• 대한치과보철학회지
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• 제35권1호
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• pp.67-77
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• 1997

The purpose of this study was to evaluate a cases which was treated with konus telescope on the patients in bilaterally edentulous mandible. Author made konus telescope for two patients and then X-ray and clinical examination were used for evaluation of the function and change in supporting structure of the abutment teeth during the 60months. Patient complained of difficulties in removal of denture at the beginning but they got used to it soon. X-ray showed that there were no changes in supporting structure of the abutment teeth after 60 months. It was effective in promotion of ridge soreness and also reducing the need of relining. This study suggest that konus telescope was effective for the treatment of bilaterally edentulous situations.

• 구강회복응용과학지
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• 제23권2호
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• pp.139-144
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• 2007

Prosthodontic treatment planning for various edentulous arches is not an easy issue for dentists. Especially, in case of removable partial denture, we must have a knowledge of overall treatment procedures, and a careful approach is needed. Recently, interest of dental implant and case reports are increasing, the decrease of the removable partial denture is true, but dental implantation takes longer treatment period and it is more expensive. Also, there are still some limitations like lack of available alveolar bone, patient's general condition, and chronic periodontitis. Therefore, sometimes implantation is impossible. Finally, implantation cannot be adapted to every single patient. Currently, the clasp type removable partial dentures are used routinely, giving patients many unesthetic and functional difficulties. With better laboratory technique, removable partial denture with attachment and removable partial denture in rigid type increase patient's happiness level much more than predicted. The case presented in this article, clinically demonstrate the efficiency of using a telescopic system to improve esthetic and functional recovery for patients who lose multiple teeth.

• 대한치과의사협회지
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• 제49권2호
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• pp.77-84
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• 2011

The benefits of implant supported overdenture are readily apparent for the fully edentulous patients and have been well documented, however, there is deficiency of the studies regarding the combination of implants with removable partial dentures for partially edentulous patients. The purpose of this article is to review the literature concerning implants with removable partial dentures and evaluate the evidence for this clinical approach. Through many clinical case reports and studies we have searched from a broad variety of journals, we present the six considerations needed to contemplate respecting implants with removable partial denture in partially edentulous patients. First, the connection between abutment tooth and removable partial denture has to be rigid and the link between implant and removable partial denture should be hinged. Second, a mesial rest acts better in the point of force distribution for distal extension removable partial denture and splinting between implants is also a favorable choice. Third, T bar has an advantage for implants which are used as abutments in distal extension removable partial denture. Forth, as we all known functional impression is better way to reproduce movement for distal extension removable partial denture. Fifth, indirect retainer and guiding plane on the proximal surfaces of terminal abutment teeth are important in preventing denture base lifting. Sixth, implants in conjunction with removable partial denture is superior in the esthetic and phonetic as well as cost-effective point of view. We also suggest that which place we should install implants for force distribution and which diameter and length of implants should be used. in this review article, we recommend to locate the implant near of the abutment tooth for esthetics or near of first molar position for good stress distribution. The diameter and length of implant also influence to stress distribution. When we compare to conservative partial denture, patients go for removable partial denture using implants due to convenience, better support and retention according to several studies. But it is true that we need to study more on this subject and collect long term follow up cases before we discuss on it. So it is enough to bring this subject into the surface of prosthetic treatment by this article.

• 대한심미치과학회지
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• 제32권2호
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• pp.54-68
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• 2023

디지털 방법을 사용한 무치악의 임플란트 치료계획은 surgical guide design으로 구체화된다. Surgical guide를 제작할 때, 우리는 먼저 최종 보철의 형태를 가상공간에 구현한 후 이를 바탕으로 식립 계획을 구체화하게 된다. 그러나 완전무치악 환자는 치아배열의 기준이 없고 악간관계가 정립되어 있지 않아 최종 보철의 형태를 짐작하기 어려워 surgical guide를 만드는 데 어려움이 있다. 이때 기존의 만족스러운 총의치나 부분의치, 잔존치 등이 존재한다면 그 치아배열이 가상적인 최종 보철의 reference가 될 수 있다. 만약 이러한 reference가 부재하거나 만족스럽지 못하다면, 진단용 목적으로 총의치를 제작하되 이를 구내에서 검증하는 과정이 필요하다. 이러한 과정을 통해 surgical guide를 제작할지라도 구내 상황에 따라 implant의 위치가 계획한 것과 다르게 식립될 수 있으며, 만약 guide의 positioning이 잘못된다면 그 오차는 모든 implant의 위치를 변위시킬 수 있으므로 guide 수술이 오히려 재앙으로 다가올 수 있다. 본 기고에서는 치아 배열의 reference가 될 수 있는 자료들을 적절한 시기에 채득하여 이를 디지털 공간에 이전 및 통일된 좌표계로 정렬하는 방법에 대해 논의하고, 또한 이렇게 수립된 식립계획을 현실의 구강에 적은 오차로 이전 및 정렬하는 방법에 대해 소개하여 일관적이고 체계적인 무치악 가이드 디자인의 프로토콜 정립에 대해 의견 개진하려 한다.

• 대한치과보철학회지
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• 제49권3호
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• pp.222-228
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• 2011

연구 목적: 이 연구의 목적은 삼차원 유한요소 분석법을 이용하여 무치악 구개결손 환자에 사용되는 폐쇄장치의 응력 및 변위를 측정하고 이를 총의치 모형과 비교하는 것이다. 연구 재료 및 방법: 무치악 환자의 컴퓨터단층촬영 영상을 기반으로 구개 중앙에 상악절제술 후 발생한 결손부를 가지는 무치악 상악모형과, 무치악 3차원 유한요소 모형을 제작하였다. 각각의 모형에 적합한 총의치와 폐쇄장치를 제작하고 좌측 소구치와 구치 부위에 200 N의 수직하중을 가하였다. 3차원 유한요소 분석법을 이용하여 두 모형에서 보철물과 잔존 상악골조직의 von Mises 응력값과 변위량을 측정하였다. 결과: 두 모형 모두 하중을 가한 쪽의 피질골에서 최대 von Mises 응력 값이 관찰되었다. 총의치 모형의 피질골에서 가장 높은 값은 2.73 MPa 이었으며 폐쇄장치 모형의 피질골에서 가장 높은 값은 2.69 MPa 이었다. 보철물의 조직면에서도 높은 응력값이 관찰되었다. 최대 변위량은 폐쇄장치에서 총의치보다 더 높은 값이 관찰되었다. 결론: 폐쇄장치는 총의치에 비해 교합력 전달 면에서 불리했고, 더 큰 변위량이 관찰되어 상악절제술을 받은 무치악 환자의 보철치료 시 해부학적 지식에 바탕을 둔 정확한 인상채득과 보철치료 원칙의 적용이 고려되어야 한다.

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 2004년도 춘계학술대회
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• pp.81-81
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• 2004

• 음성과학
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• 제8권4호
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• pp.139-156
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• 2001

Speech intelligibility in patients with complete dentures is an important clinical problem depending on the material used. The objective of this study was to investigate the speech of two edentulous subjects fitted with a complete maxillary prosthesis made of two different palatal materials: chrome-cobalt alloy and acrylic resin. Three patients with complete dentures in the experiment group and ten people in the controls groups participated in the experiment. CSL, Visi-Pitch were used to measure speech characteristics. The test words consisted of a simple vowel /e/, meaningless three syllabic words containing fricative, affricated and stops sounds, and sustained fricative sounds /s/ and /$\int$/. The analysis speech parameters were vowel and lateral formants, VOT, sound durations, sound pressure level and fricative frequency. Data analysis was conducted by a series of paired T-test. The findings like the following: (1) Vowel formant one of patients with complete denture is higher than that of the control group (p<0.05), while lateral formant three of patients with complete denture is lower than that of the control group (p<0.0l). (2) Patients with complete denture produced lower speech intelligibility with low fricative frequency (/$\int$/) than control group (p<0.0). The speech intelligibility of patients with metal prosthesis was higher than that of those with resin prosthesis (p<0.05). (3) Fricative, lateral and stop sound durations of patients with complete denture were longer than those of the control group (p<0.01 and p<0.05), respectively. Total sound durations of patients with metal prosthesis were similar to that of the control group (p<0.05), while those with resin prosthesis had a shorter duration (p<0.01). This implied that those with metal prosthesis had higher speech intelligibility than those with resin prosthesis. (4) Patients with complete denture had higher sound pressure levels /t/ and /c/ than the control group (p<0.01). However, sound pressure levels for /c/ of patients with metal prosthesis or resin prosthesis was similar to the control group (p<0.05). (5) Patients with complete denture had higher fundamental frequency than the control group (p<0.01).

• 치과방사선
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• 제22권2호
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• pp.259-269
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• 1992

The author has examined the abnormalities in panoramic radiographs of 668 edentulous patients. The distribution, type, incidence, and location of all abnormalities were analized, and the distances between alveolar crest and anatomical structures were measures. (Maxillary measurements were performed between alveolar crest and lower margin of the maxillary sinus and mandibular measurements between alveolar crest and upper edge of the mental foramen.) The obtained results were as follows: 1. Of the 668 panoramic radiographs examined, 103(15.4%) showed one or more abnormalities. 2. The incidence of abnormalities was decreased by years, which was 22.0% in 1970's and 16.8% in 1980's and 12.1 % in 1990's. 3. The distribution of abnormalities as follows; 43 (40.2%) superficial root fragments, 24(22.4%) impacted teeth, 9(8.4%) imbedded root fragments, 7 (6.5%) cysts, 7(6.5%) fractures, 5(4.7%) foreign bodies, 5(4.7%) abnormal radiolucencies, 4(3.7%) abnormal radiopacities, 2(1.9%) bony defects, 1(0.9%) tumor. 4. In the location of abnormalities, 42 cases (35.3%) were in the maxillary posterior region, 26 cases(21.8%) were in the maxillary anterior region, 20 cases(24.4%) were in the mandibular posterior region and 18 cases(15.1%) were in the mandibular anterior region. 5. In the distance between alveolar crest and maxillary sinus, 109 cases(9.7%) were below 0.5㎜, 757 cases(67.6%) were between 0.5㎜ and 10㎜, 254 cases(22.7%) were above 10㎜. In the distance between alveolar crest and mental foramen, 73 cases (8.8%) were below 0.5㎜, 501 cases (60.7%) were between 0.5㎜ and l0㎜ and 252 cases(30.5%) were above 100㎜.

• 대한치과보철학회지
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• 제46권6호
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• pp.591-601
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• 2008

STATEMENT OF PROBLEM: The improvement in oral function and comfort from the dental implant appears to depend on the particular type of implant support used with the denture. The number and positioning of implants have an influence on the force transfer and subsequent stress distribution around implants. Nevertheless, a quantitative comparison has not been made between the types of implant prosthesis used with different materials compared to conventional complete denture. PURPOSE: The objective of this study is to assess the masticatory performance, bite force and impact of two different type of implant supported prostheses on oral health-related quality of life compared to conventional complete denture with GOHAI, validated oral-specific health status measures, the sieving method, and the Prescale Dental System. MATERIAL AND METHODS: From the years 1999 to 2006, a total of 30 completely edentulous patients in a single arch were selected from the Yonsei University Dental Hospital, Department of Prosthodontics and Implant Clinic in Seoul, S. Korea. Patients were divided into 3 groups of 10 each. Group HR was restored with fixed-detachable hybrid prostheses with resin teeth. Group FP had fixed dentures with porcelain teeth while Group CD had a complete denture. The masticatory performance was compared between 3 groups. RESULTS: The results showed a significant improvement in oral health-related quality of life with dental implants compared to a conventional denture in GOHAI comparison. Overall, implant prostheses showed a higher masticatory performance ($S_{50}$) and maximum bite force compared with conventional dentures (P < .05) but no differences between different implant supported prostheses (P > .05). CONCLUSION: Within the limitation of this study, the numbers of implant and material of implant prostheses does not appear to impact patient satisfaction, masticatory performance or bite force.

• Journal of Periodontal and Implant Science
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• 제46권5호
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• pp.337-349
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• 2016

Purpose: The aim of this study was to compare and analyze the peri-implant tissue conditions and prospective clinical outcomes associated with 2 types of hydroxyapatite (HA)-coated implants: (1) fully HA-coated implants and (2) partially HA-coated implants with resorbable blast medium on the coronal portion of the threads. Methods: Forty-four partially edentulous patients were randomly assigned to undergo the placement of 62 HA-coated implants, and were classified as the control group (partially HA-coated, n=30) and the test group (fully HA-coated, n=32). All patients had chronic periodontitis with moderate crestal bone loss around the edentulous area. The stability and clinical outcomes of the implants were evaluated using the primary and secondary implant stability quotient (ISQ), as well as radiographic, mobility, and peri-implant soft tissue assessments around the implants. The Wilcoxon signed-rank test and the Mann-Whitney test were used to evaluate differences between and within the 2 groups, with P values <0.05 considered to indicate statistical significance. Results: The fully HA-coated implants displayed good retention of crestal bone, and insignificant differences were found in annual marginal bone loss between the 2 types of HA-coated implants (P>0.05). No significant differences were found in the survival rate (group I, 100%; group II, 100%) or the success rate (group I, 93.3%; group II, 93.8%). The fully HA-coated implants also did not significantly increase the risk of peri-implantitis (P>0.05). Conclusions: The fully HA-coated implants did not lead to an increased risk of peri-implantitis and showed good retention of the crestal bone, as well as good survival and success rates. Our study suggests that fully HA-coated implants could become a reliable treatment alternative for edentulous posterior sites and are capable of providing good retention of the crestal bone.