• 제목/요약/키워드: tooth loss

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Optimization of Machining Conditions in Milling of Titanium Alloy (Ti-6A1-4V) Using the Response Surface Method (반응표면법을 활용한 티타늄합금(Ti-6A1-4V)의 밀링 가공조건 최적화에 관한 연구)

  • Kim, Jong-Min;Koo, Joon-Young;Kim, Jeong-Suk;Jun, Cha-Soo
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.18 no.10
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    • pp.60-67
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    • 2019
  • Recently, lightweight materials such as Ti alloys have been used increasingly in the aerospace and high-tech industries for weight loss and fuel efficiency. Because of built-up edges and workpiece deflection due to low stiffness, the Ti alloys have poor machinability. In our study, systematic experiments were conducted to investigate the milling characteristics of the Ti alloy (Ti-6A1-4V) with endmills. The independent variables in the experiment were spindle speed, feed per tooth, and axial depth. Cutting force, acceleration RMS, and surface roughness were measured. Using the response surface method, the optimal cutting conditions were analyzed to improve machining quality and productivity.

Multiple implant therapy with multiple inductions of general anesthesia in non-compliant patients with schizophrenia: A case report

  • Choi, Yong-suk;Kim, Hyungseok;Rhee, Seung-Hyun;Ryoo, Seung-Hwa;Karm, Myong-Hwan;Seo, Kwang-Suk;Kim, Hyun Jeong
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.4
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    • pp.239-244
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    • 2019
  • The effectiveness of dental implants in patients with disability, who are non-compliant during treatment, is controversial because of their poor oral health. Thus, oral health-care and management in such patients is concerning. Moreover, limited information is available on prognosis after implant placement. Herein, we describe a patient with schizophrenia who underwent dental implantation under multiple inductions of general anesthesia (5 times) and required conservative treatment and tooth extraction for multiple dental caries and retained roots because of inadequate oral health-care. Postoperatively, fracture of the prosthodontics and progression of dental caries were observed, and with 3 additional inductions of general anesthesia, conservative treatment, implant surgery, and prosthesis implantation were conducted. Postoperative 12-month follow-up since the last prosthesis implantation showed successful results. For patients with schizophrenia, multiple implantation can reduce horizontal bone loss and achieve aesthetic results compared to treatment with removable prosthodontics and could serve as an alternative treatment modality.

Surgical extrusion of a maxillary premolar after orthodontic extrusion: a retrospective study

  • Choi, Yong-Hoon;Lee, Hyo-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.5
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    • pp.254-259
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    • 2019
  • Objectives: Crown-root fracture and cervical caries in maxillary premolars constitute a challenge in cases of subgingival placement of restoration margins. Surgical extrusion has been practiced successfully in permanent anterior teeth. The aim of the present retrospective study was to assess the clinical outcome of surgical extrusion after orthodontic extrusion in maxillary premolars. Materials and Methods: Twenty-one single, tapered root maxillary premolars with subgingival crown-root fracture or caries were included. Presurgical orthodontic extrusion was performed on all teeth to prevent root resorption. Extent of extrusion and rotation was determined based on crown/root ratio. The postoperative splinting period was 7 to 14 days. Clinical and radiographic examination was performed at an interval of 1, 2, and 3 months. Results: After the mean follow-up of $41.9{\pm}15.2months$, failure was observed as increased mobility in 3 of 21 cases. No significant difference was observed in the outcome of surgical extrusion based on tooth type, age, sex, $180^{\circ}$ rotation, or time for extraction. Furthermore, marginal bone loss was not observed. Conclusion: Surgical extrusion of maxillary premolars can be a possible therapeutic option in cases of subgingival crown-root fracture.

Wear of contemporary dental composite resin restorations: a literature review

  • Dimitrios Dionysopoulos;Olga Gerasimidou
    • Restorative Dentistry and Endodontics
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    • v.46 no.2
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    • pp.18.1-18.13
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    • 2021
  • Composite resins are the most commonly used dental restorative materials after minimally invasive dental procedures, and they offer an aesthetically pleasing appearance. An ideal composite restorative material should have wear properties similar to those of tooth tissues. Wear refers to the damaging, gradual loss or deformation of a material at solid surfaces. Depending on the mechanism of action, wear can be categorized as abrasive, adhesive, fatigue, or corrosive. Currently used composite resins cover a wide range of materials with diverse properties, offering dental clinicians multiple choices for anterior and posterior teeth. In order to improve the mechanical properties and the resistance to wear of composite materials, many types of monomers, silane coupling agents, and reinforcing fillers have been developed. Since resistance to wear is an important factor in determining the clinical success of composite resins, the purpose of this literature review was to define what constitutes wear. The discussion focuses on factors that contribute to the extent of wear as well as to the prevention of wear. Finally, the behavior of various types of existing composite materials such as nanohybrid, flowable, and computer-assisted design/computer-assisted manufacturing materials, was investigated, along with the factors that may cause or contribute to their wear.

Effects of denture use on the quality of life of cancer patients over 40 years of age: The 6th-7th Korea National Health and Nutrition Examination Survey (2013-2018) (40세 이상 암 환자의 의치 사용이 삶의 질에 미치는 영향 :국민건강영양조사 제6-7기(2013-2018년) 자료 이용)

  • A-Jung Lee;Mi-Ra Lee;Min-Kyung Kang
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.2
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    • pp.141-148
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    • 2024
  • Objectives: The purpose of this study was to investigate the effect of denture use on the quality of life of cancer patients aged ≥40 years. Methods: Data from the National Health and Nutrition Examination Survey (2013-2018) were used in this study. A total of 302 individuals were selected as the final study participants. Data were analyzed using the chi-square test and logistic regression analysis using SPSS software. Results: The quality of life in the group with dentures was lower than that in the group without dentures. Conclusions: The use of dentures had a significant effect on the quality of life of cancer patients aged ≥40 years. Therefore, national dental care guidelines and policies should be developed to prevent an increase in tooth loss in patients with cancer.

Multislice computed tomography demonstrating mental nerve paresthesia caused by periapical infection: A case report

  • Yong-Min Kim;Ho-Keun Choi;Jo-Eun Kim;Jeong-Joon Han;Kyung-Hoe Huh
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.115-120
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    • 2024
  • Components derived from an infected lesion within the bone can spread through various passages in the mandible, particularly via the mental foramen. Radiologically, the spread of infection is typically nonspecific and challenging to characterize; however, multislice computed tomography (MSCT) can effectively detect pathological changes in soft tissues and the bone marrow space. This report describes the case of a 55-year-old woman who experienced mental nerve paresthesia due to a periapical infection of the right mandibular second premolar. MSCT imaging revealed increased attenuation around the periapical lesion extending into the mandibular canal and loss of the juxta-mental foraminal fat pad. Following endodontic treatment of the tooth suspected to be the source of the infection, the patient's symptoms resolved, and the previous MSCT imaging findings were no longer present. Increased bone marrow attenuation and obliteration of the fat plane in the buccal aspect of the mental foramen may serve as radiologic indicators of inflammation spreading from the bone marrow space.

The Effects of Professional Tooth Cleaning and Plaque Control Instruction on Reduction of Peri-implantitis (전문가치면세정술과 세균막관리교육의 임플란트 주위염 감소 효과)

  • Park, Kyung-Hwa;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.12 no.2
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    • pp.163-170
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    • 2012
  • The purpose of this study was determine the effects of professional tooth cleaning and plaque control instruction(PT & PCI) on reduction of peri-implantitis. A total 80 implant patients were investigated using O'Leary plague index(PI), L${\ddot{o}}$e & Silness gingival index(GI), implant bone loss(BL). While the PT & PCI was conducted by using 'Watanabe method' after scaling for the experimental group, the engine polishing and a plaque control instruction was operated by rolling method after scaling for the control group. The collected data were analyzed with t-test, ANOVA, paired t-test and stepwise multiple regression. PI and GI of the experimental group significantly decreased than the control group(p<0.05). BL, also tended to decreased in the experimental group than the control group(p=0.155). Multiple regression analysis, the factors that was highly correlated with PT & PCI on the PI and GI. According to the implant characteristics, implant location and duration were closely related to PI(p<0.05). Therefore, the PT & PCI is one of the effective methods to reduce the failure caused by the peri-implantitis. Based on this conclusion, that it would be meaningful if the proposed PT & PCI is applied to the oral health management programs of the implant patients.

Effect of Mouthguard on Tooth Distortion During Clenching (이악물기 시 발생되는 치아변형에 대한 구강보호장치의 역할)

  • Lee, Yun;Choi, Dae-Gyun;Kwon, Kung-Rock;Lee, Richard Sung-Bok;Noh, Kwan-Tae
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.405-417
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    • 2010
  • Previous studies have already shown that mouthguard is effective in protecting jaw bone, teeth and oral tissue against sports trauma. However, other than severe trauma, repetitive force, such as disorders like clenching, cause teeth or oral tissue damage. These kinds of disorders usually present pathologic attrition in the posterior teeth, resorption in alveolar bone, loss of teeth and destruction of occlusion. Wearing a mouthguard is believed to be effective in preventing these disorders. But its effect is not examined thoroughly enough. The purpose of this study is to identify whether mouthguard is effective in reducing strain caused by clenching. Mandibular first molars in the normal occlusal relationship without any history of dental treatment were chosen. Biaxial type strain gauge was placed on the buccal surface of the tooth. Having maximum occlusal force, measured by load cell, as a standard, clenching intensity were divided into three stages; moment of slightly tooth contact, medium bite force (50% of maximum bite force), maximum bite force. Strain occurring in dentition in each stage with and without mouthguard was measured. Changes in strain (on dentition) between each stage and difference in strain, between with or without mouthguard were recorded by PCD-300 analyzer and PCD-30 soft ware. The data was statistically analyzed by Wilcoxon signed rank test. The following results were drawn; Without mouthguard, strain given on dentition increased as the clenching force increased. With mouthguard, strain given on dentition also increased as the clenching force increased. With mouthguard, strain decreased, in all cases of clenching force stages. Data on the moment of slightly tooth contact stage, had no statistical significance. However, with mouthguard, 50-90% of decrease in strain could be obtained in maximum occlusal force, compared to the group without mouthguard. Mouthguard decreased the strain on the dentition, caused by clenching. Therefore, mouthguard seems to be effective in preventing damage on dentition, by acting against clenching, which occurs both consciously and unconsciously during sports activities.

The Noise Level Assessment of Dental Equipment (치과 의료장비의 소음 수준 평가)

  • Lee, Jeong-Suk;Han, Ye-Seul;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.15 no.5
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    • pp.603-611
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    • 2015
  • This research is aimed at cutting off hearing loss and other harmful factors due to noise and providing basic material for noise reduction plan. As the research method, this research assessed noise by measuring acoustic pressure level and frequency in various situation of non-treatment and treatment. As the measurement result, average noise degree of high speed handpiece of non-treatment, ultrasonic waves scaler, and low speed handpiece showed 58~66 dB(A). Average noise degree of scaling of treatment, tooth elimination, and denture adjust showed 73~81 dB(A). The result is inferior to recognized standards of noise induced hearing loss. But the result of assessing this with (noise rating) NR curve was NR-73~78, which exceeded general workplace noise standard. This level can cause hearing loss when exposed to a long time. Therefore, treatment office noise during dental treatment can cause psychological and physical damage in dental clinic employees, and it is urgently required to establish systematic and active noise reduction plan.

Complications of implants confronting the extruded posterior teeth (정출된 구치와 대합되는 임플란트의 합병증)

  • Jung, Yeon-Wook;Lee, Su-Yeon;Kim, Hee-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.232-241
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    • 2020
  • Purpose: This study investigated the complications and patterns of implants that confronted with the extruded natural teeth. Materials and Methods: Among patients who received implant treatment between 2006 and 2018 at Chosun University Dental Hospital, only implants that had a maintenance period of at least 5 years and that both implants and confronting natural teeth could be measured and compared on a radiograph were selected. They were divided into two groups. Group 1, experimental group consisted of Implants confronting the extruded natural posterior teeth (n = 167: maxilla (Group 1max) = 92, mandible (Group 1man) = 75) and Group 2, control group consisted of Implants confronting the normal natural posterior teeth (n = 656: maxilla (Group 2max) = 272, mandible (Group 2man) = 384). Results: The incidence of complications between Group 1 and Group 2 was statistically significant. In particular, there was a statistically significant difference between the frequency of marginal bone loss and the amount of marginal bone loss. Conclusion: The extruded natural tooth may cause more frequent complications including bone resorption in the opposing implant.