• Title/Summary/Keyword: dental esthetics

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The effect of preheat treatment on ceramic to metal bond strength (도재-금속의 결합 강도에 미치는 비금속 합금의 열처리 효과)

  • Kim, Chi-Young;Kim, Young-Gon; Cho, Hyun-Seol
    • Journal of Technologic Dentistry
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    • v.24 no.1
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    • pp.33-41
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    • 2002
  • In dental prosthetics, the application of metal-ceramic restorations has steadily increased since their introduction. This is due to excellent esthetics in combination with high mechanical stability. In order to optimum bond strength between metal and ceramics, controlled oxidation of metal substructure is essential factor. Beryllium containing and beryllium free Ni-Cr alloys for metal-ceramic restorations were evaluated for the metal-ceramic bond strength by changing heat treatment for oxide formation. A mechanical three-point bending test was employed to evaluate the interfacial bond strength of metal-ceramic. In each metal, plate type specimens were used for mechanical three-point bending test. With Ni-Cr alloys for metal ceramics, mechanical three-point bending test showed that double degassing was more available preheat treatment method than another. It was found that beryllium containing Ni-Cr alloys are more effective than beryllium-free for metal-ceramic bond strength.

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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.

In vivo optical coherence tomographic imaging to monitor gingival recovery and the adhesive interface in aesthetic oral rehabilitation: A case report

  • Graca, Nathalia Del Rio Lyra;Palmeira, Anna Rebeca de Barros Lins Silva;Fernandes, Luana Osorio;da Silva Pedrosa, Marlus;Guimaraes, Renata Pedrosa;Santos, Saulo Cabral dos;Gomes, Anderson Stevens Leonidas;da Silva, Claudio Heliomar Vicente
    • Imaging Science in Dentistry
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    • v.49 no.2
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    • pp.171-176
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    • 2019
  • The available methods for veneer evaluation are limited to clinical and radiographic examinations, which may not allow the appropriate identification of failure. In this report, we demonstrate the use of optical coherence tomography (OCT) as a noninvasive diagnostic and follow-up method to evaluate gingival recovery and the adhesive interface in aesthetic oral rehabilitation involving periodontal plastic surgery and ceramic laminate veneers. OCT was efficient for evaluating both soft and hard tissues, as well as the quality of the adhesive interface. In conclusion, OCT was found to be a promising approach for the professional evaluation of aesthetic oral rehabilitation, as it was capable of generating images that enabled the analysis of gingival recovery and the adhesive interface.

Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony (심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례)

  • Jo, Yu-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.225-230
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    • 2022
  • Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

Clinical case using The platinum foil Technique (백금박 라미네이트를 이용한 임상증례)

  • Kim, sun kyu;Shin, jun hyouk
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.29 no.1
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    • pp.4-12
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    • 2020
  • Recently, according to the concept of minimal invasive, there have been many opportunities for restoration treatment with porcelain laminate veneers that are less invasive and can ideally improve esthetics. Patients also visit the laminate well, and patients also want to reduce the amount of teeth cut, so the choice of the entire trimming crown is decreasing. Therefore, various techniques of laminate are required. Most dental clinicians seem to have negative images of laminates such as risk of fracture, margin pigmentation and dropout. However, this situation is due to incorrect adhesion manipulation and lack of inspection of the occlusal relationship, and there is no problem with the Porcelain Laminate Veneer itself. The purpose and scope of adaptation leading to the success of porcelain laminate veneer will be introduced.

Non-therapeutic purposes in orthodontics and correction of tooth and jaw surgery for the recognition of some students on research (비 치료목적으로 시술되고 있는 치아교정과 양악수술에 대한 일부 대학생들의 인식도에 관한 연구)

  • Kang, Mi-Hyun;Lee, Eun-Sook;Lee, Cheon-Hee;Kim, Sun-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1232-1240
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    • 2012
  • Objectives : In this study, the treatment method for some college students, due to the misuse of non-therapeutic molding technique non-therapeutic procedure is applied in orthodontics or jaw surgery and therapeutic purposes, such as to properly recognize and to investigate whether. Methods : In this study used, 4 questions, the questionnaire general characteristics (such as gender, major, whether the treatment experience and purpose) Orthodontic and knowledge about the jaw surgery (Corrective jaw surgery hope and reason, or jaw surgery benefits, side effects, etc.) 6 items, calibration and recognition jaw surgery on seven items 17 items was constructed. Results : Of the perception of the majors of the respondents according to the presence or absence of a non-therapeutic procedure for calibration or jaw surgery the correct way, and the purpose appeared to know roughly majors and all students majoring statistically significant (p<.001). The degree of recognition for non-therapeutic procedures according to the gender of the respondents' facial aesthetic improvement, and the most common reason, you want to make a non-therapeutic procedure, correction or contrast, I've found that looks supremacist influence on the non-therapeutic procedure or roughly know the correct way, and jaw surgery for the purpose that appeared to be statistically significant (p<.05). Conclusions : Non-therapeutic procedure for the interest and knowledge to promote oral health as well as esthetic improvements to the original non-therapeutic procedure for therapeutic purposes and how to deliver education and it is very important.

Esthetic outcome for maxillary anterior single implants assessed by different dental specialists

  • Al-Dosari, Abdullah;Al-Rowis, Ra'ed;Moslem, Feras;Alshehri, Fahad;Ballo, Ahmed M.
    • The Journal of Advanced Prosthodontics
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    • v.8 no.5
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    • pp.345-353
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    • 2016
  • PURPOSE. The aim of this study was to assess the esthetic outcome of maxillary anterior single implants by comparing the esthetic perception of dental professionals and patients. MATERIALS AND METHODS. Twenty-three patients with single implants in the esthetic zone were enrolled in this study. Dentists of four different dental specialties (Three orthodontists, three oral surgeons, three prosthodontists, and three periodontists) evaluated the pink esthetic score (PES)/white esthetic score (WES) for 23 implant-supported single restorations. The satisfactions of the patients on the esthetic outcome of the treatment have been evaluated according to the visual analog scale (VAS). RESULTS. The mean total PES/WES was $12.26{\pm}4.76$. The mean PES was $6.45{\pm}2.78$ and mean WES was $5.80{\pm}2.82$. There was a statistically significant difference among the different specialties for WES (P<.01) and Total PES/WES (P<.01). Prosthodontists were found to have assigned poorer ratings among the other specialties, while oral surgeons gave the higher ratings than periodontists, orthodontists, and prosthodontists. CONCLUSION. Prosthodontists seemed to be stricter when assessing aesthetic outcome among other specialties. Moreover, a clear correlation existed between dentists' and patients' esthetic perception, thereby providing rationales for involving patients in the treatment plan to achieve higher levels of patient satisfaction.

Implant assisted removable partial denture using a few remaining maxillary teeth and locator bar system: A case report (소수 잔존치를 가진 상악에 Bar와 Locator®를 이용한 임플란트 융합 국소의치 치료 증례)

  • Kim, Seong-Jung;Bae, Eun-Bin;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of the Korean dental association
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    • v.55 no.8
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    • pp.528-536
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    • 2017
  • Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with $Parkinson^{\circ}$Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

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The level of buccal gingival margin around single and two adjacent implant restorations: a preliminary result

  • Kim, Young-Bum;Shim, June-Sung;Han, Chong-Hyun;Kim, Sun-Jai
    • The Journal of Advanced Prosthodontics
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    • v.1 no.3
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    • pp.140-144
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    • 2009
  • STATEMENT OF PROBLEM. Little information is available about the buccal gingival level of multiple implant restorations. PURPOSE. This study was aimed to evaluate the relationship between width and height of buccal soft tissue around single and 2 adjacent implant restorations. MATERIAL AND METHODS. Four implant restoration groups (first and second molars, single second molars, posterior single restorations between teeth, and anterior single restorations between teeth) were randomly chosen from one dental institute. Each group comprised of 6 patients. After 6 months of function, silicone impressions were taken and stone models were fabricated for each restoration group. The stone models were cut in bucco-lingual direction at the most apical point of buccal gingival margin. The height and width of buccal supra-implant soft tissue were measured. One way ANOVA and Tukey HSD post hoc tests were performed to analyze the data obtained (P < .05). RESULTS. The most unfavorable width-height ratio was noted for the group, which was comprised of the second molar in the multiple adjacent (first and second molar) implant-supported restorations. The group also resulted in the shorter height of buccal supra-implant mucosa rather than that of anterior single implant restorations between natural teeth. CONCLUSION. To achieve a favorable level of buccal gingival margin, greater thickness of buccal supra-implant mucosa is required for the implant restorations without a neighboring natural tooth compared to the implant restorations next to a natural tooth.

FLEXURE STRENGTH AND COLOR CHANGE OF REUSED IPS EMPRESS 2 (반복 사용된 IPS Empress 2의 굽힘강도와 색변화에 관한 연구)

  • Song Young-Kuk;Kim Yu-Lee;Kim Sung-Hoon;Ahn Hee-Young;Jin Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.1
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    • pp.71-80
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    • 2003
  • Development of new ceramic and esthetic need of patient increased the use of ceramic restorations. The purpose of this study was to confirm the possibility of recycling for IPS Empress2 which has a lot of advantages in esthetics. 1st, 2nd and 3rd pressed disc-shaped($10{\times}1.5mm$) IPS Empress 2 specimens were made with IPS Empress ingot(shade 200, Ivoclar, Liechtenstein) and pressing furnace(IPS Empress EP 500, Ivoclar, Liechtenstein). Flexure strength was measured with universal testing machine(Zwick 145641, Zwick, Germany), and color change and staining resistance of specimens were evaluated with colorimeter (Model TC-6FX, Tokyo Denshoku Co., Japan). The followings were drawn from this study : 1. Flexure strength of the 1st, the 2nd, and the 3rd pressed specimens showed 236.78 MPa. 247.16MPa, and 220.72MPa, respectively. Flexure strength of the 2nd pressed specimens was higher than others, but there's no statistical difference between them. 2. The color difference between the 1st and the 2nd pressed specimens was 3.25, and that between the 1st and the 3rd pressed specimens was 3.63(P<0.05). 3. The color change after staining of the 1st, the 2nd. and the 3rd pressed specimens were 1.43, 2.64, and 1.45, respectively. In this study, reused IPS Empress 2 specimens showed insignificant change of flexure strength and stain resistance, but they showed some color change according to reuse. From this results, the limited possibility of reuse for IPS Empress 2 could be considered.