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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Journal of Dental Rehabilitation and Applied Science
Journal Basic Information
Journal DOI :
Korean Academy of Stomatognathic Function and Occlusion
Editor in Chief :
Volume & Issues
Volume 26, Issue 4 - Dec 2010
Volume 26, Issue 3 - Sep 2010
Volume 26, Issue 2 - Jun 2010
Volume 26, Issue 1 - Mar 2010
Selecting the target year
Fracture Analysis of Implant Components using Scanning Electron Microscope : Part II - Implant Retaining Screw
Lim, Kwang-Gil ; Kim, Dae-Gon ; Cho, Lee-Ra ; Park, Chan-Jin ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 373~388
Fracture causes serious problems in many instance of prosthetic failures. But it is hard to find the definite causes when fractures occur. Fractography encompasses the examination of fracture surfaces that contain features resulting from the interaction of the advancing crack with the microstructure of the material and the stress fields. All fractured specimens(implant retaining screw) retrieved from Gangneung-Wonju national university dental hospital for 3 years(from 2007 to 2009). After pretreatment of samples, the scanning electon microscope were used for surface examination and fracture analysis. In case of most of the fractured specimens, fracture took place by fatigue fracture and fractured surface represents fatigue striation. Fatigue striation indicate the progression of the crack front under cyclic loading, are characteristic of stage 2 crack growth. The site of crack initiation and stage 1 crack growth were not easily identified in any of the failure, presumably because of the complex microstructural features of the polycrystalline sample. In case of fractured by overload, dimpled or cleavage surface were observed. Using the interpretation of characteristic markings(ratchet mark, fatigue striation, dimple, cleavage et al) in fracture surfaces, failure events containing the crack origin, crack propagation, material deficiency could be understand. Using the interpretation of characteristic markings in fracture surfaces, cause and mechanism of fractures could be analyzed.
The Effect of Types of Abutment and Dynamic Loading on Microgap between Implant Fixture and Abutment
Oh, Byung-Doo ; Choi, Yu-Sung ; Shin, Soo-Yeon ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 389~403
Titanium and gold-alloy abutments have been used for a long-time in the clinical situations, but the use of zirconia abutments also increased. This study was designed to compare and evaluate the microgap differences according to types of abutment and dynamic loading. Titanium abutment, zirconia abutment and gold-alloy abutment (UCLA plastic) were connected into titanium implants of external hexagonal structure US II
mm (Osstem Co., Seoul, Korea) with the tightening torque of 30 Ncm. A sine type dynamic loading of 25-250 N and
inclination from long axis was applied for
times. Using the SEM both before and after the loadings, implant-abutment interfaces were analyzed on the labial, palatal, mesial and distal surface. The microgaps before and after the loading were compared, no statistically significant difference was observed caused by the dynamic loading on the labial, palatal, mesial or distal surface. Statistically significant difference was observed between UCLA and titanium group and between UCLA and zirconia group on both before and after the loading(p<0.05). No statistically significant difference was found between titanium and zirconia group. Loadings for
times did not show significant effect to the microgaps between implants and abutments.
Effect of Mouthguard on Tooth Distortion During Clenching
Lee, Yun ; Choi, Dae-Gyun ; Kwon, Kung-Rock ; Lee, Richard Sung-Bok ; Noh, Kwan-Tae ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 405~417
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.
Comparison of Implant Torque Controllers using Detorque Value
Huh, Yoon-Hyuk ; Cho, Lee-Ra ; Kim, Dae-Gon ; Park, Chan-Jin ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 419~432
Various torque generating devices have been developed and employed to apply a proper torque. These devices are usually calibrated by the manufacturer to apply appropriate torque levels for their specific implants and attachments. The purpose of this investigation was to determine and compare the accuracy of the torque controllers. In this study, 4 types of torque controllers were used; torque limiting device(TLD), torque indicating device(TID) and contra angle torque driver(CA), electronic torque controller(ETC). Digital torque gauge was employed to measure the de-torque value. Thirty cycles of tightening and loosening were repeated with each torque controller. All implant torque controllers have shown slight errors and deviations. The contra angle torque driver exhibited the most accurate data. In the limitation of this study, it would be recommended that the implant torque controllers should be checked whether uniformed and precise torque can be generated and a measuring error should be corrected.
The Accuracy of Master Cast for Implant Prosthesis According to the Types of Impression Tray and Splinting Methods of Impression Copings
Lee, Jee-Hyuk ; Choi, Yu-Sung ; Cho, In-Ho ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 433~445
The aim of this study was to evaluate the fixation effect by connecting impression copings and to compare the three types of impression trays which were used in open tray impression technique. Experimental groups used 3 types of impression trays which are custom tray, plastic metal combination tray and polycarbonate stock tray. These three groups were subdivided into splinted and non-splinted impression copings group. The total number of experimental groups was six. 10 specimens were made for each group. We used 1-screw test, observing the specimen on which only one side abutment of reference framework was fixated with 20 Ncm. The gap between implant analogue and abutment of the other side was observed by stereo microscope. It was measured at 6 points in each specimen. Measuring value was selected when same result was revealed 3 times. Recorded data were statistically analyzed. Whether impression copings were splinted or not, there was no significant difference among custom tray group, plastic metal combination tray group, and polycarbonate stock tray group. Significant statistical difference in vertical fit discrepancy was found between splinted and non-splinted impression copings group with custom tray, plastic metal combination tray and polycarbonate stock tray (p<0.05).
Transmitting Ability of Halogen Light in Different Composite Resin Colors
Cho, Kyung-Mo ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 447~453
The purpose of this study was to compare the light transmitting ability of halogen light in different colors and thicknesses. A1, A2, A3 colors of Z-250 composite resin(3M ESPE, St. Paul, U.S.A.) were used. Degree of conversion of separated resin specimens under the 2, 3, 4mm thickness resin were measured by FTIR spectroscopy. The result shows that decrease of degree of conversion by increase of resin thickness and decrease of degree of conversion by decrease of lightness of color. Within the limitation of results, it is recommended to use more light color of composite resin in small thickness to improve degree of conversion when use halogen light.
Rehabilitation of the Worn Dentition
Kim, Yu-Lee ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 455~462
Patients often seek rehabilitative treatment for severely worn dentition. The etiology of noncarious tooth wear due to attrition, abrasion, and erosion is multifactorial. To treat the worn dentition, it is important to identify and eliminate and/or control the factors that contribute to excessive wear. Many situations requiring complete mouth rehabilitation present with the challenge of a lack of restorative space. To establish a correct occlusal plane and space for prostheses, it is necessary to increase vertical dimension. This may require an increase in occlusal vertical dimension. Also clinicians should be able to choose the appropriate restorative materials to achieve excellence in natural esthetics as well as proper biomechanics and durability. This article presents a method for altering occlusal vertical dimension to restore dentitions with limited restorative space due to loss of tooth structure.
Full Mouth Rehabilitation in a Patient with Severely Worn Dentition
Seo, Jae-Min ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 463~476
Inadequate or unstable posterior support cause extrusion of antagonistic teeth and overloading of remaining teeth. Extrusion of antagonistic teeth result in collapsed occlusal plane and decreased prosthetic space. Also, overloading of remaining teeth increase occlusal wear or anterior extrusion of anterior teeth, which is resulting in loss of anterior guidance, disharmony of occlusion and decreased prosthetic space. In this case, careful evaluation of OVD(occlusal vertical dimension) is the general first trial to regain appropriate function and esthetics. Simultaneously, adequate anterior guidance and harmonious occlusal plane should be established in the repeatable reference position of the mandible. We report this case because severely worn dentition achieved functional and esthetic results from full mouth rehabilitation with increased vertical dimension and use of centric relation.
Full mouth Rehabilitation in a Patient with Occlusal Collapse with Vertical Dimension Increase
Jo, Si-Hoon ; Jeong, Su-Yang ; Nam, Hyun-Seok ; Song, Kwang-Yeob ; Park, Ju-Mi ; Ahn, Seung-Geun ;
Journal of Dental Rehabilitation and Applied Science, volume 26, issue 4, 2010, Pages 477~482
In a case of multiple posterior teeth loss, antagonistic teeth extrude to the edentulous space and compensatory occlusion on the remained anterior teeth leads to occlusal trauma. Extrusion of antagonistic teeth breaks down occlusion plane and loss of posterior support bring about severe wear of remained teeth. In this situation, it is needed to restore remained teeth and edentulous space by increasing vertical dimension to obtain prosthodontic rehabilitation space and to correct occlusion plane. In this case report, the patient had a masticatory problem with loss of posterior teeth support and an esthetic problem of shortened anterior teeth. Before the tooth preparation for the prosthodontic restoration, the patient used removable device for 2 months to increase vertical dimension reversibly. After that, he got provisional fixed restoration with irreversible tooth reduction and used it for 3 months. It had spent 5 month to evaluate the adaptation state on final restoration with incresed vertical dimension. The increasing amount was 3 mm, which was relatively in less degree and masticatory system adapted to the increased vertical dimension without any pathologic changes. Final restoration was made to have equal-intensity contacts on all teeth in a verifiable centric relations and immediate disclusion of all posterior contacts the moment the mandible moves in any direction from centric relation. In addition, metal occlusion surface on posterior teeth was applied to prevent excessive muscle activation, occlusal trauma and the porcelain fracture.