• Title/Summary/Keyword: crown restoration

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- Aesthetic Restoration of the Gingival Recession with All-ceramic Partial Crown - (전치부 ALL-CERAMIC PARTIAL CROWN 의 임상)

  • Do, Hyang-Ju;Im, Ui-Bin;O, Ji-Yeon;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.11 no.1
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    • pp.11-15
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    • 2002
  • The black triangle is a common clinical finding in aged people with gingival recessions. Among other prosthetic treatment molalities such as composite resin filling and laminate venners, the all ceramic restoration procedure can lead to most successful result. With improved bonding strength and ceramic properties, the tooth preparation design for all-ceramic crown can be modified to minimize the reduction of sound tooth structure without loosing properties of conventional preparation design. Case selection is an important factor in acheiving succesful prosthesis. In this case report, the leucite reinforced pressable ceramic, $Authentic^{TM}$ [Ceramay, Germany] was used to fabricate the prosthesis.

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THE STUDY ON THE COLOR STABILITY OF RESIN CEMENT USED IN ALL CERAMIC CROWN (전부도재관에 사용되는 레진시멘트의 색안정성에 관한 연구)

  • Lee Tae-Hee;Lee Young-Soo;Park Won-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.1
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    • pp.41-48
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    • 2004
  • Statement of problem : The Cement as well as restoration required esthetics for making natural color restoration. Purpose : The purpose of this research is to evaluate color stability of restoration intermediated by resin cement which is used for cementation of all ceramic crown. Material and method : After making Empress 2 ingot into the size of $10mm{\times}10mm{\times}1mm$ according to indication, it glazed and made 48 Empress 2 blocks. Three kinds of resin cement(Rely-X, Variolink 2, Choice) having same shade cemented between Empress 2 blocks and Ivory shade tiles and made 48 specimens in the thickness of $30{\mu}m$ and $80{\mu}m$. After measureing color difference using spectorphotomenter, the result of this study were as follows. Results : The color difference of resin cement used in experiment increased in the order Rely-X, Variolink 2. As the thickness of cement increases, the color difference of all kinds of cement found statistically sifnificant difference but, this result is clinically acceptable. Conclusion : More resarch would have to be done in order to decrease the color difference as cement's thickness.

Management of large class II lesions in molars: how to restore and when to perform surgical crown lengthening?

  • Dablanca-Blanco, Ana Belen;Blanco-Carrion, Juan;Martin-Biedma, Benjamin;Varela-Patino, Purificacion;Bello-Castro, Alba;Castelo-Baz, Pablo
    • Restorative Dentistry and Endodontics
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    • v.42 no.3
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    • pp.240-252
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    • 2017
  • The restoration of endodontic tooth is always a challenge for the clinician, not only due to excessive loss of tooth structure but also invasion of the biological width due to large decayed lesions. In this paper, the 7 most common clinical scenarios in molars with class II lesions ever deeper were examined. This includes both the type of restoration (direct or indirect) and the management of the cavity margin, such as the need for deep margin elevation (DME) or crown lengthening. It is necessary to have the DME when the healthy tooth remnant is in the sulcus or at the epithelium level. For caries that reaches the connective tissue or the bone crest, crown lengthening is required. Endocrowns are a good treatment option in the endodontically treated tooth when the loss of structure is advanced.

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.

Colorimetric Analysis of Preformed Zirconia Anterior Crowns for Esthetic Restoration (심미수복용 기성 지르코니아 크라운의 색조 평가)

  • Lee, Changkeun;Park, Kibong;Yang, Yeonmi;Lee, Daewoo;Kim, Jaegon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.3
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    • pp.318-327
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    • 2019
  • The purpose of this study was to identify which combination of zirconia crowns and cements is most similar in color to the maxillary primary incisors by varying the color of zirconia crowns, crown thickness, and shade of cements. Prefabricated zirconia crowns in 3 shades and crowns fabricated using 6 types of zirconia blocks were used in this study. These were filled with A2-shade or translucent-shade resin cement and the $L^*$, $a^*$, and $b^*$ values were calculated using a spectrophotometer. The color differences between the natural teeth and the zirconia crowns were assessed. The shade of the final restoration was more similar to that of the natural teeth using A2-shade than translucent-shade resin cement. Application of A2-shade cement to a 0.5-mm-thick crown fabricated from a smile series 2 zirconia block resulted in the color most similar to that of the natural teeth. A2-shade resin cement is recommended for zirconia crown restoration in anterior primary teeth compared to TR-shade resin cement for more esthetic restoration. Since restorations with Nu-smile zirconia crowns were not esthetically favorable in terms of shade, improvement of the shade characteristics of the product or development of a new kind of zirconia crown is required.

FULL COVERAGE RESTORATION OF PRIMARY ANTERIOR TEETH : A CASE REPORT (유전치의 전장피개수복 : 증례보고)

  • Hong, Kee-Sang;Jang, Ki-Taeg;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.2
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    • pp.240-247
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    • 1999
  • Primary anterior teeth requiring extensive restorative therapy due to caries, trauma or developmental defects can present a particularly challenging problem for the pediatric dentist. The ideal restorative technique would combine strength, durability esthetics and efficiency in placement. Couple these concerns with the technical difficulties of operating on children with behavior management problems, and the dentist is left with the difficult task of choosing from a variety of restorative options. Restorative modalities currently in use to treat primary anterior teeth include bonding with composite resin as in celluloid strip crowns, conventional stainless steel crowns, open-faced stainless steel crowns, commercially and chairside veneered stainless steel crowns and epoxy-coated stainless steel crowns. Each of these techniques presents technical, functional or esthetic compromises that complicate their efficient and effective usage. This is a report of the results obtained at the Department of Pediatric Dentistry, College of Dentistry Seoul National University, through the use of these various methods of treating primary anterior teeth.

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Esthetic reconstruction of upper central incisor using immediate Frialit-2 implant placement, immediate temporary crown fabrication and IPS Empress 2 crown (즉시 Frialit-2 implant 식립, 즉시 임시치관 제작 그리고 IPS Empress 2 crown을 이용한 상악중절치의 심미적 수복)

  • Kim, Yu-Lee;Oh, Sang-Chun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.1
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    • pp.43-48
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    • 2003
  • During the past several years, significant advances have occurred in the utilization of osseointegrated implants for the treatment of partially edentulous patients. One of the biggest purposes for treating of these patients is the high demand for improved esthetics, especially in the anterior region. For this esthetics, the new trend in dental implants is the immediate placement and immediate superstructure fabrication. The refined surgical technique, the skillful soft tissue management, and the proper prosthetic coordination are the main factors to achieve natural looking of implant supported prosthesis. The customized provisional restoration and the customized impression coping are recommended for the optimal peri-implant soft tissue contour. The basic concept of Frialit 2 system was the immediate replacement of a tooth with root-analog fixture after extraction. This system guarantees an ideal result in function and esthetics. The ceramic abutment system offers improved quality in the respect of esthetics, fitness, translucency, and biocompatibility. In this clinical report, the final restoration made with IPS Empress 2 crown on the CeraBase abutmen of Frialit 2 system allowed the reproduction of the natural vitality of tooth and adjacent gingiva.

A METHOD OF CAST CROWN RESTORATION FOR EXISTING PARTIAL DENTURE CLASP AND A CASE REPORT OF IT (기존 Clasp에 적합한 주조 금관 형성법과 임상응용 1 예)

  • Lee, Ho-Yong;Chung, Moon-Kyu;Kim, Chong-Youl
    • The Journal of the Korean dental association
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    • v.16 no.2 s.105
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    • pp.123-128
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    • 1978
  • Sometimes in clinic, we have found that cast crown construction is necessary to fit the existing partial denture clasp, when the abutment is involved with caries, a failing restoration, periodontal disease, or fracture. This is important not only to protect the abutment tooth from missing, but to restore retention, bracing and support for partial denture. For constructing the cast crown, several methods have been reported by many of previous authors. The number of techniques reported during the past are ideal but have uncertain results However, with more improved and practical technic developed by me, the problem becomes more successful. One method in which does not need the laboratory technecian is the wax pattern has been made in chairside waxing by doctor himself. The other in which requires the laboratory technician is to use special impression method and articulator for laboratory waxing. In one case of the reported here, we have successful results in restoring the abutment with cast crown for original denture clasp.

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STRESS ANALYSIS OF VARIOUS ESTHETIC RESTORATIONS BY FINITE ELEMENT METHOD (유한 요소법을 이용한 수종 심미 수복물의 응력 분석)

  • Jo, Jin-Hee;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.2
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    • pp.129-145
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    • 1991
  • The purpose of this study was to analyze the stresses and displacements of various esthetic restorations and abutment teeth. The finite element models of central incisor were divided into four groups according to the types of restoration. Three load cases were applied; 1) 45 degrees on the incisal edge, 2) horizontal force on the labial surface, and 3) 26 degrees diagonally on the lingual surface. Material property, geometry, and load conditions of each model were inputed to the two dimensional finite element program and stresses and displacements were analyzed. Results were as follows; 1. In the cases of porcelain fused gold ann and porcelain laminate venner, stresses were equally distributed in supporting abutment tooth. 2. The metal coping of porcelain fused gold u and collarless porcelain fused gold crown functioned as a good stress distributor. 3. When the horizontal load applied, the highest tensile and compressive stresses were seen in the cervical margin of restoration and the dentin of the abutment tooth. 4. The highest displacement of restoration was seen when load was applied at an mee of 26 degrees diagonally in lingual surface of tooth in centric occlusion. 5. The influence of loading direction on the stresses and displacements in the restoration was greater than that of various design. 6. The possibility of fracture was highest in porcelain jacket crown.

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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.