• Title/Summary/Keyword: Temporary tooth

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REHABILITATION OF MISSING ANTERIOR TOOTH USING FIBER-REINFORCED COMPOSITE RESIN (Fiber-reinforced composite resin을 이용한 전치부 결손 수복)

  • Park, Heon-Jeong;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.1
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    • pp.62-68
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    • 1999
  • One of the many dilemmas that the clinical restorative dentist must face is treating young adolescent patient who prematurely loses his permanent teeth. Temporary prosthetic replacement can be achieved with removable denture, orthodontic band-wire fixed denture, adhesion bridge, composite resin splint with reinforcing material until the patients go through growth and development. But, all of these have limitations. Advances in restorative materials and reinforcement materials have made possible new techniques which are as much esthetic, conservative and more economic and stronger than adhesion brides. Two cases are being presented where gas-plasma treated, woven polyethylene fabric to reinforce composite resin was used to fabricate a temporary prosthetic restoration to replace a missing maxillary central incisor. This relatively noninvasive and basically reversible procedure allows the patient to decide the final restoration as he or she goes thorough maturation of the hard and soft tissues.

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Internal evaluation of provisional restorations according to the dental CAD/CAM manufacturing method : Three-dimensional superimpositional analysis (치과 CAD/CAM 가공방식에 따른 임시보철물의 내면 적합도 : 3차원 중첩 분석)

  • Kim, Jae-Hong;Kim, Ki-Baek
    • Journal of Technologic Dentistry
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    • v.41 no.2
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    • pp.81-86
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    • 2019
  • Purpose: The purpose of the present study was to compare the internal fit of two different temporary restorations fabricated by dental CAD/CAM system and to evaluate clinical effectiveness. Methods: Composite resin tooth of the maxillary first molar was prepared as occlusal reduction(2.0mm), axial reduction(1mm offset), vertical angle(6 degree) and chamfer margin for a temporary crown and duplicated epoxy die was fabricated. The epoxy dies were used to fabricate provisional restorations by CAD/CAM milling technique or 3D-printing technique. The inner data from all crowns were superimposed on the master die file in the 'best-fit alignment' method using 3D analysis software. Statistical analysis was performed using a Wilcoxon's rank sum test for differences between groups. Results: It showed that the internal RMS(Root Mean Square) values of the additive group were significantly larger than those of other group. No significant differences in internal discrepancies were observed in the temporary crowns among the 2 groups with different manufacturing method. Conclusion: All the groups had the internal fit within the clinical acceptable range (< $50{\mu}m$). The continuous research in the future to be applied clinically for the adaptation of additive manufacturing technique are needed.

Adjunctive orthodontic therapy for prosthodontic treatment (보철치료를 위한 치아 이동)

  • Kook, Yoon-Ah
    • The Journal of the Korean dental association
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    • v.48 no.12
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    • pp.868-879
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    • 2010
  • Adjunctive orthodontic therapy may be required to create appropriate space, to address misalignment and tooth size discrepancy for better function and esthetics. The desired interproximal alveolar contour and gingival embrasure form can be developed during treatment. Various applications of temporary anchorage devices for pre-prosthetic tooth movement allowed clinicians to achieve high efficiency, shorter treatment time, and less discomfort of patient. Biomechanical considerations for the periodontal status of the affected teeth are required to successfully control the vertical and horizontal space. Hence, the interdisciplinary approaches have an essential role in maximizing the favorable treatment outcome. In particular, pivotal Clinical decisions such as whether to open or close the space should be made by consensus of the involved dentists. This article presents the orthodontic treatment approaches for prosthodontic works including mesiodistal and vertical space regaining specially for cases of unrestored teeth over an extended period of time.

Full-mouth rehabilitation with increasing vertical dimension on the patient with severely worn-out dentition and orthognathic surgery history: A case report (악교정수술 병력을 가진 과도한 치아 마모를 보이는 환자의 수직고경 증가를 동반한 전악 수복 증례)

  • Sang-Myeong Tak;Chang-Mo Jeong;Jung-Bo Huh;So-Hyoun Lee;Mi-Jung Yun
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.33-43
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    • 2023
  • Pathological wear across the entire dentition causes problems such as collapsed occlusal plane, reduced vertical dimension, anterior premature contact, inadequate anterior guidance, and tooth migration, thereby induce symptoms such as temporomandibular joint disorder, reduced masticatory efficiency, and tooth hypersensitivity. For the treatment of patients with excessive wear, evaluation of vertical dimension should be preceded along with analysis of the cause. The patient in this case was a 45-year-old female with a history of orthognathic surgery. Through clinical examination, radiographic examination, and model analysis, overall tooth wear, interdental spacing in the anterior maxillary region, retruded condylar position, and insufficient interocclusal space for prosthetic restoration were confirmed. Full mouth rehabilitation with increased vertical dimension was planned, the patient's adaptation to the new vertical dimension was evaluated with a removable occlusal splint and temporary prosthesis, and cross-mounting was performed based on the temporary restoration to fabricate the definitive zirconia prosthesis, maintaining the adjusted vertical dimension. It showed satisfactory functional and esthetic results through stable restoration of the occlusal relationship.

Analysis of deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a DLP printer (DLP 프린터로 출력한 임시의치용 전악 인공치아의 후경화에 따른 변형 분석)

  • Kim, Dong-Yeon;Lee, Gwang-Young
    • Journal of Technologic Dentistry
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    • v.43 no.2
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    • pp.48-55
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    • 2021
  • Purpose: This study aimed to analyze deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a digital light processing (DLP) printer. Methods: An edentulous model was prepared and an occlusal rim was produced. The edentulous model and occlusal rim were scanned using a model scanner. A complete denture was designed using a dental computer-aided design, and the denture base and artificial tooth were separated. Ten complete arch artificial teeth were printed using a 3D printer (DLP). Complete arch artificial teeth was classified into the following three groups: a group no post-curing (NC), a group with 10 minutes post-curing (10M), and a group with 20 minutes post-curing (20M). Specimens were scanned using a model scanner. The scanned data were overlapped with the reference data. Statistical analysis was performed using one-way ANOVA analysis of variance, Kruskal-Wallis test, and Mann-Whitney U test (α=0.05). Results: Regarding the overall deviation of complete arch artificial teeth, the NC group showed the lowest mean deviation of 111.13 ㎛ and the 20M group showed the highest mean deviation of 131.03 ㎛. There were statistically significant differences among the three groups (p<0.05). Conclusion: The complete arch artificial tooth showed deformation due to post-curing. In addition, the largest shrinkage deformation was observed at 10 minutes of post-curing, whereas the least deformation was observed at 20 minutes.

Decoronation and implant restoration of ankylosed tooth resulted from anterior avulsion: A case report (전치부 탈구로 인한 유착치의 치관절제술 및 임플란트 수복 증례)

  • Hyeon Kim;Eunsu Lee;Woohyung Jang;Hyun-Pil Lim;Sangwon Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.26-32
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    • 2023
  • Dental trauma is common in active children and adolescents. Among them, in the case of ankylosis due to avulsion, diagnosis through clinical examination is important, and the treatment is important for esthetic prosthetic restoration after adulthood. This case is a case of esthetic prosthetic restoration of maxillary anterior teeth through decoronation and implant. After that, space was maintained for prosthetic restoration using a decoronated crown. After becoming an adult, precise implant placement and esthetic prosthetic restoration were possible using guide surgery. For soft tissue support, the temporary crown were replaced by changing the contours of the temporary crown, and the final esthetic prosthesis was fabricated by digital wax-up.

MANAGEMENT OF INFRAOCCLUDED MANDIBULAR SECOND PRIMARY MOLARS: CASE REPORT (저위교합된 제 2유구치에 대한 치험례)

  • Kwak, So-Youn;Park, Ki-Tae;Kim, Ji-Yeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.3
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    • pp.475-480
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    • 2009
  • An infraoccluded tooth is a tooth that has failed to erupt to be in line with adjacent teeth in the vertical plane of occlusion. Multiple complications can occur as a result of an infraoccluded tooth. Tipping of neighboring teeth, loss of space opposing teeth elongation, increased susceptibility to dental caries and abnormal eruption path, impaction and rotation of permanent successor are the consequences of infraocclusion of primary molar. Therefore, early diagnosis and treatment is the key to prevent the complications. Treatment options can be periodic follow-up, temporary restoration or extraction of the infraoccluded tooth depending on the presence of the successor, the extent of infraocclusion and the extent of tilting of the neighboring teeth. The infraoccluded primary molars with permanent successors present tend to exfoliate normally. However, failure to do periodic check up of the infraoccluded teeth may lead to serious complications. In these cases, surgical extractions are often necessary after space regaining and space maintainers should be placed until the eruption of the permanent successors are completed.

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Full mouth rehabilitation of a patient with severe tooth erosion with a digital crown lengthening guide (심한 부식 환자의 디지털 치관연장술 가이드를 이용한 전악 수복 증례)

  • Park, Yunjae;Hong, Seoung-Jin;Paek, Janghyun;Pae, Ahran;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.280-287
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    • 2019
  • In the oral cavity, the teeth undergo wear and corrosion throughout their lives. Progressive and constant tooth wear is a natural phenomenon of aging, but wear and corrosion due to specific factors are pathological factors. It can cause pathological damage of the occlusal surface, aesthetic problems, dimensional loss and jaw joint disorders. This case is a 26-year-old female patient with general tooth abrasion and erosion on the entire dentition. Diagnostic wax-up was fabricated based on the information including digital facial analysis, physiological stabilization, and evaluation of anterior crown length. Through the digital analysis, the necessary guides for crown lengthening were prepared and the mastication function and esthetics were evaluated by using temporary crowns. Definitive prosthesis was fabricated with the zirconia restorations. The results were satisfactory when they were observed 3 months of follow-up.

A STUDY ON THE SEALING PROPERTIES OF TEMPORARY FILLING MATERIALS USED IN ENDODONTICS (근관치료시 사용되는 수종 임시충전재의 변연 폐쇄효과에 관한 연구)

  • Yoo, Hyun-Mee;Kwon, Hyuk-Choon
    • Restorative Dentistry and Endodontics
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    • v.16 no.2
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    • pp.33-42
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    • 1991
  • The purpose of this study was to evaluate the sealing properties of the temporary filling materials used in endodontic treatment Access cavities were prepared in 135 extracted human molar teeth. Then, cotton pellets were placed in the pulp chamber until the depth of 5 mm for the temporary filling materials; Caviton, zine oxide-eugenol, double sealing (A) (stopping 15 mm + zinc oxide - eugenol, 3.5mm ) double sealing (B) (stopping 3.0 mm + zinc oxide - eugenol 2.0 mm) and gutta percha stopping. After filling the materials, the teeth were immersed in 1 % methylene blue solutions for 3 days, 1 week and 2 weeks. Then thermal cycling was performed at the temperature of $60^{\circ}C$ and $4^{\circ}C$, followed by longitudinal sections on the center of tooth. Finally, staining on the cotton pellet was evaluated. The following results were obtained. 1. Stopping showed lower marginal sealing quality than Caviton, zinc oxide - eugenol and double sealing. 2. In 1 week group, Caviton showed higher marginal sealing quality than zinc oxide-eugenol, double sealing and stopping. 3. Caviton and double sealing (B) showed a great decrease in marginal sealing quality with the increse of time. 4. Caviton had high marginal sealing quality in 3 day group and 1 week group, but in 2 week group, Caviton showed a great decrease. 5. Double sealing (B) showed fairly high marginal sealing quality in 3 day group, but decreased greatly after 1 week on.

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Full mouth rehabilitation with vertical dimension elevation in the patient with severely worn dentition: case report (과도한 치아 마모 환자에서 수직고경 증가를 동반한 전악 수복 증례)

  • Lee, Eun-Jee;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.4
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    • pp.315-323
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    • 2014
  • Excessive teeth abrasion causes pathologic changes of oral environment and masticatory system due to decrease in occlusal vertical dimension. When establishing new occlusal plane and recovering vertical dimension, accurate diagnosis and analysis are essential. In this case, after appropriate centric relation in elevated vertical dimension was taken using Gothic arch tracer, full mouth rehabilitation was performed. A 70-year-old male patient had the chief complaint that he could not eat due to teeth wear. He showed generalized teeth wear and decreased vertical dimension. Elevation of vertical dimension was planned by model analysis. According to increased vertical dimension, centric relation was recorded using Gothic arch tracer and temporary prostheses were applied. Appropriate occlusion was established by temporary prostheses for 4 months. Final prostheses were fabricated using vertical dimension adapted by temporary prostheses. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.