• Title/Summary/Keyword: Clinical Crown

Search Result 379, Processing Time 0.03 seconds

Survival rate and clinical evaluation of the implants in implant assisted removable partial dentures: surveyed crown and overdenture

  • Kang, Soo-Hyun;Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young
    • The Journal of Advanced Prosthodontics
    • /
    • v.12 no.4
    • /
    • pp.239-249
    • /
    • 2020
  • PURPOSE. The purpose of this study was to investigate survival rates of the implants used in implant assisted removable partial dentures (IARPDs). MATERIALS AND METHODS. The study was conducted on 21 patients who were treated with IARPDs. The mean follow-up period for IARPD patients ranged from 12 to 185 months (mean 47.9 months). A total of 58 implants were used for IARPDs in two different modalities: 41 for surveyed crowns and 17 for overdentures. The survival of implants was determined by clinical and radiographic evaluations considering relevant factors: location, RPD classification, opposing dentition, splinting, and implant diameter. RESULTS. The survival rate of total 58 implants was 93.1%: 95.1% for implants supporting surveyed crowns and 88.2% for implants used in overdentures. Considering only the implants supporting surveyed crown, regular diameter implants showed a higher survival rate than narrow or wide diameter implants. CONCLUSION. The survival rate of the implants used in IARPDs was 93.1% (surveyed crown: 95.1%, overdenture: 88.2%).

원내에서 5축 밀링기로 가공한 PMMA temporary crown의 다양한 임상적 활용

  • Suh, Sangjin
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.26 no.2
    • /
    • pp.68-83
    • /
    • 2017
  • With the increasing popularity of dental CAD / CAM, the kinds of materials that can be used and the range that can be utilized are also increasing. One of the biggest advantages of a dental CADCAM is that you can make a final prosthesis with one visit, but in case of zirconia or a complex aesthetic prosthesis, it is often difficult to make it in one day. In this case, temporary PMMA material can be used to provide a temporary crown with aesthetic and functional properties to the patient and can be used as a test crown or template for the final prosthesis. And if you are with a 5-axis milling machine in a clinic, you can make a temporary crown precisely to a large extent in a short time. In this article, various applications and clinical cases of PMMA temporary crown in the clinic will be presented.

Clinical outcomes of rigid and non-rigid telescopic double-crown-retained removable dental prostheses: An analytical review

  • Seo, Jeong-Gyo;Cho, Jin-Hyun
    • The Journal of Advanced Prosthodontics
    • /
    • v.12 no.1
    • /
    • pp.38-48
    • /
    • 2020
  • PURPOSE. The objective of this literature review was to analyze the cumulative survival rates (CSRs) of rigid and non-rigid double-crown-retained removable dental prostheses. MATERIALS AND METHODS. Screening of the literature published from January 1995 to December 2019 was performed by using electronic data base (Pubmed) and manual search. The CSRs of rigid and non-rigid double crown removable dental prostheses were investigated. RESULTS. A total of 403 articles were reviewed and 56 relevant articles of them were selected. Subsequently, 25 articles were included for data extraction. These articles were classified according to rigid and non-rigid type double crowns and further subdivided into teeth, implants, and teeth-implant combination types. The CSRs of rigid type double crown ranged from 68.9% to 95.1% of 5 to 10 years in tooth abutments, 94.02% to 100% over a 3-year mean observation periods in implant abutments, and 81.8% to 97.6% in tooth-implant combination. Non-rigid type double crowns had various CSR ranges from 34% to 94% maximum during 10 years observation in teeth abutment. The CSRs of non-rigid type had over 98% in implant abutments, and ranged from 85% to 100% in tooth-implant combination. CONCLUSION. The CSRs of double crowns varies according to types. With accurate evaluation of the remaining teeth and plan of the strategic implant placement, it could be successful treatment alternatives for partially or completely edentulous patients.

A clinical case of hybrid telescopic double crown using friction pin with an isolated few remaining teeth (고립된 소수 잔존치 환자에서 프릭션핀을 이용한 하이브리드 텔레스코픽 이중관 국소의치의 임상증례)

  • Sohn, Sang-Hyuk;Cho, Jin-Hyun;Cho, Sung-Am
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.32 no.1
    • /
    • pp.80-86
    • /
    • 2016
  • A few authors have reported good clinical results using double crown removable partial denture (RPD) with a few remaining teeth. Hybrid telescopic double crown is a good indication for a patient with poor periodontal condition and/or few remaining teeth after extraction, especially located in cross-arch position. In this case, there was a poor periodontal condition with teeth mobility. Several teeth with poor prognosis were extracted. Remaining anterior teeth was restored with fixed prostheses and edentulism was restored with Kennedy class I removable partial denture in maxilla. In mandible, it was hard to restore with clasp removable partial prostheses because of bilaterally isolated remaining teeth so that hybrid double crown removable partial denture with friction pin was suitable for this case. The objective of this report is to discuss the characteristics and the utility of hybrid double crown prostheses using a few remaining teeth in mandible.

A Surface Treatment Technique for Interim Crown Fabricated by Three-Dimensional Printing with Digital Light-Processing Technology

  • Son, Keunbada;Lee, Jaesik;Lee, Kyu-Bok
    • Journal of Korean Dental Science
    • /
    • v.14 no.2
    • /
    • pp.79-89
    • /
    • 2021
  • Purpose: The technique introduced in this study describes a technique for surface treatment that applies a photocuring resin to the surface of an interim crown fabricated by three-dimensional (3D) printing without a conventional polishing method. The purpose of this study was to evaluate marginal and internal fit and the intaglio surface trueness of interim crowns after surface treatment of 3D-printed crowns for clinical application. Materials and Methods: An interim crown was fabricated using a 3D printer with digital light-processing technology, and the surface support was removed. After the posttreatment process, the resin was thinly applied to the surface of the interim crown and polymerized to solve the esthetic problem of the surface without the conventional polishing process. In addition, the marginal and internal fits were measured to verify the clinical use of this technique, and the trueness was evaluated to confirm the deformation of the inner surface according to the technical application of the outer surface of the interim crown. The difference before and after the evaluation by a statistical method was verified using an independent t-test (α=0.05). Result: There was no significant difference in the marginal and internal fit before and after the application of this technique (P>0.05). There was no significant difference in intaglio surface trueness before and after the application of this technique (P=0.963). Conclusion: There was no change in the marginal and internal fit or in intaglio surface trueness of the interim crowns to which this technology was applied. This surface treatment technique is a more convenient method for interim crowns fabricated using 3D-printing technology without the conventional polishing process.

The Study of Flexural Strength of Full Zirconia Crown using Block after Clinical Work (Full Zirconia Crown용으로 사용되는 block의 제조사의 굴곡강도와 임상작업후의 굴곡강도에 관한 연구)

  • Jung, Hyo-Kyung;Kwak, Dong-Ju
    • Journal of Technologic Dentistry
    • /
    • v.33 no.4
    • /
    • pp.283-289
    • /
    • 2011
  • Purpose: The purpose of this study was to evaluate flexural strength of full zirconia crown using block after clinical work. Methods: The three point bending test was used to measure the flexural strength of zirconia block. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for Windows. As for the analysis methods, the study used analysis of variance, Tukey's test. Results: The ave Rage value of flexural strengths of WIELAND, Zirkonzahn, Hass, D-MAX were 516.2 MPa, 612.6MPa, 566.2MPa, 744.6MPa. The ave Rage value of Surface Roughness of WIELAND, Zirkonzahn, Hass, D-MAX were 0.39Ra, 0.33Ra, 0.33Ra, 0.47Ra. Conclusion: Flexural strength of zirconia block decreased after clinical work. Flexural strength of zirconia block is equal to or higher than flexural strength of dental metal, so zirconia block can be used as dental material.

Stress distribution in bone surrounding maxillary molar implants under different crown-to-fixture ratio: A 3D FEM analysis (치관/고정체 비에 따른 상악 구치부 임플란트 주변골의 응력 분포에 대한 3차원 유한요소법적 분석)

  • Park, Jong-Chan;Shin, Sang-Wan;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.46 no.5
    • /
    • pp.479-489
    • /
    • 2008
  • Statement of the problem: Under anatomical limitations on maxillary posterior region, a poor crown-to root ratio acting on dental implants can result in undesirable stress in surrounding bone, which in turn can cause bone defects and eventual failure of implants. Purpose: The purpose is to compare stress distribution due to different crown-root ratio and effect of splinting between natural teeth and implants in maxillary molar area under different loads. Material and methods: Analysis of stress arising supporting bone of the natural teeth and the implant was made with 3-dimensional finite element method. The model simulated naturel teeth was made with 2nd premolar and 1st molar in the maxillary molar region (Model T). The model simulated implants placed on same positions with two parallel implants of Straumann Dental Implant cemented abutment (Model I). Each model was designed in different crown-root ratio (0.7:1, 1:1, 1.25:1) and set cement type gold crown to make it non-splinted or splinted. After that, 300 N force was loaded to each model in five ways (Load 1: middle of occlusal table, Load 2: middle of buccal cusp, Load 3: middle of lingual cusp, Load 4: horizontal load to buccal cusp of anterior abutment only, Load 5: horizontal load to middle of buccal cusp of each abutment), and stress distribution was analyzed. Results and conclusion: On all occasions, stress was concentrated at the cervical region of the implant. Under load 1, 2 and 3, stress was not increased even when crown-root ratio increases, but under load 4 and 5, when crown-root ratio increases, stress also increased. There was difference in stress values between natural teeth and implants when crown-root ratio gradually increases; In case of natural teeth, splinting decreased stress under vertical and horizontal loads. In case of implants, splinting decreased stress under vertical loads 1,2 and 3, but increased maximal stress under loads 2 and 3. Under horizontal loads, splinting decreased stress, however the effect of splinting decreased under load 5 than load 4. Furthermore, the stress was increased, when crown-root ratio is 1.25:1. Clinical implications: This limited finite element study suggests that the stress on supporting bone may be increased under non-axial loads and poor crown-root ratio. Under poor crown-root ratio, excessive stress was generated at the cervical region of the implant, and decreased splinting effect for stress distribution, which can be related to clinical failure.

COMPARISON OF FRACTURE STRENGTH BETWEEN HYBRID-CERAMIC CROWN AND METAL-CERAMIC CROWN (Hybrid-Ceramic Crown과 금속 도재관의 파절강도 비교)

  • Ku Chul-Whoi;Yang Hong-So
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.39 no.1
    • /
    • pp.14-24
    • /
    • 2001
  • The purpose of this study was to compare the fracture strengths and the fracture patterns of several hybrid-ceramic crowns and metal-ceramic crown. Ten crowns were constructed for each group according to the manufacturer's instruction. Removable template of silicone rubber impression material was used for standardization of each crowns. Each crown was cemented on a metal die with hybrid glass ionomer cement. All crowns cemented were stored in distilled water, $36^{\circ}C$ for 24 hours prior to loading in an universal testing machine. The load was directed at 130 degrees the long axis of metal die. The fracture strengths were measured and the fracture patterns were observed. The following results were obtained from this study 1. The mean fracture strengths of $Artglass^{(R)}$, $Sculpture^{(R)}$ and $Targis^{(R)}$ were $57.5{\pm}9.5Kgf,\;62.7{\pm}12.2Kgf$ and $60.2{\pm}10.1Kgf$ respectively. There was no significant difference among each hybrid ceramic crown group. 2. The toad required to fracture hybrid-ceramic crowns was significantly smaller than metal-ceramic crowns($131.7{\pm}22.0Kgf$). 3. In the metal-ceramic crowns, labial porcelain detached partially from porcelain-metal junction of proximal side by load. 4. Hybrid-ceramic crowns showed a simple fracture pattern that fracture line began at the loading area and extended through proximal surface, perpendicular to the margin. The crown was separated into two parts of labial side and lingual side. Above results revealed that three kinds of the hybrid-ceramic crowns used in this study must have careful application in clinical use since the strength of hybrid-ceramic crown was lower(about 1/2) than that of metal-ceramic crown.

  • PDF

Clinical crown angulation and inclination of normal occlusion in a large Korean sample (정상교합자의 치관경사도에 관한 연구)

  • Lee, Shin-Jae;Ahn, Sug-Joon;Kim, Tae-Woo
    • The korean journal of orthodontics
    • /
    • v.35 no.5 s.112
    • /
    • pp.331-340
    • /
    • 2005
  • Angulation and inclination of clinical crown is important for diagnosing, treatment planning and developing convenient orthodontic attachments. The aim of the study was to establish normative data with higher reliability on the angulation and inclination of clinical crown of Koreans with normal occlusion This study employed the dental casts of 307 (male. 187: female. 120) adult normal occlusion samples. The angulation and inclination of clinical crown were measured by set-up model checker In order to ensure reliability, intra- and inter-rater error were evaluated 3 times The resultant data obtained had excellent reliability however when compared with the previous data as well as with gender difference, clinically significant interpretation was impossible because the whithin-dataset normal variation was High which was common pattern of angulation and inclination measuring data of previous research The result of this biometric study seemed 4o suggest more substantive design of the multivariate. high-dimensional interpretation methodology of these normal variation is required if more compatible orthodontic appliance could be developed.