• Journal of Dental Rehabilitation and Applied Science
• /
• v.20 no.2
• /
• pp.135-141
• /
• 2004

Statement of problem: Arrangement and angulation of clinical crown is very important for esthetic restoration in the upper anterior dentition. However, there was no clinical criteria to mesial angulation of the crown for Korean. Purpose: This study was undertaken to estimate the mesial angulation of the crown of the anterior teeth and the Oh's E-triangle made of the inter-pupillary line and the mesial inclination lines of the canines. Material and Method: 270 portraits of Korean were used for this study. The mesial angulation of the upper anterior teeth and the relationship of the inter-pupillary line and the mesial inclination lines of the canines were measured with the tools of PhotoShop software on the scanned images. Results: The angulation between the clinical crowns having a same name in the upper anterior dentition were $3.6^{\circ}$ between the central incisors, $8.6^{\circ}$ between the lateral incisors, and $13.6^{\circ}$ between the canines. There was no significance according to occupation and gender( P > 0.05). The ratio of height to base line of Oh's E-triangle was 4.47. 81.6% of the subjects showed the mesial inclination line of the canine passed by mesial border area of pupil. Conclusion: These data for Korean would be useful clinically to give the esthetic arrangement and to make the contour of upper anterior teeth.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.30 no.2
• /
• pp.192-198
• /
• 2014

This case is a porcelain laminate veneer (PLV) and all-ceramic crown treatment case on a female patient in her thirties who visited for esthetic improvement. The patient's chief complaint was protrusive and uneven anterior teeth, and she wanted minimum tooth reduction. The patient was in skeletal class II deep bite. Considering this, check bite method was used for mounting on articulator during diagnostic wax-up. Tooth reduction was done using mock-up base on diagnostic wax-up, and the amount of deletion was checked by index. For the accordance of shade, PLVs were restored in prior to all ceramic crown. After using all-ceramic crown, satisfactory esthetic improvement was obtained.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.5 no.2
• /
• pp.87-91
• /
• 2009

The purpose of this study were to investigate the chief complain and dental treatment needs in handicapped patient. This study examines treatment records of 1025 patients in free dental clinic for handicapped patients during 10 years from 1999 to 2008. The results were as follows : 5.8 average visit per patient; mean patient age was 25; 544 patients was younger than 20. Handicapped patients classified according to types of disability. Crippled disorder were 19.1%, brain disorder were 4.5%, visual disorder were 3.1%, auditory disorder were 4.1%, speech disorder were 0.9%, mental retardation were 67.1%, and developmental disorder were 25.1%. Performed treatments were 322 scaling, 13 fluoride varnish, 727 preventive resin restoration, 1296 resin restoration, 600 amalgam restoration, 46 GI restoration, 612 extraction, 289 pulp treatment of primary teeth, 75 pulp treatment of permanent teeth and 138 stainless steel crown restoration. Many handicapped patients have some difficulty to dental treatment. They have limited access to dental care, which is compounded by a shortage of skilled dental professionals who are willing to treat these population and financial problems.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.26 no.3
• /
• pp.528-537
• /
• 1999

The purpose of this study was to analyze and compare the bond strengths between stainless steel plate and zinc phosphate cement, polycarboxylate cement and glass ionomer cement, which are frequently used for cementation of stainless steel crowns. Three cementing materials were glued to the poles standing above stainless steel plate, bovine teeth, light cured glass ionomer restorative material and amalgam. And the tensile bond strengths between them were measured with universal testing machine and the results were statistically processed using ANOVA and Student t-test. The obtained results were as follows : 1. On stainless steel plate, glass ionomer cement and polycarboxylate cement showed higher tensile bond strengths compared to zinc phosphate cement, with no significant difference between the former two. 2. On the surface of bovine teeth and glass ionomer restorative material, glass ionomer cement showed highest bond strength, followed by polycarboxylate cement and zinc phosphate cement in order. 3. For amalgam restoration, polycarboxylate cement and glass ionomer cement showed higher tensile bond strengths than zinc phosphate cement, with no significant difference between the former two.

• The Journal of Korean Academy of Prosthodontics
• /
• v.50 no.4
• /
• pp.324-329
• /
• 2012

Excessive tooth wear causes loss of tooth structure, disharmony of occlusal plane, functional and esthetic problems. Although the decrease of occlusal vertical dimension may be compensated by growth of alveolar bone, if the length of tooth is not enough for the retention of restoration, minimum increase of occlusal vertical dimension is required without discomfort of the patient. In this case, 33-year-old woman drinks more than 1 liter of soft drinks a day and has bruxism in night time, visited in Seoul National University Dental Hospital with chief complaint of generalized tooth wear and related esthetic and functional problems. It was considered as a loss of occlusal vertical dimension based on the accelerated tooth wear caused by erosion and bruxism and facial appearance, phonetic, esthetic, functional evaluations. It was planned to raise occlusal vertical dimension by provisional restoration two times for patient's adaptation, 3 mm and 2 mm each, total 5 mm. Confirming no discomfort and clinical symptom during total 16 weeks after restoration with provisional fixed restoration, it was restored with porcelain fused to gold crown and bridge. Because the patient was young woman, anterior teeth were restored with collarless porcelain fused to gold crown. This case presents that satisfactory esthetic and functional result by full mouth rehabilitation with increase of occlusal vertical dimension.

• The Journal of Korean Academy of Prosthodontics
• /
• v.49 no.1
• /
• pp.80-86
• /
• 2011

When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.

• The Journal of Advanced Prosthodontics
• /
• v.3 no.3
• /
• pp.113-118
• /
• 2011

PURPOSE. The objective of the present study was to evaluate the effect of five different metal framework designs on the fracture resistance of the metal-ceramic restorations. MATERIALS AND METHODS. For the purpose of this study, the central incisor tooth was prepared, and the metal analogue of it and a master die were fabricated. The counter die with the 0.5 mm clearance was used for fabricating the wax patterns for the metal copings. The metal copings with five different metal framework designs were designed from Group 1 to 5. Group 1 with the metal collar, Group 2, 3, 4 and 5 with 0 mm, 0.5 mm, 1 mm and 1.5 mm cervical metal reduction respectively were fabricated. Total of fifty metal ceramic crown samples were fabricated. The fracture resistance was evaluated with the Universal Testing Machine (Instron model No 1011, UK). The basic data was subjected to statistical analysis by ANOVA and Student's t-test. RESULTS. Results revealed that the fracture resistance ranged from 651.2 to 993.6 N/$m^2$. Group 1 showed the maximum and Group 5 showed the least value. CONCLUSION. The maximum load required to fracture the test specimens even in the groups without the metal collar was found to be exceeding the occlusal forces. Therefore, the metal frameworks with 0.5 mm and 1 mm short of the finish line are recommended for anterior metal ceramic restoration having adequate fracture resistance.

• Journal of the Korean Society of Environmental Restoration Technology
• /
• v.11 no.3
• /
• pp.20-27
• /
• 2008

This study was conducted to investigate the influence of thinning and pruning on characteristics of forest stand, mesopore ratio and soil water content at the Pinus koraiensis stands in Gwangneung, Gyeonggido. The Pinus koraiensis had been planted in 1976 and thinning and pruning were carried out in 1996. A sample area survey was conducted at experimental plots (thinned and unthinned) in 1998 and 2005, and mesopore ratio and soil water content have been monitored from 2000 to present. Average tree height of the thinned plot increased from 10.9m to 13.2m and from 10.3m to 12.8m for the unthinned plot. Average D.B.H of the thinned plot increased from 15.9cm to 21.1cm and from 14.5cm to 16.7cm for the unthinned plot during the period 1998-2005. Crown density at the thinned plot increased from 81.5% to 95.0% and from 89.5% to 95.0% for the unthinned plot during the period 1998-2005. Mesopore ratio (pF2.7) of A layer soil at the thinned plot was 40.1% while that of the unthinned plot was 37.3%. Changes of mesopore ratio at unthinned plot were not associated with stand age, but those at thinned plot had increased and then decreased, showing declining of the practice effect. Average soil water content at the thinned plot were 23.7% and 22.4% for the unthinned plot. Soil watercontents at both plots have been increased with increase in stand age. But the difference of soil watercontent at each plot has been decreased, especially at the depth of 10cm.

• The Journal of Korean Academy of Prosthodontics
• /
• v.59 no.3
• /
• pp.341-349
• /
• 2021

The evaluation of occlusion using digital methods is easier and simpler in terms of recording, comparison, analysis, and objectivity compared to existing methods such as articulating paper and occlusion foil. The purpose of this case report was utilizing the digital method for evaluating occlusion. The occlusion of patient requiring full veneer crown restoration was evaluated using an intraoral scanner (i500, Medit, Seoul, Korea) at every visit. The occlusion was also assessed using conventional articulating paper and a digital occlusal analysis system (Dental prescale II, GC corp., Tokyo, Japan) for comparison. Throughout the treatment process, the intraoral scanner and the conventional articulating paper method showed similar outcomes. The results suggest that the use of digital evaluation system is highly probable in the near future.

• The Journal of Korean Academy of Prosthodontics
• /
• v.54 no.3
• /
• pp.234-238
• /
• 2016

Purpose: Increasing use of computer aided design-computer aided manufacturing (CAD-CAM) system and number of design software made design of restoration easy and quick. Outcome of restoration has been dependent on dental technician's wax up proficiency, dentists can design restoration for themselves now. This study aims to investigate the outcome of restoration designs, according to handling skill of CAD-CAM design tool. Materials and methods: A patient's mandibular right 1st molar was prepared. After taking impression, stone model was made, scanned the stone model with 3 shape intra-oral scanner, stereolithography (STL) file was extracted. With 3shape dental designer, one dental technician with more than 5 years work experience (designer 0) and three dental technicians with less than 2years work experience (designer 1, 2, 3-group DT) and 4 1st year residents (designer 4, 5, 6, 7-group RT) designed gold crown on the same STL file. Designed crown's MD (mesio-distal) and BL (bucco-lingual) diameter, height of crown, inter-cuspal distance, number of occlusal contact points were compared. Statistical analysis was carried out, test of normality within each group, using independent t-test. Number of contact points were compared, using Wilcoxon signed-rank test. Results: There was no significant difference between group DT and group RT. Number of contact points also resulted in no significant difference. Conclusion: The outcome of each designed crowns showed no statistical differences, in values which can be expressed as numbers. Subjective factors were different. With increasing proficiency in handling designing software, fabrication of restorations according to each designer's occlusal concept can be made easy.