• Title/Summary/Keyword: 첨상

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Clinical considerations for complete denture relining (의치상 첨상재의 종류와 임상적 고려사항)

  • Young-Eun Cho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.39-45
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    • 2024
  • The residual alveolar ridge below the denture base undergoes physiologic changes over time, which results in the existing dentures becoming less accurate with the residual alveolar ridge. In addition, changes of the occlusal plane, decreasing in vertical dimension and loss of denture retention and facial support can occur. Consequently, denture relining may be required to accommodate these changes and ensure an ongoing close fit. Relining a denture can be performed directly on the chairside using autopolymerizing relining materials or indirectly in the laboratory using heat-cured relining materials. A direct relining method is not only simple but also time and cost effective. However, irritation or burning sensation of the mucosa can occur, and poor bonding of the relining material to the denture base can be cited as disadvantages. The indirect relining method exhibits relatively high bonding strength between the relining material and the denture base, but the patient might experience discomfort during relining process period. This report will examine the characteristics of relining materials, including those used in the relining of CAD-CAM dentures, and explore the clinical considerations for relining procedures.

Correlation between Mineralogical and Chemical Compositions of the Micro-Textures in Manganese Nodules (망간단괴 미세조직에 따른 광물조성과 화학조성의 상관관계)

  • 최헌수;장세원;이성록
    • Journal of the Mineralogical Society of Korea
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    • v.13 no.4
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    • pp.205-220
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    • 2000
  • 북동태평양 C-C지역의 우리나라 광구에서 산출되는 망간단괴의 내부조직을 크게 주상조직 층상대, 첨상조직 층상대, 첨상조직 괴상대, 첨상조직 다공질대 및 괴상조직 괴상대로 구분하였다. 주상조직 층상대에서는 버나다이트(vernadite)가 가장 우세하게 산출되며, 첨상조직 층상대에서는 부서라이크(buserite)가 함께 산출된다. 첨상조직 괴상대는 부서라이트의 산출이 두드러지며, 부분적으로 토도로카이트(todorokite)가 수반된다. 첨상조직 다공질대는 첨상체 또는 구상체로 이루어지며 부분적으로 괴상조직으로 교대되는데 주로 토도로카이트와 부서라이트로 구성되어 있다. 괴상조직을 갖는 괴상대에서는 토도로카이트와 버네사이트(birnessite)가 부서라이트와 함께 산출된다. 각 조직대별로 미세조직을 이루는 엽리들에 대해 전자현미분석을 실시하였다. 엽리의 화학조성을 구성하는 요인은 상관계수 군집분석에 의해 Mn-K의 Mn군, Cu-Ni-Zn-Mg(Ca-Na)의 Cu-Ni-Mg군 Fe-Co-Ti(Ca-P)의 Fe군과 Si-Al의 Si군 등 네 개군으로 구분된다. 각 조직대는 세 개 또는 네 개의 군으로 구성되며 이들 각군은 단괴에서 산출되는 광물과 밀접한 관계를 가진다. Mn군은 토도로카이트, Cu-Ni-Mg군은 부서라이트, Fe군은 함코발트수산화철광물, 그리고 Si군은 규산염광물에서 주로 기인하는 것으로 생각된다. 엽리의 화학조성은 이들 광물의 조합과 구성광물의 화학조성에 따라 지배되고 한 조직대내에서도 여러종류의 조합을 보이는데 이는 각 조직대의 엽리들의 성인과 밀접한 관련이 있는 것으로 생각된다.

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A comparison study on shear bond strength of 3D printed resin and conventional heat-cured denture base resin to denture relining materials (3D-프린팅 의치상 레진과 열중합 의치상 레진에서의 의치 첨상 재료 간의 전단결합강도 비교 연구)

  • Cho, Sung-Yoon;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.232-243
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    • 2021
  • Purpose: The purpose of this study was to evaluate the shear bond strength of various 3D printed denture base resins and the conventional denture base resin to various denture relining materials. Materials and Methods: For denture base materials, a heatcured (Vertex RS) and two types of 3D printed DENTCA Denture base II, NextDentTM Base) were used. And 4 types denture relining materials (Tokuyama Rebase II fast, Kooliner, Denture Liner, Denture Liner, Lang Jet Denture Repair Kit) with different components were used. It was classified into 12 groups. Adhesion was performed between the resin base and the relining materials in accordance with ISO/TS 11405 standard. The shear bonding strength was measured, and then the adhesion interface was observed with a stereoscopic microscope and a scanning electron microscope. The fracture pattern was investigated through the analysis of the fragment. Results: In the 3D printed denture resin group, the shear bonding strength with relining materials was significantly lower than that of the heat-cured resin group (P < 0.05). The group of polymethyl methacrylate -based relining materials, high shear bonding strength was shown regardless of the type of denture. As for the fracture pattern, adhesive fracture appeared in most groups, and cohesive, mixed fracture appeared in some groups. Conclusion: The polymethyl methacrylate -based denture relining materials showed high shear bonding strength values compared to other denture relining materials. But, for direct methods, it is considered advantageous in terms of shear bonding strength to use a isobutyl methacrylate-based denture relining materials.

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.

The Effect of Packing Method of Relining Material on the Flexural Strength of Denture Base Resin (첨상용 레진의 성형법이 의치상의 굴곡강도에 미치는 영향)

  • Kim, Min-Chul;Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.2
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    • pp.197-207
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    • 2011
  • The study aimed at examining how different reline resins affect flexural strength and flexural modulus of denture base. A total of 80 specimens ($64{\times}10{\times}3.3$ mm, according to ISO 1567:1999) of heat-polymerized resin, 40 specimens for (Lucitone199(Dentsply Int., NewYork, USA), SR Ivocap(Ivoclar AG, Schaan, Liechtenstein)) respectively, were polymerized according to the manufacturer's instructions and divided into eight groups(n = 10). Control group specimens remained intact. Specimens in the other groups were abraded on both sides to 2 mm thickness, and were relined in 1.3 mm thickness with 3 types of resins (Lucitone199(Dentsply), SR Ivocap(Ivoclar), and Rebase II(Tokuyama Co., Ltd, Tokyo, Japan)). All specimens were preserved in distilled water at $37^{\circ}C$ for 50 hours, and then were subjected to flexural strength testing in a universal testing machine using 3-point loading. A crosshead speed of 5 mm/min was used, and the distance between the supports was 50 mm. Data analyses included one-way analysis of variance(ANOVA) and the Tukey Honestly Significant Difference test (p=.05). Both heat-polymerized resin groups and auto-polymerized resin groups showed statistically low flexural strength and flexural modulus than control groups. Specimens relined with Lucitone 199 showed significantly higher flexural strength and flexural modulus than those relined with SR-Ivocap. Specimens relined with auto-polymerized resin showed significantly lower flexural strength and flexural modulus than those relined with heat-polymerized resin. Relining with heat-polymerized resins showed superior mechanical properties to relining with an auto-polymerized resin. Relining with the same heat-polymerized resin as the denture base does not affect mechanical properties of a denture. Lucitone199 using a compression-mould technique resulted in the highest flexural strength.

Clinical Application of Dynamic Impression Method Using Coe-Comfort$^{(R)}$ in Edentulous Patients (무치악 환자에서 Coe-comfort$^{(R)}$를 이용한 동적 인상 채득의 임상적 활용)

  • Keum, Eun-Cheol;Song, Young-Gyun;Lim, Jong-Hwa;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.1
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    • pp.117-123
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    • 2011
  • Impression taking procedure is very important for support, retention and stability of denture, and it affects the success of denture in completely edentulous patients. Various materials and methods have been used for impression taking in complete denture, while dynamic impression method is more physiological and functional method than the others. We had satisfying results with fabrication and relining of dentures after taking impression in the most physiological condition with recovery of deformed soft tissue by dynamic impression method using Coe-comfort$^{(R)}$ (GC America, IL, USA), tissue conditioner, in edentulous patients in this case report.

EFFECT OF SURFACE CONTAMINATION ON THE TRANSVERSE STRENGTH OF THE RELINED DENTURE (첨상면 오염이 레진 의치상의 파절강도에 미치는 영향)

  • Kim, Jeong-Hyun;Bae, Jung-Soo;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.1
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    • pp.11-18
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    • 1993
  • Autopolymerising and visible light cured resin are used to reline dentures. But relined surface are easily contaminated by water or saliva in the mouth during clinical procedure. This study was to find out the effect of surface contamination on the transverse strength of the relined denture base. To accomplish this, the specimens of $65\times10\times3mm$ were made with heat-cured(Lucitone 199), visible light-cured(Triad), and autopolymerizing resin(Kooliner). Measurements of transverse strength were taken for each specimen. Specimens made of heat-cured resins, sizing $65\times10\times1.5mm$, were relined with heat-cured, light-cured, and autopolymerizing resin, respectively. Specimens relined with autopolymerizing and light-cured resins were further classified into not-contaminated, water-contaminated and saliva-contaminated groups. Again, measurements of the transverse strength were taken for each group. The results were as follows 1. The transverse strength of heat-cured resin was superior to all the other resins. 2. The transverse strength of each specimen decreased after relining in the following order, heat-cured, visible light-cured, and autopolymerizing resin. 3. Surface contamination produced an decrease in transverse strength, especially in the saliva contaminated group. According to these results, water or saliva contamination should be avoided during intraoral relining procedures.

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The Effects of Various Metal Surface Treatments on the Shear Bond Strength between Titanium Denture Base and Relined Resins (타이타니움 의치상에 대한 다양한 금속표면처리제의 적용이 첨상레진과의 결합강도에 미치는 영향)

  • Eun, Jun-Young;Cho, In-ho;Lee, Jong-Hyuk
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.2
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    • pp.137-148
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    • 2006
  • The purpose of this study was to evaluate the effect of various metal surface treatments on the shear bond strength between titanium denture base and relined resins. The surfaces of commercially pure(cp) titanium were sandblasted with $50{\mu}m$ $Al_2O_3$ for 20 seconds and each group was treated with MR $Bond^{(R)}$, Alloy $Primer^{(R)}$, and Super-Bond $C&B^{(R)}$ accordingly. The specimens were completed by application of relining resins. The specimens were stored in room temperature. And the shear bond strength of the specimens were measured with the MTS universal testing $machine^{(R)}$. The results were as follows: 1. In comparison with the relining materials, $Kooliner^{(R)}$ groups showed statistically higher shear bond strength than Tokuyama Rebase $II^{(R)}$ groups(p<0.05). 2. Comparing shear bond strength, according to surface treatment, Super-bond $C&B^{(R)}$ groups showed the highest bond strength and were significantly higher than the other three groups(p<0.05). Alloy $Primer^{(R)}$ groups showed no significant difference with the MR $Bond^{(R)}$ groups, but was significantly higher than the sandblasting-only groups(p<0.05). 3. Comparing surface treatment in each groups, for two types of relining resin, the group which applies $Kooliner^{(R)}$ and Super-bond $C&B^{(R)}$ showed the highest bond strength and showed significant difference compared to the other groups(p<0.05). When using Tokuyama Rebase $II^{(R)}$, Super-bond C&B group showed the highest bond strength, but there were no significant difference compared to the Alloy $Primer^{(R)}$ group. In this limited study, applying $Kooliner^{(R)}$ and Super-Bond $C&B^{(R)}$ after sandblasting is considered to be advantageous for relining of titanium base dentures.