• Title/Summary/Keyword: Occlusion restoration

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제1대구치교합거상으로 일어나는 상하악교두거상거리의 증가에 관한 계측

  • Lee, Myung-Chong
    • The Journal of the Korean dental association
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    • v.12 no.9
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    • pp.691-694
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    • 1974
  • The trends of restoration on abrased teethis mostly based on gnathology or on practical experience. This study was performed on plaster models from 60 young men whose teeth and occlusion are clinically normal. A pair, upper and lower models, were mounted on HANAU articulator. Iron ball bearing 0.2mm 0.5mm 0.7mm and 1.0mm in diameter was attached on mesiobuccal cusp of upper first molar. [table I] Long ribbon shape of cold cure resin was inserted and jaw was closed gently so as not to move disturb original position of iron ball. The resin bite registration was measured minimun thickness from each lingual cusps of upper jaw and buccal cusps of lower jaw by means of Bowley gauge. The results were as follows (graph). 1) The distance from upper lingual cusps and lower buccal cusps: backward cusps showed smaller than standard cusp (upper mesio-buccal cusp) and forward cusps showed longer than standard. 2) The measurements from upper lingual cusps are not coincide with lower buccal cusps.

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A Telescopic System and Its Clinical Application for the Restoration of the Partially Edentulous Arch (부분 무치악 환자에서 텔레스코프 시스템을 적용한 전악 수복 증례)

  • Shin, Mee-Ran
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.139-144
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    • 2007
  • Prosthodontic treatment planning for various edentulous arches is not an easy issue for dentists. Especially, in case of removable partial denture, we must have a knowledge of overall treatment procedures, and a careful approach is needed. Recently, interest of dental implant and case reports are increasing, the decrease of the removable partial denture is true, but dental implantation takes longer treatment period and it is more expensive. Also, there are still some limitations like lack of available alveolar bone, patient's general condition, and chronic periodontitis. Therefore, sometimes implantation is impossible. Finally, implantation cannot be adapted to every single patient. Currently, the clasp type removable partial dentures are used routinely, giving patients many unesthetic and functional difficulties. With better laboratory technique, removable partial denture with attachment and removable partial denture in rigid type increase patient's happiness level much more than predicted. The case presented in this article, clinically demonstrate the efficiency of using a telescopic system to improve esthetic and functional recovery for patients who lose multiple teeth.

The case of interim denture applying for thermoforming technique (열형성 기술을 활용한 임시 의치 수복 증례)

  • Yun, Jun-Gu;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.2
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    • pp.135-140
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    • 2016
  • Patients who get tooth loss would also lost their esthetic, stability and functional aspect suddenly. They have to get provisional restoration immediately. This case reports a satisfied result that thermoforming technique is good for patients to get injury from unexpected tooth loss.

Crown Duplication Technique of Upper Central Incisor using IPS-Empress system (IPS-Empress system을 이용한 상악 중절치의 치관복제술)

  • Oh, Sang-Chun;Shin, Young-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.3
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    • pp.243-250
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    • 2006
  • Due to high esthetic demands from patients, we are driven to fabricate natural-looking(form and color) restorations. In the past decade, the glass-ceramic in dentistry has been used as a material with variable crystals that affects the appearance, characteristics, and mechanical properties of metal-free fixed restoration. The conventional IPS Empress glass-ceramic is a heat-pressed, leucite reinforced material using the "lost wax" principle. This glass-ceramic has been successfully used for esthetic restorations such as all-ceramic crowns, inlays/onlays, and veneers for about 15 years. This article presents that the form and surface texture of clinical crown are duplicated by IPS-Empress system using "lost-wax technique".

A Case Report of Rampant Dental Caries Treatment (다발성 치아우식증의 치험례)

  • Paik, Tong-Jun;Woo, Won-Sup
    • The Journal of the Korean dental association
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    • v.11 no.5
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    • pp.317-320
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    • 1973
  • Two cases of rampant dental caries patients, 5 year old and 3 year old male, were treated; and got following results: 1) Early treatment of rampant dentral caries is emphasized to obtain favorable treatment results. 2) Premedication prior to treatment is an important factor due to the long operative procedures which may elicit the child's phychological trauma. 3) The full cast gold crown restoration for rampant dental caries in primary dentition indicated because of its precise work for maintaining normal occlusion and gingiva.

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Full mouth rehabilitation in a severe worn dentition with vertical dimension gaining: A case report (마모가 심한 환자에서 수직 고경 증가를 동반하여 수복한 증례)

  • Kim, Ji-Sun;Lee, Ji-Hyoun;Jhin, Min-Ju
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.132-139
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    • 2016
  • The progressive attrition of teeth is a normal process by aging. However, excessive tooth wear with decreased vertical dimension of occlusion and collapse of occlusal plane may cause pathologic pulpal condition, occlusal disharmony, functional disorders and esthetic problems. The change of vertical dimension is required in case that there is no sufficient clearance for restoration or in case that the occlusal relationship is modified. For gaining the vertical dimension, a careful diagnosis is essential prior to starting the restoration treatment. After evaluating adaptation of neuromuscular system of patient during provisional phase, the final restorations can be fabricated. In this case, a 78 year old male with severely worn down dentition was treated. To improve the esthetic appearance and to achieve the ideal occlusal relationship, the full mouth rehabilitation with minimal increase of vertical dimension is planned and diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated and routine clinical assessments were made. After 1 year, the restorations with newly established occlusal scheme are well maintained without significant complications and esthetically and functionally satisfactory results were obtained.

Full Mouth Rehabilitation in a Patient with Limited Restorable Space (수복 공간이 부족한 환자에서의 완전구강회복)

  • Lim, Kwang-Gil;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.145-156
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    • 2010
  • Loss of posterior support may cause overloading and excessive wear of remaining teeth. Moreover, the extrusion of antagonistic teeth leads to the destruction of the occlusal plane. The loss of vertical dimension of occlusion (VDO) also emerges clinically, which may bring the loss of esthetic appearance and function. These patients who suffer from the loss of posterior support, often require vigorous periodontal treatments (osteotomy, crown lengthening) and extensive oral rehabilitation. Sixty three years old female patient visited for the prosthetic treatment of the posterior edentulous area. She had no other systematic disease and parafuctional habits for prosthetic treatment. Intraoral and radiographic examinations were done. The evaluation of VDO and vertical dimension of rest position were evaluated for proper prosthetic procedures and diagnostic wax up was done. As a result of diagnosis, VDO was increased by 2 mm considering the loss of VDO and space for the prosthetic treatment. After the pretreatments, initial preparation of teeth and provisionalization were carried out. Six weeks later of provisionalizaion, final preparation and impression was performed. Using the duralay resin copings, jaw relation was registered. The master cast was mounted and definitive restoration was fabricated. After the evaluation of esthetic and function, pick up impression for clinical remounting was done. Lucia jig was made for new jaw relation and occlusal adjustment on the articulator. Definitive restoration was delivered and the patient was periodically recalled for additional occlusal adjustment. From this case, the satisfactory functional and esthetic results through full mouth rehabilitation with increase vertical dimension were achieved.

Full mouth rehabilitation with vertical dimension increase in patient with excessive worn dentition due to parafunctional mandibular movements: a case report (비기능 하악 운동으로 과도하게 마모된 치아를 가진 환자에서 수직 고경 증가를 동반한 전악 수복 증례보고)

  • JiHoon Park;Seong-A Kim;SunYoung Yim;JooHyuk Bang;HeeWon Jang;YongSang Lee;KeunWoo Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.113-122
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    • 2024
  • The gradual teeth wear with age is a natural phenomenon, but excessive wear beyond physiological levels can lead to vertical dimension loss, occlusal imbalance, temporomandibular joint disorders, and periodontal disease. In such cases, prosthodontic restoration becomes necessary emphasizing the importance of appropriate vertical dimension increase and stable occlusion in central relation (CR). In this case, a 74-year-old patient with clenching and grinding habit had severe teeth wear and after assessing interocclusal distance, wear degree, pronunciation, and facial profile, it was decided to perform full-mouth fixed prosthesis restoration with a 4 mm vertical dimension increase. And the significantly displaced Maximum Intercuspal Position (MICP) caused by parafunctional movements was re-established as a stable mutually protective occlusal relationship at centric relation and after a successful 4 months adaptation to provisional restorations, the final prosthesis was fabricated. During 4months of observation periods, stable occlusion in central relation and mutual protection occlusal relationships were maintained and the patient was satisfied with function and aesthetics, leading to this report.

Superimposition: a simple method to minimize occlusal adjustment of monolithic restoration (디지털 장비의 중첩기능을 이용하여 단일체 수복물의 교합조정을 최소화한 증례)

  • Choi, Changhun;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.253-258
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    • 2016
  • The development of translucent zirconia enabled clinicians to choose a monolithic zirconia crown as one treatment modality in the posterior dentition. Careful occlusal adjustments are recommended for monolithic zirconia crowns because grinding zirconia inevitably causes phase transformation, which may deteriorate mechanical properties. intraoral scanners enable the clinician to scan and superimpose a complete tooth structure before preparation onto the prepared abutment. This technique helps to reproduce the original tooth form and occlusion of the patient. In this case report, prostheses were fabricated for patients with cracked or fractured tooth by applying intraoral scanner, Computer aided design-computer aided manufacturing (CAD-CAM) and monolithic zirconia crown to reproduce the occlusion of original tooth and to minimize occlusal adjustment. The clinical results were satisfactory in both esthetic and functional aspects.

Restoration of partial removable dental prosthesis after fabricating of surveyed crowns utilizing electronic surveying: a case report (전자 서베잉을 이용한 서베이드 크라운 제작 후 국소의치 수복: 증례보고)

  • Min, Byungkwee;Jun, Daejeon;Yang, Hongso;Park, Sangwon;Lim, Hyunpil;Yun, Kwidug;Park, Chan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.135-142
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    • 2017
  • Adoption of CAD/CAM milling in dentistry has allowed production of more analytic and precise prosthesis. Such precision enables definite path of insertion and undercut to be provided in removable partial denture especially when designing a surveyed crown on an abutment tooth. This case is about the production of surveyed crown with proper path of insertion utilizing CAD/CAM electronic surveying method on a patient with edentulous maxilla. Resulting removable partial denture fit well and showed acceptable stability and retention with no clinical problem.