• Title/Summary/Keyword: fixed restoration

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Full mouth rehabilitation of a patient using monolithic zirconia and dental CAD/CAM system: a case report (단일구조 수복용 지르코니아와 Dental CAD/CAM System을 이용한 전악 임플란트 고정성 보철 수복 증례)

  • Lee, Sang-Hoon;Yoon, Hyung-In;Yeo, In-Sung;Han, Jung-Suk;Kim, Sung-Hun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.196-207
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    • 2018
  • An accurate implant placement with ideal location is significant for long-term success of the implant. An exact evaluation of nearby anatomic structures such as quality of residual bone, an inferior alveolar bone and a maxillary sinus is required. For a prosthetic-driven treatment, planned surgery, precise prosthesis and communication with the patient are significant requisites especially for full-mouth rehabilitation. In this case, the patient with severe alveolar bone resorption had a CT guided surgery supported by CT data and the data from scanning diagnostic wax-up. Afterward, edentulous area was restored by full mouth implant-supported prosthesis by using monolithic zirconia and CAD/CAM technique. This paper reports the outcome of the procedure which was remarkable both esthetically and functionally.

The effet of cooling rate on the residual stresses in the veneer ceramics of zirconia-ceramic restorations: a literature review (냉각속도가 지르코니아-도재 수복물의 전장도재 내 잔류응력에 미치는 효과에 관한 문헌고찰)

  • Chang, Jea-Seung;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.2
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    • pp.136-142
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    • 2014
  • Nowadays, dental zirconia is widely used as a framework material for a fixed dental prosthesis as well as a single restoration. However, clinical studies have reported high incidence of veneer chipping of zirconia-ceramic restorations compared to that of metal-ceramics. Several factors were raised as the possible causes of veneer ceramic chipping, however, it is still in debate. Recently, residual stresses in the veneer ceramics after cooling process gathers attention as one possible cause of chipping and many studies reported that the rate of cooling significantly influenced the types and the amount of residual stress. The purpose of current review was to briefly describe the effect of cooling rate on the residual stress in zirconia-ceramics. It was also described that the different behavior of residual stress between zirconia-ceramics and metal-ceramics following different cooling rate.

Prosthetic restoration of the patient with inaccurate pronunciation after prosthesis fabrication through systematic diagnosis and treatment procedure: A case report (보철물 제작 후 부정확한 발음을 가진 환자에서 체계적인 진단 및 치료과정을 통한 보철 수복 증례)

  • Choi, Yu-Sung;Lee, Seong-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.413-422
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    • 2016
  • Recently, there are cases where anterior esthetic prostheses are fabricated for better esthetics, but biologic, mechanical factors could be overlooked, too focusing on esthetic factor. This leads to changes in neutral zone, dentition, position of tongue and lips, occlusion and anterior guidance causing inaccurate pronunciation. Therefore, consideration of systematic diagnosis and treatment procedure are required. In this case, prosthesis was refabricated through a systematic diagnosis and treatment procedure using four factor (acoustic analysis, esthetic analysis, occlusion, neutral zone) for the patient who complained of inaccurate pronunciation and esthetics of the fixed prosthesis fabricated 10 years ago. Thus, by promoting functional, esthetic recovery, this case report demonstrates satisfying results to both the patient and dentist.

Full mouth rehabilitation of an oligodontia patient with intellectual disability based on shortened dental arch concept: a case report (2급 지적 장애를 가진 환자의 SDA 개념을 적용한 전악 수복 증례)

  • You, Jae-Wook;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.330-335
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    • 2012
  • Shortened dental arch (SDA) as a treatment goal is the concept that stable occlusion and enough masticatory force can be achieved by restoration to the second premolars when the situation is not favorable. SDA could be applied both natural teeth and implant supported fixed prostheses. This case dealt with a patient who has grade 2 intellectual disability and a lot of missing teeth. Because of intellectual disability, patient cooperation during treatment could not be expected. Therefore every treatment should be done under general anesthesia. In addition to that, ridge resorption around molar area was severe and there were maxillary sinus pneumatization and maxillary sinusitis which increased failure probability. SDA concept was adopted to reduce risk factor and minimize general anesthesia. After the treatment, functional and esthetic improvement was achieved and oral hygiene was fortified by periodic recall check and education.

Full mouth rehabilitation on the patient with class II jaw relation and posterior bite collapse using reestablishment of occlusal vertical dimension: a case report (구치부 교합지지가 상실된 II급 악간관계 환자의 교합 재설정을 통한 완전 구강회복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won;Jung, Ji-Hye
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.262-272
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    • 2015
  • Loss of molar support and abnormal jaw relationship lead to occlusal disharmony and cause pathologic signs. Full mouth rehabilitations with reestablishment of occlusal schemes are needed. In this case, the 75 year-old female patient showed posterior bite collapse, irregular occlusal plane and Class II jaw relationship. By observing her profile and interocclusal distance, she was diagnosed as loss of occlusal vertical dimension. Treatment plan is to restore maxillay class I removable partial denture and mandibular fixed prosthesis and to establish vertical dimension and harmonious occlusal plane. Occlusal vertical dimension of 19 mm, which is obtained by 7.5 mm increase between maxillary right lateral incisor and mandibular canine, was established using temporary prosthesis via diagnostic wax-up. Patient adaptation with newly formed vertical dimension was verified during 8 week follow-up period. Within the information of interim prostheses, final restoration was constructed and delivered. The patient showed sound occlusal scheme and esthetic profile.

A Study on Fisheries Resource Management Under the Rate Payment System - In Case of Large Trawl Fisheries - (비율(보합) 급제하에서 어업(자원)관리에 관한 연구 - 대형기선저인망어업을 중심으로 -)

  • Park Seong-Kwae
    • The Journal of Fisheries Business Administration
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    • v.36 no.3 s.69
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    • pp.1-24
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    • 2005
  • Korean fishery wage system has been evolved with the different titles. However, Since the law of fishing crew was enacted in 1984, the fishery wage system has been established as a rate system, which is a legal term. The present rate system in practice shows various contents and modalities, depending on fisheries and regions, but the fisheries of large trawl cooperative employ a rate system of fixed plus rate wage. However, such change did not transform basically the properties of pure rate scheme. As well known, fishing vessel owners face an awful lot of difficulty in managing and controlling effectively the production process because fishing activities are carried out in the seas remote from the land. Thus, it tend to be inevitable for vessel owners to employ a rate system to induce fishermen's positive motivation for promoting productivity and saving operating costs. However, the rate system has worked out as a driving force, which induce an increase in production more strongly under the expansion of vessel numbers and power and the keener competition of fishing activities. Even though the control mechanism of fishing instruments are well established, fishermen become naturally to have an incentive to increase their fishing effort for maximizing production since they are able to raise their shares by maximizing the quantity harvested. Thus, as far as the rate system exists, fisheries administration may have much difficulty in realizing its fishery management goals only through vessel reduction and fishing gear regulations. Also, under the rate system fishery management authority may be in face of a serious dilemma between the spontaneous rate system and vessel reduction policy. If the realistic aspect of the rate system is recognized and resource restoration and profit promotion are main policy goals, it is necessary to develop effective ways to control vessel owners' and fishermen's production-maximizing motives at an appropriate level. From this point of view, it seems reasonable to introduce TAC system by species or by fisheries into the existing fishery system. The research results suggest that if the fisheries administration could understand clearly the spontaneous fisheries wage system, it would know the norm of TAC and the basic reasons for illegal fishing activities and thus it would be able to develop and implement more realistic resource management policies.

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MINI-IMPLANTS TO RESTORE MISSING TEETH IN SEVERE RIDGE DEFICIENCY AND SMALL INTERDENTAL SPACE (치조정 골 소실이 심한 경우와 치간 사이 공간이 부족한 경우에서의 미니 임프란트 식립)

  • Seo, Mi-Hyun;Yoo, Chung-Kyu;Lee, Eun-Kyung;Jung, Da-Unn;Suh, Je-Duck;Chung, Il-Hyuk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.67-70
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    • 2009
  • Purpose: This study presents the use of mini implants for fixed restoration and implant supported overdenture to enable the practitioner to overcome the anatomic obstacles of ridge width and narrow interdental space. Patients and methods: This study consisted of 9 patients who required single implants for one or two teeth replacement and 1 patient who required implant supported overdenture after mandiblectomy, iliac bone graft due to ghost cell tumor. The ages ranged from 29 to 70 years (mean 51). All patients were in good health. Clinical and radiographs were taken pretreatment, postoperatively, during rehabilitation, and at follow ups. Results: Total implant survival rate was 94.7%. One implant was removed due to its mobility as a result of bad bone quality (Type IV) and patient's carelessness (Heavy smoker). All patients except one reported complete satisfaction regarding to function, aesthetics, and phonetics. Radiographic follow up every 3months postoperatively showed success in achieving function and maintaining marginal bone level. Conclusion: Clinician can overcome both severe ridge deficiency and small interdental space with mini implant.

A STUDY ON SURFACE OF VARIOUS ABUTMENT SCREWS

  • Park Chan-Ik;Chung Chae-Heon;Choi Han-Cheol
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.3
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    • pp.351-359
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    • 2003
  • Statement of problem: Regardless of any restoration, most of case, we used in screw connection between abutment and implant. For this reason, implant screw loosening has been remained problem in restorative practices. Purpose: The purpose of this study was to compare surface of coated/plated screw with titanium and gold alloy screw and to evaluate physical property of coated/plated material after scratch test in FESEM investigation Material and methods: GoldTite, titanium screw provided by 3i (Implant Innovation, USA) and TorqTite, titanium screw by Steri-Oss (Nobel Biocare, USA) and gold screw, titanium screw by AVANA (Osstem Implant, korea) - were selected for this study. Each abutment screw surface was observed at 100 times, and then screw crest, root, and slope were done more detailed numerical value, at 1000 times with FESEM. A micro-diamond needle was also prepared for the scratch test. Each abutment screw was fixed, micro-diamond scratch the surface of head region was made at constant load and then was observed central region and periphery of fine trace through 1000 times with FESEM. Results: The surface of GoldTite was smoother than that of other kinds of screw and had abundant ductility and malleability compared with titanium and gold screw. The scratch test also showed that teflon particles were exfoliated easily in screw coated with teflon. Titanium screw had a rough surface and low ductility. Conclusion: It was recommended that the clinical use of gold-plated screw would prevent a screw from loosening. CLINICAL IMPLICATIONS Clinical use of gold-plated screw would prevent a screw from loosening because it had abundant ductility and malleability compared with titanium and gold screw.

Surveyed restoration and RPD framework design utilizing electronic surveying (전자 서베잉을 이용한 서베이드 금관과 국소의치 프레임워크 디자인)

  • Hong, Yong-Shin;Park, Eun-Jin;Kim, Seong-Kyun;Koak, Jai-Young;Heo, Seong-Joo;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.4
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    • pp.354-361
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    • 2011
  • There are still many limitations on fabricating dentures using digital method while computerized production of fixed prostheses utilizing intraoral scanner and CAD/CAM technology has propagated rapidly. Recently the digital solution of fabricating removable partial denture by applying haptic input device, electronic surveying, and rapid prototyping was introduced. In this case presentation, five patients were treated with surveyed crown and removable partial dentures by this digital solution. Fit of dentures was excellent except for one case which showed morphological difference between the actual teeth and that of master cast by the erroneous impression process. There also was not any problem of stability and retention after adaptation in the clinical setting.

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.