• Title/Summary/Keyword: 디지털 총의치

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Interalveolar ridge crest relation analysis and rehabilitation of edentulous patient using dental CAD software: A case report (치과용 CAD 소프트웨어를 이용한 무치악 환자의 치조제 관계 진단 및 총의치 수복 증례)

  • Hong, Youngsun;Kim, Jong-Eun;Shim, June-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.31-36
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    • 2019
  • As the number of elderly population increases, the proportion of edentulous patients is increasing, and the demand for traditional dentures will also increase. Arranging the artificial teeth according to the relationship and shape of the upper and lower alveolar ridge is an important factor increasing the stability of the denture. This case is a 79 year old female patient who wishes to make denture covered by national health insurance for psychological and economical reasons. With the alveolar bone severely atrophic, the dental CAD software was used for accurate diagnosis and the posterior teeth were arranged in a cross bite according to the interalveolar crest line angle by the program. After completion, the denture showed adequate stability and maintenance in periodic examinations and treatment, and the patient also expressed high satisfaction.

Fabrication of complete dentures made with monolithic discs through CAD/CAM using facial scan data and individual tray duplicating temporary denture: a case report (안면스캔 데이터와 임시의치를 복제한 개인 트레이를 활용하여 CAD/CAM을 통한 monolithic disc로 제작한 총의치 수복: 증례 보고)

  • Ju Hyun Kim;Soo-Yeon Shin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.158-167
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    • 2023
  • As digital technology has advanced in the field of dentistry, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) has brought changes to the stages of dental treatment. The use of CAD/CAM technology in dental restoration offers clinical efficiency and convenience by reducing production time and appointment intervals, while also simplifying the fabrication process to reduce errors. In this case, digital replication and printing of temporary teeth were used to aid a patient with complex medical histories and physical disabilities. The final impression obtained with silicone impression material included information on the vertical dimension, centric relation, and the angle and length of the anterior teeth, which shortened the production time and appointment intervals and increased patient satisfaction. The final restoration was fabricated using milling and monolithic disc techniques, demonstrating appropriate stability, retention, and support, resulting in functional and aesthetic satisfaction.

A case of digital maxillary complete denture and mandibular implant overdenture fabricated by CAD-CAM technique (완전 무치악 환자에서 CAD-CAM 기법을 이용한 상악 총의치 및 하악 임플란트 피개의치 수복: 증례 보고)

  • Kim, Kun Min;Oh, Kyung Chul;Kim, Sang Hyun;Han, Chol Gwan;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.442-450
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    • 2021
  • The CAD-CAM technique is a rapidly developing field in the dental field and is applied to various fields of prosthetic treatment. Among them, the manufacturing of dentures using the milling technique classified as subtractive manufacturing is one of the commercialized digital full denture manufacturing methods. At the same time, it is possible to more efficiently manufacture a metal framework for implant overdenture by selective laser sintering or melting technique classified as an additive manufacturing method. The purpose of this article is to describe the fabrication of CAD-CAM maxillary complete denture and mandibular implant overdenture as well as its features.

Three-dimensional printed complete denture fabrication using the scan data from the conventional denture-making process (통상적인 총의치 제작과정에서의 스캔 정보를 활용한 three-dimensional printed complete denture의 제작)

  • Kim, Hyun-Min;Kim, Jong-Jin;Lee, Joo-Hee;Cha, Hyun-Suk;Baik, Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.3
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    • pp.196-202
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    • 2020
  • Recently three-dimensional (3D) printed complete dentures are becoming more widely recognized as one of the treatment options for the edentulous patients. Korean National Healthcare, however, has not yet approved the application of the 3D printed dentures, and in the cases where the dentures should be refabricated, the conventional fabrication process needs to be entirely repeated. However, during the conventional process, the digital scan data of some key steps could be easily obtained. In this clinical case, using these data, a new pair of 3D printed dentures that improved the limitations of the first conventional dentures were successfully fabricated.

Fabrication of additive manufacturing interim denture and comparison with conventional interim denture: A case report (적층가공을 이용한 임시의치 제작 및 기존방식의 임시의치와의 비교 증례)

  • Kim, Hyun-Ah;Lim, Hyun-Pil;Kang, Hyeon;Yang, Hongso;Park, Sang-Won;Yun, Kwi-Dug
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.483-489
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    • 2019
  • With development of digital dentistry, the 3-dimensional (3D) manufacturing industry using computer-aided design and computer-aided manufacturing (CAD/CAM) has grown dramatically in recent years. Denture fabrication using digital method is also increasing due to the recent development of digital technology in dentistry. The 3D manufacturing process can be categorized into 2 types: subtractive manufacturing (SM) and additive manufacturing (AM). SM, such as milling is based on cutting away from a solid block of materal. AM, such as 3D printing, is based on adding the material layer by layer. AM enables the fabrication of complex structures that are difficult to mill. In this case, additive manufacturing method was applied to the fabrication of the resin-based complete denture to a 80 year-old patient. During the follow-up periods, the denture using digital method has provided satisfactory results esthetically and functionally.

Fabrication of dentures for a patient with unstable mandibular movements: A case report (불안정한 하악 운동을 가진 환자의 의치 수복 증례)

  • Han, Sa-Rang;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun;Lee, Hyeonjong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.378-384
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    • 2020
  • For patients with unstable mandibular movements and centric relation of the mandible due to long-term use of ill-fitting dentures, the successful fabrication of new dentures is challenging. Before fabrication new dentures, registration of centric relation is the critical point in such cases. In this case, treatment dentures with a flat occlusal table were used to stabilize mandibular movements and to register centric relation. In order to reflect the patient's jaw relation and vertical dimension obtained through the treatment dentures to the final denture, the treatment dentures were digitally duplicated, and impressions and jaw relations were obtained using the duplicated therapeutic dentures. The clinical results were satisfactory on the aspect of aesthetic and masticatory functioned.

Evaluation of Validity of Edentulous Digital Model for Complete Denture Fabrication (총의치 제작을 위한 무치악 디지털 모형의 정확도 평가)

  • Kim, Won-Soo;Kim, Ki-Baek
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.393-398
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    • 2015
  • One of the most critical causes in determining the clinical outcomes of dental prostheses is the validity of models. However, studies that evaluated validity of digital models are few. The objectives of this study were to evaluate validity of edentulous digital models for full denture fabrication. Twenty stone models (edentulous model) were manufactured and scanned by dental blue light emitting diode scanner. Twenty digital models were manufactured. Six linear distances (inter-canine distance, inter-molar distance, two dental arch lengths (right, left), two diagonal of dental arch lengths (right, left) were measured for validity evaluation. The measurements of distances of stone models were used by digital vernier caliper and digital models were used by computer program. The mean${\pm}$deviations values of six distances were calculated. The means were compared by the Mann Whitney U test (${\alpha}=0.05$). All statistical analysis were performed using IBM SPSS Statistics ver. 20.0. Although digital models were smaller than stone models in six distances, there were no significant differences (p>0.05) and non exceeded the clinical acceptable range. The edentulous digital models for full denture fabrication can be considered clinically acceptable.

Utilization of digital technology in fabricating mandibular implant overdenture for skeletal class II edentulous patient: A case report (2급 악간관계를 보이는 하악 무치악 환자에서 디지털 진단기술을 이용한 임플란트 피개의치 수복증례)

  • Lee, Yeun-Yi;Hong, Seoungjin;Paek, Janghyun;Noh, Kwantae;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.364-373
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    • 2019
  • Unlike class I patients, skeletal class II patients have unstable occlusion thus leading to instability of mandibular complete denture. Therefore, mandibular implant overdenture has been the standard of care due to its advantages in stability and retention. The types of attachments can be divided into two categories: solitary and bar type. The indications vary between two categories. In this clinical report, digital technology was utilized from the implant planning to the choice of appropriate attachment. Implants were placed at the desired location as previously planned in terms of angle and depth. Maxillary removable partial denture and mandibular implant overdenture are expected to have fair prognosis.

Fabrication of complete denture using CAD-based vertical dimension increase and monolithic disc: a case report (CAD를 이용한 수직 고경 증가와 monolithic disc를 사용한 총의치 수복 증례)

  • Hyeon, Kim;Woohyung, Jang;Chan, Park;Kwi-Dug, Yun;Hyun-Pil, Lim;Sangwon, Park
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.242-248
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    • 2022
  • Recently, through the development of CAD/CAM technology, it is also being used for fabricating dentures. Compared to conventional methods, when digital dentures are fabricated, the fabrication process is facilitated, and the number of visits to hospitals is reduced and errors are reduced. In this case, the vertical dimension was increased using a CAD program in a patient who needed vertical dimension recovery due to the use of old dentures, and the final denture was fabricated using a monolithic disc through the milling method. The centric relation was recorded using existing dentures, and using the information from the intraoral scan and the existing denture model scan, a trial denture was fabricated and delivered to the patient to evaluate the midline and occlusion. Based on the evaluation of the trial denture, the final denture was fabricated using a milling method and a monolithic disc, and the final denture showed satisfactory results functionally and aesthetically.

Comparison of treatments for maxillary full denture and mandibular implant-supported fixed prosthesis in completely edentulous patients: A case report (완전 무치악 환자에서 상악 총의치와 하악 임플란트 지지 고정성 보철 치료를 위한 치료법 비교: 증례 보고)

  • Jin-Won Han;Se-Wook Pyo;Jae-Seung Chang;Sunjai Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.1
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    • pp.73-81
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    • 2023
  • There are various approaches to treatment for patients with fully edentulous jaw. In maxilla, it is easy to obtain sufficient stability, support, and retention with the traditional full denture method. In mandible, however, there are difficulties caused by anatomical limitations. In this case, treatment with implants can be considered. If it is difficult to place implants in posterior area, a fixed complete denture can be considered, using 4 - 5 implants anterior to mental foramen. This approach has changed in many ways, such as surgical methods and materials used, over the years. This case report compares two approaches and their changes over time, especially in the cases of mandibular fixed prostheses using implants, paired with maxillary complete denture.