• Title/Summary/Keyword: Occlusion restoration

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ORAL REHABILITATION OF UNSTABLE OCCLUSION DUE TO SEVERELY DESTRUCTED FIRST PERMANENT MOLARS (제1대구치의 광범위 치관파괴로 인한 불안정한 교합의 재건)

  • Baik, Byeong-Ju;Lee, Sun-Young;Kim, Jae-Gon;Jeon, So-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.2
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    • pp.204-209
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    • 2003
  • A 9-year old boy visited Department of Pediatric dentistry, Chonbuk National University Hospital due to unstable occlusion. He had permanent 1st molars destructed severely by dental caries and lost vertical stop. He could not occlude in the same position on closing of the jaw since he could not find his centric occlusion. The treatment plan was made, which was oral rehabilitation with crown restorations on permanent 1st molars based on clinical and radiographic examinations and centric relation of the jaw. Treatment plan consisted of endodontic treatment, crown lengthening and restoration of the occlusal vertical dimension (OVD) with gold crown by 3mm-increase of OVD. After endodontic and periodontal treatments, temporary crowns made of acrylic resin were set for assessment of tolerance to an increased OVD. After a month for tolerance, final prosthetics were made and set temporarily. In a month, gold crowns were set finally. Immediately after setting, the patient showed anterior open bite, but at the appointment after 4 months, he showed normal overjet, overbite and stable occlusion.

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Management of osteoporosis patients for prosthetic restoration (보철치료를 위한 골다공증 환자의 관리)

  • Baek, Ji-Yeon;Jeon, Han-Sol;Lee, Jin-Han
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.2
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    • pp.93-101
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    • 2016
  • The average life expectancy has been increased, so the proportion of elderly patients that visit to the dental clinic for prosthetic restoration has increased. Elderly patients have various chronic diseases. Recent trends show an increase of osteoporosis in elderly patients, and thus, the number of osteoporosis patients is expected to escalate. Currently, the most widely used drug for osteoporosis is bisphosphonate. However, osteonecrosis of the jaw has been reported as a side effect derived from longterm oral administration or injection treatment of the drug. Surgical dental treatment was the main cause of medication related osteonecrosis of the jaw (MRONJ). As MRONJ is very difficult to cure, it is important to take preventive measures. Surgical operation may be needed for the mouth preparation before prosthetic restoration. For successful treatment, the dentist should have a full understanding of osteoporosis and show a continued interest toward this disease for careful management.

A STUDY ON MARGINAL ADAPTATION OF READY-MADE STAINLESS STEEL CROWN TO THE PRIMARY MOLAR (기성금관수복 유구치의 변연 적합도에 관한 연구)

  • Lee, Sun-Kyung;Lee, Gwang-Su;Kim, Chong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.2
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    • pp.389-400
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    • 1996
  • In Class II amalgam restoration in deciduous molar, failure rate and incidence of recurrent caries are high as children become older. In order to preserve deciduous molars till the physiologic exfoliation time, stainless steel crown is a choice of the treatment. As a result of a careless treatment, such as overhanging margin, poor marginal adaptation, poor proximal contour and inadequate mesiodistal width give rise to interfering eruption of the adjacent teeth, recurrent caries and chronic gingival irritation and insufficient arch length respectively. In this study, 252 s.s. crowned teeth extracted due to physiologic exfoliation or periapical lesion. The purpose of this study is to analyze the marginal adaptation of stainless steel crown to the deciduous molar in order to obtain better clinical result. The results were as follows : 1. Between the length of s.s. crown and the marginal gap of crown, positive correlations were shown. 2. Largest amount of marginal gap was shown at buccal side in upper deciduous molars and lower first deciduous molar, lingual side in lower second deciduous molar. But no significant diffrence were found statistically compared to second most largest one. 3. Incidence of exposed restoration and recurrent caries were higher in proximal surface than buccal/lingual surface. And extension of restoration below the margin of s.s. crown gives rise to higher rate of recurrent caries. 4. Defect of contour was found in 34%, frequently found in lower 1st deciduous molar and upper 1st deciduous molar. 5. Marginal polishing defects were found in 23%. 6. Ledge was formed in 10% especially in lower 1st deciduous molar and lower 2nd deciduous molar. 7. 16% of the teeth had wear facet due to traumatic occlusion, 7% of them had occlusal perforation.

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A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report (임플란트 보철 합착 시 잔여 시멘트 최소화를 위해 열가소성 접착제를 이용한 복제 지대주 제작 방법: 증례보고)

  • Seo, Chi-Won;Han, A-Reum;Seo, Jae-Min;Lee, Jung-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.240-245
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    • 2016
  • Removal of excess cement is important to prevent biological complication in cementation of implant restoration with subgingival margin. It can be difficult to completely remove excess cement. Several techniques have been introduced to minimize excess cement using abutment replica. In this case report, a simple method for making abutment replica with hot melt adhesive material in dental office was described. This technique is simple and effective because it can be used for pre-fabricated or custom abutment without additional laboratory procedure. In addition, it can minimize excess cement after cementation of implant restoration.

Full mouth rehabilitation of severely worn dentition using posterior implants: a clinical report (심하게 마모된 치열의 구치부 임플란트 식립을 통한 전악 수복 증례)

  • Kang, Hyun-Sun;Lee, Cheol-Won;Lee, Won-Sup;Lee, Su-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.255-262
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    • 2016
  • This clinical report focuses on the treatment of a patient with esthetic and functional impairments due to severe worn dentition. Absence of posterior support for a prolonged period require comprehensive prosthetic restoration. Accurate clinical and radiographic examinations, diagnostic wax-up, and occlusal vertical dimension evaluation were performed and the degree of patient adaptability was evaluated using an interim restoration. After 8 weeks of stabilization with interim restoration and confirmation of absence of any abnormal findings, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes were observed after 6 months of follow-up.

Anterior esthetic restoration using DSD (digital smile design) for a patient with congenital missing tooth of maxillary central incisor (선천적 상악 우측 중절치 결손 환자에서 DSD (digital smile design)를 이용한 전치부 수복 증례)

  • Park, Hye Jeong;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.170-179
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    • 2019
  • The prosthodontic treatments in maxillary anterior teeth focus on achieving esthetic appearances. It is possible to improve the esthetic appearance by adjusting the shape, arrangement, and color of the maxillary anterior teeth. For anterior teeth restoration, it is necessary to evaluate the relationship of teeth, lip and gingival architecture with the facial profile of patient. Also, clinician needs to fully understand what the patient wants to. DSD (digital smile design) concept can be applied as a tool to improve communication with the clinician, technician and patient. In addition, DSD can help to meet the needs of the patient. In this case, it was impossible to achieve symmetry due to congenital missing of maxillary central incisor. The definitive treatment goal was to get the harmony of maxillary anterior teeth, lip and the patient's face. This case report describes that the patient and clinician got the satisfying esthetic outcome by using DSD.

Translucency and Color Stability of Various Core Ceramics for All-Ceramic Restoration (전부도재수복물을 위한 수종의 코어 세라믹의 반투명도 및 색 안정성)

  • Oh, Sang-Chun;Lee, Hae-Hyoung;Shin, Mee-Ran;Park, Kwang-Su
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.157-170
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    • 2007
  • Purpose: This investigation was designed to determine the translucency and color stability of various core ceramics for all-ceramic restoration using the CIE $L^*a^*b^*$ system. Material and Methods: IPS e.max Press ceramic(Ivoclar-Vivadent, Liechtenstein), $LAVA^{TM}$ All Ceramic(3M-Espe, Germany), Cercon Smart Ceramic(Dentsply, Germany), and Z-match Ceramic(DentAim, Korea) were used for this study. For the specimens of zirconia oxide ceramics, the as-sintered cylindrical blanks($11.0{\times}25.0mm$) were machined into the shape of a disk(0.4, 0.8, 1.5 mm in thickness, 10 mm in diameters) with a diamond grind machine. The IPS e.max Press specimens ($0.8{\times}10mm$) were fabricated using the "lost wax" technique. CIE $L^*a^*b^*$ coordinates and light transmission were recorded for each specimen with a spectrophotometer(CM-2600d, Minolta, Japan). Color differences were calculated using the equation, ${\Delta}E^*ab=[({\Delta}L^*)2+({\Delta}a^*)2+({\Delta}b^*)2]1/2$. Results: The results were obtained as follows: 1. The most translucent group was IPS e.max Press ceramic that is a glass-ceramic, and $Lava^{TM}$ and Z-match ceramic were more translucent than Cercon Smart ceramic in zirconia ceramic group. 2. In the all groups, there was no significant translucent change after 6 times heat-treatments required to make a final restoration. 3. Colored zirconia was showed more yellowish and dark than uncolored zirconia. 4. After heat-pressing, IPS e.max Press ceramic was showed high ${\Delta}E^*ab$ value(4.1 of eM1, 6.8 of eM2) that means to be more whiter than before heat-pressing. However, there was no color change after additive heat treatments for final restoration. 5. In the colored zirconia groups, there was no significant color change after some heat-treatments required to make a final restoration.

Comprehensive Orthodontic Treatment in a Middle-Aged Patient with Missing Maxillary Left First Premolar: A Case Report

  • Kwon, Sun-Mi;Baik, Hyoung-Seon;Choi, Sung-Hwan
    • Journal of Korean Dental Science
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    • v.11 no.1
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    • pp.32-41
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    • 2018
  • As the adult population continues to increase, orthodontic treatment for adult patients is becoming more common. This case report describes comprehensive orthodontic treatment of a middle-aged patient with closure of the extraction space without prosthetic restoration. A 55-year-old woman with her maxillary left first premolar extracted because of a periodontal problem, wanted to close the space with orthodontic treatment. Since she had generalized crowding and mild skeletal discrepancy, we planned comprehensive orthodontic treatment, including closure of the extraction space by protraction of the left maxillary molars using miniscrews and aesthetic alignment of anterior teeth. The total treatment period was 28 months. As a result of these treatments, the extraction space was successfully closed, good tooth alignment and satisfactory occlusion were achieved.

Full mouth rehabilitation of the patient with severely worn dentition: a case report

  • Song, Mi-Young;Park, Ji-Man;Park, Eun-Jin
    • The Journal of Advanced Prosthodontics
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    • v.2 no.3
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    • pp.106-110
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    • 2010
  • The severe wear of anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This case report describes 77-year-old female, who had the loss of anterior guidance, the severe wear of dentition, and the reduction of the vertical dimension. Occlusal overlay splint was used after the decision of increasing vertical dimension by anatomical landmark, facial and physiologic measurement. Once the compatibility of the new vertical dimension had been confirmed, interim fixed restoration and the permanent reconstruction was initiated. This case reports that a satisfactory clinical result was achieved by restoring the vertical dimension with an improvement in esthetics and function.

Management of peri-implantitis associated with tear-like implant fracture: case reports (열리형 임플란트 파절과 연관된 임플란트 주위염의 관리: 증례 보고)

  • Kim, Yeon-Tae;Lee, Jae-Hong;Jeong, Seong-Nyum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.138-144
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    • 2020
  • Implant fracture is rare, but one of the most serious problem in implantation. Treatment of implant fracture can be different according to the extent of the fracture and on the state of the surrounding prosthetic restoration. Maintaining or submerging implant after treatment of peri-implantitis can be useful options for cases of tear-like fracture on the coronal area of an implant.