• Title/Summary/Keyword: Permanent teeth

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OCCLUSAL ANALYSIS OF PATIENTS WITH TEMPOROMANDIBULAR DYSFUNCTION BY USE OF T-SCAN SYSTEM (T-Scan system을 이용한 측두하악 장애 환자의 교합 분석에 관한 연구)

  • Park Seon-Joo;Chung Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.3
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    • pp.121-140
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    • 1991
  • Fifteen dental college students of Chosun University without the abnormal occlusion, the history and symptom of temporomandibular dysfunction(TMD), and who had all permanent teeth except third molar and the fifteen moderate group and the fifteen severe group classified according to Helkimo's dysfunction index among patients on the basis of the symptom of TMD were selected. The occlusal contact, occlusal force and occlusal interference in eccentric movement was studied and analyzed using T-Scan system. The result were as follows : 1. The TLR centering around midsagittal axis was located at $1.42{\pm}0.82mm$ in control group, $3.36{\pm}1.45mm$ in severe group, and as TMD was heavier, occlusal contact was located at the farther point from midsagittal axis. 2. The PLR from the first contact to the fifth contact centering around midsagittal axis was located at $1.73{\pm}1.78mm$ in control group, $3.36{\pm}1.41mm$ in moderate group, and $5.39{\pm}4.32mm$ in severe group, and as TMD was heavier, occlusal contact was located at the farther point from midsgittal axis. 3. The TFB, PFB, RFB and LFB of occlusal contact centering around incisal axis had no significant difference statistically among control group, moderate group, and severe group, and it was located at first molar. 4.The LF and RF was smaller in TMD group than in control group. 5. The LR moment of occlusal force centering around midsagittal axis was located at $178.51{\pm}139.81N.mm$ in control group, $466.25{\pm}296.47N.mm$ in moderate group, and $749.18{\pm}588.18N.mm$ in severe group. And as TMD was heavier, it was located at the farther point from midsagittal axis. 6. The RL and LL of occlusal force centering around incisal axis had not-significance statistically among control group, moderate group, and severe group, and it was at the first molar. 7. The number of occlusal interference of the eccentric movement was increased in the patients of TMD.

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Full mouth rehabilitation with vertical dimension increase in patient with loss of anterior guidance due to maxillary anterior teeth wear: A case report (상악 전치부 마모로 전방 유도가 상실된 환자에서 수직고경 거상을 동반한 전악구강회복 증례)

  • Kim, Woong-Gi;Yeom, Kyeong-Yeon;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.171-179
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    • 2017
  • Severely worn dentition is frequently multifactorial. It is crucial that the etiology of excessive wear be determined, but accurately diagnosing the factors responsible for tooth wear is often confusing. Before initiating the treatment of these cases, meticulous examination and determining vertical dimension are essential. A 69-year-old male patient had the chief complaint that he has worn dentition and functional and esthetic discomfort. Based on model analysis and diagnostic wax up, new vertical dimension had been determined. Provisional restorations were cemented and after 5 months permanent prostheses were fabricated. This case reports a satisfactory functional and esthetic clinical outcome achieved by restoring the vertical dimension.

The effect of oral hygiene care program in stroke patients (뇌혈관질환자의 구강건강관리프로그램 효과)

  • Fan, Dong;Lee, Yun-Hui;Lee, Hee-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.3
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    • pp.363-370
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    • 2014
  • Objectives : The purpose of the study is to investigate the effect of the oral hygiene care program in stroke patients. Methods : The subjects were 62 stroke patients of rehabilitation department in Youngnam University Hospital in Daegu. The study was carried out from January, 2010 to October, 2010. Intervention group was 35 and the control group was 31 patients. Tooth brushing instruction, oral health education and scaling were implemented in all patients at baseline. This program was conducted 5 times during hospitalization in intervention group. Results : In the intervention group, the mean age was 59.2 years, and women accounted for 66.7% and the control group consisted of 72.4% of women and mean age was 58.5 years. The average of the number of permanent teeth with experience of dental caries, the values of dental calculus index, plaque index, bleeding index and tooth mobility were 11.88, 11.79, 9.91, 3.16 and 1.16, respectively. The control group showed 10.21, 11.79, 9.91, 3.16 and 1.16, respectively. The proportion of subjects whose CPI was higher than 3 accounted for 97%, and the O'Leary index score was 38.6 in the intervention grou. The control group showed 100% and 38.79. Conclusions : Oral condition improved significantly in the intervention group in the third session. These findings may provide essential information for oral health program planning and implementation.

Recurrent Herpes-Stomatitis Mimicking Acute Necrotizing Ulcerative Gingivitis (급성괴사성궤양성 치은염을 닮은 재발성 허피스 구내염)

  • Kim, Han-Seok;Lee, Suk-Keun;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.89-92
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    • 2011
  • Herpes simplex is caused by viruses of the herpesvirus hominus family. HSV have four categories: type 1, 2, 6, and 8. Generally HSV-1 affects the mouth. Once infected by HSV, the person's infection is permanent. Retrograde transport through adjacent neural tissue to sensory ganglia leads to a lifelong latent infection. Recently, we treated a patient with recurrent herpes-stomatitis mimicking acute necrotizing ulcerative gingivitis (ANUG). The results were satisfactorty so we report this case. 31 years old male patient showed sore throat, gingival ulceration, palpable both submandibular lymph node, and sulcular pus formation around posterior decayed teeth. This is the third time he has suffered from this symptom. Tentative diagnosis was acute necrotizing ulcerative gingivitis. Antibiotic therapy was started. But, intraoral symptom got worse in process of time. Especially ulcer of marginal gingiva got worse. Viral disease was suspected. We carried out viral cultivation. At the same time topical application of antiviral ointment (herpecid$^{(R)}$) was performed on oral ulcer unilaterally for the purpose of diagnosis and reducing pain experimentally. The next day pain was decreased dramatically on application area. Basing on the viral cultivation and clinical effect of antiviral ointment (herpecid$^{(R)}$), we have diagnosed it as a recurrent herpes-stomatitis and concluded that viral infection was major cause of disease and bacterial infection was secondary.

AN EXPERIMENTAL STUDY ON THE EFFECT OF ACID ETCHING OF DENTINE TO PULP TISSUE (상아질(象牙質)의 산부식(酸腐蝕)이 치수조직(齒髓組織)에 미치는 영향(影響)에 관(關)한 실험적(實驗的) 연구(硏究))

  • Chung, Se-Joon;Lee, Myung-Jong
    • Restorative Dentistry and Endodontics
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    • v.13 no.1
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    • pp.41-52
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    • 1988
  • The purpose of this study was to investigate the pulpal responses to acid etching of dentine. Total 72 class V cavaties' were prepared on the healthy permanent teeth from 6 dogs, and were divided into 4 groups. These were filled with filling materials after acid etching with each etchant for 1 min. Control group ; ZOE filling without acid etching. Group 1: Zinc Oxide-Eugenol cement filling. Group 2: Drying with hot air and Zinc oxide-Eugenol cement filling. Group 3: Scotchbond application and silux filling. Group 4: Silux filling. The dogs were sacrificed after 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks and 6 weeks following operation. The specimens were routinely prepared and stained with Hematoxylin and Eosin. Followings were the results obtained through microscopic examination. 1. There was mostly severe pulpal responses in case of Silux filling after acid etching of dentine. 2. The pulpal responses of Silux filling after acid etching and application of Scotch bond group were more severe compared to Zinc Oxide-Eugenol cement filling group, but less severe compared to Silux filling group after acid etching of dentine. 3. The pulpal responses of Zinc Oxide-Eugenol cement filling group were similar to those of Zinc Oxide-Eugenol cement filling after drying with hot air group. 4. There was slight pulpal responses in early stage in case of Zinc Oxide-Eugenol cement filling group, but recovered to normal state soon after.

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A SOFT TISSUE ANALYSIS ON FACIAL ESTHETICS OF KOREAN YOUNG ADULTS (한국인 성인의 악안면 연조직의 심미적 안모형태 분석에 관한 연구)

  • Baek, Seung-Hak;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.21 no.1 s.33
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    • pp.131-170
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    • 1991
  • This study was designed to analyze morphological characteristics of Korean young adults, norms and standard deviation of variables, sexual differences, correlationship between each area of face and correlationship between hard tissue and soft tissue. The primary sample consisted of 45 males and 57 females who were early and middle twenties and had acceptable profile, no history of previous orthodontic treatment, absence of remarkably large overjet and overbite, full complement of permanent teeth, Class I skeletal and dental relationships and good vertical facial proportions. Their cephalograms were analyzed morphologically with a computer morphometrics. Then the final sample - 25 males and 38 females - were selected within 1 S.D. of E-line, ANB, P/A facial height ratio, Interincisal angle, L1 to A-Pog, ODI and APDI. The results of the study were as follows: 1 In the form and proportion of facial skeleton there were no significant differences between males and females, but in the size males were larger than females. 2. The dental protrusion patterns had no significant sexual difference and no significant correlationship between protrusion of upper lip and inclination of upper incisor. But mentolabial angle had positively correlated with interincisal angle and negatively with inclination of upper and lower incisor. 3. In the relationship between nose and soft-tissue profile, males were larger than females in nasal length, height and angular measurements. 4. In analysis of soft-tissue profile, males were larger than females in the length and thickness. In the angular measurements and proportion of soft-tissue profile, there were no significant differences between males and females.

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CASE REPORTS : TALON CUSP (증례 보고-Talon Cusp)

  • Min, Yu-Jin;Kim, Jong-Su
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.46-51
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    • 2004
  • Talon cusp is cusp-like structure that develops additionally in crown of anterior tooth. And it is one of dental anomalies. Talon cusp can cause various diagnostic, functional, aesthetic problems depending on the size and configuration of cusp. there is a tendency for caries to occur in the developmental grooves, and advanced attrition, periodontal problems, irritation the tongue and temporomandibular pain, occlusal interference and displacement of affected tooth may result. Therefore, early diagnosis and appropriate treatment of each case is important so that it minimize local problems, such as caries, periodontal diseases, and malocclusion. These cases which are in permanent and primary anterior teeth are about gradual reduction forming reparative dentine and complete reduction of talon cusp and root canal therapy which is an alternative and effective form of treatment when gradual reduction of talon cusp may not be possible.

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WETTABILITY OF POLYVINYLSILOXANE IMPRESSION MATERIALS AND IMPROVED STONE MATERIALS (부가중합 실리콘 인상재 및 모형재의 젖음성에 관한 비교 연구)

  • Cho, Lee-Ra;Chung, Kyung-Ho;Kim, Kyoung-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.2
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    • pp.191-199
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    • 2000
  • Wettability of addition silicone impression material is very important property for making an accurate restoration. This study examined the impression quality in clinical condition and the wettability of impression and die material. Four commercially available addition silicone impression material (Express, Examix, Contrast, Perfect) and three die materials (Die-Keen, Vel-Mix, Fuji-Rock) were studied. A total of 50 putty/wash and heavy body/wash impressions of wet intact permanent molar teeth were examined for definition of the gingival sulcus reproduction and then classified in quality ranking. The percentage of the sulcus reproduction ability of each material was calculated from the sulcus depths of cross-sectioned epoxy resin casts from the impressions and clinically measured sulcus depths, The same impression materials were used to produce 3 groups of die stone casts form void entrapment die had been exposed to milk. Voids in the impression body and stone casts ere counted under a stereoscopic microscope. From the experiment, the following results were obtained : 1. Sulcus reproduction ability of additional silicone impression material were diminished in order of Express, Examix, Perfect, Contrast. The significant difference was found between Perfect and other material. Heavy body/wash combination was superior In putty/wash method n Perfect impression material. 2. In direct observation, Contrast showed least void in impression body but correlations ere not found between sulcus reproduction and void production. 3. In void entrapment laboratory test, wettability were diminished in order of Examix, Contrast, Express, Perfect. Clinical impression recording seems not to correlate with laboratory test. 4. The wettability of die material to impression material was not different in Express, Examix, Contrast. But, in Perfect, Die-Keen had superior wettability to others.

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A Study on the Converged Oral Environment of the Elderly with Dementia in the Nursing Home (요양시설 치매노인들의 융합적 구강환경 연구)

  • Jung, Young-Ran;Lee, Jung-Hwa
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.109-115
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    • 2019
  • This study was conducted to identify the relationship among the cognitive function of the elderly with dementia in the nursing home and the oral health condition and pathogenic microorganisms in the mouth. Data was collected for a month in February 2019 for 30 people through a non-probable sampling method due to the special nature of dementia elderly people aged 70 years or older, living in nursing homes in Daegu. Technical statistics, ANOVA, and Pearson's correlation coefficient were analyzed using the SPSS window ver. 21.0 program. According to the study, the lower the rating of long - term care classification in nursing homes, the more the number of high-risk oral pathogens, and the more the number of existing permanent teeth, the more the number of microbes in the mouth. However, there was no significant difference in cognitive function. Therefore, it is suggested that oral health care, an elderly dementia people in nursing homes, should have different management methods depending on the oral environment, and also professional managers should be able to manage oral health condition for actual care.

Microshear bond strength according to dentin cleansing methods before recementation

  • Tasar, Simge;Ulusoy, Mutahhar Muhammed;Meric, Gokce
    • The Journal of Advanced Prosthodontics
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    • v.6 no.2
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    • pp.79-87
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    • 2014
  • PURPOSE. The aim of this study was to determine the efficiency of Erbium, Chromium: Yttrium-Scandium-Gallium-Garnet laser in different output powers for removing permanent resin cement residues and therefore its influence on microshear bond strength compared to other cleaning methods. MATERIALS AND METHODS. 90 extracted human molars were sectioned in 1 mm thickness. Resin cement was applied to surface of sliced teeth. After the removal of initial cement, 6 test groups were prepared by various dentin surface treatment methods as follows: no treatment (Group 1), ethylene diamine tetra acetic acid application (Group 2), Endosolv R application (Group 3), 1.25 W Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet laser irradiation (Group 4), 2 W Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet laser irradiation (Group 5) and 3.5 W Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet laser irradiation (Group 6). The topography and morphology of the treated dentin surfaces were investigated by scanning electron microscopy (n=2 for each group). Following the repetitive cementation, microshear bond strength between dentin and cement (n=26 in per group) were measured with universal testing machine and the data were analyzed by Kruskal Wallis H Test with Bonferroni correction (P<.05). Fracture patterns were investigated by light microscope. RESULTS. Mean microshear bond strength ${\pm}$ SD (MPa) for each group was $34.9{\pm}17.7$, $32.1{\pm}15.8$, $37.8{\pm}19.3$, $31.3{\pm}12.7$, $44.4{\pm}13.6$, $40.2{\pm}13.2$ respectively. Group 5 showed significantly difference from Group 1, Group 2 and Group 4. Also, Group 6 was found statistically different from Group 4. CONCLUSION. 2 W and 3.5 W Erbium, Chromium: Yttrium-Scandium-Gallium-Garnet laser application were found efficient in removing resin residues.