• The Journal of Korean Academy of Prosthodontics
• /
• v.58 no.3
• /
• pp.221-227
• /
• 2020

In the case of complete edentulous patients, as the mandibular alveolar bone absorption progresses, the maintenance and stability of the existing dentures, which had satisfactory functions in the past, are deteriorated. Despite of the need to fabricate new dentures, they often hesitate due to physical burdens on the duration and intensity of future treatment progress due to the effects of aging and systemic diseases. In the case of these completely edentulous patients, it is necessary to consider the treatment goals that can reduce the number of visits and the adaptation period for new dentures before starting the treatment. This case is a case of producing complete dentures of elderly patients with deteriorated physical ability. In addition to producing suction dentures through preliminary and definitive closed mouth functional impression suggested by Sato, CAD / CAM technique was used to transfer occlusal functional information of existing dentures to facilitate adaptation to new dentures.

• The Journal of Korean Academy of Prosthodontics
• /
• v.38 no.5
• /
• pp.650-658
• /
• 2000

This study was investigated to compare the bond strength of polysulfide adhesive between tray resin and border molding materials and to evaluate the effect of saliva contamination on them. We made the 135 resin tray secimens with a dimension of $1{\times}1{\times}1cm$ and divided them into 3 groups by the materials 1) Quicky group, 2) Compound group, and 3) Impregum group Each group was subdivided by saliva contimination. Group S1 : applied adhesive without saliva contamination Group S2 : applied adhesive after drying 15seconds after saliva contamination Group S3 : applied adhesive no after saliva contamination. Tensile tests were performed with a Universal Load testing machine. Results showed Impregum group significantly higher bond strength than Quicky group, but there was no significant difference in adhesive bond strength between Compound group and Quicky group in experimental group by materials In experimental group by saliva contamination, S1 group is significantly higher bond strength than S2 group and S2 group is significantly higher bond strength than S3 group in Quicky group and S1, S2 group is significantly higher bond strength than S3 group in Compound group and Impregum group. Impression compound and Impregum F which are usually used as an individual tray border mold-ing material can be said to be satisfied in adhesive bond strength to polysulfide impression materials. After try-in and clinical adjustment are performed, a custom tray should be properly rinsed and air dried before tray adhesive was placed.

• The Journal of Korean Academy of Prosthodontics
• /
• v.39 no.4
• /
• pp.351-365
• /
• 2001

For accurate impression taking, accurate impression material, solid individual tray, and bond strength between impression materials and resin tray are important factors. The purpose of this study was to evaluate tensile bond strength of rubber impression materials to various tray resin materials. This study tested the time dependent tensile bond strength between commercial brands or poly ether, polysulfide, additional silicone impression materials and commercial brands of self curing tray resin. light activited tray resin when applying adhesive Resin specimens were made with 20mm in diameter, 2mm in thickness. 1 made total 360 specimens, 10 per each group and the tensile bond strength was measured by using the Instron($M100EC^{(R)}$, Mecmesin Co., England). The results were as follows ; Comparisons of various impression materials. 1. In case of Impregum $F^{(R)}$, the bond strength of tray resin was decreased in order of SR $Ivolen^{(R)}$, Ostron $100^{(R)}$ Instant tray $mix^{(R)}$, $Lightplast^{(R)}$. All groups excluding Ostron $100^{(R)}$, Instant tray $mix^{(R)}$ are significant difference (p<0.05). Drying time after applying adhesive, the tensile bond strength of tray resin was insignificantly decreased in order of 10 min drying time group. 1 min drying time group. 5 min drying time group. 2. In case of Permlastic $regular^{(R)}$ the bond strength of tray resin was insignificantly decreased in order of Ostron $100^{(R)}$. SR $Ivolen^{(R)}$, Instant tray $mix^{(R)}$ $Lightplast^{(R)}$. About drying time after applying adhesive, the tensile bond strength of tray resin was significantly decreased in order of 5 min drying time group, 10 min drying time group, 1 min drying time group(p<0.05). 3. In case of Exaflex $regular^{(R)}$. the bond strength of tray resin was decreased in order of $Lightplast^{(R)}$, SR $Ivolen^{(R)}$, Instant tray $mix^{(R)}$, Ostron $100^{(R)}$. $Lightplast^{(R)}$ was significant difference(p<0.05). About drying time after applying adhesive, the tensile bond strength of tray resin was decreased in order of 5 min drying time group, 10 min drying time group, 1 min drying time group(p<0.05). Especially 5 min ding time group was significant difference(p<0.05). According to the results of this study, we can see the greatest tensile bond strength when using Impregrm $F^{(R)}$ and Permlastic $regular^{(R)}$ with self curing tray resin, when using Exaflex $regular^{(R)}$ with light activated tray resin In my opinion, adhesive should be dried more than 5 min before impression taking to achieve the greatest tensile bond strength.

• The Journal of Korean Academy of Prosthodontics
• /
• v.39 no.5
• /
• pp.492-501
• /
• 2001

The use of alginate impression materials today is prevalent because of its efficiency and simplicity in clinical settings. Unfortunately, the simplicity of the procedure tends to lull the dentist into a sense of well-being, and lead him into using careless or sloppy technique. Alginate impression materials are used to fabricate diagnostic and preliminary casts, and the final cast. Incorrect use of this material is known to affect the accuracy of the final prosthesis. The purpose of this study was to compare the effect of different mixing methods of alginate impression material and tray adhesive on the accuracy of the stone cast produced by each method. A total of 30 stone casts were produced by using 3 different types of mixing methods (10 stone cast for each mixing method, respectively). The first method utilized an automatic-mixing machine to mix alginate while the second method was carried out manually, strictly following manufacturer's instructions. The third method also involved manual mixing, but did not follow the manufacturer's instructions and was done in a random fashion. Also, 20 additional stone casts were produced by using alginate with or without tray adhesives were included in the study to evaluate effects of tray adhesives on the accuracy of alginate impression. 10 stone casts were produced by adding tray adhesives to the interior surface of the impression tray prior to taking the impression. The other 10 excluded this step. A total of 50 stone casts were analyzed by the three-dimensional measuring machine to measure and compare the dimensional changes of the impression material of each group. The results are as follows. 1. No significant difference was found between the automatic mixing group and the manually-mixing group(p>0.05). 2. For the group that followed manufacturer's instructions, less dimensional changes were record ed than the group that didn't in measuring distanced 4(p<0.05). 3. The group that used tray adhesives showed less dimensional changes(p<0.05). The findings revealed that mechanical methods of mixing alginate impression materials had little influence on dimensional changes. However, it is proven that following manufacturers instructions in alginate impression taking is an important step in acquiring accurate impressions and tray adhesives may play an important role in enhancing the results.

• The Journal of Korean Academy of Prosthodontics
• /
• v.58 no.3
• /
• pp.185-192
• /
• 2020

Purpose: The purpose of this study is to investigate dental students' self-perception of clinical care ability after a denture treatment experience. Materials and methods: Of the 58 fourth-year students at the dental school in 2019, 50 students completed the questionnaire concerning their denture treatment session, including treatment planning and pre-prosthetic treatment (4 questions), clinical and laboratory procedures (20 questions), and students' opinions on clinical denture education (4 questions). Each question was answered on a five-point scale, of which points four and five, "agree" and "strongly agree" respectively, were classified as positive responses while points one and two, "disagree" and "strongly disagree" respectively, were classified as negative. Results: All the items on clinical and laboratory procedures received a positive response rate of over 60%, and the overall self-perception of the students appeared to be positive. However, the questions on the ability to perform denture treatment independently after graduation received only 48% of positive answer. Those on patient management, explanations of denture precautions, customized tray production, boxing, and work model production were answered with the highest positive response rate whereas those on treatment planning, final impression acquisition, and surveying, were the lowest in each session. Conclusion: The dental students with experience in denture treatment generally have a positive opinion of their clinical care ability, but further education may be necessary to improve their ability to treat their patients independently.

• Journal of the Korean Academy of Esthetic Dentistry
• /
• v.27 no.2
• /
• pp.82-96
• /
• 2018

3D printing is a process of producing 3d object from a digital file in STL format by joining, bonding, sintering or polymerizing small volume elements by layer. The various type of 3d printing is classified according to the additive manufacturing strategies. Among the types of 3D printer, SLA(StereoLithography Apparatus) and DLP(Digital Light Processing) 3D printer which use polymerization by light source are widely used in dental office. In the previous study, a full-arch scale 3d printed model is less precise than a conventional stone model. However, in scale of quadrant arch, a 3d printed model is significantly precise than a five-axis milled model. Using $3^{rd}$ Party dental CAD program, full denture, provisional crowns and diagnostic wax-up model are fabricated by 3d printer in dental office. In Orthodontics, based on virtual setup model, indirect bracket bonding tray can be generated by 3d printer. And thermoforming clear aligner can be fabricated on the 3d printed model. 3D printed individual drilling guide enable the clinician to place the dental implant on the proper position. The development of layer additive technology enhance the quality of 3d printing object and shorten the operating time of 3D printing. In the near future, traditional dental laboratory process such as casting, denture curing will be replaced by digital 3D printing.

• Journal of Korean Academy of Dental Administration
• /
• v.5 no.1
• /
• pp.1-12
• /
• 2017

Although dental hygienists have performed chair-side assisting and other dental cares as well as preventive dental cares in Korea, medical technician law confines duties of dental hygienists as closed narrative. The aim of this study was to investigate difference in perception of duties of dental hygienists in dental clinic between dentists and dental hygiene students. A total of 245 copies of questionnaires were distributed to dentists and students by post-mail. Only 42 dentists and 30 students in an area replied these questionnaires about the present and future duties of dental hygienists after providing written consent. Both groups agreed that intra and extra oral X-ray taking, education about oral health behavior, instruction after dental treatment, chair-side assisting, consulting for patients, scaling, initial impression taking, management of dental materials and equipment, sterilization of equipment, and receiving dental bills are duties of dental hygienists. However, they had different perceptions about various dental treatments as duties of dental hygienists even if they were under instructions of a dentist, including infiltration anesthesia, filling in cavity, intramuscular injection, FC change, canal irrigation, orthodontic treatment including separating, ligature bracket bonding and removing, setting crown and bridge, making individual, removing implant screw, and so on. These findings demonstrated that there were different perceptions about duties of dental hygienists between dentists and dental hygiene students, especially on dental treatment.