• Title/Summary/Keyword: crown restoration

Search Result 306, Processing Time 0.022 seconds

DENTAL TREATMENT UNDER GENERAL ANESTHESIA IN A PATIENT WITH LOWE SYNDROME : A CASE REPORT (로웨 증후군 환아의 치아우식 치료 증례 보고)

  • Ryu, Jiyeon;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Chong-Chul;Lee, Sang-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
    • /
    • v.12 no.2
    • /
    • pp.82-86
    • /
    • 2016
  • Lowe syndrome is X-linked gene disorder, characterized by cataracts, renal dysfunction and brain abnormalities. Oral healthcare of young patients with Lowe syndrome could be easily neglected due to the uncooperative behavior or other systemic condition of the child. We are presenting a case of successful treatment under general anesthesia with uncooperative child with Lowe syndrome. A 3-year old boy with Lowe syndrome visited Seoul National University Dental Hospital for multiple caries. He had been suffering from congenital cataract, medullary nephrocalcinosis and hypotonia. Multiple caries were observed from clinical and radiographic examination. Concerning behavior management problem and possibility of aspiration due to hypotonia, dental treatment under general anesthesia was planned. Left upper primary first molar was extracted to prevent further infection. Other teeth were treated with Stainless steel crown or composite resin restoration based upon the extent and the severity of dental caries. Under general anesthesia, dental procedure was carried out successfully and safely. Considering uncooperative behavior and other medical conditions of the patient, general anesthesia could be effective. Home oral care and periodic visit to dental clinic should be emphasized to the caregiver of patient with Lowe syndrome, considering the susceptibility of dental caries and other oral manifestation.

THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF STRESS DISTRIBUTION IN PORCELAIN LAMINATE VENEERS WITH VARIOUS AMOUNTS OF INCISAL COVERAGE AND TYPES OF INCISAL FINISH LINE UNDER TWO LOADING CONDITIONS (절단피개량과 절단변연형태 및 하중각도가 도재라미네이트 베니어 내의 응력분포에 미치는 영향에 관한 삼차원 유한요소법적 연구)

  • Ryoo, Kyung-Hee;Lee, Sun-Hyung;Yang, Jae-Ho;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.37 no.2
    • /
    • pp.143-166
    • /
    • 1999
  • The success of porcelain laminate veneer depends on the bond strength between tooth structure and ceramic restoration and the design of tooth preparation. In particular, incisal coverage and incisal finish line are the two most important factors in long-term fracture resistance. Although the majority of clinicians are practicing incisal coverage and there are various opinions on the geo-metrical ratio between the clinical crown length of the remaining tooth structure and the length of incisal extension in porcelain laminate veneer and the optimal incisal finish lines. scientific evidence still loaves much to be desired. The purpose of this study was to determine the effects of the amounts of incisal coverage and the types of incisal finish line on the stress distribution in maxillary anterior porcelain laminate veneers under two different loading conditions. Three-dimensional finite element models of a maxillary anterior porcelain veneer with differ-ent amounts of incisal coverage ; 0, 1, 2, and 3mm and different incisal finish lines feathered edge, incisal bevel, reverse bevel and lingual chamfer with various amounts of lingual extension were developed. 300N force was applied at the point 0.5mm cervical of the linguoincisal edge in two loading conditions ; A) 125 degrees, B) 132 degrees. Tensile and compressive stress in ceramic and shear stress in the resin cement layer were analyzed using three-dimensional finite element method. The results were as follows : 1. The types of incisal finish line had more influence on the stress distribution in porcelain laminate veneer than the amounts of incisal coverage. 2. In case of no incisal coverage, incisal beveled laminate exhibited more evenly distributed tensile stress than feathered edged laminate. And in case of incisal coverage, reverse beveled laminate and lingual chamfered laminate with 1mm lingual extension exhibited more evenly distributed tensile stress than lingual chamfered laminates with 2mm and 3mm lingual extension. 3. As long as the lingual chamfer goes, less tensile stress was found at the incisal edge, while much more tensile stress was found at the lingual margin area in proportion to the length of lingual extension. 4. Under 125 degree load, tensile stress in porcelain laminate veneer had increased compared with that under 132 degree load and the difference exhibited by the change of the amount of tooth support was larger. 5. The types of incisal finish line and the distance from the incisal finish line to the loading point had more influence on the shear stress distribution in the resin cement layer than the amounts of incisal coverage. In contrast loading condition had little influence.

  • PDF

THE STUDY ABOUT THE MARGINAL FIT OF THE CASTING TITANIUM AND MACHINE-MILLED TITANIUM COPINGS (주조티타늄과 기계절삭티타늄 코핑의 변연적합성에 관한 연구)

  • Oh Su-Yeon;Vang Mong-Sook;Yang Hong-So;Park Sang-Won;Park Ha-Ok
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.44 no.1
    • /
    • pp.20-28
    • /
    • 2006
  • Statement of problem: The titanium has advantages of a high biocompatibility, a corrosion resistence, low density, and cheep price, so it is focused as a substituted alloy But it is quite difficult to cast with the tranditional method due to the high melting point, reacivity with element at, elevated temperature. By using the CAD-CAM system for the crown construction, it is possible to reduce the errors while proceeding the wax-up, investing, and casting procedure Purpose: The purposes of this study were to measure the marginal adaptation of the casting titanium coping and machine-milled titanium coping according to the casting methods and the marginal configurations. Material and method: The marginal configurations were used chamfer shoulder, and beveled shoulder. The total 30 copings were used, and these are divided into 6 groups according to the manufacturing method and marginal configuration. The gap between margin of the model and the restoration was measured with 3-dimensional measuring microscope. Results: The following results were obtained; 1. casting gold coping demonstrated the best marginal seal, followed by casting titanium coping finally machine-milled titanium copings. 2. In casting titanium coping, chamfer demonstrated the best marginal seal, followed by shoulder and beveled shoulder. There was no significantly difference in shoulder and beveled shoulder. But all margin form has clinically acceptable 3. In machine-milled titanium copings, chamfer demonstrated the best marginal seal, followed by shoulder and beveled shoulder. Beveled shoulder show large and uneven marginal gap Conclusions: Above result revealed that marginal adaptation of the titanim coping is avail able in the clinical range, it can be used as an alternative metal and it is prefered especially in chamfer or shoulder margin during implant superstructure fabrication. But there should be more research on machine-milled titanium in order to use it in the clinics.

Change Detection of Damaged Area and Burn Severity due to Heat Damage from Gangwon Large Fire Area in 2019 (2019년 강원도 대형산불지역의 열해 피해로 인한 피해강도 변화 탐색)

  • Won, Myoungsoo;Jang, Keunchang;Yoon, Sukhee;Lee, HoonTaek
    • Korean Journal of Remote Sensing
    • /
    • v.35 no.6_2
    • /
    • pp.1083-1093
    • /
    • 2019
  • The purpose of this study is to detect the burned area change by direct burning of tree canopies and post-fire mortality of trees via analyzing satellite imageries from the Korea multi-purpose satellite-2 and -3 (KOMPSAT-2 and -3) for two large-fires over the Goseong-Sokcho and Gangneung-Donghae regions in April 2019. For each case, the burned area was compared between two dates: the day when the fire occurred and 15-18 days after it. As the results, within these two dates, there was no substantial difference in burned area of sites whose severities were marked as "Extreme", but sites with "High" and "Low" severities showed significant differences in burned area between the two dates. These differences were resulted from the lagged post-fire browning of canopies which was detected by images from in-situ observation,satellite, and the unmanned aerial vehicle. The post-fire browning started after 3-4 days and became apparent after 10-15 days. This study offers information about the timing to quantify the burned area by large fire and about the mechanism of post-fire mortality. Also, the findings can support policy makers in planning the restoration of the damaged areas.

Ecological Characteristic of Abies koreana Stand Structure of Mt. Jirisan and Mt. Hallasan (지리산과 한라산의 구상나무 임분 구조의 생태적 특성)

  • Song, Ju Hyeon;Han, Sang Hak;Lee, Sang Hun;Yun, Chung Weon
    • Journal of Korean Society of Forest Science
    • /
    • v.110 no.4
    • /
    • pp.590-600
    • /
    • 2021
  • This study compared the stand structure of Abies koreana forests between Mt. Jirisan and Mt. Hallasan by analyzing DBH distribution, stem vitality, crown structure, importance value, species diversity, and DCA. The data were acquired through the national long-term ecological research project conducted by the Ministry of Environment. In the comparison of DBH class distribution, the stem density of A. koreana with DBH < 20 cm was higher in Mt. Hallasan than that in Mt. Jirisan; however, the stem density of A. koreana with DBH > 20 cm was higher in Mt. Jirisan than that in Mt. Hallasan. For A. koreana stem vitality, the ratio of alive standing was higher in Mt. Jirisan (72.0%) than in Mt. Hallasan (60.7%), whereas the ratio of alive leaning was higher in Mt. Hallasan (10.2%) than in Mt. Jirisan (1.1%). A. koreana stand in Mt. Jirisan was a mature stand with four evenly developed and distinct layers, whereas the tree layer in Mt. Hallasan was less than 10 m and the stand had three layers without a subtree layer. Mt. Hallasan's importance value of A. koreana was 39.4% higher than Mt. Jirisan's importance value of 26.6%. The species diversity of the A. koreana community of Mt. Jirisan was 2.52 times higher than that of Mt. Hallasan, which was 1.58. DCA results revealed that the average distance between Mt. Jirisan and Mt. Hallasan was relatively distinguished, and the degree of scattering of species composition of Mt. Jirisan was relatively dense compared with that of Mt. Hallasan.

Conversion of implant overdenture to an implant assisted removable partial denture in maxilla: case report (상악 임플란트 피개의치에서 임플란트 보조 국소의치로의 전환: 증례보고)

  • Seong-Soo Cho;Min-Gyu Song;Yoon-Hyuk Huh;Chan-Jin Park;Lee-Ra Cho;Kyung-Ho Ko
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.62 no.1
    • /
    • pp.54-63
    • /
    • 2024
  • The long-term use of an implant overdenture shows problems, such as wear of attachment, concentrated occlusal forces on the anterior teeth, fracture of artificial teeth and rotation of denture. By transitioning to an Implant-assisted removable partial denture (IARPD) using additional implant placement, the problems can be solved. In this case report, a transition was made from implant overdenture to IARPD utilizing surveyed crowns to distribute occlusal forces concentrated on anterior teeth and to prevent denture rotation in a skeletal Class III patient. Design of definitive prosthesis with appropriate function and aesthetics was determined through several stages of provisional restorations. In this case, appropriate posterior occlusion and maintenance of peri-implant bone level of definitive prosthesis were observed.

Implant-assisted removable partial denture restoration in small number of residual teeth in mandible: A case report (하악 소수 잔존치 환자에서 임플란트 보조 국소의치 수복 증례)

  • Jong-Ha Park;Jee-Hwan Kim
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.62 no.3
    • /
    • pp.215-223
    • /
    • 2024
  • The patient in this case presented with a desire to have new dentures due to discomfort with existing ones. At the initial visit, all of teeth were missing except for the mandibular left second molar. As the patient was 65 years old, treatment with dentures and implant-supported prostheses was possible under the national health insurance system, and the patient opted for the mandibular denture using implant. Temporary prostheses were initially provided for patient adaptation, and following successful adaptation period, the treatment progressed. A maxillary complete denture and a mandibular implant-supported denture using two implants in the canines were fabricated. The mandibular denture is a Kennedy Class II removable partial denture which consists of a six-unit porcelain fused to metal fixed dental prostheses supported by the implant in the canines on both sides and left second molar serving as the abutments. Despite severe bone resorption and insufficient abutment teeth, the patient expressed satisfaction with the treatment results. In cases with economic and anatomical constraints affecting the feasibility of complete denture, implant-supported overdenture, and implant-supported fixed dental prostheses, an implant-assisted removable partial denture using implant surveyed crowns proves to be a viable and effective alternative treatment option. Nevertheless, the current dearth of scientifically rigorous studies underscores the necessity for meticulous regular check-up and occlusal assessment.

Converting Lands that are damaged by Graveyards into Tree Burial Sites in order to Restore Green Areas (산지묘지의 훼손지 복원을 위한 수목장지로의 전환)

  • Woo, Jae-Wook;Byun, Woo-Hyuk;Kim, Hak-Beom;Park, Won-Kyoung;Kim, Min-Su;Norsyuhada, Norsyuhada
    • Journal of the Korean Institute of Landscape Architecture
    • /
    • v.40 no.3
    • /
    • pp.69-80
    • /
    • 2012
  • The purpose of this paper was to study the issues related to converting the graveyards within forests into spaces intended for tree burials by means of planting, given the situation that the graveyards have encroached on land and damaged the environment. For the reason, a field survey was performed to determine the width, length, and distance to the nearest tree of 205 graveyards in the capital area. Through this, it was determined that the domestic lands damaged by graveyards amounted to $862km^2$, including the areas that were deforested to manage the graves. This only confirms that land encroachment by graveyards is a serious issue. The methods for making tree burial sites were examined from the perspective of how to meet public demands given the graveyard's spatial distinctiveness. As a result, this study suggested different methods to establish tree burial sites according to the degree of transformation and the term of its formation. This study also classified the graveyards into three types, and identified the planting methods that harmonized the safe growth of trees and the scenic beauty of memorial places based on the standard. This is in order to plant trees that are shade-tolerant and suitable to the forest line, along with which other tree line was and also, to plant aesthetic trees around the empty space. Through applying the developed methods, this study established and monitored two exemplary sites in Yongin and Boryeng. Aesthetic trees were planted in Yongin site which was located in an open area, aod the shade-tolerant trees were planted in Boryeong, which was located in a forest area. As a result, the image of a garden appeared at Yongin site and the image of a tree colony harmonized with the near forest emerged at Boryeong site. Therefore, it is confirmed that the method of planting according to the distribution status of neighboring trees was effective. As a result of monitoring, mulching wood chips were suitable for sites that were small or easy to approach. This is because the weeds were controlled in Yongin site by mulching. Furthermore, by monitoring the growth of 11 species of vegetation, this study confirmed that low and cover-type vegetations were suitable for tree burial sites. In Boryeong site, the wild cherry trees, which were planted as adult trees, all died, and the tilling of snake's beard, which were planted as cover vegetation, was slow. Therefore, this study found that seedlings were more suitable to plant in forest graveyards than adult trees, which were large and difficult to approach, and it was effective to use the remaining lawn and form a low vegetation after the crown of trees had expanded to such places.

A Study on the Traumatic Teeth Damage of Children (어린이의 외상성 치아손상에 관한 연구)

  • Yoo, Su-Min;Park, Ho-won
    • Journal of dental hygiene science
    • /
    • v.4 no.1
    • /
    • pp.21-25
    • /
    • 2004
  • In modern times, children's trauma is increasing every year because of car accidents and life environment changes. There is a limit to prevent traumatic damage for oral cavity organization. The fundamental data of trauma treatment and prevention will be presented through the survey and analysis of traumatic teeth damage. I examined 113 patients from Oct. 4th, 2000 to Feb. 27th, 2004 at Dept. of Children's Dental Clinic, Kangnung National University. The results are as follows. (1) The trauma frequency of male subjects is higher than that of female at a rate of 2.05:1. The average age is 5.27 for men and 5.27 for women. The highest percentage of trauma patients is among 2 year old children. It is 21.2%. (2) A patient survey was taken at a trauma treatment hospital. On the first day 34.4% of the patients had come to receive treatment of their first set of teeth. However, after a week, 38.8% of the patients had received treatment on their permanent teeth. (3) As a result of falling, 59% of patients needing treatment on their first set of teeth. 55.1% of patients is permanent teeth. As a result of bump against physical solid, 26.6% of patients is the first set of teeth and 26.5% of patients is permanent teeth. (4) Teeth damage happened at home. 42.1% were male. 35.1% were female. According to trauma, 59.4% of teeth damage happened at home. 28.6% of permanent teeth damage happened at school or kindergarten. (5) According to trauma, the number of teeth damaged was in the first set of teeth are as follows: 56.3%, one-31.3%, three or four-6.3% each. For permanent teeth: two-46.9%, one-28.6%, four over-16.3% and three-8.2%. Over four teeth is larger number for permanent teeth. (6) 56% of first set of teeth patients and 43.4% of permanent teeth patients were male. 56.8% of first set of teeth patients and 43.2% of permanent teeth were female. Trauma happened to both male and female frequently in the first set of teeth. (7) Most of the tooth damage which was in the first set of teeth and permanent teeth was done to the upper jaw. 75% of patients are the first set of teeth. 63.8% of patients are permanent teeth. Trauma is very high in the two mid teeth of the upper jaw. (8) According to trauma survey, 30.2% is from impulse. 28.0% is from crown fracture, 14.7% is from depression. 8.9% is from concussion. 7.1% is from full dislocation of a joint. 2.2% of patients are extrusion. 1.8% is from displacement. According to teeth damage trauma, 35.8% is pulse in the first set of teeth. The breaking of the crown of a tooth happened a lot in permanent teeth. (9) According to data, 43.2% of teeth damage in the first set of teeth goes without treatment. In permanent teeth, it is 38.9%. After treatment, 22.0% of first set of teeth treatment requires a dental pulp treatment. In permanent teeth, which is used for temporary acid etching resin restoration.

  • PDF

Characteristics of Vegetation Structure of Managed Area by Oak Wilt Disease in Bukhansan National Park (북한산국립공원 참나무시들음병 방제지역 식생구조 특성 연구)

  • Han, Bong-Ho;Choi, Jin-Woo;Yeum, Jung-Hun;Lee, Kyong-Jae
    • Korean Journal of Environment and Ecology
    • /
    • v.28 no.3
    • /
    • pp.342-356
    • /
    • 2014
  • This study aims to provide the fundamental data for restoration through the analysis of vegetation structure characteristic for managed area with deforest and fumigation among the places damaged by oak wilt disease in Bukhansan National Park. Study areas were selected in six damaged areas with 18 plots ($20m{\times}20m$) including comparing plots between year 2006 and year 2011 after preliminary study finding the exact location with easy access. Analysis items are density and coverage of under story layer, Importance Percentage of under story layer and Importance Percentage of urban adapted species and alien species. As a result, density and coverage under the canopy layer's vegetation was higher than comparing plot in Musugol valley and Soquicheon valley which 4 years and more passed. And Wondobong, Darakwon, Doseonsa and Dobong valley which had not been passed 3 years after deforestation and fumigation decreased in those of vegetation. However, the plots in Wondobong and Doseonsa was analyzed to be higher in density of shrubs than comparing plot. In terms of distirbution of species in under canopy layer which is grown as a upper vegetation, Quercus serrata and Sorbus alnifolia dominated each other in under canopy layer except for Wondobong and Darakwon. Wondobong continuously maintained Quercus mongolica and Q. mongolica and Pinus densiflora dominated in under canopy layer of Darakwon. S. alnifolia which is Urban adapted species were distributed in most study areas. In terms of alien species, Magnolia obovata and Robinia pseudoacacia were newly intruded in the opened crown, and Pueraria thunbergiana was distributed in Soquicheon valley. As the result of soil analysis, acidification(pH 4.49) and low level of organic matter(3.23%), available phosphate(1.40mg/kg) and exchangeable cation were analyzed and it was considered that those environment poorly support the vegetation growth.