• Journal of the korean academy of Pediatric Dentistry
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• v.24 no.3
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• pp.495-510
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• 1997

The purpose of this study was to evaluate the efficacy of several surface coating agents in preventing microleakage and increasing microhardness of light-cured glass ionomer restoration. 50 and 25 sound molar teeth were used for the microleakage test and microhardness test respectively. Data were analyzed statistically using Kruskal-Wallis and/or Mann-Whitney test. The results of the present study were as follows: 1. The effect of surface coating in reducing microleakage was proven only at the gingival margin of restorations with statistical significance(p<.05). 2. The distribution of microleakage score at gingival margin was shown to be better than that of occlusal margin in general but with no statistically significant differences(p>.05). 3. No statistically significant differences in microhardness could be found between groups (p>.05) regardless of depth of measurement. 4. Under the present experimental conditions, the types or application of surface coating agents did not impose any significant effect on microhardness of glass ionomer restorative material whereas the protective effect of surface coating in reducing microleakage was partly proven.

• Restorative Dentistry and Endodontics
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• v.26 no.1
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• pp.64-76
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• 2001

Despite the improvements in bond strengths of dentin adhesives and resin-modified glass ionomers, the marginal seal of cervical restorations remains a concern. Microleakage at poorly sealed margins can result in staining, post-operative sensitivity, pulpal irritation, and recurrent caries. The objective of this study was to evaluate the effect of surface penetrating sealant(SPS) on the microleakage of cervical restorations. 45 extracted human teeth were selected, and Class V preparations were prepared on the both buccal and lingual surface of the teeth to the following dimensions : 1.5mm axially, 3mm mesiodistally, and 3mm incisogingivally. After cervical restoration with composite resin, compomer, glass ionomer each restoration was treated as three methods: No Tx., Scotchbond Multipurpose Adhesive$^{\circledR}$, Fortify$^{\circledR}$. The sections were examined with a stereomicroscope to determine the extent of microleakage at enamel and dentin margins. The results of this study were as follows. 1. All groups showed some microleakage. 2. Gingival cavity wall with cementum margin showed significantly higher leakage value than occlusal cavity wall with enamel margin. 3. The group treated with SPS showed significantly lower leakage value than no treated group(p<0.05). But there is no difference between Fortify$^{\circledR}$ and Scotchbond Multipurpose adhesive$^{\circledR}$. The results of this study suggest that SPS are effective in reducing microleakage of class V restorations. But it is certain that some microleakage still occurred despite the application of SPS.

• Journal of the korean academy of Pediatric Dentistry
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• v.37 no.4
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• pp.488-496
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• 2010

Dens evaginatus is a tooth with cylindrical enamel projection which forms a nodule on occlusal surface. It could be explained as outward overgrowth of inner enamel epithelium or localized hyperplasia of pulpal mesenchymal tissue during tooth development. A problem is that it is likely to be worn out or fractured by mastication ensuing pulpal inflammation. It is occasionally found on the lingual surface of upper anterior teeth as well, called talon cusp. Dens invaginatus is a tooth with deep lingual pit made by invagination of lingual enamel epithelium during tooth development while it is considered normal in terms of size and shape. Radiographically, a part of cervical enamel shows inward growth forming cavity and it is reasonable to say that the base is possibly open to pulpal cavity since they are very close. Talon cusp and dens invaginatus are relatively common abnormality of shape. However it becomes the opposite if the two exist in the same tooth. Once the talon cusp is broken by occlusal force or fissure between cusps is decayed, the complicated structure of canals makes the pulpal treatment difficult. Preventive treatments such as occlusal equilibrium and sealant, and regular oral examination should be preceded and thorough understanding of canal shape, using radiography, is required when pulpal treatment is necessary. This report is about a 9- year-old boy(lower left central incisor), a 8-year-old girl(upper right central incisor), and a 7-year-old boy(upper right central incisor), who have dens invaginatus and talon cusp in the same teeth. The first and the second patients are under pulpal treatments, and the last one is being observed showing no pathologic impressions.

• The Journal of Korean Academy of Prosthodontics
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• v.25 no.1
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• pp.55-69
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• 1987

The purpose of this study was to evaluate the stress distributions of the fixed partial denture with five unit intermediate abutment. This fixed partial denture was attached to a three dimensional photoelastic epoxy resin model. Three dimensional photoelastic models were used, with the stress areas recorded photographically. A vertical load was applied to the second molar, which is the most posterior abutment of the fixed partial denture. Similarly, a vertical load was applied to the first molar because this tooth receives the heaviest masticatory load. These loads were added to two types of fixed partial denture. the rigid connector, and the nonrigid connector which was connected on the distal side of the intermediate abutment by a key and keyway device. After the stress patterns in surrounding tissues were observed, the following conclusions were as follows: 1. When the vertical load was applied to the first and second molars on the occlusal surfaces, the surrounding tissues of the roots of the canine, the second premolar, and the second molar were all compressive stresses. 2. When the vertical load was applied on the occlusal surface of the second molar, the tissue surrounding the roots of the canine, the second premolar, and the second molar all showed more stresses with the nonrigid connector than with the rigid connector. 3. When the vertical load was applied to the occlusal surface of the first molar, the stress concentration on the canine and the second molar was similar, whether the rigid or nonrigic connectors were used. However, on the second premolar, the stress concentration shown by the nonrigid connector was noticeably more than that shown by the rigid connector. 4. Whether the rigid or nonrigid connectors were used, when the load was placed on the first molar, the stress concentration on the canine and the second premolar was greater than that observed for the second molar. When the load was placed on the second molar, the load affected the second molar more than the canine and the second premolar.

• The Journal of Advanced Prosthodontics
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• v.6 no.1
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• pp.1-7
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• 2014

PURPOSE. The accuracy of a gypsum model (GM), which was taken using a conventional silicone impression technique, was compared with that of a polyurethane model (PM), which was taken using an iTero$^{TM}$ digital impression system. MATERIALS AND METHODS. The maxillary first molar artificial tooth was selected as the reference tooth. The GMs were fabricated through a silicone impression of a reference tooth, and PMs were fabricated by a digital impression (n=9, in each group). The reference tooth and experimental models were scanned using a 3 shape convince$^{TM}$ scan system. Each GM and PM image was superimposed on the registered reference model (RM) and 2D images were obtained. The discrepancies of the points registered on the superimposed images were measured and defined as GM-RM group and PM-RM group. Statistical analysis was performed using a Student's T-test (${\alpha}=0.05$). RESULTS. A comparison of the absolute value of the discrepancy revealed a significant difference between the two groups only at the occlusal surface. The GM group showed a smaller mean discrepancy than the PM group. Significant differences in the GM-RM group and PM-RM group were observed in the margins (point a and f), mesial mid-axial wall (point b) and occlusal surfaces (point c and d). CONCLUSION. Under the conditions examined, the digitally fabricated polyurethane model showed a tendency for a reduced size in the margin than the reference tooth. The conventional gypsum model showed a smaller discrepancy on the occlusal surface than the polyurethane model.

• Journal of the korean academy of Pediatric Dentistry
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• v.37 no.4
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• pp.532-536
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• 2010

Hidden caries is a subtype of the occlusal pit and fissure caries type and is defined as a dentinal caries lesion near the occlusal surface of the tooth seen on a radiograph. In visual examination, the occlusal enamel is seen intact or is minimally perforated. Covert caries, Occlult caries or Fluoride syndrome are used as synonym. The percentage of occlusal dentin lesions that are clinically undetected ranges from 1.4-50%. Little is known about the mechanisms involved in the development of hidden caries. But it is thought that extensive use of topical fluoride or the special bacteriological profile has been a major factor. This case report is about detection and treatment of hidden caries of two children who visited the department of pediatric dentistry, Yonsei University Dental Hospital. The color of caries dentin found in hidden caries lesion is lighter than cavity forming caries, which makes it more difficult to detect caries by visual examination. Therefore diagnosis of hidden caries is often accomplished after clinical sign is recognized by patients. The use of advanced caries detection aids such as Diagnodent.. with periodic radiographic examination is seemed to be helpful for early detection of hidden caries.

• Korean Journal of Ichthyology
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• v.1 no.1_2
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• pp.83-92
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• 1989

The pharyngeal teeth and the masticatory process of the basioccipital bone were compared in ten species of Korean bitterlings. Three species, Acheilognathus lanceolata, A. limbatus, A. signifier and Rhodeus ocellatus, which are characterized by the absence of serrations on the side of the pharyngeal teeth, are found to, have reduced occlusal grooves on the outside of occlusal margin, Among Korean bitterlings, differences are found in the developmental degrees of the anterior part of the masticatory process, the grooves on the occlusal surface and the chewing area on the pharyngeal first tooth. The occlusal grooves in herbivorous species are considered to be more developed than those in omnivorous species. Considering these findings, the combination of developmental degrees in the three pharyngeal elements suggests generally the phylogenetic relationships among the Korean bitterlings.

• The Journal of Advanced Prosthodontics
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• v.9 no.5
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• pp.371-380
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• 2017

PURPOSE. The aim of this study is to evaluate and compare the stress distribution in Locator attachments in mandibular two-implant overdentures according to implant locations and different loading conditions. MATERIALS AND METHODS. Four three-dimensional finite element models were created, simulating two osseointegrated implants in the mandible to support two Locator attachments and an overdenture. The models simulated an overdenture with implants located in the position of the level of lateral incisors, canines, second premolars, and crossed implant. A 150 N vertical unilateral and bilateral load was applied at different locations and 40 N was also applied when combined with anterior load at the midline. Data for von Mises stresses in the abutment (matrix) of the attachment and the plastic insert (patrix) of the attachment were produced numerically, color-coded, and compared between the models for attachments and loading conditions. RESULTS. Regardless of the load, the greatest stress values were recorded in the overdenture attachments with implants at lateral incisor locations. In all models and load conditions, the attachment abutment (matrix) withstood a much greater stress than the insert plastic (patrix). Regardless of the model, when a unilateral load was applied, the load side Locator attachments recorded a much higher stress compared to the contralateral side. However, with load bilateral posterior alone or combined at midline load, the stress distribution was more symmetrical. The stress is distributed primarily in the occlusal and lateral surface of the insert plastic patrix and threadless area of the abutment (matrix). CONCLUSION. The overdenture model with lateral incisor level implants is the worst design in terms of biomechanical environment for the attachment components. The bilateral load in general favors a more uniform stress distribution in both attachments compared to a much greater stress registered with unilateral load in the load side attachments. Regardless of the implant positions and the occlusal load application site, the stress transferred to the insert plastic is much lower than that registered in the abutment.

• The Journal of Korean Academy of Prosthodontics
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• v.61 no.3
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• pp.227-233
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• 2023

Tardive dyskinesia is an involuntary neurological movement disorder caused by long-term use of dopamine receptor-blocking drugs leading to dental implications like uncontrolled gnashing and grinding of teeth which in turn imperil the oral rehabilitation procedures as the excessive load increases the risk of prosthesis fracture. A 40-year male with a medical history of tardive dyskinesia visited the hospital to receive oral rehabilitation for missing maxillary anterior teeth. After the oral examination, tooth preparation was done on teeth 13, 15, and 23. After that silicon impression was made and the gypsum cast was digitalized using a desktop scanner and an interim prosthesis was fabricated by milling a resin block. During the try-in, the occlusal one-third of the interim prosthesis was trimmed, and an auto-polymerizing acrylic resin was applied on the occlusal surfaces and inserted in the patient's mouth. Then, the functionally generated path (FGP) of occluding surfaces of opposing arches was traced on the resin surface. When the resin was hardened, the modified interim prosthesis was removed and digitized using an intraoral scanner. The scan image was used in designing the occlusal morphology of definitive prosthesis by modifying the design of the interim prosthesis using the dual scan method. Lastly, a monolithic zirconia prosthesis was fabricated by milling a zirconia block. The definitive prosthesis was delivered reflecting the patient's occlusal scheme. This case report shows that the FGP technique with the dual scan method can help in fabricating fixed prosthesis with harmonious occlusion in a tardive dyskinesia patient.

• The Journal of the Korean dental association
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• v.15 no.11
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• pp.763-766
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• 1977

The Purpose of this study was to observe force required to remove some kinds of pin from dentin. The teeth were embedded within a resin cylinder and the occlusal surface was sectioned at a right angle to the axis of the cylinder to expose dentin surface. Thread mate system pin (minim and regular), friction Iocked pin and cemented pin were tested Pin holes were drilled by handpiece and depths of pin holes were tested 1,2 and 3mm. After insertion of the pins into pinhole, tensile loading was performed on the Instron testing machine at the speed of 0.5 inch/min. Results were follewed: 1. In retention, the cemented pins are the least, the friction locked pins intermediate and the self threading pins the greatest in all pins. In self threading pins, regalar pin has greater retention than minim pin 2. The deeper the depth of the pin hole is, the more the retention of the pin increases.