• Title/Summary/Keyword: Abutment fracture

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FRACTURE STRENGTHS OF CEROMER CROWNS SUPPORTED ON THE VARIOUS ABUTMENT CORE MATERIALS

  • Kim Young-Oh;Ku Chul-Whoi;Park Young-Jun;Yang Hong-So
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.6
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    • pp.647-653
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    • 2004
  • Statement of problem. The effects of various core buildup materials which differs in the mechanical properties on the fracture strength of metal-free crowns is unknown. Purpose. This study was carried out to evaluate the fracture strengths of Artglass ceromer crowns supported by 3 different core materials in clinically simulated anterior tooth preparation. Material and methods. Ten crowns from each group were constructed to comparable dimensions on the various dies made by gold alloy, Ni-Cr alloy, and composite resin. The ten crowns were then cemented onto the dies and loaded until catastrophic failure took place. Fracture resistance to forces applied to the incisal edges of the anterior crowns supported by three types of dies was tested. Results. The ceromer crowns on the composite resin dies fractured at significantly lower values(287.7 N) than the ceromer crowns on the metal dies(approximately 518.4 N). No significant difference was found between the fracture values of the ceromer crowns on the dies of gold alloy and Ni-Cr alloy. Conclusion. The failure loads of the ceromer crowns on the metal dies were almost the same and not affected by the differences of casting alloys. However, the fracture values of the ceromer crowns on the resin dies were significantly reduced by the relative weak properties of composite resin core material.

Implant supported over denture with O-ring abutment (O-ring abutment를 이용한 Implant over denture의 제작)

  • Lee, Sung-Uck;Lee, Jung-Hwan;Park, Hyo-Ryun
    • Journal of Technologic Dentistry
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    • v.26 no.1
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    • pp.209-216
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    • 2004
  • The purpose of this study is to introduce how to make implant supported over denture with Oring. Many kinds of attachments have used to dental restorations. The application of attachment has widely increased implant fixed prosthesis and implant supported over denture. In order that implant supported over denture have properly retention, generally used O-ring, magnetic, bar attachment. O-ring give us an advantage that is required more minimum vertical dimension than bar-type and easily replace with new part. When we make these prosthesis using O-ring, Bar, Ball attachment, we should following procedures. Strong occlusion force leads to fracture of over denture because part of functional mechanism as implant abutment or attachment is spaced. Clips are regularly activated. O-ring and springs are changed every year. The pattern of resorption should be carefully monitored and compensated for by relining procedures. If the over denture appears to rest on the bar or the ball attachments, relining should be performed and clips/caps should be changed.

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STRESS ANALYSIS OF VARIOUS ESTHETIC RESTORATIONS BY FINITE ELEMENT METHOD (유한 요소법을 이용한 수종 심미 수복물의 응력 분석)

  • Jo, Jin-Hee;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.2
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    • pp.129-145
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    • 1991
  • The purpose of this study was to analyze the stresses and displacements of various esthetic restorations and abutment teeth. The finite element models of central incisor were divided into four groups according to the types of restoration. Three load cases were applied; 1) 45 degrees on the incisal edge, 2) horizontal force on the labial surface, and 3) 26 degrees diagonally on the lingual surface. Material property, geometry, and load conditions of each model were inputed to the two dimensional finite element program and stresses and displacements were analyzed. Results were as follows; 1. In the cases of porcelain fused gold ann and porcelain laminate venner, stresses were equally distributed in supporting abutment tooth. 2. The metal coping of porcelain fused gold u and collarless porcelain fused gold crown functioned as a good stress distributor. 3. When the horizontal load applied, the highest tensile and compressive stresses were seen in the cervical margin of restoration and the dentin of the abutment tooth. 4. The highest displacement of restoration was seen when load was applied at an mee of 26 degrees diagonally in lingual surface of tooth in centric occlusion. 5. The influence of loading direction on the stresses and displacements in the restoration was greater than that of various design. 6. The possibility of fracture was highest in porcelain jacket crown.

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A METHOD OF CAST CROWN RESTORATION FOR EXISTING PARTIAL DENTURE CLASP AND A CASE REPORT OF IT (기존 Clasp에 적합한 주조 금관 형성법과 임상응용 1 예)

  • Lee, Ho-Yong;Chung, Moon-Kyu;Kim, Chong-Youl
    • The Journal of the Korean dental association
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    • v.16 no.2 s.105
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    • pp.123-128
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    • 1978
  • Sometimes in clinic, we have found that cast crown construction is necessary to fit the existing partial denture clasp, when the abutment is involved with caries, a failing restoration, periodontal disease, or fracture. This is important not only to protect the abutment tooth from missing, but to restore retention, bracing and support for partial denture. For constructing the cast crown, several methods have been reported by many of previous authors. The number of techniques reported during the past are ideal but have uncertain results However, with more improved and practical technic developed by me, the problem becomes more successful. One method in which does not need the laboratory technecian is the wax pattern has been made in chairside waxing by doctor himself. The other in which requires the laboratory technician is to use special impression method and articulator for laboratory waxing. In one case of the reported here, we have successful results in restoring the abutment with cast crown for original denture clasp.

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Post and core build-ups in crown and bridge abutments: Bio-mechanical advantages and disadvantages

  • Mamoun, John
    • The Journal of Advanced Prosthodontics
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    • v.9 no.3
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    • pp.232-237
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    • 2017
  • Dentists often place post and core buildups on endodontically treated abutments for crown and bridge restorations. This article analyzes the bio-mechanical purposes, advantages and disadvantages of placing a core or a post and core in an endodontically treated tooth and reviews literature on post and core biomechanics. The author assesses the scientific rationale of the claim that the main purpose of a post is to retain a core, or the claim that posts weaken teeth. More likely, the main function of a post is to help prevent the abutment, on which a crown is cemented, from fracturing such that the abutment separates from the tooth root, at a fracture plane that is located approximately and theoretically at the level of the crown (or ferrule) margin. A post essentially improves the ferrule effect that is provided by the partial fixed denture prosthesis. This paper also explores the difference between bio-mechanical failures of crowns caused by lack of retention or excess taper, versus failures due to a sub-optimal ferrule effect in crown and bridge prostheses.

DOUBLE CROWN RETAINED REMOVABLE PARTIAL DENTURE - 4 YEARS IN RETROSPECT (Double crown retained RPD의 4년 임상 관찰)

  • Lee Seok-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.1
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    • pp.73-82
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    • 2004
  • Statment of problem : Little in known about the importance of selection of various double crowns as retainer in determining the outcome of treatment with double crown retained removable partial denture. Purpose : To obtain information about the effects and the results of this treatment modality. Material and methods : This study describes 61 double crown retained removable partial dentures worn by 51 patients from Samsung Medical Center, Seoul a time ranging between 6 and 48 months and evaluate occlusal contacts on the denture teeth, denture movement, incidence of denture relining, denture retention, fracture of dentures and abutments, hygiene, residual ridge inflammatory changes, number of lost abutment,. interruption of denture use. Results : One tenth of all the restorations were relined. Restorations in 21 arches fractured repeatedly for various reasons . There was no apparent interrelationship between fractures and the five groups. Conclusion : Good prognoses of removable partial dentures were shown in all groups(Kennedy Classes I, II, III, combination and few remaining abutment).

The biocompatibility and mechanical properties of plasma sprayed zirconia coated abutment

  • Huang, Zhengfei;Wang, Zhifeng;Yin, Kaifeng;Li, Chuanhua;Guo, Meihua;Lan, Jing
    • The Journal of Advanced Prosthodontics
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    • v.12 no.3
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    • pp.157-166
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    • 2020
  • PURPOSE. The aim of this study was to evaluate the clinical performance and reliability of plasma sprayed nanostructured zirconia (NSZ) coating. MATERIALS AND METHODS. This study consisted of three areas of analysis: (1) Mechanical property: surface roughness of NSZ coating and bond strength between NSZ coating and titanium specimens were measured, and the microstructure of bonding interface was also observed by scanning election microscope (SEM). (2) Biocompatibility: hemolysis tests, cell proliferation tests, and rat subcutaneous implant test were conducted to evaluate the biocompatibility of NSZ coating. (3) Mechanical compatibility: fracture and artificial aging tests were performed to measure the mechanical compatibility of NSZ-coated titanium abutments. RESULTS. In the mechanical study, 400 ㎛ thick NSZ coatings had the highest bond strength (71.22 ± 1.02 MPa), and a compact transition layer could be observed. In addition, NSZ coating showed excellent biocompatibility in both hemolysis tests and cell proliferation tests. In subcutaneous implant test, NSZ-coated plates showed similar inflammation elimination and fibrous tissue formation processes with that of titanium specimens. Regarding fatigue tests, all NSZ-coated abutments survived in the five-year fatigue test and showed sufficient fracture strength (407.65-663.7 N) for incisor teeth. CONCLUSION. In this study, the plasmasprayed NSZ-coated titanium abutments presented sufficient fracture strength and biocompatibility, and it was demonstrated that plasma spray was a reliable method to prepare high-quality zirconia coating.

Mechanical Properties of (Y, Nb)-TZP/Alumina Composites for Dental Implant Abutments (치과 임플란트 상부구조물용 (Y, Nb)-TZP/알루미나 복합체의 기계적 물성)

  • 정형호;김대준;한중석;이득용
    • Journal of the Korean Ceramic Society
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    • v.41 no.7
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    • pp.508-512
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    • 2004
  • For abutment of dental implants, (Y, Nb)-TZP/Alumina composites were prepared by addition of 10-90 vol% alumina at an interval of 10 vol% into tetragonal zirconia solid solution which consists of 90.24 mol% Zr $O_2$, 5.31 mol% Y$_2$ $O_3$, and 4.45 mol% Nb$_2$O$\_$5/. Biaxial flexure strength and fracture toughness of composite were optimized by adding 10 vol% alumina, which resulted in 900 MPa and 8.9 MPam$\^$1/2/, respectively. The composite did not undergo low temperature degradation even after autoclave treatment at 200$^{\circ}C$ for 10 h. 65 of (Y, Nb)-TZP/Alumina composite abutments were employed into 40 patients and any adverse reaction, screw loosing, or fracture of abutments was not observed for the span of 2 years, indicating that the ceramic abutments can be safely used for restorations.

A comparative evaluation of fracture resistance of endodontically treated teeth restored with different post core systems - an in-vitro study

  • Makade, Chetana S.;Meshram, Ganesh K.;Warhadpande, Manjusha;Patil, Pravinkumar G.
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.90-95
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    • 2011
  • PURPOSE. To compare the fracture resistance and the mode of failure of endodontically treated teeth restored with different post-core systems. MATERIALS AND METHODS. Root canal treatment was performed on 40 maxillary incisors and the samples were divided into four groups of 10 each. For three experimental groups post space preparation was done and teeth were restored with cast post-core (Group B), stainless steel post with composite core (Group C) and glass fiber post with composite core using adhesive resin cement (Group D). Control group (A) samples were selected with intact coronal structure. All the samples were prepared for ideal abutment preparation. All the samples were subjected to a load of 0.5 mm/min at $130^{circ}$.until fracture occurred using the universal testing machine. The fracture resistance was measured and the data were analyzed statistically. The fracture above the embedded resin was considered to be favorable and the fracture below the level was considered as unfavorable. The statistical analysis of fracture resistance between different groups was carried out with t-test. For the mode of failure the statistical analysis was carried out by Kruskal-Wallis test and Chi-Square test. RESULTS. For experimental group Vs control group the fracture resistance values showed significant differences (P<.05). For the mode of failure the chi-square value is 16.1610, which means highly significant (P=.0009) statistically. CONCLUSION. Endodontically treated teeth without post core system showed the least fracture resistance demonstrating the need to reinforce the tooth. Stainless steel post with composite core showed the highest fracture resistance among all the experimental groups. Teeth restored with the Glass fiber post showed the most favorable fractures making them more amenable to the re-treatment.

INFLUENCE OF IMPLANT-ABUTMENT INTERFACE DESIGN, IMPLANT DIAMETER AND PROSTHETIC TABLE WIDTH ON STRENGTH OF IMPLANT-ABUTMENT INTERFACE : THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS (임플랜트의 지대주 연결방식, 임플랜트의 직경 및 지대주 연결부위의 직경 차이에 따른 응력분포에 관한 삼차원 유한요소분석)

  • Oh Se-Woong;Yang Jae-Ho;Lee Sun-Hyung;Han Jung-Suk
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.4
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    • pp.393-404
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    • 2003
  • Statement of problem. Higher incidence of prosthetic complications such as screw loosening, screw fracture has been reported for posterior single tooth implant. So, there is ongoing research regarding stability of implant-abutment interface. One of those research is increasing the implant diameter and prosthetic table width to improve joint stability. In another part of this research, internal conical type implant-abutment interface was developed and reported joint strength is higher than traditional external hex interface. Purpose. The purpose of this study is to compare stress distribution in single molar implant between external hex butt joint implant and internal conical joint implant when increasing the implant diameter and prosthetic table width : 4mm diameter, 5mm diameter, 5mm diameter/6mm prosthetic table width. Material and method. Non-linear finite element models were created and the 3-dimensional finite element analysis was performed to see the distribution of stress when 300N static loading was applied to model at $0^{\circ},\;15^{\circ},\;30^{\circ}$ off-axis angle. Results. The following results were obtained : 1. Internal conical joint showed lower tensile stress value than that of external hex butt joint. 2. When off-axis loading was applied, internal conical joint showed more effective stress distribution than external hex butt joint. 3. External hex butt joint showed lower tensile stress value when the implant diameter was increased. 4. Internal conical joint showed lower tensile stress value than external hex butt joint when the implant diameter was increased. 5. Both of these joint mechanism showed lower tensile stress value when the prosthetic table width was increased. Conclusion. Internal conical joint showed more effective stress distribution than external hex joint. Increasing implant diameter showed more effective stress distribution than increasing prosthetic table width.