• Title/Summary/Keyword: Proximal surface contour

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Morphological Assessment of Proximal Restoration Depending on Different Matrix Systems in Primary Molars with a 3D Scanner: In Vitro Studies (매트릭스 시스템에 따른 유구치 인접면 수복물에 대한 3D 스캐너를 이용한 형태학적 평가: 실험실적 연구)

  • Hyewon Shin;Nanyoung Lee;Joohun Song;JoonSeong Kim;Myeongkwan Jih
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.4
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    • pp.396-408
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    • 2023
  • The purpose of this study was to compare the proximal surface contour, size of contact area, and volume difference before and after restoration in artificial teeth of primary molars during proximal composite resin restoration using different matrix systems. Four types of artificial teeth were restored with composite resin using sectional matrix systems-Palodent V3 Sectional Matrix System and myJunior Kitand a circumferential matrix system-Tofflemire Matrix System-and modeled threedimensionally for analysis. When sectional matrix systems were used, there was a higher probability of concave proximal surface contour and simultaneously greater contact area and volume. This is attributed to the dead soft properties of the matrix band used in sectional matrix systems, which can lead to deformation of the band and hence an excessive amount of resin applied around the contact point. Additionally, the rubber wedge in the sectional matrix system may not help the matrix band fit into the cavity. Therefore, based on the findings of this study, morphological aspects need to be carefully considered for proximal composite resin restoration of primary molars using sectional matrix systems.

CLASS II COMPOSITE RESIN RESTORATION USING ORTHODONTIC BANDS (교정용 밴드를 이용한 구치부 2급 와동의 복합레진 수복)

  • Park, Sung-Dong;Park, Ki-Tae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.13-17
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    • 2005
  • Children and teenagers have a higher frequency of proximal surface caries in the posterior teeth than adults. For proximal restoration, class II amalgam or stainless steel crown has been widely used in the past, however composite resin restoration is getting ore popular due to it's superior cosmetic appearance. When applying composite resin on proximal area, various types of matrix bands can be utilized according to the operator's reference or skill. Such bands have several clinical effects including suitability for proximal margin, reduction of micro-leakage, moisture-control against saliva and ease finishing and polishing. In this case report, orthodontic bands were utilized instead of matrix bands as a remedy for proximal restorations in both primary and permanent teeth and their clinical advantages are as follows. 1. Orthodontic bands showed superior marginal adaptation compared to conventional matrix bands and moisture-control against saliva was excellent. 2. While applying composite resin, deformation of restoration material was estimated to be insignificant due to he rigidity of the orthodontic bands. 3. Natural tooth contour of the orthodontic bands facilitates to reproduce proximal tooth contour of the restoration. 4. In general, pediatric dentists are accustomed to applying orthodontic bands and this may allow pediatric dentists to make proximal composite restorations more efficiently than other dental specialists.

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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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Blood Flow Rate Estimation using Proximal Isovelocity Surface Area Technique Based on Region-Based Contour Scheme and Surface Subdivision Flow Model (영역기반 윤곽선 기법과 표면 분할 유동모델에 기반한 근위 등속 표면적 기법을 이용한 혈류량 추정)

  • Jin, Kyung-Chan;Cho, Jin-Ho
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.38 no.1
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    • pp.45-52
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    • 2001
  • The proximal isovelocity surface area (PISA) method is an effective way of measuring the regurgitant blood flow rate in the mitral valve. This method defines the modelling required to describe the geometry of the isotach of the PISA. In the normal PISA flow model, the flow rate is calculated assuming that the surface of the isotach is either hemispherical or non-hemispherical numerically. However, this paper evaluated the estimate flow rate using a direct surface subdivision flow model based on the height field after isotach extraction using a region-based scheme. To validate the proposed method, the various PISA flow models were compared using pusatile color Doppler images with flow rates ranging from $30\;cm^3/sec\;to\;60\;cm^3/sec$ flow rate. Whereas the hemispherical flow model had a mean value of $29\;cm^3/sec$ and underestimated the measured flow rate by 35%, the proposed model and non-hemispherical model produced a c;ame mean value of $45\;cm^3/sec$, moreover, both flow models produced a similar pulsatile flow rate.

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Relationship between mesiodistal width and enamel thickness in mandibular incisors (하악 절치 근원심폭경과 법랑질 두께의 관계)

  • Han, Uk;Gang, Sung-Nam;Lim, Sung-Hoon
    • The korean journal of orthodontics
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    • v.41 no.3
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    • pp.184-190
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    • 2011
  • Objective: The purpose of this study was to investigate the relationship between the enamel thickness of proximal surfaces and the morphologic features of mandibular incisors. Methods: Mesiodistal/faciolingual (MD/FL) index, MD width, and height of contour width/cervical width ratio were measured in 40 incisors extracted from Koreans. For determining the height of contour width/cervical width ratio, the cervical width was measured as the distance between proximal cementoenamel junctions. Then, the labial surface was ground to the height of the contour level to measure enamel thickness. Pearson correlation analysis was used to investigate the correlation between enamel thickness and morphologic features. Results: Enamel thickness was $0.75{\pm}0.07mm$ per side, and MD width was $5.56{\pm}0.40mm$. Enamel thickness and MD width were significantly correlated. However, a significant relationship was not observed between enamel thickness and MD/FL index or the height of contour width/cervical width ratio. Conclusions: The results suggest that enamel thickness is affected only by MD width. Therefore, if the MD width is the same for mandibular incisors with a large MD/FL index or triangular shape and mandibular incisors with normal shape, then the limit of enamel reduction for reproximation will be the same.

A Clinical Study on Rotational Path Removable Partial Denture (회전삽입로를 이용한 국소의치에 관한 임상적연구)

  • Kim, Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.21 no.1
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    • pp.67-72
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    • 1983
  • Path of insertion(1) can be defined that the direction of movement of an appliance from the point of initial contact of its rigid parts with the supporting teeth to the place of final rest. Krol(2) described that in the conventional path of insertion, all the rests are seated more or less simultaneously but in the use of the rotational path one segment of the partial denture is seated first then the remainder of the prosthesis is rotated into position. The rotational path of insertion is limited primarily to the tooth borne prosthesis. Its great advantages are the elimination of anterior clasps to improve ethetic and reduction of tooth coverage to minimize plaque accumulation. Either a rigid minor connector or proximal plate provides retention through its intimate contact with a proximal tooth surface below the height of contour as indicated at a o-degree tilt. A specially designed rest in conjunction with this retentive component satisfies the basic requirements of clasp design. The purpose of this study was a clinical evaluation of rotational path removable partial dentures. Author delivered rotational path removable partial dentures to three different cases of patients and evaluated function of the dentures, difficulties of removal and insertion of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of the rotational path removable partial dentures was excellent.

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Automatic Proximal Isovelocity Surface Area Determination using Non-hemispherical Flow Model and Region Based Contour Scheme for Blood Flow Rate Estimation (비반구 유동모델과 영역기반 윤곽선 기법에 기초한 자동근위 등속표면적의 결정 및 혈류량 추정)

  • 진경찬;조진호
    • Journal of Biomedical Engineering Research
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    • v.21 no.5
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    • pp.449-455
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    • 2000
  • 순간적으로 승모판에서 혈류가 역류하는 영역을 측정하기 위해서, PISA 방법이 자주 이용되고 있다. 이 방법은 물질보존법칙에 근거하여, 구멍을 통과하는 유체량을 isotach 표면적과 이에 대응하는 속도의 곱으로 구하는 것이다. 이러한 PISA 방법에서 사용되는 유동모델은 반구모델과 비반구모델의 형태인데, 이는 isotach 표면적이 반구이거나 비반구임을 가정하여 계산된 것이다. 이러한 isotach 모델링에서는 isotach의 높이와 폭의 결정이 유체량을 추정하는데 아주 중요한 변수가 된다. 본 연구에서는 in-vitro 칼라 도플러 영상으로부터 PISA 영역을 추정을 위하여 영역기반을 근간으로 하는 비반구모델에 대한 표면적 추정방법을 제안하였다. 이 방법의 타당성을 알아보기 위해 180개의 칼라 도플러 영상에 대해 isotach의 높이와 폭을 추정한 결과, 기존의 에지기반방법이 19개 영상에서 에러를 가지는 반면, 제안한 방법에서는 에러영상이 없음을 알 수 있었다.

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Early Resurfacing Using Gastrocnemius Muscle Flap Transposition for Degloving Injury with Exposure of Proximal Tibia (근위부 경골 노출을 동반한 벗겨진 손상의 장딴지 근육 피판을 이용한 조기 피복 치험례)

  • Jeong, Hii Sun;Lee, Hye Kyung
    • Journal of Trauma and Injury
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    • v.21 no.2
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    • pp.140-143
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    • 2008
  • Degloving injuries result from the tangential force against the skin surface, with resultant separation of the skin and the subcutaneous tissue from the rigid underlying muscle and fascia. These injuries are associated with extensive soft tissue loss and occasionally with exposure of bone, and they require reconstructive modality for resurfacing and successful rehabilitation that considers the vascular anatomy and the timing of the operation. A 19-year-old male patient was transferred to our facility with degloving injury extending from the lower third of the right thigh to the malleolar area. The tibial bone was exposed to a size of $2{\times}3.5cm^2$ on the upper third of the lower leg at the posttraumatic third day. The exposed soft tissue was healthy, and the patient did not have any other associated disease. At the posttraumatic sixth day, one-stage resurfacing was performed with a medial gastrocnemius muscle flap transposition for the denuded bone and a split-thickness skin graft for the entire raw surface. The transposed gastrocnemius muscle attained its anatomical shape quickly, and the operating time was relatively short. No transfusion was needed. This early reconstruction prevented the accumulation of chronic granulation tissue, which leads to contracture of the wound and joint. The early correction of the gastrocnemius muscle flap transposition made early rehabilitation possible, and the patient recovered a nearly full range of motion at the injured knee joint. The leg contour was almost symmetric at one month postoperatively.