• 제어로봇시스템학회논문지
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• 제17권3호
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• pp.254-257
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• 2011

This study was performed to development a dental three-dimensional laser scanning system and measure the accuracy of new adjustable lower dental impression trays. Multiple impressions of a resin master model were made with custom, stock and new adjustable trays and vinyl polysiloxane impression material. The lower master model and resulting cast were compared using an dental scanning system. Each 3D image was superimposed onto the lower master model image and analyzed with custom software. Multiple measurements of the lower master model and casts were analyzed to determine the accuracy of tray types.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.35.1-35.6
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• 2020

Background: Miescher's cheilitis granulomatosa (MCG) is a rare chronic inflammatory disease and is known as the monosymptomatic clinical form of Melkersson-Rosenthal syndrome (MRS). It is characterised by swelling of one or both lips and more frequently affects the upper lip. Histopathological findings show the presence of numerous inflammatory infiltrates and granuloma formations. Pharmacological treatments and surgery have provided results that are positive yet insufficiently stable in the long term. The clinical case described is of a 68-year-old female patient with a diagnosis of MCG of the upper lip. Case presentation: The patient was diagnosed and treated at the Oral Medicine and Oral Pathology outpatient clinic of Maxillofacial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico. The patient was recommended localised treatments of photobiomodulation (PBM) using a diode laser with a 635 nm and 980 nm dual-wavelength (λ) approach, a 600-micron fibre, and a handpiece with a 1-cm-diameter lens at 300 mW. Three treatments a week were administered for four weeks for a total of 12 treatment sessions (T₁-T₁₂). After that, the patient had a long follow-up period of about 2 years. The therapeutic results were clear from the initial stages of treatment. There was an immediate, gradual, and consistent reduction in labial swelling. A reduction in the size of the lip by about 35% at T₁₀-T₁₂ was observed, returning the size and volume of the upper lip within the normal clinical range. The painful symptoms subsided after the seventh treatment (T₇). The histopathological check at 3 months and the follow-up in particular confirmed the disease was in remission with satisfactorily stable treatment results. Moreover, the patient did not use any other treatments on the area from the early laser treatments through to the end of the follow-up period. Conclusions: Our experience describes a clinical case of MCG treated with PBM and effectively resolved with a reduction of the lip swelling. The real success of the treatment emerged over time, showing that the tissue healing was stable. In absence of any collateral phenomena, this confirms the effective and documented therapeutic potential of PBM for chronic inflammatory infiltrates.

• The Journal of Advanced Prosthodontics
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• 제7권3호
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• pp.257-263
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• 2015

PURPOSE. In this study, we aimed to evaluate the amount of marginal gap with two different substructure materials using identical margin preparations. MATERIALS AND METHODS. Twenty stainless steel models with a chamfer were prepared with a CNC device. Marginal gap measurements of the galvano copings on these stainless steel models and Co-Cr copings obtained by a laser-sintering method were made with a stereomicroscope device before and after the cementation process and surface properties were evaluated by scanning electron microscopy (SEM). A dependent t-test was used to compare the mean of the two groups for normally distributed data, and two-way variance analysis was used for more than two data sets. Pearson's correlation analysis was also performed to assess relationships between variables. RESULTS. According to the results obtained, the marginal gap in the galvano copings before cementation was measured as, on average, $24.47{\pm}5.82{\mu}m$ before and $35.11{\pm}6.52{\mu}m$ after cementation; in the laser-sintered Co-Cr structure, it was, on average, $60.45{\pm}8.87{\mu}m$ before and $69.33{\pm}9.03{\mu}m$ after cementation. A highly significant difference (P<.001) was found in marginal gap measurements of galvano copings and a significant difference (P<.05) was found in marginal gap measurements of the laser-sintered Co-Cr copings. According to the SEM examination, surface properties of laser sintered Co-Cr copings showed rougher structure than galvano copings. The galvano copings showed a very smooth surface. CONCLUSION. Marginal gaps values of both groups before and after cementation were within the clinically acceptable level. The smallest marginal gaps occurred with the use of galvano copings.

• 대한치과보철학회지
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• 제34권4호
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• pp.800-815
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• 1996

Pulsed Nd : YAG laser has been used to treat various soft tissue lesions. However, there have been warnings of using laser to treat peri-implantitis because the laser can alter the surface of implant and can rise its temperature so that it might be harmful to implant itself and its surrounding tissue. However, the study in vivo has not been done yet. The purpose of this study was to evaluate the biocompatibility to the pulsed Nd:YAG lased dental implant. 16 HA coated implants and 16 titanium plasma sprayed implants were used. They were divided 4 groups as unlased control, 0.3 watt, 1.0 watt and 2.0 watt lased groups after lasing. And they were implanted in the peritonial walls of 12 rabbits. The rabbits were sacrificed 6 weeks after implantation and the LM and EM specimems were made. 1. In the unlased implant group, both HA coated and titanium plasma sprayed implants were surrounded by fibroblasts and collagen fibers. No macrophages and inflammatory cells were seen. 2. In HA coated implants 0.3 watt, 1.0 watt lased group had a little inflammation, but in 2.0 watt lased group had scattered macrophages, a significantly larger number of chronic imflammatory cells were seen. 3. In titanium plasma sprayed implant 0.3 watt, 1.0 watt lased group had a little inflammation, but in 2.0 watt group had severe inflammation as in the conditions of HA coated group. 4. The inflammatory reaction of both lased HA coated and titanium plasma sprayed implant groups increased as the increase of the power of the laser.

• 대한치과보철학회지
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• 제59권2호
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• pp.248-260
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• 2021

코발트-크롬 합금은 다양한 치과보철물 제작에 이용되고 있고, 다른 합금에 비해 저렴한 가격과 우수한 기계적 특성이 장점이다. 최근, 기존 제작 방식의 단점을 극복하기 위해 적층제조 방식인 선택적 레이저 용융 방법이 보철물 제작에 이용되고 있다. 선택적 레이저 용융 방법의 공정 중 급속 가열과 냉각 과정은 제작된 합금의 미세구조와 결정립을 미세화하고, 기포를 감소시켜 기존 제작 방식에 의한 합금에 비해 기계적 특성을 향상시킨다. 반면, 적층과 급속 가열 및 냉각은 다량의 잔류응력 축적을 초래하는데, 추후 기계적 특성에 악영향을 미칠 수 있다. 따라서, 잔류응력을 제거하기 위해 주로 열처리를 시행하고, 회복과 재결정화에 의한 잔류응력의 감소뿐만 아니라 상변태, 석출물 및 미세구조의 균질화가 동반되어 기계적 특성의 복잡한 변화가 나타난다. 본 문헌고찰에서 코발트-크롬 합금의 제작 방식 비교 및 선택적 레이저 용융 방법으로 제작된 합금의 특징에 대해 알아보고자 한다.

• The Journal of Advanced Prosthodontics
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• 제5권3호
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• pp.287-295
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• 2013

PURPOSE. This study investigated the effect of laser parameters and air-abrasion on the peel strength of silicon-based soft denture liner to different denture resins. MATERIALS AND METHODS. Specimens (N=180) were prepared out of three different denture base resins (Rodex, cross-linked denture base acrylic resin; Paladent, heat-cured acrylic resin; Deflex, Polyamide resin) ($75mm{\times}25mm{\times}3mm$). A silicon-based soft denture liner (Molloplast B) was applied to the denture resins after the following conditioning methods: a) Air-abrasion ($50{\mu}m$), b) Er,Cr:YSGG laser (Waterlase MD Turbo, Biolase Technology) at 2 W-20 Hz, c) Er,Cr:YSGG laser at 2 W-30 Hz, d) Er,Cr:YSGG laser at 3 W-20 Hz, e) Er,Cr:YSGG laser at 3 W-30 Hz. Non-conditioned group acted as the control group. Peel test was performed in a universal testing machine. Failure modes were evaluated visually. Data were analyzed using two-way ANOVA and Tukey's test (${\alpha}$=.05). RESULTS. Denture liner tested showed increased peel strength after laser treatment with different parameters ($3.9{\pm}0.4-5.58{\pm}0.6$ MPa) compared to the control ($3.64{\pm}0.5-4.58{\pm}0.5$ MPa) and air-abraded groups ($3.1{\pm}0.6-4.46{\pm}0.3$ MPa), but the results were not statistically significant except for Paladent, with the pretreatment of Er,Cr:YSGG laser at 3 W-20 Hz. Polyamide resin after air-abrasion showed significantly lower peel strength than those of other groups ($3.1{\pm}0.6$ MPa). CONCLUSION. Heat-cured acrylic resin, PMMA, may benefit from Er,Cr:YSGG laser treatment at 3 W-20 Hz irradiation. Air-abrasion of polyamide resins should be avoided not to impair their peel bond strengths to silicon-based soft denture liners.

• 대한소아치과학회지
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• 제27권4호
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• pp.558-563
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• 2000

1960년대 최초로 Ruby 레이저의 개발 이래로, 치과용 드릴인 고속용 핸드피스를 대신해 치아 경조직 삭제에 레이저의 적용이 시도되어져 오고 있는데, 최근 Er:YAG레이저의 개발로 경조직 삭제시 이들의 삭제 효능과 치질의 온도상승에 관한 연구에 관심이 증대되었다. 과거 여러 종류의 레이저에 비해 2.94um Er:YAG 레이저는 파장의 특성이 치질의 수분과 하이드록시아파타이트에 매우 흡수율이 높아 치질내 수분이 고열에 의해 증기화되어 폭발하므로써 치질이 제거되므로 crack이나 탄화된 부위가 없이 와동 변연부가 명확하고 깨끗하며 효과적인 치질의 삭제가 가능하다. 삭제시 치질내 온도 상승이 레이저의 경조직 적용시 고려되는 중요한 문제점으로 대두되나 이는 물분사와 적적한 레이저 parameter의 사용으로 열 발생을 최소화하면 치수 손상이 발생하지 않는다고 보고 된다. 본증례는 치수에 근접하지 않은 우식 병소의 처치를 주소로 내원한 소아 환자들에 있어서 Er:YAG 레이저 적용시 기존의 고속용 삭제 기구에 비해 소음과 진동이 적어 소아 환자들의 치과 치료에 대한 공포감이나 동통을 최소로 하며 적절한 레이저 parameter와 물분사의 사용으로 치수에 대한 열자극이나 치질의 변색과 같은 임상적인 문제를 초래하지 않고 효과적으로 우식 병소의 제거 및 와동 형성을 시행할 수 있었다.

• 구강회복응용과학지
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• 제37권1호
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• pp.39-47
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• 2021

의치의 금속구조물을 selective laser melting을 통하여 제작하는 경우 기존의 제작 방식에 비해 여러 기공 과정이 생략되어 시간이 절약되고 간편해진다. 또한 균질한 밀도의 금속구조물을 얻을 수 있어 우수한 기계적 성질, 특히 피로 파절에 대한 높은 저항성을 기대할 수 있다. 본 증례에서는 부분 무치악 환자에서 기존의 방식으로 최종인상을 채득하여 주모형을 제작하였고 이를 스캔하여 데이터화 하였다. 스캔 데이터 상에서 금속구조물을 디자인한 뒤 selective laser melting 방식으로 가철성 국소의치를 제작하였으며 기능적 및 심미적으로 만족스러운 결과를 보였기에 이를 보고하는 바이다.

• 치위생과학회지
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• 제15권2호
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• pp.226-231
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• 2015

본 연구는 세 가지 종류 스캐너에 따른 정확도를 비교 평가하기 위하여 시행되었다. 경석고 모형과 스캐너로 채득한 디지털 모형에 각 4지점씩 계측지점을 선정하였고, 이들 4지점사이를 DVC와 디지털 모형 측정 프로그램을 이용하여 길이를 측정하고, 다음과 같은 결론을 도출하였다. 세 가지 종류의 스캐너 가운데 레이저 스캐너가 백색광 스캐너나 청색광 스캐너보다 높은 정확도를 나타내었으나 이 세 가지 종류의 스캐너 모두가 임상적으로 사용하는 것이 가능하다.

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 2001년도 추계학술대회
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• pp.49-49
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• 2001