• The Journal of Advanced Prosthodontics
• /
• 제11권2호
• /
• pp.75-80
• /
• 2019

PURPOSE. The purpose of this study is to investigate the effects of aging and various risk factors on the oral environment and to analyze them in 3-dimensions. MATERIALS AND METHODS. A total of 800 patients were enrolled in this study, and subjects were divided into 4 groups by age-under 55, 56 - 65, 66 - 75, and over 76. Based on their most recent visit, the number of crowns, bridges, implants, and the remaining natural teeth were recorded. Smoking habits, along with presence of diabetes and hypertension, were surveyed, as risk factors were also set as a variable. Comparisons among the groups or within the groups were performed by independent t-test, and one-way and two-way ANOVA. Kruskal-Wallis test and Mann-Whitney U test were used for analysis. It was assumed to be statistically significant when P value is below .05. RESULTS. Changes in the number of crowns, bridges, implants, and the remaining natural teeth by age were statistically significant. When we examined the effect of risk factors on the change of variables with age, hypertension was found to affect the number of bridges. Diabetes and smoking were found to affect the number of the remaining natural teeth. The other variables were not statistically significant. CONCLUSION. Aging is considered to be an important variable affecting the change of oral environment. Among the risk factors, the presence of smoking habit and diabetes is thought to have a great influence on the change of the number of the remaining natural teeth.

• The Journal of Advanced Prosthodontics
• /
• 제8권5호
• /
• pp.411-416
• /
• 2016

Patients who underwent resection of maxilla due to benign or malignant tumor, or accident will have defect in palatal area. They get retention, support and stability from remaining tissues which are hardly optimal. The advantage of swing-lock attachment design is having multiple contacts on labial and lingual side of the abutment teeth by retentive strut and palatal bracing component. Because the force is distributed equally to abutment teeth, abutment teeth of poor prognosis can be benefited from it. It is also more advantageous to cover soft tissue defects which are hard to reach with conventional prosthesis. A 56-year-old female patient who had undergone a maxillectomy due to malignant melanoma complaining of loose and unstable surgical obturator. Surveyed crowns were placed on #12, 26, and 27. Teeth #11, 21, 22, and 23 had lingual rest seat and #24 had mesial rest seat to improve stability and support of the obturator. This clinical report presents the prosthetic management of a patient treated with obturator on the maxilla using swing-lock attachment to the remaining teeth.

• 대한치과교정학회지
• /
• 제22권2호
• /
• pp.327-343
• /
• 1992

Metal brackets and ceramic brackets were bonded to natural teeth, porcelain crowns and gold crowns After stored in artificial saliva solution for 72 hours at $37^{\circ}C$, the shear bond strengths were measured by Instron and compared with them, the bonding sites and bracket bases were examined by scanning electron microscope and light optical stereomicroscope. The results were as follows: 1. The shear bond strengths of the group which metal brackets were bonded to natural teeth and the groups which ceramic brackets were bonded to natural teeth and porcelain crowns were comparable to each other, the shear bond strength of the group which metal brackets were bonded to gold crowns was significantly low. 2. The bond failed predominantly at the bracket base/adhesive interface with the bulk of adhesive remaining on enamel in the group which metal brackets were bonded to natural teeth. 3. The bond failed consistently at the crown/adhesive interface with all of adhesive remaining on the bracket babes in the group which metal brackets were bonded to gold crowns. 4. The bond failed at the enamel or crown/adhesive interface with the bulk of adhesive remaining on the bracket bases in the groups which cramic brackets were bonded to natural teeth and porcelain crowns. 5. The shear bond strengths of the groups which ceramic brackets were bonded to porcelain crowns were not affected by etching time.

• 대한치과보철학회지
• /
• 제56권4호
• /
• pp.384-390
• /
• 2018

치주적으로 지지가 불리한 소수의 잔존치가 남은 환자에게 있어 하이브리드 텔레스코픽형 이중관의치는 장기적으로 안정적인 예후를 보이는 치료가 된다. 편측 악궁에 소수 잔존치가 남고 반대측 악궁에 다수의 자연치가 존재 하는 경우 임플란트를 식립하여 자연치와 혼재된 형태의 이중관 의치를 제작 할 시 의치의 지지 및 안정요소의 향상과 더불어 저작력의 균형을 맞추어 줄 수 있게 된다. 본 증례는 55세 여자 환자로 만성 치주염으로 인해 치주 지지가 감소한 소수 잔존치 상태에서 자연치만으로 하이브리드 텔레스코픽형 이중관 의치 치료를 통해 9.5년간 의치를 사용하였다. 9.5년 후 지대치 파절로 내원 하여 임플란트의 식립을 통해 자연치와 임플란트가 혼재된 하이브리드 텔레스코픽형 이중관 의치로 재수 복 하였으며, 이를 통해 재 치료에서도 장기적 예후의 안정성을 기대 할 수 있다.

• 대한치과기공학회지
• /
• 제46권1호
• /
• pp.8-14
• /
• 2024

Purpose: This study compares the deformation of traditional resin dentures to resin dentures printed with digital light processing (DLP). Methods: Eleven edentulous research models were developed. Ten of them were made with traditional resin dentures. The remaining one was prepared for scanning and 3D (three-dimensional) printing. Ten traditional resin dentures were made, with the remaining artificial teeth created using 3D software and a DLP printer. Traditional resin dentures, 3D printed resin denture artificial teeth, and a denture base with artificial teeth were all cleaned simultaneously in an ultrasonic cleaner for 3 minutes. Three groups were assigned four artificial tooth measurement points, which were then measured with digital calipers. The measured data was analyzed using descriptive statistics. The significance test was conducted using a nonparametric test Kruskal-Wallis test due to the small number of specimens (α=0.05). Results: The traditional resin dentures had the lowest strain rate at -0.04%, while the group that manufactured only artificial teeth had the highest strain rate at -0.09%. However, no statistically significant difference was observed between the 3 groups (p>0.05). Conclusion: During ultraviolet-type ultrasonic cleaning, traditional resin dentures (TD group) and denture base with artificial teeth made of DLP (DD group) demonstrated stable durability, whereas the artificial teeth made of DLP (AD group) with only artificial teeth did not show a good deformation rate.

• Restorative Dentistry and Endodontics
• /
• 제12권1호
• /
• pp.131-147
• /
• 1986

The purpose of this study was to observe the color matching of lining or filling materials according to the remaining tooth material. Twenty-seven freshly extracted human central incisors were used in this experiments. The teeth were stored in saline solution at room temperature after extraction. All teeth were cut parallel to the tangent to height of contour on labial surface from the lingual surface until the pulp were completely removed. Then 27 teeth were devided into 0.5mm, 1.0mm and 1.5mm reduction groups according to the thickness of cutting the lingual surfaces of teeth. The specimens of control group were three teeth of 27 teeth with cutting the lingual surface same mode as above described. In the specimens of experimental groups, 8 kinds of lining and filling materials; FUJI IONOMER TYPE II (G-C Co. Japan), LINING CEMENT (G-C Co. Japan), Dycal (Caulk, U.S.A.), CLEARFIL F II (Kuraray Co. Japan), Crown Bridge & Inlay Cement (G-C Co. Japan), Copalite (Harry J. Bosworth Co. U.S.A.), HY-BOND (G-C Co. Japan) and LIV-CENERA (G-C Co. Japan); applied on the back of 24 teeth with 0.5mm, 1.0mm and 1.5mm cut thickness of lingual surfaces. Three teeth of control group did not applied linging or filling materials on the back of 3 kinds of different thickness of cutting the lingual surfaces. The absorbances of total 27 specimens were obtained by reflection spectrophotometer. (Cary 17 D, Varian Co, U.S.A.) The following conclusions were drawn from above the results; 1. The absorbance patterns in both experiment and control groups were gradually decreased with increasing wavelength of spectra. 2. The absorbance patterns were not decreased in relation to the kinds of lining or filling materials, but the amount of the remaining tooth materials. 3. In 0.5mm reduction group, FUJI IONOMER TYPE II, LINING CEMENT, LIV-CENERA and Copalite applied on the back of cut lingual surface showed similar absorbance patterns as control group. 4. The specimens which were reduced up to 1.0mm thickness and lined with FUJI IONOMER TYPE II and LINING CEMENT showed the comparable absorbance patterns to the control group. 5. In case of HY-BOND application after 1.5mm reduction were observed the similar absorbance pattern as compared with control group. 6. When Dycal, CLEARFIL and Crown Bridge & Inlay Cement were applied to cut teeth surfaces, there were much differences of absorbance between control groups and experimental groups.

• 대한치과보철학회지
• /
• 제53권3호
• /
• pp.228-233
• /
• 2015

치아의 상실은 저작 및 발음 등의 구강 기능의 저하와 치조골 소실을 가져오며 또한 자신감 결여로 심리적 문제까지 초래하는데, 이는 완전 무치악 환자에서 더 큰 문제를 야기한다. 본 증례의 환자는 다수치아의 상실 및 잔존치 동요도 때문에 임플란트를 이용한 고정성 보철을 원하다는 주소로 내원하였다. 치주적으로 예후가 불량한 모든 잔존치를 발치 하였으며 상하악 완전 무치악에서 임플란트를 이용한 하이브리드보철물을 이용하여 전악 수복 시행하였다. 최종치료 후 심미적, 기능적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

• 대한치과의사협회지
• /
• 제58권1호
• /
• pp.45-49
• /
• 2019

Korean society is experiencing a very rapid change in population aging. Oral diseases, including dental caries and periodontal disease, are usually cumulative and make oral health worse with age. Preventing tooth loss through the prevention and treatment of caries and periodontal diseases are essential for retaining oral function later in life. This study aimed to identify the trend in oral health status among elderlies over 65 years old, using major oral health indicators of Health Plan 2020. The fifth, sixth, and seventh Korea National Health and Nutrition Examination Survey (KNHANES V, VI, VII) were used in the present study to estimate the number of remaining natural teeth, the rate of 20 or more natural teeth, the rate of chewing difficulty, and the rate of oral health check-up of elderly. The number of remaining natural teeth increased from 15.6 in 2010 to 17.1 in 2015, and the rate of 20 or more natural teeth also increased from 45.8% in 2010 to 53.7% in 2015. The rate of chewing difficulty was similar but declined a little from 44.3% in 2010 to 42.9% in 2017. Finally, the rate of oral health check-ups of the elderly increased significantly from 12.2% in 2010 to 21.1% in 2017.

• Restorative Dentistry and Endodontics
• /
• 제44권2호
• /
• pp.18.1-18.9
• /
• 2019

Objective: This study evaluated the presence of residual root canal filling material after retreatment using micro-computed tomography (micro-CT). Materials and Methods: Extracted human teeth (single- and double-rooted, n = 21/each; C-shaped, n = 15) were prepared with ProFile and randomly assigned to three subgroups for obturation with gutta-percha and three different sealers (EndoSeal MTA, EndoSequence BC sealer, and AH Plus). After 10 days, the filling material was removed and the root canals were instrumented one size up from the previous master apical file size. The teeth were scanned using micro-CT before and after retreatment. The percentage of remaining filling material after retreatment was calculated at the coronal, middle, and apical thirds. Data were analyzed using the Kruskal-Wallis test and Mann-Whitney U test with Bonferroni post hoc correction. Results: The tested sealers showed no significant differences in the percentage of remaining filling material in single- and double-rooted teeth, although EndoSeal MTA showed the highest value in C-shaped roots (p < 0.05). The percentage of remaining filling material of AH Plus and EndoSeal MTA was significantly higher in C-shaped roots than in single- or double-roots (p < 0.05), while that of BC sealer was similar across all root types. EndoSeal MTA showed the highest values at the apical thirds of single- and double-roots (p < 0.05); otherwise, no significant differences were observed among the coronal, middle, and apical thirds. Conclusions: Within the limitations of this study, a large amount of EndoSeal MTA remained after retreatment, especially in C-shaped root canals.

• 대한치과보철학회:학술대회논문집
• /
• 대한치과보철학회 1993년도 추계학술대회
• /
• pp.74-75
• /
• 1993