• Title/Summary/Keyword: RESTORATION TECHNIQUE

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CLINICAL EVALUATION OF PROGNOSIS OF OSSEOINTEGRATED DENTAL IMPLANT IN TREATMENT OF MAXILLARY EDENTULOUS AREA (골유착 치과 임플란트를 이용한 상악 무치악부 치료의 예후에 관한 임상적 평가)

  • Shim, Won-Bo;Lee, Dong-Keun;Choi, Kyu-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.2
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    • pp.189-197
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    • 1999
  • The use of osseointegrated implant has been reported that is an acceptable procedure for the restoration of totally or partially edentulous patient and that offers good predictability of long term success. It is difficult to get high success rate in edentulous maxillae with inadequate bony quality and quantity, and anatomic limitations such as pneumatic maxillary sinus and nasal floor. The various trials such as sinus lifting, bone grafting, guided bone regeneration, trabecular condensation with osteotome, and the use of wide-diameter implant have been introduced to solve these problems. This study was undertaken to assess the evaluation of clinical prognosis of the implant restorations with these various implantation techniques in the maxillary edentulous area. One hundred eight patients were treated with a total of 386 endosseous implants from March 1994 to January 1998 at Dept. of Dentistry, Korea Veterans Hospital in Seoul Korea. The various techniques for implantation in the edentulous maxillae were supplied to overcome the limitations of implant fixation. These techniques consist of sinus lifting, guided bone regeneration, onlay bone grafting, and osteotome trabecular condensation technique. The total success rate of implant restoration of this study was 93% in the maxillae. The success rate of implant restorations with conventional technique was 94.6%, with osteotome trabecular condensation technique was 94.1%, with guided bone regeneration technique was 93.3%, with bone grafting technique was 92.9%, with sinus lifting technique was 83.8%. The success rate on the maxillary anterior area was 95.2% and that on the posterior area was 91.9%. The failures were associated not only with surgical installation techniques but also bony quality and quantity, characteristics of implant, and stress distribution when in function.

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Fiber Reinforced Inlay Adhesion Bridge

  • Cho, Lee-Ra;Yi, Yang-Jin;Song, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.366-374
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    • 2000
  • FRC/ceromer system provides the clinician with a durable, flexible, and esthetic alternative to conventional porcelain fused to metal crowns. FRC is the matrix which is silica-coated and embedded in a resin matrix. The ceromer material which is a second generation indirect composite resin contains silanized, microhybrid inorganic fillers embedded in a light-curing organic matrix. FRC/ceromer restoration has a several advantages: better shock absorption, less wear of occluding teeth, translucency, color stability, bonding ability to dental hard tissues, and resiliency. It has versatility of use including inlay, onlay, single crown, and esthetic veneers. With adhesive technique, it can be used for single tooth replacement in forms of inlay adhesion bridge. In single tooth missing case, conventional PFM bridge has been used for esthetic restoration. However, this restoration has several disadvantages such as high cost, potential framework distortion during fabrication, and difficulty in repairing fractures. Inlay adhesion bridge with FRC/ceromer would be a good alternative treatment plan. This article describes a cases restored with Targis/Vectris inlay adhesion bridge. Tooth preparation guide, fabrication procedure, and cementation procedure of this system will be dealt. The strength/weakness of this restoration will be mentioned, also. If it has been used appropriately in carefully selected case, it can satisfy not only dentist's demand of sparing dental hard tissue but also patient's desire of seeking a esthetic restorations with a natural appearance.

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The Restoration Technique of Native Forest Resources on the Development Land applied in the New Campus of Kyushu University, Japan (일본(日本) 구주대(九州大) 신(新)캠퍼스 개발지구에 적용된 개발훼손지(開發毁損地)의 원생림(原生林) 복원기술(復元技術)에 관한 고찰(考察))

  • Park, Chong-Min
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.3
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    • pp.50-57
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    • 2002
  • The restoration techniques of large disturbed land containing native forest resources and soil animals were investigated on the new campus area of Kyushu University in Japan. Important techniques to restore native forest and biodiversity in that area are transplantation of existing large trees, transplantation of the forest soil, transplantation of native tree stools, and the reuse of wood and bamboo chips. The benefits can be obtained by using these methods. Firstly, the native genetic resources that would be discarded as part of the land development can be reused. Secondary, the time taken to become a high growth forest as opposed to the practice of planting saplings or grass seeds can be reduced. At last, the native forest ecosystem containing various under-story vegetations and soil animals can be conserved and regenerated. In addition, big and small ponds were constructed in the biodiversity preservation zone to preserve rare plants, rare animals, and native aquatic animals. And these plants and animals were transplanted and moved to ponds.

Fault Pattern Analysis and Restoration Prediction Model Construction of Pole Transformer Using Data Mining Technique (데이터마이닝 기법을 이용한 주상변압기 고장유형 분석 및 복구 예측모델 구축에 관한 연구)

  • Hwang, Woo-Hyun;Kim, Ja-Hee;Jang, Wan-Sung;Hong, Jung-Sik;Han, Deuk-Su
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.9
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    • pp.1507-1515
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    • 2008
  • It is essential for electric power companies to have a quick restoration system of the faulted pole transformers which occupy most of transformers to supply stable electricity. However, it takes too much time to restore it when a transformer is out of order suddenly because we now count on operator in investigating causes of failure and making decision of recovery methods. This paper presents the concept of 'Fault pattern analysis and Restoration prediction model using Data mining techniques’, which is based on accumulated fault record of pole transformers in the past. For this, it also suggests external and internal causes of fault which influence the fault pattern of pole transformers. It is expected that we can reduce not only defects in manufacturing procedure by upgrading quality but also the time of predicting fault patterns and recovering when faults occur by using the result.

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.

Measurement Method of the Masseter Muscle Volume Using 3D Computed Tomography (3D CT를 이용한 교근의 부피측정)

  • Baek, Jung Hwan;Choi, Jong Woo;Yoo, Sun Kuk;Kim, Yong Oock;Park, Beyoung Yun
    • Archives of Plastic Surgery
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    • v.32 no.5
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    • pp.589-592
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    • 2005
  • Since G.N. Hounsfield's clinical use of computed tomography in 1971, digital imaging technique using computers has shown an eye opening progress. Progress has made 3-dimensional understanding of not only facial bones but muscles and other connective tissues possible through 3-dimensional reconstruction of preexisting tomographical images. Also, quantitative analysis of density, distance, volume has become possible, allowing objective analysis of preoperative and postoperative states through imaging. The authors measured the masseter muscle volume of 20 normal individuals and 8 female patients through 3-D reconstructive CT imaging and made a statistical analysis of the measurements. The method used in our study may be applied to the diagnosis of disease causing the change of the facial volume and presurgical design as a useful tool to provide objective information on the evaluation of surgery outcome.

Interface Phenomena between Prosthodontic Crown and Abutment Sprayed with Die Spacer (Die Spacer가 도포된 보철용 크라운과 어버트먼트의 계면현상)

  • Park, K.H.;Choe, H.C.
    • Journal of the Korean institute of surface engineering
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    • v.40 no.4
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    • pp.197-202
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    • 2007
  • Fit of the restoration and its cementation procedure is crucial to both its short and long term prognosis. Marginal fit is affected by many variables during the fabrication process. These variables, being intrinsic properties of the materials or the clinical technique used, can cause changes in the size and shape of the definitive restoration. Even if all variables are controlled carefully, the seating of a restoration can still be affected due to insufficient space for the luting agent. The use of die spacer can reduce the elevation of a cast restoration of a prepared tooth, decreased seating time, improve the outflow of excess cement, and lower the seating forces. The purpose of this study was to evaluate the marginal fidelity according to die spacer application times and measurement site. Casting alloys were prepared and fabricated using non-precious metal at $950^{\circ}C$. Specimens are divided into four groups: I(die spacer painted casting for wax pattern), II(die spacer non painted casting for wax pattern). The specimens were cut and polished for marginal gap observation. The marginal gap was observed using scanning electron microscopy (SEM).

Minimal invasive horizontal ridge augmentation using subperiosteal tunneling technique

  • Kim, Hyun-Suk;Kim, Young-Kyun;Yun, Pil-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.41.1-41.6
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    • 2016
  • Background: The goal of this study was to retrospectively evaluate the prognosis of minimal invasive horizontal ridge augmentation (MIHRA) technique using small incision and subperiosteal tunneling technique. Methods: This study targeted 25 partially edentulous patients (10 males and 15 females, mean age $48.8{\pm19.7years$) who needed bone graft for installation of the implants due to alveolar bone deficiency. The patients took the radiographic exam, panoramic and periapical view at first visit, and had implant fixture installation surgery. All patients received immediate or delayed implant surgery with bone graft using U-shaped incision and tunneling technique. After an average of 2.8 months, the prosthesis was connected and functioned. The clinical prognosis was recorded by observation of the peri-implant tissue at every visit. A year after restoration, the crestal bone loss around the implant was measured by taking the follow-up radiographs. One patient took 3D-CT before bone graft, after bone graft, and 2 years after restoration to compare and analyze change of alveolar bone width. Results: This study included 25 patients and 39 implants. Thirty eight implants (97.4 %) survived. As for postoperative complications, five patients showed minor infection symptoms, like swelling and tenderness after bone graft. The other one had buccal fenestration, and secondary bone graft was done by the same technique. No complications related with bone graft were found except in these patients. The mean crestal bone loss around the implants was 0.03 mm 1 year after restoration, and this was an adequate clinical prognosis. A patient took 3D-CT after bone graft, and the width of alveolar bone increased 4.32 mm added to 4.6 mm of former alveolar bone width. Two years after bone graft, the width of alveolar bone was 8.13 mm, and this suggested that the resorption rate of bone graft material was 18.29 % during 2 years. Conclusions: The bone graft material retained within a pouch formed using U-shaped incision and tunneling technique resulted with a few complications, and the prognosis of the implants placed above the alveolar bone was adequate.

Understanding and trends of esthetic treatment in prosthodontics : IPS e.max (심미보철 치료의 경향과 이해 : part 1. IPS e.max)

  • Kang, Jung-In;Heo, Yu-Ri;Lee, Myeong-Seon;Son, Mee-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.447-452
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    • 2014
  • With the increase of esthetic demands, most patients want to have restorations which are not only functional but also esthetic. For the esthetic restoration, many ceramic systems have been introduced and applied in dentistry. Among those ceramic restorations, IPS e.max system composed of lithium disilicate glass ceramic is one of the most commonly used systems because it has strength and esthetic characteristics. IPS e.max system is divided into IPS e.max Press and IPS e.max CAD according to the manufacturing methods. IPS e.max Press is fabricated through heat-pressed technique with ceramic ingot, which is very simple. The restorations which are made using IPS e.max system can apply to 3 units restoration for the anterior teeth and premolar, and single posterior tooth restoration. Cementation is one of the most important clinic procedure for the longevity of the restorations. All ceramics are bonded by resin cements, it is classified into three groups including adhesive, self-adhesive, and conventional. Variolink N, which is an adhesive resin cement and manufactured by same company with IPS e.max, is recommended for the bonding of IPS e.max restoration. Conventional and self-adhesive resin cement is also available. The aim of this review article is to provide the understanding of material properties, production procedure and clinical application of IPS e.max system.

Various Modalities of Flap Surgery in Heel Pad Reconstruction (발뒤꿈치의 재건 시에 사용할 수 있는 다양한 피판술)

  • Jung, Yun-Ik;Lee, Dong-Won;Yoon, In-Sik;Rah, Dong-Kyun;Lee, Won-Jai
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.415-420
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    • 2011
  • Purpose: The reconstruction of a soft tissue defect of the heel pad can be challenging. One vital issue is the restoration of the ability of the heel to bear the load of the body weight. Many surgeons prefer to use local flaps or free tissue transfer rather than a skin graft. In this study, we evaluated the criteria for choosing a proper flap for heel pad reconstruction. Methods: In this study, 23 cases of heel pad reconstruction were performed by using the flap technique. The etiologies of the heel defects included pressure sores, trauma, or wide excision of a malignant tumor. During the operation, the location, size and depth of the heel pad defect determined which flap was chosen. When the defect size was relatively small and the defect depth was limited to the subcutaneous layer, a local flap was used. A free flap was selected when the defect was so large and deep that almost entire heel pad had to be replaced. Results: There was only one complication of poor graft acceptance, involving partial flap necrosis. This patient experienced complete recovery after debridement of the necrotic tissue and a split thickness skin graft. None of the other transferred tissues had complications. During the follow-up period, the patients were reported satisfactory with both aesthetic and functional results. Conclusion: The heel pad reconstructive method is determined by the size and soft-tissue requirements of the defect. The proper choice of the donor flap allows to achieve satisfactory surgical outcomes in aesthetic and functional viewpoints with fewer complications.