• Title/Summary/Keyword: 기능 인상

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총의치를 위한 인상재 선택

  • Jeong, Mun-Gyu
    • The Journal of the Korean dental association
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    • v.24 no.12 s.211
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    • pp.1021-1025
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    • 1986
  • 총의치인상이란 경조직의 인상과는 달리 연조직 즉 기능이나 압력하에서 변화하는 의치지지조직 및 주의조직에 대한 인상이다. 따라서 의치지지조직의 상태, 인상재의 선택, 술자의 술식등에 의해서 동일한 환자에게서도 판이하게 다른 인상이 나올 수 있다. 즉 경조직의 인상처럼 채득하는 것이 아니라 술자의 의도대로 만들어지는 인상인 것이다.

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An alternative impression technique based on McLean's functional impression concept (McLean의 기능 인상법에 기반한 새로운 인상채득법)

  • Choi, Hyun-Suk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.32-37
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    • 2017
  • In this case report, an alternative impression technique for fabricating removable partial dentures was used in a patient with very few remaining teeth. In this technique, an individual tray was made on the cast, which was made by relining interim denture and taking overimpression with irreversible hydrocolloid according to McLean's functional impression concept. This method showed the following advantages: the no need for border molding with modeling compound, time saving for denture impression without overextension and accurate seating of the individual tray.

Functional impression technique using temporary denture for rehabilitation of severely atrophic maxillary and mandibular ridges (심한 치조제 흡수를 보이는 무치악 환자에서 임시 의치를 사용한 기능 인상에 의한 총의치 수복 증례)

  • Suh, Young-Kyo;Bae, Jung-Yoon;Kim, Hyun-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.238-244
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    • 2019
  • Soft liner is used to functional impression technique when dental stone is immediately poured after taking impression because of viscoelasticity. In this case, a 78-year-old male visited for new dentures. Due to severe resorption of mandibular edentulous ridge, functional impression taking by closed mouth technique was planned. First of all, making maxillary and mandibular provisional dentures was done, and lined by soft liner to rehabilitate pressured maxillary and mandibular edentulous ridge. After this, Functional impression was taken by closed mouth technique using provisional dentures which are transformed to healed maxillary and mandibular edentulous ridge, and final denture were fabricated using maxillary provisional denture as a reference of artificial teeth arrangement. Consequently, restoring a complete edentulous patient with taking functional impression using provisional dentures resulted in recovering satisfying retention and function.

The use of swallowing in making complete lower impression (하악(下顎) Denture인상(印象)에 있어서 연하(嚥下)의 이용(利用))

  • Kim, Seong-Il
    • The Journal of Korean Academy of Prosthodontics
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    • v.8 no.1
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    • pp.127-129
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    • 1968
  • 연하(嚥下)로 대립(對立)되는 교합압(咬哈壓)이 없이 기능인상(機能印象)을 뜰수 있다. 그러나 중요(重要)하며 힘드는 부분(部分)은 생리적(生理的) 힘에 의(依)한 mold다. 연하(嚥下)에 의(依)해 형성(形成)된 의치주록(義齒周綠)은 이 기능(機能)에 순응(順應)될 것이다. 그리고 바른 설(舌)의 위치(位置)는 전려(典麗)되지고 그 결과(結果) 과잉(過剩)한 압력(壓力)없이 기능적(機能的) 인상(印象)을 뜰수있다. 조직(組織)에 관련(關聯)된 해부적(解剖的) 그리고 조직학적(組織學的) 인기(印記)를 해낸다.

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Impression procedures for removable partial dentures (가철성 국소의치 제작을 위한 인상채득)

  • Heo, Yu-Ri;Son, Mee-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.152-158
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    • 2014
  • To fabricate removable partial denture which provide patient's comfort and maintain oral health, cast fabrication which reproduce anatomical and functional state of mouth is needed. Diagnostic cast and master cast are produced through the process of preliminary impression and final impression taking. Both of remaining teeth and edentulous area should be well taken in removable partial denture impression. According to the supporting type of partial denture, impression material and method can be changed. Therefore, understanding of impression procedure is essential for the accurate clinical application.

The neutral zone approach for restoration of patient with severe mandibular ridge resorption: A case report (하악 치조제가 심하게 흡수된 환자에서 중립대 인상을 통한 총의치 수복 증례)

  • Cheol Namgung
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.8-15
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    • 2023
  • In case with severely atrophied mandibular ridges, it may be difficult to achieve adequate retention and stability of dentures through the normal functional impression process of complete dentures. In these patients, an approach using the neutral zone raising technique may be an effective alternative. The neutral zone is defined as the area where the pressure of the tongue towards the outside of the mouth and the pressure of the cheek and lips towards the inside are balanced during the normal oral function of the muscular-nervous system. Complete dentures made through neutral zone impression not only improve retention and stability, but also provide adequate tongue space in the posterior teeth area. Additionally, food residues are reduced in the area around artificial teeth, and aesthetics are improved through appropriate facial support.

Complete denture made with closed-mouth impression technique on severely atrophied edentulous jaw (하악 치조골이 심하게 위축된 무치악 환자에서 폐구인상법을 이용한 총의치 수복 증례)

  • Lee, Suk-Hwan;Leesungbok, Richard;Lee, Suk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.195-202
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    • 2019
  • At the department of prosthodontics, the elderly patients with severely atrophied alveolar ridge who have been wearing complete dentures for a long period frequently visit the clinic. In general, the open-mouth impression technique for manufacturing a mandibular complete denture to secure primary support on buccal shelf area has been prevalent. In addition, for securing retention and stability of mandibular denture, we should consider diagnosis, oral function, denture border, occlusal plane, teeth arrangement, and patient training, etc.. But in edentulous patients with severe alveolar bone atrophy, it may hardly secure retention and stability of mandibular complete denture. To promote these, some of clinicians are making an attempt manufacturing the mandibular complete dentures using closed-mouth impression technique based on several reports that compare various impression techniques including open-mouth and closed-mouth impression technique. This case report suggests closed-mouth impression technique may promote retention and stability of mandibular complete denture and compares between the two impression techniques clinically.

Changes of the surface roughness depending on immersion time and powder/liquid ratio of various tissue conditioners (수종의 조직 양화재의 침수시간과 분액비에 따른 표면 거칠기의 변화)

  • Kim, Kyung-Soo;Moon, Hong-Suk;Shim, June-Sung;Jung, Moon-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.108-118
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    • 2009
  • Statement of problem: Volume stability, microstructure reproducibility and fluidity along with compatibility with dental stone must be in consideration in order to use tissue conditioner as a material for functional impression. There are few studies concerning the influence of time factor in oral condition on surface roughness of the stone and optimal retention period in the oral cavity considering such changes in surface roughness. Purpose: The purpose of this study was to find out the influence of various kinds of tissue conditioner, its powder/liquid ratio and immersion time on surface roughness of the stone. Material and methods: Materials used in this study were the three kinds of tissue conditioners(Coe-Comfort, Visco-Gel, Soft-Liner) and were grouped into three: group R-mixed with standard powder/liquid ratio that was recommended by the manufacturers, group M-mixed with 20% more powder, group L-mixed with 20% less powder. Specimens were made with the size of 20 mm diameter and 2 mm width. Each tissue conditioner specimens were subdivided into 5 groups according to the immersion time(0 hour, 1 day, 3 days, 5 days, 7 days), completely immersed into artificial saliva and were stored under $37^{\circ}C$. Specimens of which the given immersion time elapsed were taken out and were poured with improved stone, making the stone specimens. Surface roughness of the stone specimens was measured by a profilometer. Results: Within the limitation of this study, the following results were drawn. 1. Major influencing factor on surface roughness of the stone model made from tissue conditioner was the retention period(contribution ratio($\rho$)=62.86%, P<.05) of the tissue conditioner in oral cavity to make functional impression. 2. In case of Coe-Comfort, higher mean surface roughness value of the stone model with statistical significance was observed compared to that of Soft-Liner and Visco-Gel as immersion time changes(P<.05). 3. In case of group L(less), higher mean surface roughness value of the stone model with statistical significance was observed compared to that of R(recommended) and M(more) group as immersion time changes(P<.05). Conclusion: We may conclude that as the retention period of time in oral cavity influences surface roughness of the stone model the most and as the kind of tissue conditioner and its P/L ratio may influence also, clinician should well understand the optimal retention period in oral cavity and choose the right tissue conditioner for the functional impression, thus making the functional impression with tissue conditioner usefully.

Considerations for increasing denture stability: a case report (의치의 안정성을 증대시키기 위한 고려 요소: 증례보고)

  • Kim, Jiyeon;Kim, Hyeong-Seob;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.311-317
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    • 2012
  • When wearing complete dentures, patients want to function naturally within a physiologically stable range. To do this, recovery of esthetics, biologically stable arrangement and contour, and occlusal contacts with denture stability are necessary. In this case report, a complete denture patient of adverse conditions was presented. To increase stability of the dentures, functional impression was made by border molding using the neutral zone. The dentures were checked for physiological centric relations and stable occlusion. The clinical results showed satisfactory results on function and esthetics.