Black triangle이 존재하지 않는 보존적이고 심미적인 상악 정중이개의 치료
Conservative and esthetic closure of maxillary midline diastema without creating “black triangle” using direct resin composite
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
전치부에 발생한 치간이개는 심미적으로 문제를 일으키는 흔한 원인이 된다. “Black triangle”을 생성시키지 않고 치간이 개를 폐쇄시키는 것은 심미치과학에서 도전적 과제 중 하나이다. 전치부 수복치료의 성공 여부는 연조직과 경조직간의 심미적인 연합에 달려있다. 이번 증례에서는 치은-치아 계면에서 자연스러운 외형을 가지는 출현윤곽(emergence profile) 을 형성하여 줌으로써 치은의 재생 과정이 일어나 심미적으로 만족스러운 치간이개 폐쇄를 이루어내었기에 이를 보고하는 바이다.
Abstract
Anterior diastemas are common esthetic problems. One of the challenges in clinical esthetic dentistry is closing anterior diastemas without creating "black triangles" between the teeth. The success of a restorative treatment in anterior teeth depends on the esthetic integration between soft tissues and hard tissues. This report describes the successfully accomplished diastema closure case by producing the emergence profile with natural contours at the gingival-tooth interface and then generating of gingival recontouring process.
참고문헌 (19)
- Keene HJ, "Distribution of diastemas in the dentition of man", Am J Phys Anthropol, 21, pp.437~441 (1963)
- Kaimenyi JT, "Occurrence of midline diastema and frenum attachments amongst school children in Nairobi, Kenya", Indian J Dent Res, 9, pp.67~71 (1998)
- Tanaka OM, "When the midline diastema is not characteristic of the “ugly duckling” stage", Case Rep Dent, 2015, pp.924743~ (2015)[DOI]
- Kavanagh C, "Maxillary midline diastema-aetiology and orthodontic treatment", J Ir Dent Assoc, 50, pp.22~28 (2004)
- Mattos CT, "Relapse of a maxillary median diastema: closure and permanent retention", Am J Orthod Dentofacial Orthop, 141, pp.e23~e27 (2012)
- De Araujo EM Jr, "Closure of diastema and gingival recontouring using direct adhesive restorations: a case report", J Esthet Restor Dent, 21, pp.229~240 (2009)
- Magne P, "Bonded porcelain restorations in the anterior dentition: a biomimetic approach", pp.140~145 (2003), Quintessence Books
- Miranda ME, "Ceramic fragments and metal-free full crowns: a conservative esthetic option for closing diastemas and rehabilitating smiles", Oper Dent, 38, pp.567~571 (2013)
- Blatz MB, "Reconstruction of the lost interproximal papilla-presentation of surgical and nonsurgical approaches", Int J Periodontics Restorative Dent, 19, pp.395~406 (1999)
- Heyvey GA, "Closing diastemas and creating artificial gingiva with polymer ceramics", Compend Contin Educ Dent, 23, pp.983~998 (2002)
- 김연화, "레진 직접법을 이용한 치가이개의 수복: 치은 형태 회복술", Restorative Dentistry and Endodontics, 36(6), pp.515~520 (2011), 대한치과보존학회
- Magne P, "Porcelain versus composite inlays", onlays: effects of mechanical loads on stress distribution, adhesion, and crown flexure, 2003, pp.23, 543~555
- Berksun S, "Repair of fractured porcelain restorations with composite bonded porcelain laminate contours", J Prosthet Dent, 69, pp.457~458 (1993)
- Korkut B, "Direct midline diastema closure with composite layering technique: a one-year follow-up", Case Rep Dent, 2016, pp.6810984~ (2016)[DOI]
- Croll BM, "Emergence profiles in natural tooth contour. Part II: clinical considerations", J Prosthet Dent, 63, pp.374~379 (1990)
- Kois JC, "The restorative-periodontal interface: biological parameters", Periodontol 2000, 11, pp.29~38 (1996)
- Singh VP, "Black triangle dilemma and its management in esthetic dentistry", Dent Res J, 10, pp.296~301 (2013)
- Takei HH, "The interdental space", Dent Clin North Am, 24, pp.169~176 (1980)
- Tarnow DP, "The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla", J Periodontol, 63, pp.995~996 (1992)