• Title/Summary/Keyword: Teeth wear

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Understanding and Practice of Eating-Swallowing Disorder (치과의사 맞춤형 마우스가드의 제작방법)

  • Noh, Kwantae
    • The Journal of the Korean dental association
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    • v.56 no.6
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    • pp.333-338
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    • 2018
  • The mouth guard is a device with elasticity to be installed in the oral cavity. It has a function to reduce the trauma in the oral cavity and to protect the teeth and surrounding tissues from trauma. The purpose of mouth guard is to prevent trauma and concussion. It is mandatory to wear a mouthguard in sports where there is a lot of contact and the possibility of trauma or concussion in the mouth area is high. The mouse guard is divided into a stock type, a mouth formed type, and a custom made type according to the manufacturing method. The custom made type is made on the individual dentition model and has excellent retention because of its excellent fit. Also, the effect of trauma prevention is excellent. It is possible to design and adjust by the dentist and reduce the complaint the athlete has about the mouthguard. In this article, the process of making a dentist-customized mouthguard was described.

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Prosthodontic management of worn dentition in pediatric patient with complete overlay dentures: a case report

  • Kumar, Prince;Rastogi, Jyoti;Jain, Chandni;Singh, Harkanwal Preet
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.239-242
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    • 2012
  • Overlay complete dentures are simple, reversible and economical treatment modality for patients with congenital or acquired disorders that severely affect the tooth development. It satisfies both the esthetic and functional demands where the extraction of teeth is not generally indicated. In pediatric patients, the overlay dentures establish a relatively stable occlusion that improves patient's tolerance to the future treatment procedures for worn dentition. This clinical report highlights the imperative need of appropriate treatment strategy and application of maxillary and mandibular overlay dentures in a pediatric patient who suffered from congenitally mutilated and worn dentition.

Experimental brush wear pattern and cariostatic effect of Biscover (Biscover의 잇솔질에 따른 마모양상과 항우식 효과)

  • Oh, Eun-Ju;Park, Song-Soo;Jang, Mun-Ju;Jeon, Young-Mi;Kim, Jong-Ghee
    • The korean journal of orthodontics
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    • v.38 no.3
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    • pp.214-222
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    • 2008
  • Objective: The aim of this study was to investigate the experimental brush wear pattern of a light cured surface sealant, Biscover (Bisco, Schaumburg, IL), and to evaluate its cariostatic effect. Methods: Caries-free human premolars were used for the Biscover coating group (n = 90) and the control group (n = 10). The Biscover coating group was randomly assigned to nine subgroups of 10 each and the control group was assigned to two subgroups of 5 each according to the number of brushing strokes. An experimental 3-body wear test was conducted under different strokes of wear test. Tooth-brushing was accomplished with movement of each brush head set at a frequency of 100 rpm under a force of 1.5N, Surface roughness was tested before, and after Biscover coating, and after brushing. Then, each of the 10 teeth of both groups were placed in artificial caries inducing solution for 7 days. All tooth surfaces were assessed using scanning electron microscopy. Results: Biscover coated surfaces showed a smoother texture than enamel surfaces. The roughness was increased after experimental brushing and after 10,800 brushing strokes, the whole layer of Biscover wore out. However, teeth in the Biscover coating group had a cariostatic effect in cariogenic conditions. Conclusions: We suggest that white lesions in orthodontic patients can be suppressed by topical applications of Biscover.

Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension due to severe wear: a clinical report (심한 마모로 인하여 교합 고경이 감소된 환자의 완전 구강 회복술)

  • Kim, Min-Jung;Kim, Hyeong-Seob;Woo, Yi-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.1
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    • pp.39-46
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    • 2013
  • The loss of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). The collapse of the posterior support will eventually cause the pathologic change of the TMJ and masticatory muscles, unesthetic facial appearance and decreased masticatory function. Patients with destroyed dentition need extensive prosthetic treatments. Proper diagnosis and treatment planning are necessary for the stability of the neuromuscular system and the TMJ, and esthetic and functional definitive restorations. In this case, 63 year-old male presented with decreased masticatory force and esthetic problems due to pathologic destruction of teeth structure on entire dentition. Based on assessment of OVD including intraoral findings, radiographic examination and diagnostic cast, full-mouth rehabilitation with increase of OVD was planned using fixed partial denture and removable partial denture. Diagnostic wax-up was done after 4 mm increase of OVD determined by assessment of OVD. The OVD was maintained with the overlay type removable interim prostheses for 12 weeks to ascertain his comfort and adaptation to the new OVD. After the adaptation period, second interim prostheses with tooth preparation maintaining the established OVD was delivered. After 4 weeks, final prostheses were fabricated and delivered. After 7 month follow-up period, occlusal stability is maintained. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

Full mouth rehabilitation of deep bite patient with segmental osteotomy and orthodontic treatment (분절골절단술과 교정치료를 동반한 과개교합 환자의 완전구강회복 증례)

  • Chu, Seung-Sik;Cho, Woong-Rae;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.26-38
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    • 2015
  • Teeth wear and extrusion of antagonist are commonly observed in deep bite patient having severe vertical and horizontal overlap. These problems cause collapse of occlusal plane and abnormal anterior guidance. Without restoring harmonious occlusion, loss of multiple teeth and decreased masticatory function could not be prevented. To resolve problems associated with deep bite, multidisciplinary treatment including oral surgical, orthodontic and prosthetic treatment should be performed. This clinical report describes the results of increasing occlusal vertical dimension with a full-mouth restoration procedure. The treatment procedures include extraoral and intraoral examination, diagnosis, treatment planning, diagnostic wax-up, segmental osteotomy, orthodontic intrusion and prosthodontic rehabilitation. Full mouth rehabilitation with increasing occlusal vertical dimension can solve esthetic and functional problems.

SEMIDIRECT RESIN INLAY RESTORATION OF POSTERIOR TEETH (반직접법 레진 인레이를 이용한 구치부의 수복)

  • Han, Mi-Ran;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.479-485
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    • 1999
  • Materials for posterior teeth includes amalgam, gold inlay and composite resin inlay. Amalgam and gold inlay have unsatisfyine esthetics. And because they simply obturate the cavity preparation, they do not strengthen the remaining tooth structure. Posterior composite resin has become established in recent years. However, its polymerization shrinkage and insufficient wear resistance were the most undesirable characteristic. The physical and mechanical properties of the composite resin inlay are further improved through heat treatment in an oven. The major part of polymerization contraction of the resin inlay takes place be fore cementation, and possible gap formation is only due to shrinkage of the thin layer of resin cement. With the semidirect technique, the inlay material is placed directly in the prepared tooth, and the primary polymerization is made by light activation with a handhold curing unit. Additional curing may take place extraorally with use of different curing ovens. It provides the patient with the benefits of luted restorations without the procedure of indirect lab-made inlay. I report three successfully treated cases by semidirect resin inlay technique. Entire clinical steps are described in detail with some discussions on the outcome.

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Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report

  • Kim, Min-Su;Yoon, Mi-Jung;Huh, Jung-Bo;Jeon, Young-Chan;Jeong, Chang-Mo
    • The Journal of Advanced Prosthodontics
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    • v.4 no.2
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    • pp.116-120
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    • 2012
  • Various options have been introduced for the selection of implant overdenture attachments. Attachment wear due to the repeated insertion and removal of dentures has caused problems such as decreased retention and the requirement for suprastructure remanufacturing. In these cases, a Locator bar system was applied using the drill and tapping technique to achieve total retrievability. In a 55-year-old female patient who showed three degrees of mobility in most of her teeth due to severe alveolar bone loss, a complete denture in the maxilla and an implant supported type overdenture in the mandible were planned after extracting all the remaining teeth. Six implants were placed from canine region to the distal molar region, and the locator was connected to the milled bar using the drill and tapping technique. For a 61-year-old female edentulous patient who complained of poor retention with old denture, a complete denture in the maxilla and an implant-tissue supported type overdenture in the mandible were planned. Four implants were placed in front of mental foramen, and the Locator was also connected to the Hader bar using the drill and tapping technique. With this technique, female parts can be easily replaced, and retention can be continuously maintained.

Maxillary implant-supported fixed prosthesis engaged by distal-extension removable partial denture for 10 years: a case report (상악의 임플란트 고정성 보철물과 후방연장 국소의치를 이용하여 수복한 10년 경과 관찰 증례)

  • Ryu, Ri;Park, Yeon-Hee;Oh, Won-suk;Lee, Jung-Jin;Park, Ju-mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.121-127
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    • 2020
  • Prosthodontic decision and management should be considered the patient's aesthetic need for anterior teeth in maxillary edentulism. This case report describes 10-year clinical outcome of a maxillary edentulous patient was rehabilitated by means of an implant-supported fixed dental prosthesis (ISFDP) for the anterior region and a distal-extension removable partial denture (RPD) for the posterior region. The ISFDP was designed to splint 4 endosseous implants as one unit and engaged by the RPD. The edentulous mandible was restored by means of an implant-supported overdenture. Over the course, no major adverse event occurred other than wear, discoloration, and breakage of resin veneers and artificial teeth.

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.

A removable partial denture treatment with the Dahl concept applied to a patient with a deep bite (과개교합 환자에서 Dahl concept을 적용한 가철성 보철 치료)

  • Kim, Chang-Hwan;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.110-120
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    • 2020
  • Although not all kinds of deep bite occlusions are considered pathological states, they can cause persistent wear and eruption of the anterior mandibular teeth if the anterior occlusal contact is unstable or accompanied by an occlusal disharmony. The patient was a 72-year-old man with no occlusal contact of the remaining anterior teeth in the centric relation position because of a skeletal class II malocclusion and loss of occlusal support. If the vertical dimension needs to be increased for prosthetic restoration in a patient with a deep bite, the amount of vertical dimension increase must be determined through precise diagnosis. This is because the overjet may increase and cause an unstable occlusion. In this review, we report the case of a patient with a stable occlusion and good treatment results achieved by using a removable partial denture prosthesis and applying the Dahl concept.