• Title/Summary/Keyword: double tooth

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DOUBLE TEETH IN MAXILLARY PERMANENT INCISORS : CASE REPORTS (상악 전치부에 발생한 이중치: 증례보고)

  • Kim, Mi-Ni;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taek;Kim, Chong-Chul;Hahn, Se-Hyun;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.119-125
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    • 2009
  • Fusion and gemination are irregularities in tooth development. It is often difficult to differentiate between gemination and fusion and it is common to refer to these anomalies as 'double teeth'. The deciduous teeth are most commonly involved, but in 0.1% of cases permanent teeth are affected, in which case aesthetic, funtional and periodontal problems can result. Double teeth present great difficulties in management and required a multidisciplinary approach. The central groove on the labial and palatal surfaces of a double tooth is extremely prone to caries, therefore early 'fissure sealing' is essential. In permanent dentition, surgical separation of fused teeth may be possible with subsequent orthodontic alignment and restorative treatment as needed to reshape the crown. Reshaping or reduction of a double tooth with a single canal may be attempted by modifying the appearance of the labial groove and the use of composite tints but is often impossible and extraction may be the only alternative. Orthodontic treatment and prosthetic replacement is then required. Implants may be an option for adolescents. The present study describes three clinical cases of double teeth in the position of the maxillary permanent incisors. The first case demonstrates an example of multidisciplinary care including surgical intraoral hemisection, root canal therapy, restorative and orthodontic treatment. The second and third cases describe the external and internal morphology of the two fused teeth by means of three dimensional dental computer tomography.

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Pulp Revascularization of Infected Immature Permanent Teeth Using Platelet-Rich Fibrin and Double Antibiotic Paste : Case Report (감염된 미성숙 영구치에서 platelet-rich fibrin과 double antibiotic paste를 이용한 치수 재혈관화 : 증례 보고)

  • Jeon, Sang-Yun;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.3
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    • pp.216-222
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    • 2013
  • Paradigm shift in management of infected immature permanent teeth has occurred. The new concept of the treatment includes minimal or no intracanal instrumentation, disinfection with triple antibiotic paste and sealing with mineral trioxide aggregate. This regenerative endodontic treatment promotes differentiation of periradicular stem cells that induce regeneration of vital tissue and continuation of root formation. Thorough disinfection and three-dimensional scaffold are important in this new concept of the treatment. Platelet-rich fibrin has been reported as 'new scaffold' instead of blood clot, which had been used in the past. Triple antibiotics can be used to disinfect the tooth but may lead to complications including discoloration. Three cases of infected immature permanent tooth caused by dens evaginatus fracture are presented. After removal of necrotic pulp and thorough intracanal irrigation, only platelet-rich fibrin was applied to the root canal in the first case. In the other cases, topical antibiotics was used for disinfection and platelet-rich fibrin for scaffold. In all the cases, the opening was sealed with mineral trioxide aggregate. All the cases showed proper healing of inrabony lesion and some lengthening of root. According to these cases, regenerating vital tissue of the infected immature permanent tooth can be achieved with disinfection and application of platelet-rich fibrin.

EVALUATION AND DEVELOPMENT OF DIGITAL DEVICE FOR MEASURING PROXIMAL TOOTH CONTACT TIGHTNESS (디지털 방식의 인접면 접촉강도 측정장치의 개발 및 평가)

  • Choi, Woo-Jin;Kim, Kyung-Hwa;Kim, Jin-A;Kang, Dong-Wan;Oh, Sang-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.5
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    • pp.687-695
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    • 2007
  • Statement of problem: The proper contact relation between adjacent teeth in each arch plays an important role in the stability and maintenance of the integrity of the dental arches. Proximal contact has been defined as the area of a tooth that is in close association, connection, or touch with an adjacent tooth in the same arch. Purpose: The aim of this study was to develop a digital device for measuring the proximal tooth contact tightness by pulling a thin stainless steel strip (2mm wide, 0.03mm thick) inserted between proximal tooth contact. Material and method: This device consists of measuring part, sensor part, motor part and body part. The stainless steel strip was connected to a stain gauge. The strain gauge was designed to convert the frictional force into a compressive force. This compressive force was detected as a electrical signal and the electrical signal was digitalized by a A/D converter. The digital signals were displayed by a micro-processor. The pulling speed was 8mm/s. Results: For testing reliability of the device in vivo, two healthy young adults (A, B) participated in this experiment. The tightness of proximal tooth contact between the second premolar and the first molar of mandible (subject A) and maxilla (subject B) was measured fifteen times for three days at rest. We double-checked the accuracy of the device with a Universal Testing Machine. Output signals from the Universal Testing Machine and the measuring device were compared. Regression analysis showed high linearity between these two signals. In vivo test, no significant differences were found between measurements. Conclusion: This device has shown to he capable of producing reliable and reproducible results in measuring proximal tooth contact. Therefore, it was considered that this device was appropriate to apply clinically.

Development of a Piezoelectric Ultrasonic Tooth-whitening Apparatus

  • Lee, Young-Jin;Paik, Jong-Hoo;Lee, Jeong-Bae;Choi, Seung-Jae
    • Transactions on Electrical and Electronic Materials
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    • v.14 no.5
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    • pp.268-272
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    • 2013
  • The aim of this study was to develop an ultrasonic tooth-whitening apparatus using piezoelectric transducers, which enhance bleaching efficiency by applying ultrasound, while performing a teeth whitening procedure. For this purpose, an ultrasonic transducer was designed and manufactured, and the effects of reduction in the whitening material's concentration and in the whitening treatment time through using the ultrasound cavitation phenomenon were confirmed. Also, the validity of this study was investigated by comparing the whitening performance with a commercialized optical whitener, through color comparison. The results revealed that the ultrasound whitener produced color values that were enhanced by as much as double that of the conventional LED light whitening method. Even when the operational time was reduced by half, the ultrasound method showed superior performance by over 54% compared to the conventional light whitener, revealing that the ultrasound method showed a remarkable treatment reduction effect.

Design of a Reduction Gear using Double-Enveloping Worm Gear (장구형 웜기어를 이용한 감속기 설계)

  • Kim, Tae Woo;Hwang, Young Kug;Lee, Choon Man
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.8
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    • pp.785-789
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    • 2013
  • Worm gear sets may be either single- or double-enveloping. In a single-enveloping set, the worm wheel is cut into a concave surface, thus partially enclosing the worm when meshed. The double-enveloping worm gear is similar to the single-enveloping gear; however, the worm envelopes the worm gear. Thus both are throated. The double-enveloping worm gear has more of the tooth surface in contact than the single-enveloping worm gear. The larger contact area increases the load-carrying capacity. For this reason, double-enveloping worm gearing is widely applied in heavy-duty machinery, for applications including construction and metallurgy. In this paper, we designed a compact reduction gear that is highly efficient using double-enveloping worm gears. We calculated the bearing load in the worm gearing to select the bearing and the housing surface area according to the recommended values from AGMA(American Gear Manufacturers Association). The finite element method was used to assess the structural integrity.

Full mouth implant rehabilitation with double scanning of provisional restoration (임시치아 double scanning을 이용한 전악 임플란트 수복 증례)

  • Yang, Dong-Hun;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.252-257
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    • 2014
  • It is important to produce a provisional restoration reflecting the patient's jaw relation, occlusal plane, lip support, shape of teeth, and occlusion type for fully edentulous patients before making a definite prosthesis. The patient introduced in this study showed bad prognosis of remained tooth after severe periodontal diseases. Therefore, remaining teeth were extracted and replaced with dental implants. Provisional restorations were fabricated and the the patient's vertical and horizontal jaw relationship, occlusal plane, amount of overjet and overbite, size of teeth, and length of anterior tooth were recorded. Provisional restorations were scanned and CAD/CAM techniques were used to fabricate a monolithic zirconia bridge, which contour is identical with the provisional restorations. The patient was satisfied with the treatment results on functional, esthetic aspects and the prosthesis retained stable during the four-month clinical observation period.

Full mouth rehabilitation of a worn dentition using digital guided tooth preparation: a case report (과도한 구치부 마모를 보이는 환자에서 digital guided tooth preparation을 이용한 완전 구강 회복 증례)

  • Kim, Yong-Kyu;Yeo, In-Sung Luke;Yoon, Hyung-In;Lee, Jae-Hyun;Han, Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.80-90
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    • 2022
  • With the development of digital dentistry, it is being applied in various ways of dental treatment. This case report presents the definitive prosthesis designed in advance with a re-established vertical dimension and the digital technology, which determined the amount of tooth preparation, in order to preserve as much tooth structure as possible in a patient with pathological wear of the posterior teeth and loss of vertical dimension. For accurate tooth preparation, the guides of the occlusal and axial surfaces were digitally and additively manufactured. Then, aesthetics and anterior guidance were established at the provisional stage. The information of the provisional restoration was delivered to the definitive stage by double scanning. The digital technology, including the virtual planning and the guided tooth removal, produced the definitive restorations satisfactory to both the patient and clinician.

Analysis of Magnetic Flux Path and Static Thrust Force of the Double-Side Linear Pulse Motor (양측식 리니어 펄스 모터의 자로와 정특성 해석)

  • Kim, Seong-Jong;Lee, Eun-Ung;Kim, Seong-Heon;Kim, Jun-Ho
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.51 no.9
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    • pp.493-498
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    • 2002
  • Double-side linear pulse motor(DSLPM) has more advantages than single-side linear pulse motor because noise and vibration can be considerably decreased by countervailing the normal forces, which is generated between two stators and mover. However, DSLPM has more complicated magnetic flux path and layout of stator pole toot/mover tooth rather than single-side linear pulse motor In this paper, DSLPM is designed and fabricated by considering the air gap magnetic density, shape of tooth and slot. In order to verify the characteristics of DSLPM, the air gap magnetic flux density is analyzed by 2D FEM and the magnetic flux path is analyzed by 3D FEM. Also the static thrust forces is obtained with the analyzed results.

Performance Evaluation of Ti-Al-N coated Endmill by Arc ton Plating (아크이온플레이팅에 의한 Ti-Al-N코팅 엔드밀의 성능평가)

  • 이상용;강명창;김정석;김광호
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2002.04a
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    • pp.251-254
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    • 2002
  • The technique of high speed machining is widely studied in machining field. In this study, TiAIN single-layered and TiAIN/TiN double-layered coatings were applied to end-mill by an arc ion plating technique. Their performances were comparatively studied about cutting force, tool wear, tool life and surface roughness of workpiece under high speed cutting conditions. The TiAIN single-layer coated tool showed higher wear-resistance due to its higher hardness, while the TiAIN/TiN double-layer coated tool showed better performance for high metal removal, i.e., high fled per tooth condition due to its higher toughness. The surface roughness of the workpiece was not influenced by the wear amount of coated tools.

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A clinical report of hybrid telescopic double crown denture with friction pin in a failed double crown denture case (실패한 이중관 국소의치에서 하이브리드 텔레스코픽 이중관 국소의치를 이용한 임상증례)

  • Park, Jong-Hoon;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.201-209
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    • 2021
  • In removable partial dentures, many types of retentive systems have been studied and applied in clinical treatment. One of those systems is the double crown denture system which is widely used in European countries such as Germany and Sweden. Telescopic double crown dentures have several advantages such as convenience in maintaining oral hygiene, enabling to transfer occlusal force along the long axis of the abutment, and secondary splinting effect between the abutments which leads to higher clinical performance compared to conventional removal partial dentures. In this clinical case, the patient was initially restored with a maxillary hybrid telescopic double crown denture with friction pin using remaining natural teeth as abutments. After 7 years, due to lack of recall check-up and poor oral hygiene, the abutment teeth were affected by periodontitis and 4 out of 5 of the abutment teeth had to be extracted. 3 additional implants were placed and the original abutment tooth with the inner crown was maintained. The mandible had fixed prostheses including implants but nevertheless, with strategic implant placement, the patient adapted well and was satisfied with the new maxillary tooth-implant combined double crown denture.