• Title/Summary/Keyword: 의치수리

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Retrospective Evaluation of Implant Retained Overdentures Using Two Implants and Locator Attachments in the Edentulous Mandibles (Locator attachment를 이용한 하악 임플란트 유지 피개의치의 후향적 평가)

  • Lee, Ju-Hyoung;Sohn, Dong-Seok;Lee, Cheong-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.2
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    • pp.153-162
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    • 2013
  • This study compared the marginal bone loss around dental implants that were placed in the canine areas of the mandibles and finded the survival rate of the implants, marginal bone loss around implants and prosthetic complications in 20 patients treated with overdentures retained with Locator attachments. Implants placed in this study showed a 95% survival rate and the average marginal bone loss was 1.21 mm($SD{\pm}0.60mm$) in 94.3 weeks of functional loading. Implant-retained overdentures had various prosthetic complications such as male change, metal cap loosening, Locator attachment loosening, denture teeth change, relining and denture fracture. Implant-retained overdentures using two implants and Locator attachments in the edentulous mandibles is considered as a stable way for long terms because of minimal invasive operation, simple prosthetic process and easy repair.

Causes of failed implant attachments and application of double crown implant overdenture in one patient (한 환자에서 실패한 임플란트 부착장치들의 원인과 이중관 임플란트 피개 의치의 적용)

  • Kwon, Jae-Uk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.368-374
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    • 2018
  • In this case, the patient was restored with gold Hader bar mandibular implant overdenture using two implants about 10 years ago, and the retentive force was lost due to severe wear of the bar due to 3.5 years use. The overdenture was repaired using a Locator attachment, but the male part was completely worn after 6.5 years use. Finally, we used a hybrid telescopic double crown with a friction pin to fabricate a new implant overdenture, which was observed for 2 years and showed excellent prognosis. So, we describe the cause of failure of each attachment (Gold Hader bar, Locator) in two implant overdentures and report on the advantages and disadvantages of double crown implant overdenture and the conditions for success.

Prosthetic treatment for patient with anterior overbite and partial edentulism using maxillary hybrid telescopic double crown RPD and mandibular fixed prostheses: A 11-yr follow-up (전치부 과개교합을 가진 상하악 부분 무치악 환자에서의 상악 하이브리드 텔레스코픽 이중관 국소의치와 하악 고정성 보철물을 이용한 치료의 11년 경과관찰 증례)

  • Choi, Hyunsuk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.415-421
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    • 2021
  • The biomechanical prognosis of conventional removable partial denture is questionable in case of patient with few remaining teeth or periodontally compromised teeth. In this case, hybrid telescopic double crown RPD may be a successful treatment alternative. Hybrid telescopic double crown RPD has following advantages over conventional RPD: secondary splinting effect between abutments, more vertical stress direction and more convenient in repairing the denture after extraction of abutment tooth. In this clinical case, patient had deep overbite in anteriors and partially edentulous. The maxilla was restored with hybrid telescopic double crown RPD and the mandible was restored with implants and fixed prostheses. Long-term follow-up and supportive periodontal treatment were performed, and satisfactory results were achieved in terms of function and aesthetics.

Phonetic improvement by adjusting the shape of the anterior palate of the maxillary complete denture: a case report (상악 총의치 전방 구개 부위 형태 조정을 통한 발음개선 증례)

  • Yoon, Myeong Ah;Lee, HagYoung;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.37-43
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    • 2022
  • Patients tend to return to normal pronunciation patterns after fitting new dentures. However, for some patients, it takes a long time to adapt the new complete denture. In this case, the patient came to the hospital at the address of wanting to remake dentures due to wear and tear. After diagnosis through clinical and radiological examination, the maxillary complete denture and mandibular removable partial denture were remade. The patient complained whistling /s/ sound at the first check-up after placement of the new denture. The anterior palatal area of polished surface of the new maxillary complete denture was concave comparing to old denture, and this was the cause of the whistling /s/ sound. A tissue conditioning material was applied to the maxillary complete denture and patient made /s/ sound. The tissue conditioning material was replaced with self-curing type denture base resin, and the patient was immediately satisfied with clear /s/ sound. As an objective assessment, palatogram and speech analytics software was applied. In this case, a patient who received denture treatment complaining of difficulty in pronunciation underwent immediate denture repair, which resulted in patient satisfaction and improved pronunciation through objective evaluation.

A STUDY REPAIRED JOINT STRENGTH OF COMPLETE DENTURE (의치수리(義齒修理)에 있어 파절접합부(破折接合部)의 조작형태(造作形態)가 의치(義齒)의 결합력(結合力)에 미치는 영향(影響)에 관(關)한 연구(硏究))

  • Lee Woo-Hyun;Heo Seong-Joo;Cho In-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.3
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    • pp.101-110
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    • 1991
  • The purpose of this study was to compare the repaired joint strength among several edge profiles after denture repair. For this study, eight edge profiles were used for repair methods and five self-curing resin brands were used for repair materials. Break away loads were tested after 1 hr., 24 hrs. and 1 week. Instron was used for testing the transverse strength of repaired specimen. The results were as follows. 1. Repaired joint strength was about 35-65% of that of original specimen. 2. Joint strengths of round, inverse knife, inverse rabbit, lap ogee joint were higher tnan that of traditional simple butt joint 3. Joint strength of the simple butt joint was low significant. 4. Joint strengths after 1 hr. specimen were lower than those of 24 hrs. and 1 week specimens in joint strengths. 5. There were no significant differences between 24 hrs. and 1 week specimens in joint strengths. 6. It look more than 24 hours to gain satisfactory physical property after repairing the fractured denture base when self-curing resin was used for repair.

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Implant-assisted removable partial denture using freely removable abutment in a fully edentulous patient: A case report (완전 무치악 환자에서 자유 착탈가능 임플란트 지대주를 이용한 임플란트 융합 국소의치 수복증례)

  • Oh, You-Kyoung;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeon-Jong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.58-66
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    • 2020
  • Implant-Assisted Removable Partial Dentures (IARPDs) treatment is being performed in a fully edentulous patient using implant surveyed prosthesis as an abutment. Implant-supported prosthesis as an abutment of IARPDs is classified into screw-retained and cement-retained type according to the retention type, and each has advantages and disadvantages. The EZ crown system (Samwon DMP, Yangsan, Korea) has a cylinder combined with abutment, and the nickel-titanium spring in this cylinder provides a constant force on the zirconia ball to obtain retention in EZ crown system. In this patient, the natural abutment teeth of the mandibular overdenture was hopeless. We planned implant assisted removable partial denture using anterior implant surveyed prosthesis considering functional and esthetical rehabilitation, cost and patient's needs. When fabricating IARPDs using implant as abutment, we could compensate for the shortcomings of existing implant-supported prosthesis retention type and made the design of removable partial denture easy due to using EZ crown system.

Prosthetic treatment for patient with congenital bilateral cleft lip and palate to close oro-nasal communication using maxillary double crown and clasp retained removable denture (선천성 양측성 구순구개열 환자의 구비강 연결 폐쇄를 위한 상악 이중관과 고리 유지형 국소의치를 이용한 수복 증례)

  • Doh, Seok-Joo;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.18-23
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    • 2019
  • Patients with cleft lip and palate have several problems such as oro-nasal communication, dental cross-bite caused by the insufficient growth of maxilla, poor pronunciation and esthetic problem. Removable denture with maxillary double crown near cleft palate and with clasp in the posterior teeth was used to solve the problems of the patient with cleft lip and plate. Double crowns make up for the insufficient mucosal support caused by the mucosa and alveolar bone loss in cleft lip and palate. Double crowns also allow easy repair of denture in case of abutment teeth extraction. In this case, 55-year-old female patient had bilateral cleft lip and palate and few remaining teeth on anterior maxilla. Prosthetic treatment was done for patient with bilateral cleft lip and palate to close oro-nasal communication using maxillary double crown and clasp retained removable denture. As a result, oro-nasal communication was effectively closed and the cross-bite was easily corrected by double crown and clasp retained denture. In addition, pronunciation and appearance were also improved.

Prosthetic treatment for Down's syndrome patient with dental cross bite problem using maxillary double crown denture (교차교합을 가진 다운증후군 환자의 상악 이중관 의치를 이용한 수복 증례)

  • Doh, Seok-Joo;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.81-87
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    • 2019
  • Patients with Down's syndrome have several dental complications such as small teeth caused by underdevelopment of dentin and enamel, periodontitis, agenesis of teeth, prolonged retention of primary teeth and malocclusion due to narrow palate. Removable denture with maxillary double crowns would be a good treatment option to solve the problems of the patient with Down's syndrome. Double crowns compensate the insufficient support and retention of denture and easily solve the cross bite problem. Double crowns also allow easy repair of denture in case of abutment teeth extraction. In this case, 26-year-old female patient with Down's syndrome and dental phobia had small number of teeth with enamel hypoplasia, prolonged retention of primary teeth and dental cross bite. Prosthetic treatment was done using removable denture with double crowns in the maxilla. In the mandible, teeth preparation was done on enamel margin without anesthesia. Anterior laminate and posterior complete zirconia crown restorations were performed. As a result, the cross bite was effectively corrected by denture with double crowns. Pronunciation and appearance were also improved without extraction of teeth and dental anesthesia.

Bond strength of denture base resin repaired according to contamination (의치상 수리면 오염원에 따른 수지의 결합강도)

  • Jung, Kyung-Pung
    • Journal of Technologic Dentistry
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    • v.25 no.1
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    • pp.71-79
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    • 2003
  • The purpose of this study was to investigate bond strength of denture base resin repaired according to contamination. One commercial denture base resin and two different kinds of relines resin were tested; Lusiton 199(denture base resin), Vertex(reline resin) and TokusoRebase(repair resin). The specimens were processed according to the manufacturer's instructions to cured denture base resin(polymethylmethacrylate; PMMA) and reline resin. Bond strengths were examined by use of a three-point transverse flexural strength test. Data were analyzed with two-factor analysis of variance and Duncan's post-hoc test at $\alpha$=0.05. Generally, the bondstrength of heat-cured resin(Lusiton 199) was higher than the other resins. The contaminations produced an decrease in bond strength. Therefore the contamination, such as saliva or water must be avoided during the laboratory repair procedures.

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A Study on the Bond Strength According to Retention forms when Complete Denture Repaired (총의치 수리시 유지형태에 따른 접착강도에 관한 연구)

  • Choi, Seog-Soon
    • Journal of Technologic Dentistry
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    • v.12 no.1
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    • pp.121-124
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    • 1990
  • The purpose of this study was to evaluate the effect of three different retention forms on the bond strength when complete denture repaired. Total 75 samples were divided into 3 groups(Dove-tail form, bevel form, rabbit form). The completed resin samples were compressed in Instron Testing Machine until gross fracture occurred to examine the effect on the bond strength of resin base. The results of the experiment were as follows : 1. The difference of bond strength according to three retention forms were not statistically significant(P>0.05). 2. Dove-tail form was strongest to bond strength among the three retention forms.

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