• Title/Summary/Keyword: 의치 관리

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Analysis of structural relationship among geriatric denture-related characteristics, denture satisfaction, and GOHAI (노인의 의치관련특성, 의치만족도, 구강건강관련 삶의 질 간의 구조적 관계 분석)

  • Kwon, Young-Ok;Choi, Mi-Sook;Lee, Jong-Hwa;Yun, Hyun-Kyung
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.399-407
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    • 2014
  • The purpose of this study was to provide basic data necessary for improving the oral health of the elderly and quality of their lives by analyzing the relationship among the geriatric denture-related characteristics, denture satisfaction, and geriatric oral health assessment index. For this study, the elderly aged 65 or higher who resided in Euseong-gun, Yeongju-si, Andong-si, Gyeongsangbuk-do were surveyed from March 25, 2013 to May 9 of the same year. The results of this study showed that the denture satisfaction had high correlation with the 'satisfaction with denture attachment', 'satisfaction with aesthetic function of pronunciation', and satisfaction with masticatory function. Moreover, the causative relation was found to exist among the geriatric denture-related characteristics, denture satisfaction, and geriatric oral health assessment index. Thus, it is considered necessary to establish the institutional system and take measures that can improve the awareness towards the geriatric oral health education and geriatric oral health state with respect to effective use and management of denture.

Postinsertion Adjustment Procedures of Removable Partial Dentures (가철성 국소의치의 조정)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.384-390
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    • 2013
  • Postinsertion problems tend to be minimized when a sequential insertion procedure is followed. However, problems may occur as the result of one or any combination of comfort, function, esthetics, and phonetic difficulties. Following the insertion of a partial denture, an appointment for review in approximately 7 days should be made for the patient. At the review visit, the patient should be questioned concerning any problems that have been experienced when wearing the denture. A thorough examination should then be carried out of the oral tissues and the denture, in the course of which signs of tissue damage may be observed. A diagnosis is then made of the cause of all the problems revealed in the history and examination procedures. Appropriate treatment should then be applied to resolve these problems.

Detection Rate of Periodontopathogens Associated with Cardiovascular Diseases in Denture. (의치 표면에서 심혈관질환과 관련된 치주질환 원인 세균의 검출)

  • Lim Mi-Young;Kim Hwa-Sook;Jeong Jae-Heon;Yang Ji-Youn;Oh Sang-Ho;Kook Joong-Ki
    • Korean Journal of Microbiology
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    • v.40 no.3
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    • pp.237-243
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    • 2004
  • The aim of this study is to investigate the detection rate of putative periodontopathogens, Porphyromonas gingivalis, Tannerella forsythia, and Actiobacillus actinomycetemcomitans, related to cardiovascular diseases(CVD). Plaques were sampled from 15 subjects (4 sites of denture base and/or tooth) with sterilized explorers and were transported in IX PBS. The detection of periodontopathogens was performed by polymerase chain reaction with species-specific primers based on 16S rDNA. The PCR products were cloned into pGEM-T easy vector and its nucleotides were sequenced in order to confirm the specificity. Our data showed that the detection rate of P. gingivalis and T forsythia in denture base of edentulous patients was 25% and 75%, respectively. And the detection rate of P. gingivalis and T.forsythia in denture base of patient having one more tooth was 91%. The results indicate that plaque of denture base may serve as reservoirs of oral bacteria related to CVD.

A Study on the Relationship Between Halitosis and Dentures (불쾌감을 유발하는 구취와 의치장착의 상호관계)

  • Lee, Kyung Hee
    • Science of Emotion and Sensibility
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    • v.19 no.4
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    • pp.127-136
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    • 2016
  • The main purpose of this study was to observe the relationship of denture and halitosis and to investigate the influence with oral health indexes. Also we examined the contribution factors to subjective awareness of halitosis by denture condition. A total sample of 103 elderly people were answered questionnaire and all collected survey data were processed for data analyses. Based on general characteristics, the study of the halitosis showed higher score which is older age, oral health attitude, and living together. The result showed that the use of denture, dental intelligent quotient (dental IQ) and type of denture were significantly correlated with halitosis. These results indicated that halitosis was affected by denture and oral health index. According to these findings, it is necessary to develop and apply the oral health promotion program which is include the management of halitosis especially for elderly person.

A clinical report of hybrid telescopic double crown denture with friction pin in a failed double crown denture case (실패한 이중관 국소의치에서 하이브리드 텔레스코픽 이중관 국소의치를 이용한 임상증례)

  • Park, Jong-Hoon;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.201-209
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    • 2021
  • In removable partial dentures, many types of retentive systems have been studied and applied in clinical treatment. One of those systems is the double crown denture system which is widely used in European countries such as Germany and Sweden. Telescopic double crown dentures have several advantages such as convenience in maintaining oral hygiene, enabling to transfer occlusal force along the long axis of the abutment, and secondary splinting effect between the abutments which leads to higher clinical performance compared to conventional removal partial dentures. In this clinical case, the patient was initially restored with a maxillary hybrid telescopic double crown denture with friction pin using remaining natural teeth as abutments. After 7 years, due to lack of recall check-up and poor oral hygiene, the abutment teeth were affected by periodontitis and 4 out of 5 of the abutment teeth had to be extracted. 3 additional implants were placed and the original abutment tooth with the inner crown was maintained. The mandible had fixed prostheses including implants but nevertheless, with strategic implant placement, the patient adapted well and was satisfied with the new maxillary tooth-implant combined double crown denture.

Retreatment of fractured implant overdenture due to long-term maintenance failure (장기간의 유지관리 실패로 인해 파절된 임플란트 피개의치 재수복 증례)

  • Kim, Minjee;Hong, Seoungjin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.235-242
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    • 2018
  • Periodontal and prosthodontic maintenance of implant overdenture is a very important factor for the long term success of the prosthesis and implants. Failure of maintenance can lead to prosthetic failure due to peri-implant bone loss and fracture and wear of the prosthesis or components. In this case, the existing gold milled bars were reconstructed with cobalt chrome milled bar in a manner that does not interfere with the external shape for the retreatment of fractured implant overdenture by maintenance failure. Two implants of mandible were selected strategically and the CM LOC attachments were connected to the two implants, and implant overdentures were fabricated. As a result, prosthesis with a functional and esthetic design that facilitates good hygiene management of the patient was delivered, which is advantageous for long term maintenance, and regular check-ups were scheduled for proper maintenance.

Full Mouth Rehabilitation with a Overlay Denture (피개의치를 이용한 지적장애인의 완전구강회복)

  • Ko, Kyung-Ho;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.385-395
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    • 2012
  • This clinical report presents the case using overlay dentures to treat a patient with cleft lip and palate and malocclusion. This patient requires vigorous treatment such as orthodontic treatment and combined orthodontic/oral surgery procedures. Overlay denture can be used as an alternative treatment option. Intraoral and radiographic examinations were done. The vertical dimension of occlusion was evaluated for proper prosthetic procedures and the surveying in the diagnostic cast was done. Considering the tissue and teeth undercut, the alterations of teeth shape were done. Final preparation and impression was performed. After the evaluation of vertical dimension and occlusion with wax-denture, the dentures were polymerized. Clinical remounting and occlusal adjustment were done on the articulator. Overlay dentures were delivered and the patient was recalled for relining. The overlay dentures satisfied patient's esthetic and functional requirements and provided a stable occlusion. Overlay dentures in this case were a reversible and relatively inexpensive treatment for this patient, however the potential possibilities of caries and periodontal disease as a result of poor oral hygiene should be prevented with periodic recall.

A comparative study on denture cleansers for food stain removal on the denture of elders in domiciliary care (재가복지 노인의치 세정제의 음식물 세정효과 비교연구)

  • Lee, Nam-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.331-336
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    • 2018
  • Oral health is an essential requirement for maintaining and promoting health and quality of life while aging. It is known that there is a deep connection with hygienic management of dentures. However, despite the emphasis on the importance of clean management of dentures, there is a lack of quantitative research on denture-related detergents. Therefore, the purpose of this study is to evaluate food stain removal performance of three denture cleansers containing proteolytic enzymes. In addition, this study provides basic data on self-cleaning methods using detergents and suggests ways to improve effective treatment for oral health of elders in domiciliary care. In order to obtain quantitative data concerning food stain removal performance of each proteinase denture cleaner, the test evaluation method proposed by the Korean Consumer Agency, ISO 20795, was used. A total of 18 specimens were discolored for 48 hours in water dissolved with turmeric, and then washed with each denture cleaner for 24 hours. The cleaned denture specimens were measured quantitatively using a spectrophotometer to measure the color values of the denture specimens before the discoloration as well as the color values of the discolored specimens after cleaning with the denture cleanser. The experimental values were analyzed through one-way ANOVA with post-hoc Tukey's test, and statistically significant differences were found among the experimental groups. It was found that C had statistically significant stain removal performance compared with A and B(p<.05). All experiments were conducted for a total of 21 days, from July 3- 23, 2017. This study confirms that denture cleansers is a beneficial self-denture management method for domiciliary seniors. Therefore, it is necessary to extend accessibility for denture cleansers in order to to optimize domiciliary care for elderly oral hygiene and health.

Complication and management of implant-assisted removable partial denture with distal extension: a clinical report (양측성 후방연장 임플란트 보조 국소의치의 합병증과 관리: 증례보고)

  • Choi, Jung-Yun;Lee, Jung-Jin;Song, Kwang-Yeob;Park, Ju-Mi;Kim, Kyoung-A;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.338-344
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    • 2016
  • Implant supported removable partial denture (ISRPD) using the implants enables favorable rehabilitation by complementing biomechanical limitations of the conventional removable partial denture (RPD). However, continuous recall check is necessary for evaluation of the mechanical and biological complications to ensure good long-term prognosis of ISRPD. This clinical report describes the complication and management in patient of Kennedy class I edentulism with ISRPD using healing abutment. The wear and fracture of healing abutment occurred at 36 months after delivery. So, healing abutment was replaced by connecting $Locator^{(R)}$ abutment for altering into the implant retained partial overdenture.

Overdentures using newly designed metal ball attachment containing predetermined gap with stress breakers (일정한 간극으로 새롭게 고안된 완압형 볼 어태치먼트를 이용한 피개의치 수복)

  • Yoo, Jin-Joo;Kim, Man-Yong;Yoon, Joon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.311-318
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    • 2017
  • Several types of attachments have been used for implant supported and/or retained overdentures. Locator is one of the stud type attachments and it has been generally used. However, the colored matrix is resilient and vulnerable to wear, so frequent post-insertion maintenance is needed. To solve this problem, it is necessary to introduce innovative attachment system. Overdentures using Air Gap attachment (AGA) has improved masticatory function and facial esthetics. AGA is made of metal, so it could be more resistant to wear or friction than the other resilient attachments. Nevertheless, AGA plays a role in stress breakers because it allows movement during denture movement with predetermined gap. In addition, both pre-existing implants and natural teeth were successfully used for connection of AGA. AGA could replace other unsplinted type of attachments. Overdentures using AGA could provide satisfactory result in terms of function, esthetics and retention. However, long term follow up is needed.