• Title/Summary/Keyword: Fabrication of denture

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Maxillary complete denture fabrication cases with posterior palatal seal considering palatal form and tissue displacement (구개 형태 및 조직 변위를 고려하여 후방 구개 폐쇄를 형성한 상악 총의치 제작 증례)

  • Kim, Seon-A;Son, Mee-Kyung;Heo, Yu-Ri
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.152-159
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    • 2022
  • The role of the posterior palatal seal is important in retention of the maxillary complete denture. After taking the final impression, additional retention can be given to the maxillary denture through a mechanical method of forming a groove on master cast, but this is often overlooked in the clinical process. As a result, the posterior palatal seal is formed in a uniform way by the technician without considering the individual characteristics of the patient. Until now, various types of posterior palatal seal have been introduced by many people. This case report describes the process of manufacturing the maxillary complete denture by determining the position and form of an appropriate posterior palatal seal after considering the patient's anatomical palatal form and tissue displacement during function.

Complete denture rehabilitation of fully edentulous patient with severe bone resorption and class II jaw relation using piezography (심한 골 흡수와 2급 악간관계를 보이는 완전 무치악 환자의 Piezography를 이용한 총의치 수복)

  • Kwon, Wooil;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.445-450
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    • 2016
  • Piezography, prosthetic space recorded by pronunciation, can be used as a reference for arrangement of artificial teeth and polishing surface of a denture. In this case, a 67 year old female patient was presented for new dentures. Old dentures had class II relationship and poor retention. For fabrication of stable dentures, using piezography and lingualized occlusion was planned. After taking impressions with conventional method, conventional denture bases with wax rim were fabricated. Then, additional mandibular denture base was fabricated for piezography. With fast setting silicon impression material, piezography was recorded by using six pronunciations, 'si', 'so', 'me', 'te', 'de', and 'mu'. According to the piezographic space, mandibular artificial teeth were arranged and modified for lingualized occlusion. As a result, the patient was satisfied with new dentures functionally and esthetically.

Attitude and treatment options in implant-supported prosthetics: A survey among a cohort of German dentists

  • Glucker, Carolin;Rauch, Angelika;Hahnel, Sebastian
    • The Journal of Advanced Prosthodontics
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    • v.12 no.1
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    • pp.15-21
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    • 2020
  • PURPOSE. The aim of the current study was to analyze treatment concepts of a cohort of German dentists for planning, fabrication, and maintenance of implant-supported fixed and removable restorations. MATERIALS AND METHODS. A questionnaire including queries about experiences with implant-supported restorations as well as prosthetic and maintenance treatment concepts for supplying patients with fixed and removable implant-supported prosthetic restorations was developed and sent to 350 dental offices registered in the municipal area of Leipzig, Germany. RESULTS. An overall total of 62 returned questionnaires were included in the analyses, which relates to a response rate of 17.7%. Participating dentists were more involved in the prosthetic aspects of implant dentistry rather than surgery, while prosthetic concepts such as backward planning, digital processing, and application of all-ceramic materials were not commonly performed. Simple attachments were preferred over complex retention systems in removable implant-supported restorations. Tooth/implant-supported fixed denture prostheses as well as removable denture prostheses with supporting posterior implants were not regarded as a favorable treatment option. CONCLUSION. Within the limitations of the study, the data indicate that dentists favor simple and conventional treatment approaches in implant prosthetics. Prosthetic aspects in the planning of implant-supported restorations are often neglected. Prosthetic treatment guidelines and aspects should commonly be considered in the planning phase of implant-supported prosthetic restorations, and awareness should be increased in postgraduate education.

A simplified chair-side remount technique using customized mounting platforms

  • Chauhan, Mamta Devendrakumar;Dange, Shankar Pandharinath;Khalikar, Arun Narayan;Vaidya, Smita Padmakar
    • The Journal of Advanced Prosthodontics
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    • v.4 no.3
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    • pp.170-173
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    • 2012
  • Correct occlusal relationships are part of the successful prosthetic treatment for edentulous patients. Fabrication of complete dentures comprises of clinical and laboratory procedures that should be executed accurately for achieving success with fabricated dentures. Errors occurring during the clinical and laboratory procedures of a denture may subsequently lead to the occlusal errors in the final prosthesis. These occlusal errors can be corrected in two ways: i) in patient's mouth ii) by recording new centric relation and remounting dentures on an articulator. The latter method is more feasible because the mobility of denture base on the mucosa in oral cavity does not permit the identification of premature contacts in centric occlusion and tooth guided eccentric excursions. This article describes a modest and effective clinical chair-side remount procedure using customized mounting platforms.

Strengthening effect of resin denture base by glass fiber reinforcement addition (유리섬유 보강재 첨가에 따른 레진 의치상의 강화효과)

  • Kim, Chong-Myeong;Kim, Ji-Hwan;Kim, Hea-Young;Kim, Woong-Chul
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.1-7
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    • 2014
  • Purpose: The aim of this study was analyzed by comparing the effect of glass fiber reinforcement addition on the strength of resin denture base. It was intended to provide a reference data useful for clinical application. Methods: The test specimens (length $64.0{\pm}0.1mm$, width $10.0{\pm}0.1mm$, thickness $1.0{\pm}0.1mm$, $1.5{\pm}0.1mm$, and $2.0{\pm}0.1mm$ respectively) were made. In the experimental groups resin denture base reinforced with glass fiber were fabricated. In the control groups resin denture base were fabricated by conventional method. After specimen fabrication was completed, transverse test was performed using a universal testing machine. Results: The transverse strength value in CON group was $83.08{\pm}9.07MPa$ for 1.0 mm, which ranked the highest in value. On the other hand, the value was $56.07{\pm}5.15MPa$ for 2.0mm, which ranked the lowest in value. And CON+SES group was $119.80{\pm}30.70MPa$ for 1.0mm, which ranked the highest in value. On the other hand, the value was $84.00{\pm}7.97MPa$ for 2.0mm, which ranked the lowest in value. Also, the flexural modulus value in CON group was $2,983.10{\pm}506.92MPa$ for 1.0mm, which ranked the highest in value. On the other hand, the value was $1,257.64{\pm}230.48MPa$ for 2.0mm, which ranked the lowest in value. And CON+SES group was $4,679.41{\pm}1578.29MPa$ for 1.0mm, which ranked the highest in value. On the other hand, the value was $2,512.36{\pm}527.09MPa$ for 2.0mm, which ranked the lowest in value. Conclusion: The reinforced glass fiber increased the strength of resin denture base, effected to reduce the thickness of resin denture base.

Esthetically improved complete denture by gingival shade alteration: a case report (무치악 환자에서 치은의 색조 개선을 통해 심미성을 향상 시킨 총의치 수복 증례)

  • Yim, Soo-Hyun;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.239-245
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    • 2014
  • Complete denture prosthodontics includes replacement of natural teeth and associated maxillary and mandibular structures for full edentulous patients. The final objectives of prosthodontic treatment include esthetic and functional rehabilitation. Because the esthetic demand of senior patients has increased esthetic requirement should not be overlooked in denture treatment. In complete denture treatment, attempts have been made to reproduce tooth wear, arrangement, recession of cervical gingiva, staining, improved gingival shade and so on. This 61 year old female patient came to the Department of Prosthodontics with the chief complaint that dentures made 5 years ago in a local clinic were broken and did not fit well. The patient put more emphasis on fabrication of natural and esthetic dentures than recovery of masticatory function. Remake of maxillary complete denture and mandibular implant retained overdenture was planned. In order to create esthetic and natural contour, Aesthetic Color Set Easy system$^{(R)}$ (Candulor dental GmbH, Wangen, Germany) was used to make complete dentures reproducing various gingival shades. Patient's esthetic satisfaction was high. When complete denture prosthodontics treatment involves appropriate expression of individual characteristics in addition to proper selection of esthetic materials, treatment will give satisfaction to both dentist and patient.

A case of digital maxillary complete denture and mandibular implant overdenture fabricated by CAD-CAM technique (완전 무치악 환자에서 CAD-CAM 기법을 이용한 상악 총의치 및 하악 임플란트 피개의치 수복: 증례 보고)

  • Kim, Kun Min;Oh, Kyung Chul;Kim, Sang Hyun;Han, Chol Gwan;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.442-450
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    • 2021
  • The CAD-CAM technique is a rapidly developing field in the dental field and is applied to various fields of prosthetic treatment. Among them, the manufacturing of dentures using the milling technique classified as subtractive manufacturing is one of the commercialized digital full denture manufacturing methods. At the same time, it is possible to more efficiently manufacture a metal framework for implant overdenture by selective laser sintering or melting technique classified as an additive manufacturing method. The purpose of this article is to describe the fabrication of CAD-CAM maxillary complete denture and mandibular implant overdenture as well as its features.

Complete denture fabrication of a skeletal class III edentulous patient considering anterior neutral zone: a case report (골격성 III급 무치악 환자에서 전치부 중립대를 고려한 총의치 제작 증례)

  • Su-Hun Kim;Hyung-Jun Kim;Sang-Won Park;Hyun-Pil Lim;Chan Park;Woo-hyung Jang
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.91-99
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    • 2024
  • In the case of skeletal class III edentulous patients, the stability of dentures can be achieved by using a crossbite by considering the residual ridge relationship when fabricating complete dentures. Forming the anterior teeth in a normal occlusal relationship in a skeletal class III ridge relationship may reduce the stability of the denture by increasing the anterior cantilever. However, when patients use complete dentures, not only functional aspects but also aesthetic aspects are important. The aesthetics of complete dentures depends on how the anterior artificial teeth are arranged, and cases of complete denture fabrication using normal occlusion or edge-to-edge bite in edentulous patients with skeletal class III ridge relationships have been reported. In this case, complete dentures were fabricated for an edentulous patient with a skeletal class III edentulous patients by forming anterior edge-to-edge bite considering neutral zone in maxillary anterior teeth, and good aesthetic and functional results were obtained.

Fabrication of complete denture using digital technology in patient with mandibular deviation: a case report (하악 편위 환자에서 디지털 방식을 이용한 총의치 제작 증례)

  • Lee, Eunsu;Park, Juyoung;Park, Chan;Yun, Kwi-Dug;Lim, Hyun-Pil;Park, Sangwon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.34-41
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    • 2022
  • Recently, digital technology and computer-aided design/computer-aided manufacturing (CAD/CAM) environment have changed the clinician treatment method in the fabrication of dentures. The denture manufacturing method with CAD/CAM technology simplifies the treatment and laboratory process to reduce the occurrence of errors and provides clinical efficiency and convenience. In this case, complete dentures were fabricated using stereolithography (SLA)-based 3D printing in patient with mandibular deviation. Recording base were produced in a digital model obtained with an intraoral scanner, and after recording a jaw relation in the occlusal rim, a definitive impression was obtained with polyvinyl siloxane impression material. In addition, facial scan data with occlusal rim was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a Food and Drug Administration (FDA)-approved liquid photocurable resin. The denture showed adequate retention, support and stability, and results were satisfied functionally and aesthetically.

Clinical considerations of impression making for edentulous patients (성공적인 총의치 제작을 위한 단계별 포인트 - 무치악인상채득, 이것이 핵심이다.)

  • Park, Chan-Jin
    • The Journal of the Korean dental association
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    • v.55 no.1
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    • pp.72-81
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    • 2017
  • Regardless of the type of impression being made, the tray is the most important part of the impression-making procedure for completely edentulous patients. Dentists have to make use of a combination of rigid, thermoplastic, and resilient materials and control step-by-step procedure from irreversible hydrocolloid impression to definitive cast fabrication. For successful edentulous impression, some considerable clinical tips were guided.

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