• Title/Summary/Keyword: dental prosthetic treatment

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국산 Avana implant의 임상결과에 관한 연구

  • Lee, Jae-Bong;Wang, Yeong-Su;Sin, Gwang-Ho;Hwang, Byeong-Nam
    • The Journal of the Korean dental association
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    • v.38 no.6 s.373
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    • pp.558-566
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    • 2000
  • Osseointegrated dental implants have now become and accepted form of treatment for patients with a fully or partially missing dentition. The purpose of this study was to evaluate the performance of AVANA implant-Korea. A total of 323 AVANA implants were placed at 9 centers in the edentulous and partially edentulous jaws of 88 consecutive patients ranging in age form 18 to 79 years. So we get the clinical results. 1. Both patients (94.4%) & doctors (94%) were satisfied with the results, in patient's aspect 'most satisfaction' case were more common(52%) 2. The length of fixture which was frequently used was 13mm (168/319,44.5%) followed by 15mm and 10mm, and 3.75mm width implant (239/319,74.9%) was the most popularly used. 3. Mandibutar posterior was the most common installation site (140/317.43%) 4. A mean implant survival rate was 96.2%. That showed little difference which reported other paper. Cause of failure consisted of inflammation $ infection-36%, fall of osseointegration-18%, paln during masticatory function-9%. improper prosthetic function $ procedure-9%. 5. The most popularly used types of abutment was the UCLA abutment(168/305,55.5%)

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Fibre reinforcement in a structurally compromised endodontically treated molar: a case report

  • Soares, Renita;Ataide, Ida de Noronha de;Fernandes, Marina;Lambor, Rajan
    • Restorative Dentistry and Endodontics
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    • v.41 no.2
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    • pp.143-147
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    • 2016
  • The reconstruction of structurally compromised posterior teeth is a rather challenging procedure. The tendency of endodontically treated teeth (ETT) to fracture is considerably higher than vital teeth. Although posts and core build-ups followed by conventional crowns have been generally employed for the purpose of reconstruction, this procedure entails sacrificing a considerable amount of residual sound enamel and dentin. This has drawn the attention of researchers to fibre reinforcement. Fibrereinforced composite (FRC), designed to replace dentin, enables the biomimetic restoration of teeth. Besides improving the strength of the restoration, the incorporation of glass fibres into composite resins leads to favorable fracture patterns because the fibre layer acts as a stress breaker and stops crack propagation. The following case report presents a technique for reinforcing a badly broken-down ETT with biomimetic materials and FRC. The proper utilization of FRC in structurally compromised teeth can be considered to be an economical and practical measure that may obviate the use of extensive prosthetic treatment.

Prosthetic treatment in esthetic area with monolithic zirconia using coloring liquid: a case report (착색용액과 Monolithic Zirconia를 이용한 심미적인 부위의 보철 치료)

  • Lee, Mun-Ho;Kim, Joon-Seong;Park, Eun-Chul;Kim, Hee-Jung
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.293-300
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    • 2022
  • Various materials and restorative options have been introduced recently with growing interest in esthetic dental treatment in modern society. Zirconia is especially known for its biocompatibility as well as remarkable toughness and resistance to wear, but it is limited in its use for esthetically focused treatment in anterior region for its white opacity. Lately the development of different kinds of zirconium blocks, such as colored block, clear block, and multi-layered block, allowed more extensive use of zirconia as a treatment option. This report describes a case, in which a prosthetic crown maxillary anterior region was stained with a combination of various coloring liquids before sintering to reproduce natural-looking color scheme in final restoration. The case was reported as the utilization of coloring liquid on monolithic zirconia crown could achieve esthetically satisfying prosthesis for both dentist and patient.

Prevention and management of foreign body ingestion and aspiration during the dental treatment (치과 치료에서 발생하는 이물질의 삼킴과 흡인의 예방과 대처)

  • Jeon, Han-Sol;Lee, Jin-Han
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.63-71
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    • 2018
  • Prosthetic restorations through implants were popularized, and they became routine treatments. Small accessories used in the implant prosthodontic procedure are more likely to slip or fall off the dentist's hands. If the dental appliance or material passes into the upper gastrointestinal tract, there is a high possibility of excretion to the outside of the body without complications, but serious complications may occur depending on the type of foreign body. If the foreign body is passed to the airway, it is an emergency situation, and if it is not done properly, it can be fatal. The purpose of this review report is to investigate the process of foreign body ingestion or aspiration during dental treatment, and the method of prevention and treatment.

Full Mouth Rehabilitation in a Patient with Limited Restorable Space (수복 공간이 부족한 환자에서의 완전구강회복)

  • Lim, Kwang-Gil;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.145-156
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    • 2010
  • Loss of posterior support may cause overloading and excessive wear of remaining teeth. Moreover, the extrusion of antagonistic teeth leads to the destruction of the occlusal plane. The loss of vertical dimension of occlusion (VDO) also emerges clinically, which may bring the loss of esthetic appearance and function. These patients who suffer from the loss of posterior support, often require vigorous periodontal treatments (osteotomy, crown lengthening) and extensive oral rehabilitation. Sixty three years old female patient visited for the prosthetic treatment of the posterior edentulous area. She had no other systematic disease and parafuctional habits for prosthetic treatment. Intraoral and radiographic examinations were done. The evaluation of VDO and vertical dimension of rest position were evaluated for proper prosthetic procedures and diagnostic wax up was done. As a result of diagnosis, VDO was increased by 2 mm considering the loss of VDO and space for the prosthetic treatment. After the pretreatments, initial preparation of teeth and provisionalization were carried out. Six weeks later of provisionalizaion, final preparation and impression was performed. Using the duralay resin copings, jaw relation was registered. The master cast was mounted and definitive restoration was fabricated. After the evaluation of esthetic and function, pick up impression for clinical remounting was done. Lucia jig was made for new jaw relation and occlusal adjustment on the articulator. Definitive restoration was delivered and the patient was periodically recalled for additional occlusal adjustment. From this case, the satisfactory functional and esthetic results through full mouth rehabilitation with increase vertical dimension were achieved.

Dental students' clinical confidence in denture treatment after clinical experiences (의치진료 경험 후 치과대학 학생들의 임상진료능력에 대한 자기인식도)

  • Lee, Bora;Shim, June-Sung;Lee, Jae Hoon;Kim, Jong-Eun;Park, Ji-Man;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.185-192
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    • 2020
  • Purpose: The purpose of this study is to investigate dental students' self-perception of clinical care ability after a denture treatment experience. Materials and methods: Of the 58 fourth-year students at the dental school in 2019, 50 students completed the questionnaire concerning their denture treatment session, including treatment planning and pre-prosthetic treatment (4 questions), clinical and laboratory procedures (20 questions), and students' opinions on clinical denture education (4 questions). Each question was answered on a five-point scale, of which points four and five, "agree" and "strongly agree" respectively, were classified as positive responses while points one and two, "disagree" and "strongly disagree" respectively, were classified as negative. Results: All the items on clinical and laboratory procedures received a positive response rate of over 60%, and the overall self-perception of the students appeared to be positive. However, the questions on the ability to perform denture treatment independently after graduation received only 48% of positive answer. Those on patient management, explanations of denture precautions, customized tray production, boxing, and work model production were answered with the highest positive response rate whereas those on treatment planning, final impression acquisition, and surveying, were the lowest in each session. Conclusion: The dental students with experience in denture treatment generally have a positive opinion of their clinical care ability, but further education may be necessary to improve their ability to treat their patients independently.

The Distribution of Oral Candida Species in Patient with Prosthetic Appliance (보철물 장착 환자의 구강 칸디다균 분포)

  • Son, Seung Hwa;Baek, Su Min;Park, Young Min
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.477-487
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    • 2014
  • Of the many pathogenic Candida species, Candida albicans is the main fungal pathogen of humans. The oral environmental factors considered in the Candida albicans colony forming unit test contain both host and microbial factors associated with candidiasis. In particular, Candida biofilms can develop on surfaces of prosthesis. The purpose of this study was to investigate the distribution of oral Candida species between the type of prosthesis and the situation of oral environment in patient with prosthetic appliance. The patients were 30 elderly subjects with different types of prosthesis, 7 who wore denture, 12 who wore implant and 15 who wore removable orthodontic appliance. We used Candida albicans colony forming unit test using saliva to exam the distribution of Candida albicans related with 5 oral environmental factors, gender, smoking or nonsmoking, alcohol/nonalcohol consumption, the type of prosthetic appliance and its treatment duration as well as tooth brushing frequency per day. In conclusion, for the patient's gender, site in the oral cavity and the type of prosthetic appliance and its treatment duration was associated with an increase in the distribution of Candida albicans in saliva. The distribution of Candida albicans within the oral cavity performs to be modulated to varying extents by oral environmental factors and, further investigations are required to elucidate these complex interactions.

Rehabilitation of a patient with atrophic ridges using gothic arch tracing and nonpressure impression: a case report (심하게 흡수된 치조제를 가진 환자에서 고딕 아치 기록과 무압 인상을 이용한 총의치 수복: 증례보고)

  • Lee, Shin-Yeop;Yu, Jung-Hyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.232-238
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    • 2018
  • Flabby ridges adversely affect the stability of complete dentures. For the management it is suggested that soft tissues reconditioned before making definitive dentures, and modified impression techniques used for the flabby ridges. Also, correct record of centric relation is important in complete dentures. This case of 67-year-old edentulous female patient had atrophied ridges on the mandible and the flabby ridge on the maxilla. Treatment dentures were fabricated using gothic arch tracing method and tissue conditioner. Definitive dentures were made using window opening impression technique, the gothic arch tracing method, and lingualized occlusion. The patient was satisfied with the function and esthetic quality of the new prostheses.

DENTAL MANAGEMENT OF MULTIPLE CARIES IN ADOLESCENCE PATIENT WITH INTELLECTUAL DISABILITIES: CASE REPORTS (다발성 우식증이 있는 청소년 지적장애 환자의 치과적 관리 : 증례보고)

  • Lee, Mi So;Kim, Jea-gon;Yang, Yeon-mi;Lee, Dae-woo
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.23-28
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    • 2019
  • People with intellectual disabilities (ID) usually have poor oral health status and are susceptive to have more caries than general populations. Even when the patients get regular dental treatment, their dental conditions are usually not good for some additional factors. In this presentation, we show dental follow-up care of two patients who have multiple caries. The first case is a 16-year-old boy who has a unilateral facial paralysis with ID. As the lack of controlling of the muscles resulted in interfering with the self-cleansing, it would be associated with a higher incidence on the affected side. Endodontic treatment and caries treatment as restoration was performed. Due to loss of posterior occlusal support on right side, we planned to recover the right posterior relationship by full coverage restorations. In second case, a 20-year-old boy has been on a long-term follow up. Caries treatment, periodontal treatment, and prosthetic treatment were performed under several times of general anesthesia. He has been treated more than 8 years and gets a regular check at 1-month intervals, however, high dental caries susceptibility has been retained. These cases present that dentists should perform more aggressive treatment and be involved in providing better maintenance of patients with intellectual disabilities with multiple caries in adolescence. In other words, it is necessary to suggest a customized preventive strategy for patients with ID.

INFECTIVE ENDOCARDITIS OF DENTAL ORIGIN: A CASE REPORT (치성기원으로 인한 감염성 심내막염: 증례보고)

  • Ahn, Shin-Young;Yang, Seok-Jin;Kim, Su-Gwan;Kim, Hak-Kyun;Lee, Hyo-Bin;Park, Joong-Yeop;Choi, Dong-Kook;Kim, Young-Jong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.3
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    • pp.237-241
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    • 2006
  • Infective endocarditis remains an important, life-threatening infection despite improvements in diagnosis and management. Despite the decrease in rheumatic heart disease and the improvements in antibiotic prophylaxis, infective endocarditis has been reported with increasing frequency in the last few decades. Presumably, this is due to the rise in the incidence of intravenous drug users, carriers of prosthetic valves and other intracardiac devices, and the longer survival of patients with congenital heart disease. Despite the great advances in medical and surgical treatment, infective endocarditis is still a life-threatening disease with an estimated mortality of 27%. Infective endocarditis represents one of the few potentially fatal infections that may occur in a dental patient. Efforts to reduce the incidence of this disease usually take the form of appropriate antibiotic coverage before dental treatment, together with the establishment and maintenance of good oral health. This study is a case report of a patient who developed infective endocarditis after multiple tooth extractions due to chronic periodontitis of dental origin.