• 제목/요약/키워드: Fracture of denture

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AN EXPERIMENTAL STUDY ON REINFORCEMENT OF ACRYLIC RESIN DENTURE BASE (아크릴릭 레진 의치상 강화에 관한 실험적 연구)

  • Kim Hyung-Sik;Kim Chang-Whe;Kim Young-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.3
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    • pp.411-430
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    • 1994
  • The denture may be fractured accidentally by an impact while outside the mouth, or may be cracked or broken while in service in the mouth. The latter is generally a fatigue failure caused by repeated flexure over a period of time. This investigation compared the flexural fatigue resistance, the impact force and the transverse strength of two denture base materials with and without the grid strengthener, the T300, the T800 and the Kevlar fiber to evaluate the fracture resistance. The distribution and behavior of fibers across fracture lines were examined by Hi-Scope Compact Microvision System. Through analyses of the data from this study, the following conclusions were obtained. 1. The flexural fatigue resistance, impact strength and transverse strength of high impact strength resin were higher than those of conventional heat polymerizing resin, but statistically there was no significant difference(p>0.05). 2. All specimens with and without the grid strengthener did not show significant differences in the flexural fatigue, the impact and the transverse strength test(p>0.05). 3. All specimens reinforced with the T300, the T800 and the Kevlar fiber showed significant increase of the fatigue resistance and the impact force(p<0.05). 4. All specimens reinforced with the T800 and the Kevlar fiber showed significant increase of the transverse strength(p<0.05). 5. All specimens reinforced with the T300, the T800 and the Kevlar fiber exhibited greenstick fractures. The fibers tended to remain enveloped in the resin, resisting pull-out.

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In vitro comparison of two different materials for the repair of urethan dimethacrylate denture bases

  • Cilingir, Altug;Bilhan, Hakan;Geckili, Onur;Sulun, Tonguc;Bozdag, Ergun;Sunbuloglu, Emin
    • The Journal of Advanced Prosthodontics
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    • v.5 no.4
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    • pp.396-401
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    • 2013
  • PURPOSE. The purpose of this in vitro study was to investigate the flexural properties of a recently introduced urethane dimethacrylate denture base material (Eclipse) after being repaired with two different materials. MATERIALS AND METHODS. Two repair groups and a control group consisting of 10 specimens each were generated. The ES group was repaired with auto-polymerizing polymer. The EE group was repaired with the Eclipse. The E group was left intact as a control group. A 3-point bending test device which was set to travel at a crosshead speed of 5 mm/min was used. Specimens were loaded until fracture occurred and the mean displacement, maximum load, flexural modulus and flexural strength values and standard deviations were calculated for each group and the data were statistically analyzed. The results were assessed at a significance level of P<.05. RESULTS. The mean "displacement", "maximum load before fracture", flexural strength" and "flexural modulus" rates of Group E were statistically significant higher than those of Groups ES and EE, but no significant difference (P>.05) was found between the mean values of Group ES and EE. There was a statistically significant positive relation (P<.01) between the displacement and maximum load of Group ES (99.5%), Group EE (94.3%) and Group E (84.4%). CONCLUSION. The more economic and commonly used self-curing acrylic resin can be recommended as an alternative repair material for Eclipse denture bases.

The Fabrication of Accurate Removable Partial Denture by Analyzing the Failed Cases (실패 증례 분석을 통한 국소의치 제작 시 주의사항)

  • Lee, Ji-Young;Lee, Kyoung-Lok;Heo, Yu-Ri;Son, Mee-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.3
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    • pp.280-289
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    • 2013
  • Removable partial denture for oral function recovery of partial edentulous patients is a complicated treatment because the dentist should consider both hard tissue and soft tissue. Removable partial denture produced without consideration of precise design for each component and rotation of denture may cause fracture, deformation or loss of abutment teeth. In case of failure to achieve a proper denture, the reason of failure should be analyzed and the result must be applied to later RPD cases. Finding the solutions through the failed denture cases will help patients use their dentures more comfortably and keep their sound residual teeth and tissue longer.

A METHOD OF CAST CROWN RESTORATION FOR EXISTING PARTIAL DENTURE CLASP AND A CASE REPORT OF IT (기존 Clasp에 적합한 주조 금관 형성법과 임상응용 1 예)

  • Lee, Ho-Yong;Chung, Moon-Kyu;Kim, Chong-Youl
    • The Journal of the Korean dental association
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    • v.16 no.2 s.105
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    • pp.123-128
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    • 1978
  • Sometimes in clinic, we have found that cast crown construction is necessary to fit the existing partial denture clasp, when the abutment is involved with caries, a failing restoration, periodontal disease, or fracture. This is important not only to protect the abutment tooth from missing, but to restore retention, bracing and support for partial denture. For constructing the cast crown, several methods have been reported by many of previous authors. The number of techniques reported during the past are ideal but have uncertain results However, with more improved and practical technic developed by me, the problem becomes more successful. One method in which does not need the laboratory technecian is the wax pattern has been made in chairside waxing by doctor himself. The other in which requires the laboratory technician is to use special impression method and articulator for laboratory waxing. In one case of the reported here, we have successful results in restoring the abutment with cast crown for original denture clasp.

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Fabricating retrofit crowns to an existing removable partial denture by CAD-CAM: a case report (CAD-CAM을 이용한 RPD 지대치의 retrofit crown 제작 증례)

  • Hyuksoon Lee;Seong-A Kim;Joo-Hyuk Bang;Sung Yong Kim;Hee-Won Jang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.140-145
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    • 2024
  • Removable partial denture wearers are exposed to the risks that remaining teeth get damaged by caries, attritions, erosion, and fracture. In the case of damaged abutment tooth which should fit to Removable partial denture (RPD), the fabrication of surveyed crown is followed by the making of RPD. However, making new denture takes a long time, and needs several processes and costs. Also, patients should get used to new denture. If other abutment teeth and edentulous ridges provide the existing denture with support, retention, and stability, use of existing denture is considered clinically acceptable. In this situation, fabricating retrofit crowns to an existing removable partial denture makes patient use existing denture, cuts costs, and reduces discomfort. In this case, severely worn teeth were restored using monolithic zirconia crown which fit to an existing removable partial denture by CAD-CAM. Moreover, support, retention, and stability of the denture were improved, and both doctor and patient were satisfied with the result.

FRACTURE STRENGTH BETWEEN DIFFERENT CONNECTOR DESIGNS OF ZIRCONIA CORE FOR POSTERIOR FIXED PARTIAL DENTURES MANUFACTURED WITH CAD/CAM SYSTEM (CAD/CAM을 이용한 구치부 전부도재 고정성 국소의치 지르코니아 코어의 연결부 설계에 따른 파절강도)

  • Seo Jun-Yong;Park In-Nim;Lee Keun-Woo
    • 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

A Study on the Shear Bond Strength between Various Denture Bases Resin and Artificial Resin Teeth (수종의 의치상 레진과 레진치아의 전단결합강도에 관한 연구)

  • Lee, Sang-Wook;Cho, In-Ho;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.21 no.1
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    • pp.59-67
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    • 2005
  • The bond strength of denture base resin and resin teeth, is an important factor in the long term prognosis of dentures. The purpose of this study is to find an appropriate combination of commercial denture base resin and artificial resin teeth according to shear bond strength. In this study, the shear bond strength of various denture base resins (Vertex $RS^{(R)}$(Dentimax Ziest, Holland), $PERform^{(R)}$(Hedent GmbH., Germany), SR $IVOCAP^{(R)}$(Ivoclar AG, Schaan, Liechtenstein)) and resin teeth (SR Orthosit PE(Ivoclar AG, Schaan, Liechtenstein), $Trubyte^{(R)}$ $Biotone^{(R)}$(Dentsply, U.S.A.)) was evaluated. 1. In comparison of denture resin, the shear bond strength increased in the order of $IVOCAP^{(R)}$, $PERform^{(R)}$, Vertex $RS^{(R)}$. 2. In resin teeth, $Trubyte^{(R)}$ $Biotone^{(R)}$ showed higher strength, but there was no statistical difference between the groups. 3. According to loading direction, the lingual showed higher strength, but there was no statistical difference. 4. When using SR Orthosit PE, SR $IVOCAP^{(R)}$ showed significantly higher shear bond strength(p<0.05). 5. Fracture tendancy showed more cohesive fractures(59) than adhesive failures(13). $IVOCAP^{(R)}$ showed the most superior results statistically. $Trubyte^{(R)}Biotone^{(R)}$ showed the highest shear bond strength. When using the SR Orthosit PE, it is thought that $IVOCAP^{(R)}$ would present the most superior results.

ABRASION RESISTANCE OF DENTURE BASE RESIN INCLUDING VINYLOLIGOSILSESQUIOXANE (Vinyloligosilsesquioxane 함유 의치상용 아크릴릭 레진의 마모 저항성)

  • Park Ran;Shim June-Sung;Han Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.5
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    • pp.626-639
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    • 2003
  • Statement of problem : Recently, in attempts to reinforce the acrylic resin and to reduce the polymerization shrinkage, it has been reported that adding vinyloligo-silsesquioxane (vinyl-POSS) to PMMA significantly compensates for polymerization shrinkage and somewhat increases the fracture resistance. Purpose : There haven't been any studies on abrasion that can affect the adaptation of the denture in long-term use. In this study abrasion resistance was compared between acrylic resin with vinyl-POSS and commercialized acrylic resin for denture base. In addition, the difference in abrasion resistance according to molding methods was compared. Material and method : Using PaladentR 20 including vinyl-POSS. PaladentR 20, Lucitone 199R, SR IvocapR, denture bases were fabricated using compression molding technique and continuous-pressure injection technique. Surface hardness and abrasion were measured for each group, and the worn surfaces were observed under a scanning electron microscope. Results : 1. When surface hardness was measured for each material and molding technique, there was no statistically significant difference among the materials. (p<0.05) 2. When same denture base material and molding technique were used, the abrasion due to toothpaste solution was 5 times as severe as the abrasion due to soap solution. 3, When toothpaste solution was used, the abrasion decreased in the order of PaladentR20, PaladentR 20 including vinyl-POSS, SR IvocapR, and Lucitone 199R. However statistically significant difference was seen only among PaladentR 20, SR IvocapR, and Lucitone 199R. (p<0.05). 4. When soap solution was used, the abrasion was more severe in PaladentR 20 and including vinyl-POSS PaladentR 20 groups than in SR IvocapR and Lucitone 199R groups. (p<0.05). Conclusion : Addition of vinyl-POSS doesn't improve the abrasion resistance, and the abrasion resistance was similar to those of existing materials. Additional studies under different conditions are needed. For clinical application of vinyl-POSS, further investigations with different requirements and conditions are necessary.

Causes of failures of long-term used double crown denture and new rehabilitation with dental implant and tooth combined denture using remaining teeth and implants (장기간 사용한 이중관 의치의 실패원인 및 자연치와 임플란트를 이용한 이중관 의치 수복증례)

  • Seo, Jeong-Gyo;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.384-390
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    • 2018
  • Hybrid telescopic double crown have ever been good treatment option for patient with periodontally unfavorable few remaining teeth for successful prognosis. Tooth and implant combined telescopic double crown can be used for improving retention and support for denture with strategically placed implants on edentulous ridge. In this case, an 55-year-old female patient had chronic periodontitis with few remaining teeth on maxilla and fixed partial prosthodontics on mandible. Treatment of hybrid telescopic double crown with friction pin lasted 9.5 years only with natural teeth. After 9.5 years, additional implants was installed due to fracture of cast-posted abutment teeth. After implantation, tooth and implant combined double crown had fabricated. Through re-treatment, no complications of new denture has been found during 2 years follow up. This case presents fair prognosis of tooth and implant combined double crown denture in periodontally unfavorable condition.

Reconstruction of failed fixed implant prosthesis accompanied by abutment screw loosening and fracture : A case report (나사풀림과 나사파절이 동반된 실패한 임플란트 고정성 보철물의 회복증례)

  • Bae, Eun-Bin;Shin, Young-Gun;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of the Korean dental association
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    • v.55 no.7
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    • pp.457-466
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    • 2017
  • In the case of failed fixed implant prosthesis accompanied by abutment screw fracture, fractured screw fragment must be removed to use the existing implant fixtures. A 61-year-old male patient, who had a failed maxillary fixed implant prosthesis accompanied by three abutment screw fracture, hoped to reconstruct the maxillary implant prosthesis, while maintaining the existing implant fixtures. To use the existing implant fixtures, fractured screw fragments were removed. A maxillary implant overdenture using available existing implants was planned. Bar-attachment with Locator was used for implant splinting, denture stability, and retention. Final impression was taken after treatment of peri-implantitis. Jaw relation registration was taken to evaluate available interarch space for bar-attachment. After fabricating bar-attachment, centric relation was taken. Implant overdenture using bar-attachment with Locator was delivered after wax-denture evaluation. This case report showed that a satisfactory clinical result was achieved by implant overdenture using existing implant fixtures in a maxillary edentulous patient.

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