• Title/Summary/Keyword: Dental Prosthesis

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Effect of cement washout on loosening of abutment screws and vice versa in screw- and cement- retained implant-supported dental prosthesis

  • Kim, Seok-Gyu;Chung, Chae-Heon;Son, Mee-Kyoung
    • The Journal of Advanced Prosthodontics
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    • v.7 no.3
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    • pp.207-213
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    • 2015
  • PURPOSE. The purpose of this study was to examine the abutment screw stability of screw- and cement-retained implant-supported dental prosthesis (SCP) after simulated cement washout as well as the stability of SCP cements after complete loosening of abutment screws. MATERIALS AND METHODS. Thirty-six titanium CAD/CAM-made implant prostheses were fabricated on two implants placed in the resin models. Each prosthesis is a two-unit SCP: one screw-retained and the other cemented. After evaluating the passive fit of each prosthesis, all implant prostheses were randomly divided into 3 groups: screwed and cemented SCP (Control), screwed and non-cemented SCP (Group 1), unscrewed and cemented SCP (Group 2). Each prosthesis in Control and Group 1 was screwed and/or cemented, and the preloading reverse torque value (RTV) was evaluated. SCP in Group 2 was screwed and cemented, and then unscrewed (RTV=0) after the cement was set. After cyclic loading was applied, the postloading RTV was measured. RTV loss and decementation ratios were calculated for statistical analysis. RESULTS. There was no significant difference in RTV loss ratio between Control and Group 1 (P=.16). No decemented prosthesis was found among Control and Group 2. CONCLUSION. Within the limits of this in vitro study, the stabilities of SCP abutment screws and cement were not significantly changed after simulated cement washout or screw loosening.

Restoration using dental CAD/CAM system in severe tooth wear patient: A case report

  • Kee, Wonjin;Kim, Hyeran;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Chan
    • Oral Biology Research
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    • v.42 no.4
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    • pp.262-268
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    • 2018
  • In a situation where a vertical dimension has to be increased, the normal occlusion, function and aesthetics should be restored after taking into consideration the neuromuscular system and temporomandibular join. In order to do this, the provisional prosthesis should be made according to the patient's information. Moreover, the period of adjustment should be made through the provisional prosthesis modification, if necessary. The patient is then transferred to the final prosthesis to obtain results that are satisfactory. In the modern-day world, provisional prosthesis are replicated using three dimensional scanning and computer aided design/computer aided manufacturing (CAD/CAM) then made into final prosthesis. The adaptability of stomatognathic system can be judged by the PMMA provisional restoration. Functional and aesthetical aspect can be obtained. The adjustment period can be shortened by an intraoral correction and proper wear between provisional restorations. By using the CAD/CAM technology that transfers the information right into the final prosthesis.

A Study on subjective awareness and management status of Dental Implant Patients (임플란트 환자의 보철물에 대한 인식 및 관리 실태에 관한 연구)

  • Lee, Hye-Eun;Im, Joong-Jae
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.305-317
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    • 2019
  • Purpose: The purpose of this study is to provide basic data for the improvement of dental care service for patient care. Methods: The survey period was from December 10, 2018 to June 10, 2019. The subjects were 180 patients who were treated with dental implant in 20 dental hospitals and clinics in Daejeon and Gyeonggi province. A total of 145 questionnaires were analyzed except for 35 copies which were unreliable or difficult to analyze. Results: The most important care method for prolonging the life time of dental implant prosthesis was the highest rate of correct brushing (39.4%), and a majority in the subjects used oral hygiene products (91.0%). With regard to discomfort after dental implant prosthesis, food particles between the teeth showed the highest response (49.7%), and discomfort with gum infections and bleeding and reduced mastication increased significantly with age (p<0.05), whereas feeling of irritation decreased significantly with age (p<0.05). Conclusion: This study is meaningful in that it approached the perception and discomfort of prosthesis from the patients' point of view. It needs to establish the basic data to improve dental treatment service for patient care.

An Experimental Study on Margin Consistency of Prosthesis According to the Continued Time of Casting-Ring in the course of the Casting of Dental Alloy (치과용 합금 주조 시 주조링의 계류시간에 따른 보철물의 변연 적합도 실험에 관한 연구)

  • Hwang, Seong-Sig;Lee, Sang-Hyeok
    • Journal of Technologic Dentistry
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    • v.23 no.2
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    • pp.179-188
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    • 2002
  • With regard to the manufacture of dental prosthesis, all the dental mechanism is of vital significance at the aspect of activating its function by fixing the prosthesis to Patient's oral cavity. However, if there we will take our immediate action without the discretion about its process none the less for the importance of dental mechanism, then we might have a serious problem. Accordingly, there need to pay attention to the dilatability makes up for the shrinkage state occurring by the feature of metal materials and manufacturing process which appeared in the process of dental mechanism, which eventually is expected to playa very important role in casting a dental prosthesis appropriate to one's oral tissue. This study was designed to take into account of the effects on margin consistency of prosthesis according to the continued time of casting-ring in the course of the casting of dental alloy. For this, the researcher made an experiment on the casting of dental alloy, its dilatability, and the change of phase. The results of this study were as follows: First, the researcher could see that the sample which was cast under the condition of $650^{\circ}C/20$ Minutes(the continued time) was far superior to others at the aspect of margin consistency. Second, according to the measurement of expansion coefficient by Dilatometer, the researcher perceived the fact that the expansion-coefficient showed a maximum of $37.1{\mu}m$ considering the sample's length which was cast with ordinary temperature under the condition of $650^{\circ}C/20$ Minutes. Third, from the result of X-ray diffraction under the condition of $650^{\circ}C/20$ Minutes(the continued time), the researcher could find that there's no difference between the change of phase and its intensity. As mentioned above, the researcher could ascertain the fact that its contraction don't give rise to the change of phase.

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FACTORS AFFECTING PATIENTS' DECISION-MAKING FOR DENTAL PROSTHETIC TREATMENT

  • Jung, Hyo-Kyung;Kim, Han-Gon
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.6
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    • pp.610-619
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    • 2008
  • STATEMENT OF PROBLEM: Factors affecting patients' decision-making for dental prosthetic treatment should be examined in terms of understanding improving patients' oral health. PURPOSE: The main purpose of this dissertation was to investigate patients' dental prosthetic treatment and factors affecting patients' decision-making for dental prosthesis treatment in Deagu and Gyungbook areas. MATERIAL AND METHODS: This study was based on the preliminary survey of dental patients conducted from July 1 to August 31 in 2006. A total of 700 questionnaires had been distributed and 640 were collected. 629 questionnaires were used for the statistical analysis. Descriptive and inferential statistics, such as frequencies, cross tabulation analysis, correlation analysis, logistic regression analysis, and multiple regression analysis were introduced. In the multiple regression analysis and logistic regression analysis, twenty-two independent variables were employed to explore the factors which have impacts on decision-making and satisfaction. RESULTS: The results of this dissertation are as follows: Logistic regression analysis turned out that monthly income, age, degree of expectation, marital status, and employer-insured policy of national insurance statistically increased the odds of decision-making of dental prosthesis treatment. But educational attainment decreased the odds ratio of the decision-making of dental prosthesis treatment. However, the rest independent variables do not have statistically significant impacts on the decision-making of dental prosthesis treatment CONCLUSION: Among independent variables, marital status had the most significant influence on the decision making of dental prosthesis treatment. Finally, suggestions for the future study and policy implications to improve satisfaction of the patients' dental prosthetic treatment were discussed.

Comparative clinical study of the marginal discrepancy of fixed dental prosthesis fabricated by the milling-sintering method using a presintered alloy

  • Kim, Mijoo;Kim, Jaewon;Mai, Hang-Nga;Kwon, Tae-Yub;Choi, Yong-Do;Lee, Cheong-Hee;Lee, Du-Hyeong
    • The Journal of Advanced Prosthodontics
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    • v.11 no.5
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    • pp.280-285
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    • 2019
  • PURPOSE. The present study was designed to examine the clinical fit of fixed dental prosthesis fabricated by the milling-sintering method using a presintered cobalt-chromium alloy. MATERIALS AND METHODS. Two single metal-ceramic crowns were fabricated via milling-sintering method and casting method in each of the twelve consecutive patients who required an implant-supported fixed prosthesis. In the milling-sintering method, the prosthetic coping was designed in computer software, and the design was converted to a non-precious alloy coping using milling and post-sintering process. In the casting method, the conventional manual fabrication process was applied. The absolute marginal discrepancy of the prostheses was evaluated intraorally using the triple-scan technique. Statistical analysis was conducted using Mann-Whitney U test (${\alpha}=.05$). RESULTS. Eight patients (66.7%) showed a lower marginal discrepancy of the prostheses made using the milling-sintering method than that of the prosthesis made by the casting method. Statistically, the misfit of the prosthesis fabricated using the milling-sintering method was not significantly different from that fabricated using the casting method (P=.782). There was no tendency between the amount of marginal discrepancy and the measurement point. CONCLUSION. The overall marginal fit of prosthesis fabricated by milling-sintering using a presintered alloy was comparable to that of the prosthesis fabricated by the conventional casting method in clinical use.

The Information a Dental Technician Needs for Esthetic Prosthesis (심미 보철을 위해 기공사가 필요로 하는 정보들)

  • Park, Hyung Rang
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.7 no.1
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    • pp.64-70
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    • 1998
  • Recently as the interest on Esthetic Dental Prosthesis is arising, the domains of Esthetic Dentistry is being widely investigated. Esthetic Dental Prosthesis is influenced greatly by the shape, color, tooth arrangement of the teeth and the facial features(including the lips). So the degree to which these characters harmonize will be the professional esthetical standard while the satisfaction of the patient will be another esthetical measure. The reason for this is that each and every one of us has a different standard of what is considered beautiful. Of course it doesn't mean that every standard is correct. Then what does Esthetical Prosthesis mean and what should the standard be? This must be defined as a prosthesis that satisfies the basic requirements - margin, contour, occlusion, and at the same time it should restore the shape, color, and tooth arrangement which the client(patient) would love to have. As Esthetic Prosthesis contains its subjective meaning a great deal, it shouldn't be simply distinguished between the beauty of the teeth itself or ugliness. Also in some case, it needs surgical treatment to make it harmonious in the whole aspect so that one may keep the feeling of satisfaction and security. Then what is the shape, color, tooth arrangement that each individual wants? There is an indefinite variety. For example, considering arrangement both regular and irregular is considered beautiful by each different individual. Regular arrangement may be the standard of beauty for some, while irregular arrangement may be thought of as natural looking and beautiful. That is why there must be enough communication with the patient and an agreement be made at the clinic before a diagnostic plan and actual surgery. The treatment plan as mentioned above must be sent to the dental laboratory. In this research, by using case studies, I am going to the importance and appropriateness of the data and information for the dental technician's esthetic prosthesis.

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Trend analysis of prosthodontic treatment modality between 2005 and 2008 in Seoul National University Dental Hospital

  • Li, Hongbo;Lee, Jai-Bong;Liu, Hongchen;Han, Jung-Suk;Yang, Jae-Ho;Koak, Jai-Young;Heo, Seong-Joo
    • The Journal of Advanced Prosthodontics
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    • v.2 no.1
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    • pp.4-6
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    • 2010
  • PURPOSE. The aim of this article is to analyze the preference for treatment modality of dentists. MATERIAL AND METHODS. Data of 20,038 patients was involved. Data analysis were done by distribution according to the various kinds of prosthesis, including complete denture, removable partial denture, fixed partial denture, implant-supported dental prosthesis as well as distribution according to the professional titles of the dentists finishing the treatment, including resident and professors. RESULTS. The number of cases of dental prosthesis increased year by year. 61.06% of the patients accepted fixed partial denture restoration. The number of patients who accepted implant supported restoration is also increasing year by year. The number of complete denture, implant-supported dental prosthesis finished by professors was larger than that done by residents, while it was contrary for removable partial denture, fixed partial denture, and the difference was statistically significant (P < .05). CONCLUSION. Professors and residents have some difference in the categorization of prosthesis finished. Fixed partial denture and implant-supported dental prosthesis are preferred.

A Review of a Smart Dental Prosthesis using Micro-electro-mechanical System (미세전자기계시스템(MEMS)을 이용한 지능형 보철물에 관한 고찰 : A Smart Dental Prosthesis)

  • Namgung, Cheol;Kim, Myung-Joo;Kwon, Ho-Beom;Lim, Young-Jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.3
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    • pp.290-298
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    • 2013
  • It will be possible to predict the success and failure of the prosthodontic treatment and prevent clinical complications if the oral environment including prostheses and their supporting teeth and periodontium can be monitored in real time. The aim of this report is to introduce the concept of a smart prosthesis, which monitors specific factors in the oral cavity, and investigate its feasibility through a literature review of MEMS (Micro-electro-mechanical System) and Biosensing.

스트레스 없는 인상 채득

  • Lee, Seung Kyu
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.1
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    • pp.24-38
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    • 2017
  • Prosthetics procedures in dental clinics 1) Tooth preparation 2) Temporary restoration 3) Post and core 4) Impression 5) Cementation of final prosthesis The final step in the prosthodontic procedure is the fitting of the final prosthesis to the patient's abutment with an exact fit and occlusal relationship. By the way, this final prosthesis is not made in the clinic but is made in the dental lab and comes to the clinic with some time difference. In the clinic, the only medium to deliver the patient's oral information to the dental laboratory is the impression. However, many errors occur in this process. Dentists and dental technicians should try to identify the cause and make an accurate prosthesis to reduce this error.