• The Journal of Korean Academy of Prosthodontics
• /
• v.29 no.1
• /
• pp.215-232
• /
• 1991

In this study, oral sensory function in the osseointegrated root form implant-supported prostheses wearers was estimated by measuring occlusal tactile perception threshold of thickness and sensibility threshold against lateral static loading, and comparing with normal dentition subjects and complete denture wearers group. Osseointegrated root form implants seemed to be restored in the sensation to some extent, and so, dental implants restored edentulous patients in a wide meaning. Conclusions were summarized as following. 1. Occlusal tactile perception threshold of thickness was highest in complete denture wearers group, following by implant-supported prostheses wearers group, normal dentition subjects group. 2. In the implant-supported prostheses wearers group, occlusal tactile perception threshold of opposing artificial teeth case was higher than of opposing natural or opposing implantsupported teeth case. 3. Sensibility threshold against lateral loading of complete denture wearers and implantsupported prostheses wearers group was higher than that of normal dentition subject group. 4. In the implant-supported prostheses group, sensibility threshold against lateral loading was not significantly different between upper and lower jaws. 5. In occlusal tactile perception threshold of thickness and sensibility threshold against lateral loading test, there was no regularity among values of each tooth, and no significant difference between anterior and posterior teeth as well.

• The Journal of Korean Academy of Prosthodontics
• /
• v.59 no.1
• /
• pp.36-42
• /
• 2021

Even though implant overdentures are preferentially recommended to mandibular edentulous patients, many patients may select conventional complete dentures due to cost and general condition. Proper retention and stability of conventional complete dentures in patients with severe alveolar bone resorption is difficult to achieve. To overcome the limitations, mandibular suction dentures with the closed mouth impression technique have been used. However, the previous technique requires the Frame cut back tray, the Centric tray, and the Gnathometer M. This article introduces a technique for fabricating a mandibular suction denture with common dental materials.

• The Journal of Korean Academy of Prosthodontics
• /
• v.28 no.2
• /
• pp.91-108
• /
• 1990

The purpose of this study was to compare the maganitude of the discrepancies of the mounting errors in according to the states of dentitions, and to the superoinferior, anteroposterior, and rightleft driecetions. GROUP I. : Fourteen patients 22 to 26 years of age with a full complement of teeth, were used in the study. The criteria fro patient selection were a complete dentition, sparse restorarive treatment, and adequate posterior and anterior occlusan stops. And they had no sign and sympton at TMG area. GROUPII. : Eigth patients 37 to 62 years of age with bilateral free ends. The criteria for patient selection were Kennedy classification class 1 cases, and adequate posterior and anterior stops. And the opposite dentitions were a full complement of teeth. Irreversible hydrocolloid impresiion of each arch was taken of each patient. These were immediatel poured in stone and mounted on a Denar Mark II. Articulator with the arbitrary slidematic face-bow. With hand articulation th e mandibular cast was mounted to the maxillary cast in centric occlusion. Five types of interocclusal records were taken of each patient : (1) aluwax (2) baseplate wax; (3) znic oxide-eugenol pasts; (4) polyether (Ramitec); (5) modeling compound. All measurement of the five selected recording materials were compared with those of the hand-articulated full arch models in centric occlusion or maximum interdigitation. The results were as follows; 1. There were statistical differences in amount of devitation in according to the materials and the states of dentition. The amount of deviation of compound was the largest. 2. There were statistical differences in amount of deviation in complete dentition at all directions. The amount of diviation of compound was the largest. And at the right-left direction the amount of znic oxide-eugenol paste was larger than that of baseplate wax. 3. There was a statistical difference in amount of diviations in partial edentulous dentition at the superoinferior direction. The amount of deviation of compound was larger than that of znic oxide-eugenol paste. 4. There was as statistical difference in amount of deviations in partial edentulous dentition at the right-left direction. The amount of deviation of baseplate wax was larger that tnat of polyether. 5. There was not a statistical difference in amount of diviation in partial edentulous dentition at the anteroposterior direction.

• The Journal of Korean Academy of Prosthodontics
• /
• v.30 no.3
• /
• pp.457-478
• /
• 1992

Electrical resistance strain gauges, brittle-coatings, Moir'e fringe analysis, photoelasticity methods, etc, have been employed in the study of stress analysis and three-dimensional photoelasticity method used in this experiment. The author fabricated a total of 24 samples of maxillary and mandibular edentulous ridges with normal and sharp shapes using epoxy resin, one of the photoelastic materials. In addition, complete denture made from artificial resin teeth in other twoo sizes, large and medium size, were affixed to the specimens and attached to an articulator. The following results were attained by cutting 9 slice specimens into 6mm thick portions, in accordance with the three dimensional photoelastic stress freezing method, to analyze stress distribution status under specific static loading in the central, lateral and protrusive occlusions of the shape of edentulous ridge. 1. In the case of central occlusion, when complete resin artificial teeth in large and medium sizes were used on normal and sharp alveolar ridges, high stress distribution was broadly shown in the labio-buccal sides, and low and concentrated in the lingual sides, in all cases. Generally, the highest stresses were shown at the top of the alveolus, or at 2mm below the top of the alveolus, particularly in the specimen 2, 3, and stresses were more or less the same in the symmetrical right and left sides. 2. In the case of lateral occlusion, when the same load was applied, high stresses were shown broadly at the working sides in both the labio-buccal and lingual sides, and low and concentrated at the balanced sides. The highest stresses were shown in the top of the alveolus on the working sides in specimen 2 portion, and the lowest stresses at the balanced sides in specimen 6, slightly higher stresses were shown at retromolar parts in the balanced sides. 3. In the case of protrusive occlusion, high stresses were broadly shown at the labio-buccal sides, and slightly higher stresses at the top 2, 4, and 6mm parts of the alveolus with concentration. The highest stresses were shown in specimen No. 5 and the lowes stresses in specimen 1, 9 and stresses were more of less the same at the symmetrical right and left sides.

• The Journal of Korean Academy of Prosthodontics
• /
• v.58 no.2
• /
• pp.145-152
• /
• 2020

It is essential to record maxillomandibular relationship accurately for the harmony of esthetic and function in complete denture. Gothic arch tracing visually demonstrates the movement of the mandible, and is useful to establish accurate and reproducible centric relation. Proper retention and stability of complete denture in patients with severe alveolar bone resorption is difficult to attain. In such case, the closed mouth impression technique might be recommended. The denture border and impression are determined by patient's physiologic movement in the closed mouth impression technique. And, denture peripheral border is entirely closed with oral mucous membrane. This report presents satisfactory complete denture restoration using closed mouth impression technique and gothic arch tracing in patients with mandibular condyle fracture and severe absorption of mandibular alveolar ridge.

• The Journal of Korean Academy of Prosthodontics
• /
• v.55 no.4
• /
• pp.427-435
• /
• 2017

The most important factor in the treatment of fully edentulous patients using implants is the shape of the definitive prosthesis. After the shape of the definitive prosthesis is determined, residual bone analysis and selection of the implant type, number and position should be followed. In this case, for restoration of an edentulous patient fully implanted (except the maxillary right lateral incisor) without considering definitive prosthesis, facial esthetics and possibility of fixed type prosthesis were evaluated using complete denture. It was determined that the fixed type prosthesis was possible. Implants that could not be used for the definitive prosthesis were excluded from the treatment plan and fixed type provisional restorations were fabricated. After four months of provisional restorations, the patient showed stable occlusion and esthetic satisfaction. Definitive prosthesis was made of zirconia using CAD/CAM (computer aided design and computer aided manufacturing). The results were satisfactory during the 3 months of follow-up period after termination of treatment.

• Journal of dental hygiene science
• /
• v.15 no.4
• /
• pp.393-398
• /
• 2015

One of the most critical causes in determining the clinical outcomes of dental prostheses is the validity of models. However, studies that evaluated validity of digital models are few. The objectives of this study were to evaluate validity of edentulous digital models for full denture fabrication. Twenty stone models (edentulous model) were manufactured and scanned by dental blue light emitting diode scanner. Twenty digital models were manufactured. Six linear distances (inter-canine distance, inter-molar distance, two dental arch lengths (right, left), two diagonal of dental arch lengths (right, left) were measured for validity evaluation. The measurements of distances of stone models were used by digital vernier caliper and digital models were used by computer program. The mean${\pm}$deviations values of six distances were calculated. The means were compared by the Mann Whitney U test (${\alpha}=0.05$). All statistical analysis were performed using IBM SPSS Statistics ver. 20.0. Although digital models were smaller than stone models in six distances, there were no significant differences (p>0.05) and non exceeded the clinical acceptable range. The edentulous digital models for full denture fabrication can be considered clinically acceptable.

• The Journal of Korean Academy of Prosthodontics
• /
• v.54 no.1
• /
• pp.41-48
• /
• 2016

Edentulous patients with severe alveolar bone resorption have trouble with using traditional complete denture. In order to overcome these problems, implant-retained overdenture was developed. SFI-bar$^{(R)}$ system can save time and cost compared to other existing bar systems which need complicated laboratory procedures because it can be adjusted directly in a patient's mouth. A 55-year-old male, who had experienced a fractured lower old implant-retained overdenture, wanted a durable and painless denture. The fractured Locator$^{(R)}$ attachments were removed and edentulous mandible was restored with SFI-bar$^{(R)}$. A 77-year-old female with a medical history of the Parkinson's disease and severely absorbed alveolar bone of mandible, wanted to wear a retentive mandibular denture without pain. After placing two implants in front of mental foramen, two adaptors were connected to two implants and a tube bar was connected to the adaptors. A female part fitted to the bar was attached to the new denture. These clinical reports describe two-implant-retained overdenture using the SFI-bar$^{(R)}$ system in mandibular edentulous patients. Since the patients were satisfied esthetically and functionally during 2 years' observation, we would like to report cases.

• The Journal of Korean Academy of Prosthodontics
• /
• v.53 no.1
• /
• pp.1-8
• /
• 2015

Purpose: The purpose of this prospective study was to compare the satisfaction levels of the patients worn implant supported mandibular overdentures and conventional complete dentures. Materials and methods: Full edentulous patients (n=40) who were planned to do implant supported mandibular overdentures, aged 51 to 82 years, were enrolled in this study. All subjects rated their satisfaction levels (mastication, pronunciation, esthetics, pain, and general satisfaction) of their original conventional dentures prior to treatment and their new overdentures 1 week and 12 weeks after the delivery on 10 cm visual analogue scales. Repeated-measures ANOVA was performed to compare the satisfaction level of each three period (P<.05). Results: The mean satisfaction levels of the implant supported overdentures after 1 week and 12 weeks of delivery were significantly higher than those of the conventional complete dentures in all scoring parameters (P<.05). After 12 weeks of overdenture delivery, the increase of the satisfaction levels in mastication, pronunciation, and pain and the decrease in esthetics and general satisfaction were observed in comparison with those after 1 week of delivery, however, no significant difference was found between the satisfaction levels of 1 week and 12 weeks after delivery. Conclusion: An implant supported overdenture might be one of the effective ways to give more satisfaction to patients who were not gratified with a conventional denture and eventually to improve their quality of life.

• The Journal of Korean Academy of Prosthodontics
• /
• v.55 no.3
• /
• pp.331-335
• /
• 2017

An immediate complete denture is considered as restoration for lost natural teeth, which is fabricated following the extraction of the remaining teeth. Current esthetics and function can be retained by using immediate denture without edentulous period. However, the major disadvantages of immediate denture relate to the difficulties associated with taking accurate definitive impression and predicting the results of immediate denture. In this case report, the Campagna tray technique was used to take the final impression in a 49-year-old male patient presented with all remaining teeth diagnosed as hopeless teeth. Surgical templates were used for alveoloplasty after extraction. The immediate complete dentures were then delivered. The clinical assessments of immediate dentures showed good esthetic and functional outcomes. The patient showed high level of satisfaction.