• Title/Summary/Keyword: dental prosthetic

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Do Certain Conditions Favor the Use of Autogenous Bone Graft Over Bone Substitutes for Maxillary Sinus Augmentation?

  • Lee, Ji-Hyun;Cho, Yeong-Cheol;Sung, Iel-Yong;Choi, Jong-Ho;Son, Jang-Ho
    • Journal of Korean Dental Science
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    • v.12 no.2
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    • pp.48-57
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    • 2019
  • Purpose: To investigate whether there are specific surgical or clinical conditions where the use of autogenous bone (AB) is superior to the use of bone substitutes (BSs) for maxillary sinus floor augmentation (MSFA). Materials and Methods: We retrospectively analyzed 386 implants after MSFA in 178 patients. The implants were divided into five groups according to the sinus graft material used. Risk factors for implant failure in MSFA, and correlation between residual bone height (RBH) and graft materials in terms of implant survival were investigated. To investigate risk factors for implant failure in MSFA, implant survival according to graft materials, patients' sex/age, surgical site, RBH, healing period prior to prosthetic loading, staged- or simultaneous implantation with MSFA, the crown-to-implant ratio, prosthetic type, implant diameter, and opposite dentition were evaluated. Result: The cumulative 2- and 5-year survival rates of implants placed in the grafted sinus (independent of the graft material used) were 98.7% and 97.3%, respectively. None of the investigated variables were identified as significant risk factors for implant failure. There was also no statistical significance in implant survival between graft materials. Conclusion: There were no specific surgical conditions in which AB was superior to BSs in terms of implant survival after MSFA.

Prosthetic restoration of the maxillary anterior teeth using implantation and forced eruption: Case report (인위적 정출술과 임플란트 치료를 통한 상악 전치부 보철치료)

  • Kim, Kyoung-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.80-86
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    • 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.

Association between oral health status and body mass index in older adults (노인의 구강건강상태와 체질량지수의 연관성)

  • Cho, Younyoung;Lee, Yunhwan;Kim, Jinhee
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.129-136
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    • 2016
  • Objectives: The purpose of the study is to investigate the relationship between oral health status and body mass index (BMI) in adults over 65 years old. Methods: The study subjects were 4,550 adults over 65 years old from the 5th Korea National Health and Nutrition Examination Survey(KNHANES V) in 2010-2012. Mastication-related oral health status included the number of remaining teeth, and mean number of decayed, missing, and filled permanent teeth(DMFT). Body mass index(BMI, $kg/m^2$) was categorized as underweight(<18.5), normal weight (18.5-22.9), overweight(23.0-24.9), and obese(${\geq}25.0$). Multinomial logistic regression analysis was performed to examine the association of BMI categories with the number of remaining teeth and DMFT. Results: The mean number of DMFT was highest($13.0{\pm}0.7$) in the underweight group and lowest($8.8{\pm}0.3$) in the obese group. Those having less favorable masticatory ability, and fewer number of remaining teeth and no prosthesis, tended to be underweight. Those having a higher number of remaining teeth and prosthetic teeth tended to be overweight or obese. In the multinomial logistic regression analysis, compared with those having 20 or more remaining teeth, including prosthetic teeth, those having less than 20 remaining teeth and no prosthesis had 4.48 times higher odds ratio of being underweight. DMFT was positively associated with underweight, while negatively associated with overweight or obesity. Conclusions: The masticatory ability and dental caries prevention maintained the healthy body weight in adults of old age.

Relationship of tooth mortality and implant treatment in Type 2 diabetes mellitus patients in Korean adults

  • Jung, Hyun-Yub;Kim, Yong-Gun;Jin, Myoung-Uk;Cho, Jin-Hyun;Lee, Jae-Mok
    • The Journal of Advanced Prosthodontics
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    • v.5 no.1
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    • pp.51-57
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    • 2013
  • PURPOSE. The purpose of this study was to to analyze the effect of Type 2 diabetes on tooth mortality, implant treatment and prosthetic status. MATERIALS AND METHODS. 275 Type 2 diabetics and 300 non-diabetics, aged 40-80 years were selected for analysis. The assessment of number of teeth, missing teeth, fixed prostheses (bridge pontics), implants using panoramic radiographs and dental records were carried out. RESULTS. Diabetes mellitus (DM) patients had a higher number of missing teeth (P<.05) and placed implants (P=.074), age (P<.05), male gender percentage (P=.042), smoker percentage (P<.05) than non-DM patients. In univariate analysis, the patients in older group showed significantly higher number of tooth loss rate at the first dental examination than the patients in younger group. Tooth loss rate of smokers did not show higher value than that of non-smokers. When multiple variables including DM, age, smoking, gender were considered together, diabetics and older group patients showed significantly higher tooth loss rate at the first dental examination than non-diabetics and younger group patients, respectively. Smokers and male group did not show a significant difference than nonsmokers and female group, respectively. CONCLUSION. Tooth mortality and implant treatment rate were significantly higher in the DM group as indicated by univariate and multivariate logistic regression analysis. Old age groups showed significantly higher odds ratios and tooth loss rate. As diabetics showed the higher tooth loss rate than non-diabetics, diabetics also had more implant restorations than non-diabetics.

A COMPARATIVE STUDY ON SUBGINGIVAL MICROBIAL COMPOSITION BETWEEN NATURAL TEETH AND OSSEOINTEGRATED IMPLANTS (골유착성 임플랜트와 자연치의 치은연하 세균조성에 대한 비교연구)

  • Lim Yong-Sik;Kim Yung-Soo;Kim Chang-Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.3
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    • pp.411-422
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    • 1993
  • Osseointegrated dental implants are now an accepted part of the prosthetic treatment of fully and partially edentulous patients. Clinical studies have shown that osseointegrated dental implants may successfully be used as abutments for prosthetic rehabilitations, and that the supporting tissue can be kept in a stable and healthy clinical state for prolonged periods of time. The purpose of this study was to look for differences in the distribution in the bacterial morphotypes around natural teeth and osseointegrated dental implants. The subgingival plaque around natural teeth and implants was analysed by means of differential phase-contrast microscopy. In addition, clinical indices used to analyse natural teeth condition were used to compare the condition of natural teeth and implants. The results were as follows : 1. In implants of partially edentulous patients, the plaque index, sulcus bleeding index(P<0.05), pocket depth(P<0.01) were greater than natural teeth. 2. Gingival crevicular fluid volume was not significantly different between natural teeth and implants. 3. In implants of fully edentulous patients, the plaque index was greater than natural teeth(P<0.01) and implants of partially edentulous patients(P<0.05), but sulcus bleeding index was not significantly different. 4. In partially edentulous patient, coccoid cell proportion was greater in implants than natural teeth (P<0.05). 5. In implants of fully edentulous patients, coccid cell proportion was even greater than implants of partially edentulous patients(P<0.05) and natural teeth(P<0.01). 6. Among three groups, the proportions of non-motile rods, motile rods, spirochetes and others were not significantly different. 7. The proportion of motile bacteria was not significantly different among three group.

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A study on the role of dental Hygienist for revitalization of Dental Health class in Community Health Center (지역 보건소 구강보건실 활성화를 위한 치과위생사 역할 정립에 관한 연구)

  • Kwun, Hyeon-Sook;Jo, Gab-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.4
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    • pp.263-282
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    • 2006
  • The purpose of study was to offer devices to activate the dental health class of community health center and to evaluate the present programs and to propose adequate guidelines for future public dental health program of dental health care in health center. For this study, the mail quastionnaire survey was carried out from the 116 dental hygienists who are working in community health center. Present condition and direction of public dental health service are as follows: dentist's office was 90% by area and work department. Dental health department was equipped in 91.7% of 'public health center', but 'health branch office' was 57.9%. Dental hygienist education condition of Public health center was the most frequency in 'At large city'. 'Have no entirely' of dental health education number of times was 35.8% in 3 years. That is 44.5% in supplement insturction. Most Dental hygienist's business was most 'teeth-sealant' and 'Old man false teeth prosthetic dentistry business'. Therefor, The Obstacle factors of dental health service activity were 'manpower tribe(average 3.92)', and next 'lack of understanding and support insufficiency of law(average 3.47)'. Curriculum for educational practice should be also designed for brightening the dental health service business. The most important thing for dental health service is 'expanding and improving the facilities Legal system' and next 'Opportunity enlargement and activation that can take dental hygienist's residency'.

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A Study on the Identity Design factors of Pediatric Dentistry Clinics - Focus on the Treatment Area - (소아 치과의원의 디자인 아이덴티티 요소에 관한 연구 - 진료 영역을 중심으로 -)

  • Kim, Hye-Jin;Lee, Min-Sun
    • Korean Institute of Interior Design Journal
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    • v.16 no.1 s.60
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    • pp.99-107
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    • 2007
  • Opening special dental office like prosthetic, orthodontics and implant is getting popular from the specialization and ramification on dental service. It shows how changes onpeople's point of view on dental offices as a business and high interesting on aesthetic. The child dental office also specialized from 1990s. It had been divided by not sort of sickness but ages of children. Thus it should support not just basic functions what other dentist of vice does but also comfortable environment to guide children patients' behavior who get afraid easily. However the interior of existing the child dental office was more focused on visual decoration but consideration of space. Thus the space is very superficial and plain, so there is limitation to give suitable environment to children patients. Therefore, from this study, I will research what is the proper space to control children patients' behavior based on well balance of space and decoration designs. Also from the research, I will explain fundamental design ideas on the child dental office space.

Principles and considerations of orthodontics for Prosthodontic treatment (심미보철치료를 위한 교정치료의 원칙과 고려사항)

  • Chang, Won-Gun
    • The Journal of the Korean dental association
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    • v.56 no.9
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    • pp.503-511
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    • 2018
  • Outcome of esthetic ceramic restorations are affected by tooth size, gingival contour, occlusal relationship, etc. For this reason, demand of orthodontic treatment before esthetic ceramic restoration is increasing. If a Bolton ratio discrepancy, a problem of the maxillary incisor's vertical position, a problem of inclination of anterior teeth, a pathogenic occlusion is existed, a pre-prosthodontic orthodontics should be accomplished. These problems can be satisfactory only after the prosthetic treatment is performed after orthodontic treatment. When orthodontic treatment is given, it should be treated with the following principle. 1. Treat it in the direction of functioning occlusion. 2. Keep the patient's stable occlusal scheme. 3. Treat the teeth by considering the average tooth size and Bolton ratio. Ortho-Prostho combined treatment with optimal treatment plan can lead a patient's function, esthetics, and long-term stability.

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Surface Coatings to Enhance Bonding Strength of Dental Titanium-Ceramic Restorative System (치과용 타타늄-세라믹 수복시스템의 결합강도 향상을 위한 표면 코팅)

  • Lee, Hae-Hyoung
    • Journal of the Korean Ceramic Society
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    • v.45 no.10
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    • pp.600-604
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    • 2008
  • Although titanium-ceramic systems have gained substantial interests in dental prosthetic field, bonding problem between porcelain and titanium has not been solved. Main obstacle in titanium-porcelain bonding is excessive oxidation of titanium during porcelain firing. The effects of several coating materials on the bonding strength of titanium-porcelain system were investigated in this study. RF sputtering and electroplating of platinum significantly increased the bonding strength of porcelain-titanium specimen. However, coatings of Ni-Au, Ir, and ceramics(zirconia and hydroxyapatite) did not showed a significant effect on bonding strength. Platinum might be a promising material for the protective layer of excessive oxidation of titanium during porcelain firing, resulting in increase in the bonding strength.

An Experimental Study on the Tensile Strength of Dental Cements (치과용 Cement의 장력에 관한 실험적 연구)

  • Suh, Kyu-Won
    • The Journal of the Korean dental association
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    • v.11 no.1
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    • pp.41-44
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    • 1973
  • The experiment consisted of cementing full veneer crown of extracted teeth and a standardized cylindrical metal dies (6mm diameter, 6mm height, 1mm shoulder) and then measuring the tensile strength required to remove the cemented restoratoins by the Instron testing machine in the Korea Institude of Science and Technology. The Instron machine was operated at a rate of loading of 0.2cm per minute. From the experiments, the following results obtained. 1. The tension of zinc phosphate and alumina EBA cements were highest all of the cements. 2. The tension of Fynal and the addition of eugenol to zinc Phosphate cements were similar. The addition of eugenol to zinc phosphate cement was half stength and Fynal cement was on third strength than zinc phosphate cement. 3. The tension of zinc oxide-eugenol cement was lowest all of the cements.

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