• The Journal of Advanced Prosthodontics
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• 제2권2호
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• pp.50-53
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• 2010

BACKGROUND. In order to restore severely attrited teeth properly, surgical intervention in the form of a crown-lengthening procedure may be required. And also, proper diagnosis and treatment sequencing is critical to obtain a successful results. Adequate diagnostic wax-up ensures good esthetics and healthy periodontal tissue. CASE DESCRIPTION. This clinical case report describes a diagnostically based protocol for restoration on mandibular anterior teeth with crown lengthening procedure and the treatment of partially edentulous mandible combined with an edentulous maxilla. In addition, the effort to prevent the combination syndrome was described. CLINICAL IMPLICATION. An interdisciplinary diagnosis and examination through visualization of the desired results ensure conservative and more predictable outcome.

• 대한치과의사협회지
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• 제58권8호
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• pp.513-520
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• 2020

Occasionally, complete dentures constructed in accord with the best clinical and laboratory procedures fail to serve successfully. These failures probably result from present ignorance of the occlusion and functions of living tissues. Nonetheless, in each case, the whole treatment procedure, both clinical and laboratory, must be reexamined in order to ascertain the point of failure. One can employ a technique more intelligently, and often improve on it, if the reasons for its use are known. When one is guided only by a recipe, the outcome will be doubtful whenever conditions are not the same as in the recipe. In this manuscript, occlusal consideration of edentulous patients will be discussed thoroughly.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제31권5호
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• pp.435-439
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• 2009

The peripheral ossifying fibroma(POF) is a relatively common, non-neoplastic gingival growth that is classified as a reactive hyperplastic inflammatory lesion. The clinical appearance of POF is generally a small, well-circumscribed, focal mass with a sessile or pedunculated base. The pathogenesis of this lesion is uncertain. POFs are believed to arise from cells of the periodontal ligament as hyperplastic growth of tissue that is unique to the gingival mucosa. Approximately 60% of POFs occur in the maxilla, and 55%-60% of all cases occur in the incisor-canine area. Most lesions are less than 2 cm in size. To our knowledge, huge POF of approximately 8 cm in size in the lower posterior edentulous ridge has not been previously described in the English literature. We report an unusually huge POF overlying the lower posterior edentulous ridge mucosa, along with long-term follow up result.

• 대한치과의사협회지
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• 제54권9호
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• pp.692-702
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• 2016

A short dental implant is considered as possible solution in difficult clinical situations for the placement of a regular length implant. Using a short implant avoiding more invasive surgical procedures simplifies the treatment plan and shortenes the duration of treatment. In this case, 71-year-old female came up with discomfort from her old mandibular denture. As she had fully edentulous mandible and got a negative feedback from removable denture, implant-supported fixed prosthesis was planned. Six short implants were placed on her mandible with severe alveolar bone loss. After 1 year follow up period, implants were well retained with any other abnormal findings. The patient was satisfied with her prostheses and satisfactory outcomes were attained in terms of both esthetic and functional clinical results.

• 대한치과보철학회지
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• 제49권3호
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• pp.222-228
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• 2011

연구 목적: 이 연구의 목적은 삼차원 유한요소 분석법을 이용하여 무치악 구개결손 환자에 사용되는 폐쇄장치의 응력 및 변위를 측정하고 이를 총의치 모형과 비교하는 것이다. 연구 재료 및 방법: 무치악 환자의 컴퓨터단층촬영 영상을 기반으로 구개 중앙에 상악절제술 후 발생한 결손부를 가지는 무치악 상악모형과, 무치악 3차원 유한요소 모형을 제작하였다. 각각의 모형에 적합한 총의치와 폐쇄장치를 제작하고 좌측 소구치와 구치 부위에 200 N의 수직하중을 가하였다. 3차원 유한요소 분석법을 이용하여 두 모형에서 보철물과 잔존 상악골조직의 von Mises 응력값과 변위량을 측정하였다. 결과: 두 모형 모두 하중을 가한 쪽의 피질골에서 최대 von Mises 응력 값이 관찰되었다. 총의치 모형의 피질골에서 가장 높은 값은 2.73 MPa 이었으며 폐쇄장치 모형의 피질골에서 가장 높은 값은 2.69 MPa 이었다. 보철물의 조직면에서도 높은 응력값이 관찰되었다. 최대 변위량은 폐쇄장치에서 총의치보다 더 높은 값이 관찰되었다. 결론: 폐쇄장치는 총의치에 비해 교합력 전달 면에서 불리했고, 더 큰 변위량이 관찰되어 상악절제술을 받은 무치악 환자의 보철치료 시 해부학적 지식에 바탕을 둔 정확한 인상채득과 보철치료 원칙의 적용이 고려되어야 한다.

• 대한치과의사협회지
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• 제47권12호
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• pp.823-829
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• 2009

Purpose : The aim of this study was to evaluate the survival rate of sintered porous-surfaced implants placed in the edentulous posterior mandibles, in relation to implant length and diameter, crown-to-implant ratio, and types of prostheses, for a maximum of eight years of functioning. Material and Methods : The study group consisted of 43 partially edentulous patients who visited Catholic University Hospital of Daegu and one private dental clinic. A total of 122 sintered porous-surfaced implants n $Endopore^{(R)}$ (Inn ova Life Sciences, Toronto, Ontario, Canada) -- were placed in the edentulous posterior mandibles, Two diameter sizes (4.1 mm and 5.0 mm) and four lengths (5.0 mm, 7.0 mm, 9.0 mm, and 12.0 mm) were used. One hundred and three implants were splinted and 21 implants were nonsplinted. The survival rates of the implants in relation to length, diameter, crown-to-implant ratio, and types of prostheses were investigated. Statistical data were analyzed using SPSS Win.Ver 14.0 software with the Chi-square test. Results : The survival rate of the 4.1mm diameter implants was 100% and 91.2% for the 5.0mm diameter implants. The survival rates of the implants of differing diameters were found to be statistically different (p=0.005). The survival rates of both the 5.0mm and 7.0 mm length implants were 100%. The survival rate of the 9.0mm length implants was 97.9% and for the 12.0mm length implants was 95.1%. There was no statistical difference in survival rates for the differing lengths of implants. Of the 103 prostheses that were splinted, the survival rate was 98.0%. The survival rate of splinted prostheses was higher than that of the non-splinted prostheses, but was found to be not statistically different. There were no failed cases when the crown-to-implant ratio was under 1.0. When the crown-to-implant ratio was between 1.0 and 1.5, the failure rate of the implants was 6.7%. No failure was recorded with the ratio range of 1.5 to 2.0. Relative to the crown-to-implant ratio of 1.0, the failure rates were statistically different (p=0.048). Discussion and Conclusion : The cumulative survival rate of the porous-surfaced implants placed in the edentulous posterior mandibles was 97.5%. Short porous-surfaced implants showed satisfactory results after a maximum of nine years of functioning in the edentulous posterior mandibles.

• 대한치과의사협회지
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• 제11권5호
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• pp.321-323
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• 1973

The auther observed the aging of oral epithelium in gingiva of edentulous jaw. The observed staning methods were PAS reaction of the epithelivm of the gingive were increased in aging group, the basal prickle and granulor cell layer presented a strong reaction. The collagenous fiber in subepithelical layer was, quantitalively inrcred accouding to aging.

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 1999년도 창립 40주년 기념 추계학술대회
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• pp.135-135
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• 1999

• 구강회복응용과학지
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• 제27권1호
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• pp.117-123
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• 2011

총의치 환자의 치료 시 인상 채득 과정은 의치의 지지, 유지, 그리고 안정을 위해 매우 중요하며, 의치의 성공여부를 좌우한다. 총의치 인상 채득을 위한 여러 가지 재료와 방법들이 이용되어 왔으며, 그 중 조직 양화재 (tissue conditioner)를 이용한 동적 인상법 (dynamic impression method)은 보다 생리적이고 기능적인 방법이다. 본 증례들에서는 무치악 환자에서 조직 양화재인 Coe-comfort$^{(R)}$ (GC America, IL, USA)를 이용한 동적 인상법으로 변형된 연조직의 회복과 하께 가장 생리적인 상태로 인상을 채득하여 의치의 제작 및 첨상을 시행하였으며, 만족스런 결과를 얻었다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.31.1-31.7
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• 2016

Background: The objective of this retrospective study was to show results from platform-switched narrow-diameter implants in the posterior edentulous region, which we followed up for more than 1 year after functional loading. Methods: Ninety-eight narrow implants were inserted into 66 patients. After healing, fixed implant-supported prostheses were delivered to the patients, and Periotest and radiographic examinations were performed. After the first year of loading, the implant outcome was again evaluated clinically and radiographically using the Periotest analysis. Crestal bone loss and Periotest values (PTVs) were used to evaluate the effect of surgery, prosthesis, implant, and a host-related factor. A general linear model was used to statistically detect variables statistically associated with crestal bone loss and Periotest value. Results: We followed up on the implants over 1 to 4 years after loading; their survival rate was 100 %, and pronounced differences from PTVs were noted among jaw location, bone quality, and loading period. No difference was detected in bone loss among the variables studied. Bone loss after functional loading was $0.14{\pm}0.39mm$. The stability value from the Periotest was $-3.29{\pm}0.50$. Conclusions: Within the limitations of this study, judicious use of platform-switched narrow implants with a conical connection must be considered an alternative for wide-diameter implants to restore a posterior edentulous region.