• Title/Summary/Keyword: 의치 만족도

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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.

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.

Fabrication of complete denture using 3D printing: a case report (3D 프린팅을 이용한 양악 총의치 제작 증례)

  • Lee, Eunsu;Park, Chan;Yun, Kwidug;Lim, Hyun-Pil;Park, Sangwon
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.202-210
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    • 2022
  • Recently with the advance in digital dentistry, the fabrication of dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) is on the rise. The denture designed through a CAD software can be produced in a 3-dimensional manufacturing process. This process includes a subtractive processing method such as milling and an additive processing method such as 3D printing and in which it can be applied efficiently in more complex structures. In this case, complete dentures were fabricated using Stereolithography (SLA)-based 3D printing to shorten the production time and interval of visits in patient with physical disabilities due to cerebral infarction. For definitive impression, the existing interim denture was digitally replicated and used as an individual tray. The definitive impression obtained with polyvinyl siloxane impression material was including information about the inclination and length of the maxillary anterior teeth, vertical dimension, and centric relation. In addition, facial scan data with interim denture was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a FDA-approved liquid photocurable resin. The denture showed adequate retention, support, and stability, and results were satisfied functionally and aesthetically.

Implant-assisted removable partial denture for severely atrophied mandible (심한 하악 치조제 흡수를 가진 환자에서 임플란트를 이용한 가철성 국소의치로 수복한 증례)

  • Choi, Bada;Kim, Yeun Ju;Lee, Jae Hoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.171-175
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    • 2019
  • Mandible with severe alveolar bone atrophy poses a significant challenge in terms of reproducing clinically acceptable anatomy for a removable prosthesis. To overcome this potential complication, altered cast impression technique is often recommended to capture accurate and functional gingiva tissues. It becomes possible to get proper anchors functional impression by placing 2 implants crowns which were impossible in previous implant overdenture impression technique. In this case, an 80-year old female patient with severe mandibular ridge atrophy was treated with an implant-assisted removable partial denture with two implant crowns on the canine area. An altered cast impression was taken with an individual tray on a metal framework of removable partial denture on both posterior edentulous areas. The patient was satisfied with the final prosthesis after failure of 2 previous prostheses. Clinician had a difficult time to manage disabled patient and patient were suffered with ill-fitting denture due to inaccurate impression in conventional overdenture condition. The oral rehabilitation was completed with placing 2 implants as proper anchor.

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.

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.

Patients satisfaction for implant supported overdenture with small diameter implant (작은 직경 임플란트를 이용한 임플란트 지지 피개의치에 대한 환자 만족도 조사)

  • Lee, Sang-Yeup;Choi, Dae-Gyun;Paek, Jang-Hyun;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.29-37
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    • 2011
  • Purpose: In cases when implant supported overdenture is made by using standard size implant, additional procedure such as bone surgery and bone grafting can be required. And it gives burden to doctor and patient in terms of cost. Therefore, it is necessary to find the implant therapy for the edentulous patients in making denture with accordable cost and simple procedure. Materials and methods: Edentulous patients with upper and lower dentures participated in this study. Before the operation, survey about patient's satisfaction to the existing dentures was carried out. Surgical procedures included four small diameter implants installation anterior area and immediate loading. One and three month after the procedure, the same survey about patient's satisfaction was carried out, and radiography was taken. Results: We are doing research to the nine patients. Survival rate is 97.2 percent. The comparison of patient's satisfaction before and after surgery is performed based on oral health impact profile 49. We analyze mainly with masticatory discomfort, retention, aesthetics, social problem, psychological discomfort problems. As a result, satisfaction level is increased at all factors. Retention is the most increased satisfactory factor followed by mastication difficulty, pronunciation, psychological discomfort, social discomfort, aesthetics in order. Marginal bone loss is 0.21 mm at 12 weeks after implant placement. Conclusion: This research reveals that the denture supported by mini dental implant increases patient's satisfaction. This study will be continued with more patients for a long time and we are scheduled for taking additional radiography to check whether peri-implant bone resorption occurs or not.

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.