• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.4
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• pp.322-329
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• 2016

Reconstruction of the maxillectomy with an obturator is to restore masticatory, swallowing, phonetic and esthetic problems. Stress created by lateral forces is minimized by the proper selection of an occlusal scheme, elimination of premature occlusal contacts, and wide distribution of supporting area. It should be considered that properly designed retainers reduce the stresses transmitted to the abutment while the obturator is in function. The following clinical report presents palatal obturator treatment with implant assisted removable partial denture (IARPD) design that restores normal function and esthetics in patients who experienced maxillectomy and dental implant failure.

• Journal of Technologic Dentistry
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• v.43 no.2
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• pp.48-55
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• 2021

Purpose: This study aimed to analyze deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a digital light processing (DLP) printer. Methods: An edentulous model was prepared and an occlusal rim was produced. The edentulous model and occlusal rim were scanned using a model scanner. A complete denture was designed using a dental computer-aided design, and the denture base and artificial tooth were separated. Ten complete arch artificial teeth were printed using a 3D printer (DLP). Complete arch artificial teeth was classified into the following three groups: a group no post-curing (NC), a group with 10 minutes post-curing (10M), and a group with 20 minutes post-curing (20M). Specimens were scanned using a model scanner. The scanned data were overlapped with the reference data. Statistical analysis was performed using one-way ANOVA analysis of variance, Kruskal-Wallis test, and Mann-Whitney U test (α=0.05). Results: Regarding the overall deviation of complete arch artificial teeth, the NC group showed the lowest mean deviation of 111.13 ㎛ and the 20M group showed the highest mean deviation of 131.03 ㎛. There were statistically significant differences among the three groups (p<0.05). Conclusion: The complete arch artificial tooth showed deformation due to post-curing. In addition, the largest shrinkage deformation was observed at 10 minutes of post-curing, whereas the least deformation was observed at 20 minutes.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.1
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• pp.57-65
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• 2019

Computer aided design and manufacturing and implant surgery using a guide template improve restoration-driven implant treatment procedures. This case utilized those digital technologies to make definitive prostheses for a patient. According to the work flow of digital dentistry, cone beam computed tomography established the treatment plan, which was followed to make the guide template for implant placement. The template guided the implants to be installed as planned. The customized abutments and surveyed fixed restorations were digitally designed and made. The metal framework of the removable partial denture was cast from resin pattern using an additive manufacturing technique, and the artificial resin teeth were replaced with the zirconia onlays for occlusal stability. These full mouth rehabilitation procedures provided functionally and aesthetically satisfactory results for the patient.

• The Journal of Korean Academy of Prosthodontics
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• v.48 no.3
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• pp.189-193
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• 2010

Purpose: This study was aimed to investigate the frequency of different classes of partial edentulism and the most frequently used design components of conventional removable partial dentures. Materials and methods: 63 patients who were treated with removable partial denture in Kyungpook National University hospital for 2003-2006 were selected. A total of 76 removable partial denture frameworks were investigated. Kennedy classification was used to identify the class of partial edentulism. Results: Results indicated that Kennedy class I removable partial dentures were the most frequently constructed. Most patients' cases were designed without modification areas. Conclusion: The most common type of direct retainer were the RPI clasp and RPA clasp in both maxilla and mandible. Lingual bar, linguoplate and anterior posterior palatal straps were the more frequently used mandibular and maxillary major connectors respectively. We did not have any case about Kennedy class IV patients.

• The Journal of Korean Academy of Prosthodontics
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• v.44 no.1
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• pp.29-39
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• 2006

Statements of problem: Zirconia core is used for posterior fixed partial dentures because it's good mechanical properties. Stress is concentrated on connectors in fixed partial dentures, so the proper design of connector areas is needed for adequate mechanical long-term properties of any prosthesis. The area of connector is critical, but tooth size and surrounding soft tissue limit the connector design. Purpose: The purpose of this study is to compare fracture strengths between different connector designs of zirconia core for posterior fixed partial dentures manufactured with CAD/CAM system and determining the optimal connector design satisfying strength and hygiene. Material and method: The following four groups of 40 posterior fixed partial denture specimens(each group 10) were fabricated as followed; group 1 vertical height of connector is 3mm (control group, all groups have the same condition); group 2, lingual vertical 1mm reinforcement on connector; group 3, lingual vertical 2mm reinforcing on connector and group 4, lingual vertical 3mm reinforcing on connector. Specimens were subjected to compressive loading on the central fossa of pontic by instron. SEM was used to identify the initial crack and characterize the fracture mode. Results: The results were as follows: 1. The mean fracture load of the non-lingual reinforcing group was 1212N and the lingual vertical 1mm reinforcing group was 1510N, the lingual vertical 2mm reinforcing group was 1882N, the lingual vertical 3mm reinforcing group was 1980N. 2. The reinforcing groups were statistically significant compared to non-reinforcing groups(P<0.001). 3. There were 2, 3mm reinforcing groups that were statistically significant compared to 1mm reinforcing groups(P<0.001), and the 3mm reinforcing group was not statistically significant compared to 2mm reinforcing groups(P>0.05) 4. Fractures were initiated in gingival embrasures of connectors and processed to the loading site. Conclusion: In this study, lingual reinforcement of connector for improved strength of zirconia based fixed partial denture is nessasary. And long-term study for clinical application is required

• The Journal of Korean Academy of Prosthodontics
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• v.61 no.4
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• pp.367-378
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• 2023

With the recent development of computer-aided design-computer-aided manufacturing technology and 3D printing technology, and the introduction of various digital techniques, the accuracy and efficiency of top-down definitive prosthetic restoration are increasing. In this clinical case, stable occlusion support was obtained through the placement of a total of 9 maxillary and mandibular posterior implants in patient with anterior-posterior crossed occlusion. The edentulous area of the maxillary anterior teeth, which showed a tendency of high resorption of the residual alveolar bone, was restored with a Kennedy Class IV implant assisted removable partial denture to restore soft tissue esthetics. Computed tomography guided surgery was used to place implants in the planned position, double scan technique was used to reflect the stabilized occlusion in the interim restoration stage to the definitive prostheses, and metal 3D printing was used to manufacture the coping and framework. This clinical case reports that efficient and predictable top-down full mouth rehabilitation was achieved using various digital technologies and techniques.

• 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 Journal of Korean Academy of Prosthodontics
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• v.21 no.1
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• pp.67-72
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• 1983

Path of insertion(1) can be defined that the direction of movement of an appliance from the point of initial contact of its rigid parts with the supporting teeth to the place of final rest. Krol(2) described that in the conventional path of insertion, all the rests are seated more or less simultaneously but in the use of the rotational path one segment of the partial denture is seated first then the remainder of the prosthesis is rotated into position. The rotational path of insertion is limited primarily to the tooth borne prosthesis. Its great advantages are the elimination of anterior clasps to improve ethetic and reduction of tooth coverage to minimize plaque accumulation. Either a rigid minor connector or proximal plate provides retention through its intimate contact with a proximal tooth surface below the height of contour as indicated at a o-degree tilt. A specially designed rest in conjunction with this retentive component satisfies the basic requirements of clasp design. The purpose of this study was a clinical evaluation of rotational path removable partial dentures. Author delivered rotational path removable partial dentures to three different cases of patients and evaluated function of the dentures, difficulties of removal and insertion of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of the rotational path removable partial dentures was excellent.

• Journal of dental hygiene science
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• v.15 no.4
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• pp.393-398
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• 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 the Korean dental association
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• v.50 no.3
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• pp.110-117
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• 2012

Dental computer-aided design (CAD) and computer-aided manufacturing (CAM) technology have rapidly progressed over the past 30 years. The technology, which can be used in the dental laboratory, the dental office and the form of production centers, has become more common in recent years. This technology is now applied to inlays, onlays, crowns, fixed partial dentures, removable partial denture frameworks, complete dentures, templates for implant installation, implant abutments, and even maxillofacial prostheses. Dentists and dental technicians, who want to use these techniques, should have certain basic knowledge about that. This article gives an overview of CAD/CAM technologies, histories and how it applies in prosthetic dentistry.