• Title/Summary/Keyword: occlusal gap

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A DIAGNOSIS OF SUBMANDIBULAR SIALOLITHIASIS WITH COMPUTED TOMOGRAPHY (전산화 단층촬영술을 이용한 악하선 타석증의 진단)

  • Koo, Chi-Kyun;Choi, Hyung-Jun;Lee, Jong-Gap;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.545-548
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    • 1998
  • Sialolithiasis is the formation of calcareous concretions within ductal system of a major or minor salivary gland. They are formed by deposition of calcium salts around a central nidus which may consist of desquamated epithelial cells, bacteria, foreign bodies, or products of bacterial decomposition. An 11-year-old boy complained of pain during meals and intermittent mild swelling in the right submandibular region. Although it was not detected in true occlusal radiograph, panoramic radiograph showed a round radiopaque mass 3mm in diameter. Computed tomography(CT) was taken for locating the stone and 3-dimensional reconstruction was performed. Under general anesthesia, sialoadenectomy was done through extraoral approach. Diagnosis of submandibular sialolithiasis using high-resolution CT with reconstructions was helpful for surgical decisions, namely radical removal of the submandibular gland and its duct.

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A STUDY ON THE EFFECT OF GLASS INSERTS ON MARGINAL LEAKAGE OF COMPOSITE RESIN RESTORATION (복합레진 충전시 Glass Inserts의 적용이 변연누출에 미치는 영향에 관한 연구)

  • Kim, Yong-Cheol;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.2
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    • pp.383-404
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    • 1997
  • In this study, we tried to compare the effect of glass inserts on marginal leakage of composite resin restoration by comparing with that of several filling methods. The results obtained from this experiment were as follows ; 1. The degree of microleakage measured in glass inserts group was generally lower than that of the other groups. Statistical analysis showed significant intergroup difference between glass inserts and one complete unit, pre-polymerized composite resin ball(P<.05), but no significant difference between groups of glass inserts and increments(P>.05). 2. Scanning electron microscopic observation showed relatively large gap around resin-tooth interface in specimens restored the method of using the one complete unit and pre-polymerized composite resin ball whereas a denser and tighter was observed in increments and glass inserts group. Generally the gingival margin was shown to have better bonds than the occlusal margin in specimen of all groups. 3. In the present experiment, methods using the techniques of glass inserts and increments were evaluated to be superior to those of one complete unit, pre-polymerized composite resin ball in the aspect of microleakage. However, the result of this study could not determine the superiority of the use of glass inserts over incremental method. Besides the physical properties observed in this study, the practical aspect of clinical convenience should be considered in determining the selection of material.

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Comparison the fit of three-unit metal framework fabricated by wax milling method and digital light projection method (왁스 밀링 방법 및 디지털 광 프로젝션 방법으로 제작된 3본 금속 구조물의 적합도 비교)

  • Lee, Jung-Hwan;Ahn, Jae-Seok
    • Journal of Technologic Dentistry
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    • v.41 no.1
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    • pp.9-19
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    • 2019
  • Purpose: This study was conducted to comparative evaluate the marginal and internal gap of three-unit metal frameworks(Co-Cr) fabricated by wax milling method and digital light projection method of CAD/CAM systems. Methods: All the specimens were fabricated by three different fabrication methods: conventional wax up with casting(CWC), milled wax block with casting(MWC), digital light projection with casting(DLPC) (n=10 each). The marginal and internal fits of specimens were examined using a replica technique. The light-body silicone thickness was measured at 8 reference points(each abutment: 16 measurements). All measurements were conducted by a stereomicroscope. Digital photo were taken at $150{\times}$ magnification and then analyzed using a measurement software. The Mann-Whitney test was used for analyzing the results. Results: Statistically significant differences were found between the fabrication methods(p<0.001). The mean(SD) is ${\mu}m$ for fabrication methods, the mean marginal fit were recorded respectively, CWC 63(38), MWC group 50(33), DLPC 103(54) and the mean internal fit CWC 96(47), MWC group 116(41), DLPC 138(66). Conclusion : The marginal and internal fit were statistically different according to the fabrication methods(p<0.001). In all fabrication methods, the greatest misfit was found the occlusal area of all specimens.

Marginal and internal fit of interim crowns fabricated with 3D printing and milling method (3D 프린팅 및 밀링 방법으로 제작된 임시 보철물 적합도 비교 분석)

  • Son, Young-Tak;Son, KeunBaDa;Lee, Kyu-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.254-261
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    • 2020
  • Purpose: The purpose of this study was to assess the marginal and internal fit of interim crowns fabricated by two different manufacturing method (subtractive manufacturing technology and additive manufacturing technology). Materials and Methods: Forty study models were fabricated with plasters by making an impression of a master model of the maxillary right first molar for ceramic crown. On each study model, interim crowns (n = 40) were fabricated using three types of 3D printers (Meg-printer 2; Megagen, Zenith U; Dentis, and Zenith D; Dentis) and one type milling machine (imes-icore 450i; imes-icore GmbH). The internal of the interim crowns were filled with silicon and fitted to the study model. Internal scan data was obtained using an intraoral scanner. The fit of interim crowns were evaluated in the margin, absolute margin, axial, cusp, and occlusal area by using the superimposition of 3D scan data (Geomagic control X; 3D Systems). The Kruskal-wallis test, Mann-Whitney U test and Bonferroni correction method were used to compare the results among groups (α = 0.05). Results: There was no significant difference in the absolute marginal discrepancy of the temporary crown manufactured by three 3D printers and one milling machine (P = 0.812). There was a significant difference between the milling machine and the 3D printer in the axial and occlusal area (P < 0.001). The temporary crown with the milling machine showed smaller axial gap and higher occlusal gap than 3D printer. Conclusion: Since the marginal fit of the temporary crown produced by three types of 3D printers were all with in clinically acceptable range (< 120 ㎛), it can be sufficiently used for the fabrication of the temporary crown.

Evaluation of marginal and internal gaps of Ni-Cr and Co-Cr alloy copings manufactured by microstereolithography

  • Kim, Dong-Yeon;Kim, Chong-Myeong;Kim, Ji-Hwan;Kim, Hae-Young;Kim, Woong-Chul
    • The Journal of Advanced Prosthodontics
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    • v.9 no.3
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    • pp.176-181
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    • 2017
  • PURPOSE. The purpose of this study was to evaluate the marginal and internal gaps of Ni-Cr and Co-Cr copings, fabricated using the dental ${\mu}-SLA$ system. MATERIALS AND METHODS. Ten study dies were made using a two-step silicone impression with a dental stone (type IV) from the master die of a tooth. Ni-Cr (NC group) and Co-Cr (CC group) alloy copings were designed using a dental scanner, CAD software, resin coping, and casting process. In addition, 10 Ni-Cr alloy copings were manufactured using the lost-wax technique (LW group). The marginal and internal gaps in the 3 groups were measured using a digital microscope ($160{\times}$) with the silicone replica technique, and the obtained data were analyzed using the non-parametric Kruskal-Wallis H test. Post-hoc comparisons were performed using Bonferroni-corrected Mann-Whitney U tests (${\alpha}=.05$). RESULTS. The mean (${\pm}$ standard deviation) values of the marginal, chamfer, axial wall, and occlusal gaps in the 3 groups were as follows: $81.5{\pm}73.8$, $98.1{\pm}76.1$, $87.1{\pm}44.8$, and $146.8{\pm}78.7{\mu}m$ in the LW group; $76.8{\pm}48.0$, $141.7{\pm}57.1$, $80.7{\pm}47.5$, and $194.69{\pm}63.8{\mu}m$ in the NC group; and $124.2{\pm}52.0$, $199.5{\pm}71.0$, $67.1{\pm}37.6$, and $244.5{\pm}58.9{\mu}m$ in the CC group. CONCLUSION. The marginal gap in the LW and NC groups were clinically acceptable. Further improvement is needed for CC group to be used clinical practice.

CHANGES OF TENSILE BOND STRENGTH ACCORDING TO THE DIFFERENCE IN LINING MATERIALS AND LINING AREA (이장재와 이장면적의 차이에 따른 인장결합강도의 변화)

  • Park, Jong-Duk;Lee, Yong-Woo;Ohn, Yeong-Suck;Lee, Kwang-Won
    • Restorative Dentistry and Endodontics
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    • v.23 no.1
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    • pp.443-460
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    • 1998
  • The purpose of this study was to estimate the changes of tensile bond strength according to the difference in lining materials and lining area. Seventy non-carious extracted human molars were used in the present study, and they were randomly assigned into 2 experimental groups according to the difference in lining materials. Each experimental group was subdivided into 3 groups according to the difference in lining area. Circular cavities were prepared on the dentin surface to a diameter of 1.5mm, 2.0mm, 2.5mm and the prepared cavities were filled with Fuji II LC( Glass Ionomer Cement : GIC) or Dycal. Dentin specimens without circular cavity were used as control group. The primer and bonding agent of All-Bond 2 and composite resin (Z-100, 3M Dental Products, U. S. A.) were applied to the exposed dentin surface with or without lining. Tensile bond strengths for the experimental specimens were then measured. To examine the interface between dentin and liner & between liner and composite resin, two specimens from each group were fabricated and observed under the SEM. The results were as follows. 1. Tensile bond strength for the specimens lined with GIC was higher than that for specimens lined with Dycal. However, there was no significant difference between two groups(p>0.05). 2. Tensile bond strength for the specimens lined with GIC in a diameter of 1.5mm(GIC-1.5mm lining group) was statistically higher than that for the GIC-2.0mm lining group and GIC-2.5mm lining group(p<0.05). 3. Tensile bond strength for the specimens lined with Dycal in a diameter of 2.5mm (Dycal-2.5mm lining group)was statistically lower than that for Dycal-1.5mm lining group and Dycal-2.0mm lining group(p<0.05). 4. It was possible to observe the good adhesion of the resin composite to the GIC and the presence of a fissure between GIC and dentin all along the interface. Interfacial gaps of 7.2-$72.2{\mu}m$ between GIC and dentin were observed. The interfacial gap between GIC and dentin at the cavity base was greater. However, the gap was gradually decreased toward the occlusal portion. 5. It was possible to observe the poor adhesion of the resin composite to the Dycal. The detachment of Dycal was occurred all along the composite resin-Dycal interface, and the gaps of 2.0-$30.1{\mu}m$ were formed. In all the specimens, polymerization shrinkage of resin composite caused the detachment of Dycal from the body of Dycal. At a Dycal-dentin interface. it was possible to observe the good adhesion. but poor adhesion with interfacial gap of 2.9-$26.8{\mu}m$ was observed partially.

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Stress distribution of implants with external and internal connection design: a 3-D finite element analysis (내측 연결 및 외측 연결 방식으로 설계된 임플란트의 3차원적 유한요소 응력 분석)

  • Chung, Hyunju;Yang, Sung-Pyo;Park, Jae-Ho;Park, Chan;Shin, Jin-Ho;Yang, Hongso
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.3
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    • pp.189-198
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    • 2017
  • Purpose: This study aims to analyze the stress distribution of mandibular molar restoration supported by the implants with external hex and internal taper abutment connection design. Materials and Methods: Models of external connection (EXHEX) and internal connection (INCON) implants, corresponding abutment/crowns, and screws were developed. Supporting edentulous mandibular bony structures were designed. All the components were assembled and a finite element analysis was performed to predict the magnitude and pattern of stresses generated by occlusal loading. A total of 120 N static force was applied both by axial (L1) and oblique (L2) direction. Results: Peak von Mises stresses produced in the implants by L2 load produced 6 - 15 times greater than those by L1 load. The INCON model showed 2.2 times greater total amount of crown cusp deflection than the EXHEX model. Fastening screw in EXHEX model and upside margin of implant fixture in INCON model generated the peak von Mises stresses by oblique occlusal force. EXHEX model and INCON model showed the similar opening gap between abutment and fixture, but intimate sealing inside the contact interface was maintained in INCON model. Conclusion: Oblique force produced grater magnitudes of deflection and stress than those by axial force. The maximum stress area at the implant was different between the INCON and EXHEX models.

Effect of internal gap on retentivity in implant fixed prosthesis with lingual slot (설측 슬롯을 부여한 임플란트 고정성 보철물에서 내면 간격이 유지력에 미치는 영향)

  • Kim, Tae-Kyun;Lee, Kyu-Bok
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.206-211
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    • 2018
  • Purpose: Recently, a method of forming a slot in the prosthesis lingual has been introduced to solve the occlusal and aesthetic disadvantages of screw-retained prosthesis in the manufacture of implant-fixed prosthesis and to ensure retrievability in cement retained prostheses. The purpose of this study is to investigate the effect of the internal gap on the removal of the prosthesis in the preparation of cement-retained implant prostheses with lingual slots. Materials and methods: Titanium abutment and internal gap of the zirconia prosthesis to be attached to the upper part were set to 30, 35, and $50{\mu}m$, respectively. Three for each type total 15 were produced for each type. The zirconia prosthesis formed a retrievable cement-type slot with a space of 1 mm at the location where the titanium abutment meets the shelf area. Autocatalytic resin cement was used for bonding of abutment and zirconia prosthesis, and the maximum removal stress value was measured in units of Ncm by using the customized equipment of the cemented specimen. The Kruskal-Wallis test was used to compare the three groups by statistical analysis (${\alpha}=.05$), modified by post hoc test the Mann-Whitney U-test and the Bonferroni correction method were used to compare the two methods (${\alpha}=.017$). Results: There was no statistically significant difference in removal stress between the $30{\mu}m$ group and the $35{\mu}m$ group in the internal gap (P = .032), and there was a significant difference between the $30{\mu}m$ group and the $50{\mu}m$ group, between the $35{\mu}m$ group and the $50{\mu}m$ group (P < .017). Conclusion: Thus, the internal gap of computer-aided design affected the retention between the zirconia prosthesis and the titanium abutment.

HISTOLOGICAL CHANGES IN THE ELONGATED BONE AFFECTED BY OSTEODISTRACTION OF THE MANDIBLE IN THE DOG (성견 하악골 절단 후 기계적 골 견인에 의해 형성된 골 신장부에 대한 시기별 조직학적 변화)

  • Baek, Sun-Ho;Ahn, Byoung-Keun;Park, Young-Ju;Park, Hee-Geon;Park, Jun-Woo;Rhee, Gun-Joo;Lee, Yong-Chan;Cho, Byoung-Ouck
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.5
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    • pp.404-416
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    • 2001
  • Purpose : Traditionally, the treatement of choice has been a bone grafting procedure to increase the length of bone in case of actual length discrepancy. But, bone grafting procedure has many disadvantages, for example, graft resorption, donor site morbidity, and so on. So, many trials have been performed to avert the use of autogenous bone graft via introducing new materials or methods. And, one of those trials has been realized by the development of a technique inducing bone lengthening by osteotomy (or corticotomy) and slow gradual distraction of the osteotomized segments. This new technique of bone lengthening dates back to the early 20th century. But, the majority of information concerning the biology of new bone formation during bone lengthening and technical details of the procedure were produced by extensive clinical and experimental studies performed by Ilizarov, a Russian surgeon. According to Ilizarov, with adequate blood supply, preservation of periosteum, rigid fixation of the osteotomized segments, and proper rate and rhythm of distraction, intramembranous bone rapidly develops within the distraction gap in the limb lengthening procedure. In the limb lengthening, many orthopedic surgeons try to observe the biologic and clinical principles recommended by Ilizarov. In the oral and maxillofacial region, however, not a few studies must be performed to apply this surgical technique in the clinical cases. Besides, the mechanism of bone formation in the distraction gap is not clear, yet. The purpose of this experiment was to scrutinize serially the histological changes in the elongated bone affected by osteodistraction of the mandibular body in an adult canine model. In addition, it was performed to confirm the presence of specific region(s) which was important in the bone formation in the gap through the observation of the expression pattern of osteocalcin and osteonectin with the immunohistochemical examination. Materials and Methods : The experimental and control specimens were obtained from seven adult male mongrel dogs weighing over 20kg. The distractors were custom-made linear extraoral devices and bicortical fixation screws were 2.3mm in diameter, 50mm in total length, 15mm in screw length. The distractors were devised to produce a linear gap of 0.75mm between two bony segments every $360^{\circ}$ turn of the rotation rod of the device. The mandibular body of the right side of each animal was corticotomized perpendicular to the occlusal plane and then two bony segments were separated completely by careful manipulation of the segments with bone forceps. The left side of each animal was left intact. This side was served as control. At sixth day after osteotomy and fixation of the segments were performed, distraction of the segments was commenced with a rate of 1.1mm/day and a rhythm of two/day for ensuing 7 days. The animals were euthanized at the 16th. 29th, and 44th day after the osteotomy. The bony specimens were decalcified, embedded in paraffin, sectioned $5{\mu}m$ thick and stained with H&E. The prepared specimens were examined under the light microscope. And, immunohistochemical examinations using anti-osteocalcin antibody (OC1, Biodesign, USA) and anti-osteonectin antibody (Haematologic Technologies Inc., Essex, VT) to locate the expressions of osteocalcin and osteonectin, respectively, were performed. Results : 1. New bone was observed already at the 16th. day after osteotomy. This suggests that new bone formation in osteodistraction was commenced at an early stage of the regenerative process. But, radiologically and microscopically, bony union was not completed in the distraction gap at the 44th. day after osteotomy. Therefore, rigid fixation must be maintained between the bony fragments till the complete bony union is confirmed clinically rather than one month or so after the completion of distraction.

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Comparative study in marginal accuracy of several all ceramic crowns (전부도재관의 변연 적합도 비교평가)

  • Kim, Jeong-Mi;Jeoung, Su-Ha
    • Journal of Technologic Dentistry
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    • v.30 no.2
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    • pp.87-92
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    • 2008
  • Purpose: In this study, we tried to compare marginal accuracy when produce ceramic crown using all ceramic materials and existent metal-ceramic system. Material and methods: All-ceramic systems were E-max (Ivoclar/Vivadent, Lichtenstein), Lava(3M, U.S.A.) and Wol-ceram(Teamziereis, Germany). Metal-ceramic system(PFG) was composed of Au-Pt alloy (Metalor, Switzerlandand) and overlying ceramic(D-sign, Ivoclar/Vivadent, Lichtenstein). We fabricated metal master die with upper diameter of 7.95mm, bottom diameter of 9.00mm, height of 5.00mm, and taper of $6^{\circ}$. All ceramic system used 0.5mm thickness ceramic coping, while metalceramic system used 0.3 thickness metal coping. By adding dentin and enamel ceramics on each coping, a crown with a proximal thickness of 1.0 mm and occlusal thickness of 2.0mm was fabricated. Pressure of 2kg was applied for 10 seconds on each crown with static load compressor. Before and after cementation, we measured the marginal gap at 4 points of each crown using optical microscope. The data was analyzed using a Student's t test and repeated-measures of analyses of variance(ANOVA) followed by a Bonferroni test. A p value<0.05 was considered significant. Results: As experiment results, marginal accuracy of wol-ceram and Lava is no good when compared with marginal accuracy of PFG. But marginal accuracy of E.max is good when compared with PFG. This result showed not significant. The marginal accuracy of E.max is good when compared with marginal accuracy of wol-ceram and Lava. Conclusion: The marginal accuracy of E.max is very good when compared with marginal accuracy of another group.

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