• Title/Summary/Keyword: 의치제작

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Rehabilitation of fully edentulous patient using Ceramill full denture system (FDS) (Ceramill full denture system을 이용한 무치악 환자의 양악 총의치 제작)

  • Lee, Younghoo;Kwon, Kung-Rock;Pae, Ahran;Noh, Kwantae;Paek, Janghyun;Hong, Seoung-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.232-237
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    • 2019
  • CAD/CAM technology has already been used in most areas of prosthetics. The range of CAD/CAM application in denture fabricating process has been gradually increasing since the CAD/CAM technology was introduced for the fabrication of complete dentures in 1994. This paper describes a technique that combines conventional and CAD/CAM technology for the fabrication of complete dentures: the master casts from a conventional impression techniques were scanned first, and the wax denture was fabricated using Amann Girrbach's Ceramill full denture system (fds). The purpose of this paper is to introduce the case in which making an esthetically and functionally satisfied denture in shorter time is possible with CAD/CAM technology.

A case of removable dentures using digital method (디지털 방식을 이용하여 제작한 양악 가철성 의치 수복 증례)

  • Lee, Ji-Soo;Ahn, Su-Jin;Leesungbok, Richard;Lee, Suk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.250-257
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    • 2018
  • Generally dentures are manufactured by conventional method, however the frequency of fabricating denture using digital method is increasing due to the recent development of digital technology in dentistry. The digital method of manufacturing denture is classified into two systems; 3D scan of the impression to arrange the artificial teeth on the CAD (Computer-aided design) and 3D printing to produce the resin-based complete denture, or 3D scan of the model to design of the framework using CAD, resin pattern formation by 3D printing and casting of metal framework of complete denture or removable partial denture. In this case report, electronic surveying and design the metal framework of the dentures were performed using CAD program, and plastic resin patterns fabricated by 3D printing were casted for upper full denture and lower removable partial denture. During follow-up periods, dentures using digital method have provided satisfactory results esthetically and functionally.

Fabrication of complete denture using conventional method and monolithic digital denture system: a case report (전통적 제작법과 모놀리식(monolithic) 디지털 의치 시스템을 이용한 상·하악 총의치 동시 수복 증례)

  • Young-Baek Park;Ga-Hyun Lee;Young-Gyun Song
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.6-19
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    • 2024
  • With the advancement of Computer-Aided Design/Computer-Aided Manufacturing (CAD-CAM) technology, fabrication of dentures using this technology has gained popularity. As one of CAD-CAM technologies, digital complete denture system has been introduced, which fabricates complete dentures using subtractive manufacturing of monolithic block containing both the color of a denture base and an artificial tooth. In this case, two pairs of upper and lower dentures were fabricated for two patients. Two pairs of complete dentures were fabricated for a 74-year-old male and a 73-year-old female respectively by conventional denture fabrication method and digital method of milling. To obtain a digital complete denture, monolithic block (Ivotion, Ivoclar Vivadent, Schaan, Liechtenstein) was chosen for the materials to fabricate the digital complete dentures. An individual tray was designed using CAD software and manufactured by 3D printing technique. The final impression and interocclusal relationship were recorded using the fabricated individual tray. The final impression was scanned, and the complete denture design and try-in denture were 3D printed using CAD-CAM software. Subsequently, the monolithic block was milled, and the final dentures were fabricated and tried on patients. Previously mentioned two patient cases compared and analyzed stability, fit, speaking, mastication, aesthetics, and patient satisfaction of two pairs of dentures: one fabricated using CAD-CAM system and the other using traditional methods. This was performed to evaluate and report the findings from both denture-making approaches.

Esthetic complete denture fabrication utilizing Biofunctional Prosthetic System (BPS) (Biofunctional Prosthetic System(BPS) 를 이용한 심미 총의치 제작)

  • Noh, Kwantae
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.68-74
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    • 2015
  • The growing of healthy aged edentulous peoples in these days increases the demands of denture which is excellent in function and aesthetic. The Biofunctional Prosthetic System(BPS) is being introduced as a curriculum in a large number of schools in the United States, Europe and Japan. Each stages of BPS are standardized and systematized, on this account BPS is the system that even less experienced clinicians is able to produce highly satisfactory denture for patients. Additionally, the combination of BPS and suction mechanism of mandibular complete denture would make it possible to produce stabilized mandibular denture during oral function. The purpose of this article is to describe a process of producing fuctionally and aesthetically outstanding denture by using BPS combined with mandibular suction mechanism.

FIT OF ONE-PIECE CAST FIXED PARTIAL DENTURES (One-Piece cast법에 의한 가공의치의 적합성에 관한 연구)

  • Garlapo, Davis A.;Lee, Sun-Hyung;Choung, Chin-Koo;Sorensen, Soren E.
    • The Journal of Korean Academy of Prosthodontics
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    • v.20 no.1
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    • pp.19-23
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    • 1982
  • 귀금속의 가격 앙등은 치과보철치료에 있어서 비귀금속합금의 이용을 촉진 시키고 있다. 가공의치 제작에 비귀금속합금을 이용할 경우에는 납착상태에 대한 신빙성 문제로 인하여 one-piece cast법이 널리 사용되고 있으나 이에 의하여 제작된 가공의치의 적합도에 관하여는 논의가 분분하다. 고로 저자는 one-piece cast법에 의한 비귀금속 가공의치에 있어서 경화수축에 따른 거리변화를 계측현미경을 이용하여 연구한 결과 다음과 같은 결론을 얻었다. 1. 4개 치아를 포함하는 가공의치 제작에 있어서 Hi-Temp 매몰재는 비귀금속합금(Lite-Cast B)의 수축을 보상하고도 남음이 있다. 2. Hi-Temp에 사용되는 액(液)을 증류수로 희석할 경우 그 농도 조절에 의하여 Hi-Temp 매몰재의 팽창을 크게 변화시킬 수 있다. 3. one-piece cast법에 의한 가공의치 제작의 문제점은 두 지대치의 서로 바라보고 있는 인접면간의 거리는 증가됨이 없이 외측 인접면간의 거리만 다소 증가되어야 한다는 것이다. 4. 비귀금속합금을 이용하여 수직적인 큰 변형없이 4개 치아가 포함되는 가공의치를 제작할 수 있다. 5. 수개 치아를 포함하는 가공의치의 주조 정확도를 계측할 수 있는 새로운 방법을 창안하였다.

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CAD/CAM fabricated complete denture using 3D face scan: A case report (3D face scan을 이용한 CAD/CAM 제작 의치 증례)

  • Eom, Dae-Young;Leesungbok, Richard;Lee, Suk-Won;Park, Su-Jung;Ahn, Su-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.436-443
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    • 2017
  • In the past, computer-aided design / computer-aided manufacturing (CAD/CAM) technology was the closed system that users had to use the components of only one manufacturer. At present, it has changed to the open system with the flexibility to select and use the components of various manufacturers' components according to their needs. Despite the development of dental materials and prostheses manufacturing methods, denture manufacturing has followed conventional manufacturing methods for nearly 100 years. However, studies on CAD/CAM fabricated denture have been recently carried out to overcome the disadvantages of conventional denture manufacturing. Some commercialized products using milling or 3D printing have already been applied clinically. This case report confirms the possibility of CAD/CAM dentures using 3D face scan and compared them to conventionally fabricated dentures.

Complete denture rehabilitation of edentulous patient using mandibular suction denture: a clinical report (완전 무치악 환자에서 하악 흡착 의치를 통한 총의치 수복 증례)

  • Lim, Seo-Ryeon;Seo, Yoon-Hee;Kim, Hyun-Young;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.346-351
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    • 2014
  • Suction dentures enhance retention and support by forming negative pressure temporarily at the internal surface of denture base at times of swallowing and chewing because the areas surrounding the denture flanges are sealed by mobile mucosa. In this case, an 81-year-old male visited for new dentures. Considering the high expectations for retention and masticatory efficiency of dentures, fabricating complete dentures with suction dentures was planned. Preliminary impression was taken without applying pressure on retromolar pad area and diagnostic cast was fabricated. Afterwards, individual tray was made and final impression was taken, at the same time, gothic arch tracing was done to acquire centric relation and vertical dimension. Then, anatomic teeth were placed on maxilla and non-anatomic teeth were placed on mandible forming lingualized occlusion. Consequently, restoring a complete edentulous patient with complete dentures using mandibular suction denture resulted in recovering satisfying retention and function.

Tensile bond strength of chairside reline resin to denture bases fabricated by subtractive and additive manufacturing (적층가공과 절삭가공으로 제작한 의치상과 직접 첨상용 레진 간의 인장결합강도 비교)

  • Kim, Hyo-Seong;Jung, Ji-Hye;Bae, Ji-Myung;Kim, Jeong-Mi;Kim, Yu-Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.177-184
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    • 2020
  • Purpose: The purpose of this study was to compare and evaluate the tensile bond strength of chairside reline resin to denture base resin fabricated by different methods (subtractive manufacturing, additive manufacturing, and conventional heat-curing). Materials and methods: Denture base specimens were fabricated as cuboid specimens with a width of 25 mm × length 25 mm × height 3 mm by subtractive manufacturing (VITA VIONIC BASE), additive manufacturing (NextDent Base) and conventional heat-curing (Lucitone 199). After storing the specimens in distilled water at 37℃ for 30 days and drying them, they were relined with polyethyl methacrylate (PEMA) chairside reline resin (REBASE II Normal). The subtractive and additive manufacturing groups were set as the experimental group, and the heat-curing group was set as the control group. Ten specimens were prepared for each group. After storing all bound specimens in distilled water at 37℃ for 24 hours, the tensile bond strength between denture bases and chairside reline resin was measured by a universal testing machine at a crosshead speed of 10 mm/min. The fracture pattern of each specimen was analyzed and classified into adhesive failure, cohesive failure, and mixed failure. Tensile bond strength, according to the fabrication method, was analyzed by 1-way ANOVA and Bonferroni's method (α=.05). Results: Mean tensile bond strength of the heat-curing group (2.45 ± 0.39 MPa) and subtractive manufacturing group (2.33 ± 0.39 MPa) had no significant difference (P>.999). The additive manufacturing group showed significantly lower tensile bond strength (1.23 ± 0.36 MPa) compared to the other groups (P<.001). Most specimens of heat-curing and subtractive manufacturing groups had mixed failure, but mixed failure and adhesive failure showed the same frequency in additive manufacturing group. Conclusion: The mean tensile bond strength of the subtractive manufacturing group was not significantly different from the heat-curing group. The additive manufacturing group showed significantly lower mean tensile bond strength than the other two groups.

Artificial teeth displacement of monolithic complete denture manufactured by 3D printer and milling machine (3차원 적층 출력과 밀링에 의해 제작된 일체형 의치의 인공치 변위 평가)

  • Kwak, Young-Hun;Lee, Sea-Han;Lee, Gyeong-Je;Kim, Hee-Jung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.394-402
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    • 2017
  • Purpose: The purpose of this study is to evaluate the displacement of artificial tooth of monolithic complete denture manufactured by milling and 3D printing method in which the denture base and the artificial teeth are simultaneously made. Materials and methods: Twelve upper and lower complete dentures for each were made by milling and 3D printing method. Group Up and Group Lp are a group of upper and lower dentures made by printing, and Group Um and Group Lm are denture groups made by milling. Group Uc and Group Lc are is a group of finally designed upper and lower dentures respectively. Measurements were performed between both central incisors (AB, ab), both canines (CD, cd), both first molars (EF, ef), between an incisor and a first molar (AE, ae), and between incisor and lingual point (AG, ag) for each upper and lower denture. Results: AG and ag value between printed dentures and original ones as well as between milled dentures and original ones showed a statistically significant difference (One-way ANOVA, P<.05) in both lower and upper monolithic dentures. In the lower monolithic ones, ab, cd and ef value revealed a significant difference between Group Lp and Group Lm (One-way ANOVA, P<.05). Conclusion: Dentures made using milling or 3D printers revealed statistically significant difference compared with those of original data. However, it showed clinically very accurate reproducibility.

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.