• The Journal of Korean Academy of Prosthodontics
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• v.57 no.2
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• pp.134-141
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• 2019

Purpose: The purpose of this study was to compare the clinical outcomes of lithium disilicate ceramic pressed zirconia prostheses and monolithic zirconia prostheses and to investigate the complications after two years of follow-up in posterior edentulous site. Materials and methods: A total 17 patients (male: 12, female: 5) were treated with 60 posterior fixed implant-supported prostheses (LP. lithium disilicate ceramic pressed zirconia prostheses: n = 30, MZ. monolithic zirconia prostheses: n = 30). After 24-month, clinical examination of Implant survival rate, marginal bone resorption, probing depth, plaque index, bleeding index, calculus and complications were evaluated. Results: There were no failed implants and all implants were normal in function without mobility. Marginal bone resorption was lower in LP group than MZ group at 12-month (P < .05), and 12-month probing depth and calculus deposit in LP group were significantly higher than MZ group (P < .05). Most common complications in MZ were marginal bone resorptions more than 1.5.mm and 2 chipping occurred in LP group. Conclusion: Within the limitations of the present study, lithium disilicate ceramic pressed zirconia is considered as a predictable treatment option as much as monolithic zirconia in posterior fixed implant-supported prostheses.

• Journal of Dental Rehabilitation and Applied Science
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• v.24 no.1
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• pp.1-17
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• 2008

The purpose of this study were to report the reasons for removal of fixed prostheses and survival rate of abutment teeth. A total 192 fixed prostheses removed at Chosun university Dental Hospital and 308 abutment were investigated. The most frequent reason of removal was periodontal problem(30.7%), followed by caries(29.7%), then periapical problem(18.8%) and defective margins(14%). In metal ceramic crown, periodontal problem was the most frequent reason of removal. In complete cast crown, caries was the most frequent reason of removal. Periapical and periodontal problem was the most frequent reason people under forties and over fifties, respectively. Of the 308 abutment teeth, vital and non-vital teeth were 135(43.8%) and 173(56.2%), respectively. Of 135 vital abutment teeth, 39(28.9%) were extracted and of 173 non-vital abutment teeth, 85(49.1%) were extracted. Each risk factor for removal of fixed prostheses and extraction of abutment should be evaluated more clearly for prediction of prognosis of final prostheses and abutment teeth.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.1
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• pp.70-81
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• 2009

Statement of problem: The position and length of cantilever influence on the stress distribution of implants, superstructure and bone. In edentulous mandible, implant-supported cantilever prostheses that based 4 or 6 implants between mental foramens has been attempted. Excessive bite force loaded at cantilever prosthesis causes bone resorption and breakage of superstructure prosthesis around posterior implants. To complement the cantilever length of conventional prosthesis, In 1992, (McCartney) introduced "cantilever-rest-implant" and Malo reported "All-on-Four" in 2003. Purpose: Analyze and compare the stress distribution of conventional cantilever prostheses with rest implant and All-on-$Four^{TM}$ implant prostheses. Material and method: The external loads(300 N vertically, 75 N horizontally) are applied to first molar area. The stress value, stress distribution and aspect of stress dispersion are analyzed by three-dimensional finite element analysis program, ANSYS ver. 10.0. Results: 1. The rest implant and "All-on-Four" implant system are superior to conventional cantilever prostheses to reduce stress on the bone and the superstructure around implants. 2. The rest implant was of the greatest advantage to stress distribution on bone, implant and superstructure. 3. With same number of implants, distally tilted implants are preferred to conventional cantilever prostheses for reducing the length of cantilever.

• The Journal of Korean Academy of Prosthodontics
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• v.56 no.2
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• pp.95-104
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• 2018

Purpose: The purpose of this study is to analyze the factors affecting the longevity of failed prosthesis and the success rate of the prosthesis based on the data evaluated with the newly developed Korean Academy of Prosthodontics (KAP) criteria. Materials and methods: Evaluation was performed in the restored prosthesis for patients who visited the prosthodontics department of the 13 dental university hospitals and general hospitals. The status of the prosthesis was classified into four categories: Good, Fair, Bad, Worst. The success was recorded if only the category was classified in 'good'. The mean duration of failed prostheses and the success rate through Kaplan-Meier method were analyzed. Results: A total of 1,804 cases of prosthesis were evaluated: 810 cases of fixed dental prostheses (FDP), 519 cases of Removable Dental Prostheses (RDP), and 475 cases of implant prosthesis. The mean duration of failed FDP was $11.41{\pm}0.30years$ and the median was 10 years. The mean duration of failed RDP was $8.18{\pm}0.29years$ and the median was 7 years. The mean duration of failed implant prosthesis was $7.99{\pm}0.30years$ and the median was 7 years. The factors related to the failure were as follows: number of units, abutments, abutments treated with root canal, and plaque index in FDPs; treated and opposing dentition in RDPs; the number of implants, duration of use, and plaque index in implant prostheses. Conclusion: The average duration of failed prosthesis was 11.41 years for FDPs, 8.18 years for RDPs, and 7.99 years for implant prosthesis, according to the evaluation with newly developed KAP criteria.

• Journal of Technologic Dentistry
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• v.38 no.2
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• pp.57-62
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• 2016

Purpose: The purpose of this study was to assess precision of crown prostheses that were fabricated by using 2 kinds of bur or 3 kinds of bur. Methods: The crowns were fabricated by using the first molar of the right maxillary in this study. The abutments that were prepared were scanned by using a scanner and designed by using CAD software. Based on the crown design, NC data were created with CAM software. The created NC data were used while fabricating the crown prostheses by using 5-axis milling machine. Scanning was done for the internal and external surface of the completed crown prostheses and 3-dimensional measurement was conducted for precision assessment. Results: The $RMS{\pm}SD$ value for the external surface of the crown prostheses that was fabricated by using two burs and three burs were $28.5{\pm}4.1{\mu}m$ and $19.1{\pm}2.8{\mu}m$, respectively; and the value for two burs were bigger than that for three burs with statistical significance (p<0.001). The $RMS{\pm}SD$ value for the internal surface of the crown prostheses that was fabricated by using two burs and three burs were $14.9{\pm}1.9{\mu}m$ and $13.3{\pm}2.5{\mu}m$, respectively; and the value for two burs were bigger than that for three burs but with no statistical significance. Conclusion: Based on this study, the prostheses that were fabricated by using 3 bur presented better stability compared to those that were fabricated by using 2 bur and statistically significant difference was found only in the external surface.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.7 no.1
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• pp.32-40
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• 1998

Alveolar ridge augmentation and preservation techniques designed to reconstruct deformed alveolar ridge now occupy a major role in esthetic dentistry. Previously, deformed alveolar ridges were filled with plastic materials(porcelain or resin) of prosthesis to restore ridge contours, which resulted in larger teeth and food impaction under the pontic base. So, prostheses of this type were unacceptable and really detectable when patients smiled. But nowadays, alveolar ridge augmentation procedures enable the dentists to provide patients with fixed prostheses that are esthetic. The development of guided tissue regeneration technique and materials also have made a major impact on extending the scope of therapeutic horizons in dentistry.

• JSTS:Journal of Semiconductor Technology and Science
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• v.14 no.5
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• pp.658-665
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• 2014

The neural stimulators have been employed to the visual prostheses system based on the functional electrical stimulation (FES). Due to the size limitation of the implantable device, the smaller area of the unit current driver pixel is highly desired for higher resolution current stimulation system. This paper presents a 16-channel compact current-mode neural stimulator IC with digital to analog converter (DAC) sharing scheme for artificial retinal prostheses. The individual pixel circuits in the stimulator IC share a single 6 bit DAC using the sample-and-hold scheme. The DAC sharing scheme enables the simultaneous stimulation on multiple active pixels with a single DAC while maintaining small size and low power. The layout size of the stimulator circuit with the DAC sharing scheme is reduced to be 51.98 %, compared to the conventional scheme. The stimulator IC is designed using standard $0.18{\mu}m$ 1P6M process. The chip size except the I/O cells is $437{\mu}m{\times}501{\mu}m$.

• The Journal of Advanced Prosthodontics
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• v.9 no.3
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• pp.159-169
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• 2017

PURPOSE. The purposes of this study were to evaluate the marginal and internal gaps, and the potential clinical applications of three different methods of dental prostheses fabrication, and to compare the prostheses prepared using the silicone replica technique (SRT) and those prepared using the three-dimensional superimposition analysis (3DSA). MATERIALS AND METHODS. Five Pekkton, lithium disilicate, and zirconia crowns were each manufactured and tested using both the SRT and the two-dimensional section of the 3DSA. The data were analyzed with the nonparametric version of a two-way analysis of variance using rank-transformed values and the Tukey's post-hoc test (${\alpha}=.05$). RESULTS. Significant differences were observed between the fabrication methods in the marginal gap (P < .010), deep chamfer (P < .001), axial wall (P < .001), and occlusal area (P < .001). A significant difference in the occlusal area was found between the two measurement methods (P < .030), whereas no significant differences were found in the marginal gap (P > .350), deep chamfer (P > .719), and axial wall (P > .150). As the 3DSA method is three-dimensional, it allows for the measurement of arbitrary points. CONCLUSION. All of the three fabrication methods are valid for measuring clinical objectives because they produced prostheses within the clinically acceptable range. Furthermore, a three-dimensional superimposition analysis verification method such as the silicone replica technique is also applicable in clinical settings.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.41
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• pp.41.1-41.6
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• 2019

Backgrounds: The purpose of this study is to discuss the total joint reconstruction surgery for a patient with recurrent ankylosis in bilateral temporomandibular joints (TMJs) using three-dimensional (3D) virtual surgical planning, computer-aided manufacturing (CAD/CAM)-fabricated surgical guides, and stock TMJ prostheses. Case presentation: A 66-year-old female patient, who had a history of multiple TMJ surgeries, complained of severe difficulty in eating and trismus. The 3D virtual surgery was performed with a virtual surgery software (FACEGIDE, MegaGen implant, Daegu, South Korea). After confirmation of the location of the upper margin for resection of the root of the zygoma and the lower margin for resection of the ankylosed condyle, and the position of the fossa and condyle components of stock TMJ prosthesis (Biomet, Jacksonville, FL, USA), the surgical guides were fabricated with CAD/CAM technology. Under general anesthesia, osteotomy and placement of the stock TMJ prosthesis (Biomet) were carried out according to the surgical planning. At 2 months after the operation, the patient was able to open her mouth up to 30 mm without complication. Conclusion: For a patient who has recurrent ankylosis in bilateral TMJs, total joint reconstruction surgery using 3D virtual surgical planning, CAD/CAM-fabricated surgical guides, and stock TMJ prostheses may be an effective surgical treatment option.

• The Journal of Korean Academy of Prosthodontics
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• v.52 no.1
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• pp.27-33
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• 2014

Purpose: The purpose of this study was to investigate the food impaction between implant prostheses and adjacent natural teeth. Materials and methods: For this study, 51 patients with food impaction were selected and investigated mobility, tightness of contact area, gingival index, plaque index, attachment loss, alveolar bone level, proximal caries, marginal ridge distance and occlusal relationships. Results: Food impaction was found in the upper teeth (60.7%) more than the lower teeth (39.2%). Food impaction was occurred on mesial side of implant prostheses (86.2%) more than distal side (13.7%). Food impaction was mostly found in loose or open contact area (94.2%). Food impaction was frequent on stepped relationship between implant and adjacent teeth. Conclusion: Treatment plan should include proper adjacent and antagonistic occlusal plane and occlusal surface, to prevent food impaction, and the plan should include less adjacent tooth mobility with proper tightness between implant prostheses and adjacent teeth.