• Title/Summary/Keyword: Provisional crown

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Esthetic reconstruction of upper central incisor using immediate Frialit-2 implant placement, immediate temporary crown fabrication and IPS Empress 2 crown (즉시 Frialit-2 implant 식립, 즉시 임시치관 제작 그리고 IPS Empress 2 crown을 이용한 상악중절치의 심미적 수복)

  • Kim, Yu-Lee;Oh, Sang-Chun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.1
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    • pp.43-48
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    • 2003
  • During the past several years, significant advances have occurred in the utilization of osseointegrated implants for the treatment of partially edentulous patients. One of the biggest purposes for treating of these patients is the high demand for improved esthetics, especially in the anterior region. For this esthetics, the new trend in dental implants is the immediate placement and immediate superstructure fabrication. The refined surgical technique, the skillful soft tissue management, and the proper prosthetic coordination are the main factors to achieve natural looking of implant supported prosthesis. The customized provisional restoration and the customized impression coping are recommended for the optimal peri-implant soft tissue contour. The basic concept of Frialit 2 system was the immediate replacement of a tooth with root-analog fixture after extraction. This system guarantees an ideal result in function and esthetics. The ceramic abutment system offers improved quality in the respect of esthetics, fitness, translucency, and biocompatibility. In this clinical report, the final restoration made with IPS Empress 2 crown on the CeraBase abutmen of Frialit 2 system allowed the reproduction of the natural vitality of tooth and adjacent gingiva.

Esthetic restoration of subgingival crown-root fractured maxillary anterior tooth using surgical extrusion (외과적 정출술을 통한 치은 하방 치경부 파절선이 있는 상악 전치부의 심미 보철 치료)

  • Lee, So-Jin;Kim, Yu-Jin;Park, Young-Bum;Cho, Kyoo-Sung;Chung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.204-209
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    • 2012
  • Surgical extrusion, immediate extrusion following tooth luxation, is a method to preserve one's natural tooth and achieve esthetic restoration without additional periodontal surgery when subgingival dental caries or crown fracture occurs. A 16-year-old male was referred to the clinic from the department of operative dentistry for the esthetic restoration of maxillary left lateral incisor. Due to the crown to root fracture, the tooth was endodontically treated with a buccal crown length of 4 mm. When the palatal flap was elevated, the mesiopalatal cervical fracture area was situated 3-4 mm subgingivally. Crown lengthening was achieved through surgical extrusion. After 3 months of clinical observation and provisional restoration, the maxillary left central incisor was restored with all ceramic crown and obtained a satisfactory clinical result.

Comparison of three-dimensional adaptation as per the rinsing time of temporary crown manufactured using a digital light processing printer (디지털 광 조명 방식으로 제작한 임시 크라운의 세척 시간에 따른 3차원 적합도 평가)

  • Lee, Beom-Il;You, Seung-Gyu;You, Seung-Min;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.42 no.4
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    • pp.334-340
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    • 2020
  • Purpose: This study aimed to compare three-dimensional adaptation with the rinsing time of the temporary crown produced using the digital light processing method. Methods: The maxillary right first molar abutment was scanned with a dental scanner. A temporary crown was designed with the scanned abutment. The designed crown was made of 10 temporary crowns using a digital light processing printer. The crowns were divided into the 5-minute and 10-minute rinsing groups; 5 temporary crown washes were performed for each group. In order to obtain the internal data, each group was scanned for a temporary crown. The three-dimensional fit was measured by superimposing the scanned internal surface data and the abutment data. The average comparison of three-dimensional adaptation was analyzed using the Mann-Whitney U test. Results: The 5-minute rinsing group showed a significantly higher adaptation of 71.42±3.08 ㎛ as compared to the 10-minute rinsing group (67.52±0.92 ㎛) (p<0.05). Conclusion: When making a temporary crown with a digital light processing method, a rinsing time of 10 minutes is appropriate.

FUNCTIONAL RECOVERY OF MANDIBULAR HIGH CONDYLAR FRACTURE PATIENT WITH IMMEDIATE PROVISIONAL IMPLANT: CASE REPORT (Immediate provisional implant를 이용한 하악골 high condylar fracture환자의 기능회복: 증례보고)

  • Jang, Bo-Young;Ahn, Mi-Ra;Ahn, Kyung-Mi;Lee, Won-Hyuk;Shon, Dong-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.82-88
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    • 2005
  • Treatment methods of mandibular condylar fracture were conservative and surgical method. Surgical method of mandibular high condylar fracture was very difficult because approach and internal fixation of small size fracture fragment were difficult. So there is a tendency to select conservative method over surgical method for guiding a stable occlusion and avoiding TMJ disorder and growth disturbance, minimizing pain and deviation during function. But, in case of mandibular high condylar fracture patient who has no biting teeth on posterior teeth area, guiding a stable occlusion and conservative functional treatment were very difficult. In this case, patient was 62years old male. He had fracture of mandibular symphysis, right mandibular body, left mandibular high condyle. We treated the patient for mandibular symphysis and right mandibular body fracture area with surgical method. But left mandibular high condylar fracture area was difficult to treat with surgical method. So we selected a conservative functional method on left mandibular high condylar fracture area. We intended recovery of vertical dimension and stable occlusion with implantation of immediate provisional implant on maxillar and mandibular posterior teeth area, and temporary crown. And then patient did mandibular functional movement and his mandibular function was recoverd.

Pre-prosthetic minor tooth movement with elastic separating ring & provisional restoration modification: case report (교정용 고무 링의 삽입과 임시 전장관의 수정을 통한 보철 수복 전 인접면 공간 획득: 증례보고)

  • Shin, Han-Eol;Roh, Byoung-Duck;Shin, Yoo-Seok;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.37 no.2
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    • pp.114-118
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    • 2012
  • Proximal caries or coronal defect in posterior teeth may result in the loss of proximal space and drifting of neighboring teeth, which makes restoration difficult. Inability to restore proper contours and to align tooth axis properly are commonly encountered problems when planning tooth restoration. Moreover, tilted teeth aggravate periodontal tissue breakdown, such as pseudo-pocket, and angular osseous defect. The purpose of this case presentation is to describe a simple technique for inducing minor tooth movement with orthodontic separating ring and provisional restoration modification. This method was used to create crown placement space on mesially tilted molar. This method is easy, simple and efficient technique which could be used in interproximal space gaining in selected situation.

Full mouth rehabilitation of a severely worn dentition using intraoral scanner and the CAD/CAM double scanning technique (중증도의 치아 마모 환자를 구내 스캐너와 이중스캔을 이용해 수복한 완전구강회복 증례)

  • Yoon, Se-Na;Han, Jung-Suk;Yeo, In-Sung;Yoon, Hyung-In
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.67-76
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    • 2020
  • With the evolution of the computer-aided design/computer-aided manufacturing (CAD/CAM) technology, the intraoral scanners are playing an increasingly important role, as they are the first step towards a completely digital workflow. The CAD/CAM double scanning technique has been used to transfer the information from provisional restorations to definitive restorations. In this case, a 67-year-old male with esthetically compromised anterior teeth, generalized severe attrition of teeth, and reduced vertical dimension was treated with full mouth rehabilitation including a re-establishment of the lost vertical dimension of occlusion assisted by the crown lengthening procedure. The provisional restorations were fabricated using an intraoral scanner and the CAD/CAM double scanning technique. After the period of adaption, the definitive monolithic zirconia restorations were delivered. The CAD/CAM double scanning technique successfully transferred the occlusal and morphological characteristics, obtained from the provisional restorations, to the definitive restorations.

IN VITRO STUDY OF TOOTH TEMPERATURE CHANGE DURING POLYMERIZATION REACT10N OF THE COLD-CURED RESINS USED IN PROVISIONAL CROWN AND FIXED PARTIAL DENTURES (자가 중합 임시수복용 레진의 경화 시 외부환경 변화에 따른 치아의 온도변화)

  • Oh, Wu-Sik;Baik, Jin;Kim, Hyung-Seob;Woo, Yi-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.5
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    • pp.503-513
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    • 2006
  • Statement of the problem: The cold-cured resins used in fabrication of the provisional crown and fixed partial dentures could cause pulpal damage by heat generated during exothermic polymerization reactions. Purpose: In this in vitro study investigates the how external conditions such as material of the matrix, thickness of the matrix and thickness of dentin affect the temperature of the tooth during polymerization reaction of the cold-cured resins. Material and methods : To measure the temperature of the resin, metal die was maintained to the temperature of $37^{\circ}C$ with water bath to simulate the temperature of thetooth and thermocouple was placed in the center of the metal die. Acrylic pipe was cut in height of 1, 2, 3, 6, 10 mm and placed on the metal die and mixed resin was pored in the acrylic pipe As the resin polymerized temperature was recorded with the thermometer. Temperature of the resin using matrix was recorded by using the individual tray relieved in different thickness 2, 5, 7, 10 mm. The material of the matrix was irreversible hydrocolloid impression material, vinyl polysilloxane impression material and vacuum-formed template Temperature rise of the resin using different thickness of tooth section was record ed by placing tooth section on the metal die and placing resin over the tooth section. Results : Conclusion : 1. Temperature rise increased as the thickness of the resin increased but there was no significant differences over 3 mm thickness of the resin. 2. The lowest temperature rise was showed in irreversible hydrocolloid impression material and vinyl polysilloxane impression material vacuum-formed template as in orders. 3, Temperature rise of the resin decreased regardless of the thickness of the matrix when vinyl polysilloxane impression material was used as the matrix. 4 When irreversible hydrocolloid impression material was used as matrix, the temperature rise of the resin decreased as the thickness of the matrix increased and there was no temperature rise when thickness of the matrix reached 10 mm, 5. The temperature rise of the resin did not decreased when Polypropylene vacuum-formed template was used as the matrix. 6, The temperature of the resin increased as the thickness of the dentin decreased.

Esthetic Restoration of Complicated Crown-Root Fractures Utilizing Orthodontic Extrusion (복합 치관-치근 파절의 교정적 정출술을 이용한 심미적 수복)

  • Kim, Minji;Kim, Jinyoung;Kim, Suhyun;Lim, Sumin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.1
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    • pp.60-69
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    • 2016
  • Complicated crown-root fracture of permanent incisors cause esthetic, functional, and psychological problems to patients. Therefore, treatment is important and multidisciplinary treatment is required. This case report describes the clinical procedures involved in the treatment of trauma-induced complicated crown-root fractures in the maxillary incisor of two young patients. Conventional root canal treatment and apexification were performed in each patient. To expose the fracture margins to the supragingival level and to reestablish the biologic width, orthodontic extrusions with fixed appliances were performed followed by a retention period. During the retention period, fiber-optic posts and cores were built up and provisional crowns were placed. Finally, ceramic crowns manufactured using a computer-aided design/computer-aided manufacturing (CAD/CAM) system were placed. In both patients, the teeth presented satisfactory functional and esthetic outcomes without relapse. The periodontal tissues were healthy.

Traditional approach with ceramic (임상가를 위한 특집 2 - 심미 수복 - 같은 결과, 다른 접근 세라믹을 이용한 전통적인 접근법)

  • Lee, Seung-Kyu
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.595-603
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    • 2013
  • The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

Full mouth rehabilitation using zirconia crown in severe worn dentition: a case report (마모가 심한 환자에서 지르코니아 크라운을 이용하여 전악 수복한 증례)

  • Park, Jung-Hyun;Sohn, Sang-Hyuk;Cho, Sung-Am
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.202-208
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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 and functional disorders. In this case, a patient with severely worn dentition was treated. Diagnostic wax-up was performed at the increased vertical dimension. After evaluation of provisional restorations for 12 weeks, final restorations were fabricated with zirconia crown and routine clinical assessments were made. Esthetically and functionally satisfactory results were obtained.