing method of all ceramic restoration using alumina tape and presentation of clinical cases

  • Oh, Nam-Sik;Kim, Eui-Seong;Lee, Keun-Woo;Han, Jung-Suk;Kim, Dae-Joon;Lee, Myung-Hyun
    • 대한치과보철학회지
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    • 제38권6호
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    • pp.800-805
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    • 2000
  • In an effort to facilitate fabrication procedure of all ceramic crowns, a novel preparation method for all ceramic crown using alumina tape was developed. The alumina tape having a uniform thickness was cast by using Doctor blade method. The physical properties of newly introduced alumina tape has biaxial flexure strength of $500\sim600MPa$. The value of toughness is $3.18\sim3,28MPa.m^{1/2}$ which corelates with fracture and the linear shrinkage rate of the alumina tape is 0.44% during core production. The marginal fitness of the alumina tape all-ceramic restoration with $90{!`}$shoulder margin had average marginal discrepancy at $78.3{\S}$ > and average marginal gap at $44.4{\S}$ >. At the marginal preparation of $135{!`}$deep chamfer, the average marginal discrepancy at $82.1{\S}$ > and the average marginal gap at $40.2{\S}$ > had been reported. This fabrication procedure of all ceramic crowns with alumina tapes is easier and less technical sensitive for dental technicians. After restoration with new all ceramic crowns we followed the patients 2 years later, there were no complications as porcelain fractures or periodontal disease. We had good esthetic clinical results with new all ceramic crowns.

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치관보철물(齒冠補綴物) 주변(周邊)에 저류(貯留)된 시멘트가 치은조직에 미치는 영향(影響)에 관(關)한 실험적(實驗的) 연구(硏究) (AN EXPERIMENTAL STUDY ON THE EFFECTS OF RETAINED CEMENTS IN THE GINGIVAL SULCUS AROUND ARTIFICIAL CROWNS)

  • 이동악
    • 대한치과보철학회지
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    • 제14권1호
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    • pp.17-21
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    • 1976
  • The author studied the gingival responses to some dental cements in the gingival sulcus around artificial crowns. Abutment preparation for full veneer crown was performed in the canines of the two dogs. The location of cervical margins was about 0.5mm. below the gingival crest. Niranium metal crowns were constructed for the teeth, and cemented with zinc phosphate cement or polycarboxy late cement. In the experimental groups the retained cements in the gingival sulucus were not removed, and in the control groups the cements were removed completely after cementation. The dogs were sacrificed at 3 weeks and 5 weeks respectively after cementation. The gingival responses to these cements were examined histologically. The findings were as follows. 1. There was severe inflammation in the gingiva where the cements had been retained in the gingival sulcus around artificial crowns. 2. There was more severe inflammation in the gingiva which had contacted with zinc phosphate cement than in the gingiva with polycarboxylate cement. 3. There was mild inflammation in the gingiva around the margins of Niranium crowns. 4. The retained cement around the margin of restoration should be completely removed after cementation.

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Epicuticular Waxes and Stomata of Adult Scale Leaves of the Chinese Juniper Juniperus chinensis

  • Kim, Ki-Woo
    • Applied Microscopy
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    • 제42권3호
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    • pp.124-128
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    • 2012
  • Leaf surface structures were investigated in the Chinese juniper Juniperus chinensis by scanning electron microscopy. Adult scale leaves were collected from the tree, air-dried at room temperature, and sputter-coated with gold without further specimen preparation. Approximately fi ve stomata were locally distributed and arranged in clusters on the leaf surface. Stomata were ovoid and ca. 40 ${\mu}m$ long. The epicuticular wax structures of J. chinensis leaves were tubules and platelets. Numerous tubules were evident on the leaf regions where stomata were found. The tubules were cylindrical, straight, and ca. 1 ${\mu}m$ in length. They almost clothed the stomatal guard cells, and occluded the slit-shaped stomatal apertures. Moreover, the wax ridges were flat crystalloids that were connected to the surface by their narrow side. They did not have distinct edges, and their width/height ratio varied. In particular, the wax ridges could be discerned on the leaf regions where stomata were not present nearby. Since the wax ridges did not have distinct edges on their margin, they were identified as platelets. Instances were noted where platelets were oriented either parallel to each other or perpendicular to the cuticle surface. These results can be used in biomimetics to design the hierarchical structures for mimicking the plant innate properties such as hydrophobicity and self-cleaning effects of the leaf surface.

The suture bridge transosseous equivalent technique for Bony Bankart lesion

  • 최창혁;김신근;백승훈;신동영
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2008년도 제16차 학술대회
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    • pp.178-178
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    • 2008
  • In order to improve static stability and healing of reattached labrum, we combined the advantages of suture bridge and transosseous technique. Using the conventional 3 portal for anterior instability, check stability of bony Bankart and preparation of glenoid bed in 3 way including removal, reshaping or mobilization of bony fragment. Two anchors were inserted to the superior and inferior portion and medial edge of bony Bankart lesion. It usually corresponded to the area of IGHL. Medial mattress sutures were applied around IGHL complex to get enough depth of glenoid coverage using suture hook. Make 3.5mm pushlock anchor hole to the articular edge of glenoid cartilage. Proximal suture bridge was applied at first and then distal suture bridge was inserted to mobilize the labrum in proximal direction. These construction can provide more stable labral repair with wide contact and compression in case of deficient bony stability. It not only avoids technical disadvantage of point contact with anchor fixation, but also decreasing gap formation through cross compression of labrum that couldn't gain even with the transosseous fixation which affords linear compression effect. Additional bony stability could be gained if the the bony fragment was mobilized to the glenoid margin with potential healing bed or reshaped for the good contact with reattached labrum.

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The Pros and Cons of Computer-Aided Surgery for Segmental Mandibular Reconstruction after Oncological Surgery

  • Han, Hyun Ho;Kim, Hak Young;Lee, Jun Yong
    • 대한두개안면성형외과학회지
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    • 제18권3호
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    • pp.149-154
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    • 2017
  • Computer-aided surgery (CAS) started being used for head and neck reconstruction in the late 2000s. Its use represented a paradigm shift, changing the concept of head and neck reconstruction as well as mandible reconstruction. Reconstruction using CAS proceeds through 4 phases: planning, modeling, surgery, and evaluation. Thus, it can overcome a number of trial-and-error issues which may occur in the operative field and reduce surgical time. However, if it is used for oncologic surgery, it is difficult to evaluate tumor margins during tumor surgery, thereby restricting pre-surgical planning. Therefore, it is dangerous to predetermine the resection margins during the presurgical phase and the variability of the resection margins must be taken into consideration. However, it allows for the preparation of a prebending plate and planning of an osteotomy site before an operation, which are of great help. If the current problems are resolved, its applications can be greatly extended.

완전 도재관을 위한 지대치 형성시 변연 형태에 따른 응력 분포의 유한요소법적 비교 (FEA estimates of margin design in all ceramic crowns)

  • 한상현;조정현;이은정;정숙인;오남식
    • 대한치과보철학회지
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    • 제46권1호
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    • pp.1-11
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    • 2008
  • 현대 치의학에서는 환자의 심미적 만족을 충족시키기 위한 지속적인 관심으로 완전 도재관의 발전을 가져왔다. 최근의 연구 결과들은 완전 도재관의 물리적 성질과 마모 저항성, 색조의 안정성 등을 보고하고 있다. 이와 같이 여러 장점이 많음에도 불구하고 아직 파절에 대한 저항성에는 많은 의문점을 내포하고 있다. 구강 내에서 기능적인 교합력은 수복물의 변연에 응력을 주게된다. 이러한 응력은 주변 조직으로 잘 분산되어져야 하는데, 수복물의 변연 형태에 따라 다른 양상을 보여주게 된다. 변연 형태는 수복물의 부피와 모양, 그리고 변연에서의 적합도에도 영향을 주게 된다. 본 연구에서는 완전 도재관에서의 변연 형태에 따른 응력 분포를 3차원 유한 요소 분석법을 이용하여 조사하였다. 상악 중절치가 기본 모델로 사용되었고, 완전 도재관을 재현하였다. 변연 형태로는 $90^{\circ}$ shoulder, $110^{\circ}$ shoulder, $135^{\circ}$ shoulder형태를 부여하고, 100N의 힘을 치축에 $45^{\circ}$ 방향으로 가하였다. 그 결과 도재 내부의 응력 분포는 $90^{\circ}$, $110^{\circ}$ 모델에 비해 변연 각도가 $135^{\circ}$인 모델의 경우가 응력의 분포가 고르게 나타났다. 그러나 변연에서는 $90^{\circ}$$110^{\circ}$ 모델의 응력보다 조금 더 집중되었다. $90^{\circ}$$110^{\circ}$ 모델의 비교시는 대체로 비슷했다. 알루미나 코아 내부의 응력 분포에서도 또한 $135^{\circ}$인 모델이 $90^{\circ}$$110^{\circ}$ 모델의 응력분포보다 더 잘 분포되었다. $90^{\circ}$$110^{\circ}$ 모델의 비교시는 $110^{\circ}$$90^{\circ}$ 모델에 비해 더 좋은 응력분포를 보였다. 알루미나 코아와 접착제 사이의 계면에서는 응력이 변연으로 갈수록 감소하고, 알루미나 코아와 도재 사이의 계면에서는 변연으로 갈수록 응력이 점차 증가하였다. $135^{\circ}$ shoulder는 고른 응력분포임에도 변연에서의 응력 집중이 나타나므로 완전 도재관의 변연으로는 적절하지 못하며, $90^{\circ}$ shoulder보다 상대적으로 좋은 응력분포와 변연 형성의 용이성이 우세한 $110^{\circ}$ shoulder가 완전 도재관의 변연에 추천될 수 있겠다.