• The Journal of Advanced Prosthodontics
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• v.10 no.4
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• pp.286-290
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• 2018

PURPOSE. Conventional resin-bonded fixed partial dentures (RBFPDs) are usually made with a two-retainer design. Unlike conventional RBFPDs, cantilever resin-bonded fixed partial dentures (Cantilever RBFPDs) are, for their part, made with a single-retainer design. The aim of this study was to compare the effect of tooth surface preparation on the bond strength of zirconia cantilever single-retainer RBFPDs. The objective is to evaluate the shear bond strength of these single-retainer RBFPDs bonded on 3 different amount of tooth surface preparation. MATERIALS AND METHODS. Thirty extracted bovine incisors were categorized to 3 groups (n=10), with different amounts of tooth surface preparations. Teeth were restored with single-retainer RBFPDs with different retainer surfaces: large retainer of $32mm^2$; medium retainer of $22mm^2$; no retainer and only a proximal connecting box of $12mm^2$. All RBFPDs were made of zirconia and were bonded using an adhesive system without adhesive capacity. Shear forces were applied to these restorations until debonding. RESULTS. Mean shear bond strength values for the groups I, II, and II were $2.39{\pm}0.53MPa$, $3.13{\pm}0.69MPa$, and $5.40{\pm}0.96MPa$, respectively. Statistical analyses were performed using a one-way ANOVA test with Bonferroni post-hoc test, at a significance level of 0.001. Failure modes were observed and showed a 100% adhesive fracture. CONCLUSION. It can be concluded that the preparation of large tooth surface preparation might be irrelevant. For zirconia single-retainer RBFPD, only the preparation of a proximal connecting box seems to be a reliable and minimally invasive approach. The differences are statistically significant.

• The Journal of Korean Academy of Prosthodontics
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• v.43 no.4
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• pp.478-486
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• 2005

Statement of problem : Fracture and dimensional change of an acrylic resin denture are a rather common occurrence. Purpose : The purpose of this study was to compare differences in dimensional changes and flexural strength of separate maxillary complete dentures after immediate deflasking by injection molding and conventional compression processing. Material and method: To evaluate dimensional stability, the maxillary dentures were fabricated by using different materials and methods. Lucitone 199(Dentsply Trubyte. york, pennsylvania, USA) and Vertex(Dentimex, zeist, Netherlands) were used as materials. Compression and injection packing methods were used as processing methods. The impression surface of the dentures was measured by 3D Scann-ing System(PERCEPTRON USA) and overlapped original impression surface of the master cast. To evaluate flexural strength, resin specimens were made according to the different materials, powder/liquid ratio and processing methods. Flexural strength of the complete resin specimens (64mm$\times$10mm$\times$3.3mm) were measured by INSTRON 4467. (INSTRON, England) The data was analyzed by ANOVA, t-test and Tukey test. (p<.05 level of significance) Result: The results were as follows 1. There was no significant differences between master model and denture base for each group in overall dimensional changes. 2. Palatal area was more stable than flange or alveolar area in dimensional stability. but. there was no significant differences among each area. 3. Materials and power/liquid ratio had an effect on flexural strength. (P<.05) Especially materials was most effective. (P<.05) 4. Lucitone 199(powder/liquid ratio followed by manufacturer's direction) showed higher flexural strength than Vertex. Conclusion : Dimensional stability or flexural strength are affected by materials rather than packing techniques.

• The Journal of Advanced Prosthodontics
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• v.2 no.1
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• pp.14-17
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• 2010

PURPOSE. The purpose of this study was to investigate the diametral tensile strength of polymer-based temporary crown and fixed partial denture (FPD) materials, and the change of the diametral tensile strength with time. MATERIAL AND METHODS. One monomethacrylate-based temporary crown and FPD material (Trim) and three dimethacrylate-based ones (Protemp 3 Garant, Temphase, Luxtemp) were investigated. 20 specimens (${\phi}\;4\;mm\;{\times}\;6\;mm$) were fabricated and randomly divided into two groups (Group I: Immediately, Group II: 1 hour) according to the measurement time after completion of mixing. Universal Testing Machine was used to load the specimens at a cross-head speed of 0.5 mm/min. The data were analyzed using one-way ANOVA, the multiple comparison Scheff$\acute{e}$ test and independent sample t test ($\alpha\;=\;0.05$). RESULTS. Trim showed severe permanent deformation without an obvious fracture during loading at both times. There were statistically significant differences among the dimethacrylate-based materials. The dimethacrylate-based materials presented an increase in strength from 5 minutes to 1 hour and were as follows: Protemp 3 Garant (23.16 - 37.6 MPa), Temphase (22.27 - 28.08 MPa), Luxatemp (14.46 - 20.59 MPa). Protemp 3 Garant showed the highest value. CONCLUSION. The dimethacrylate-based temporary materials tested were stronger in diametral tensile strength than the monomethacrylate-based one. The diametral tensile strength of the materials investigated increased with time.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.4
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• pp.386-395
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• 2002

This study would like to measure and compare water sorption and solubility of acrylic resins, with 3 different polymerizing methods, and tensile strength between denture base resin and relining rosins. For this experiment, 3 different acrylic resins were used; heat polymerizing resin: Vertex (Dentmex, Zeist, Holland), autopolymerizing resin: Tokuso Rebase (Tokuyama Corp, Tokyo, Japan), and light curing resin: Mild Rebaron LC(GC Corp, Tokyo, Japan) The results were as follows ; 1. Tokuso Rebase showed the lowest water sorption. followed by Mild Rebaron LC and Vertex. Among resins, there were some signigicant differences (P<0.05). 2. Vertex showed the lowest solubility, followed by Mild Rebaron LC and Tokuso Rcbase. Among resins, there were some signigicant differences (P<0.05). 3. Intact Vertex showed the highest tensile strength, and Mild Rebaron LC had a more tensile strength than Tokuso Rebase. Between Vertex and the other resins, there were some signigicant differences (P<0.05) However, between Mild Rebaron LC and Tokuso Rebase, there was no statistical difference (P>0.05). About 50% of Rebaron LC showed cohesive fracture. 4. Tensile strength has more decreased after thermocycling than before, but there was no statistical difference (P>0.05).

• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.4
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• pp.338-344
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• 2016

Implant supported removable partial denture (ISRPD) using the implants enables favorable rehabilitation by complementing biomechanical limitations of the conventional removable partial denture (RPD). However, continuous recall check is necessary for evaluation of the mechanical and biological complications to ensure good long-term prognosis of ISRPD. This clinical report describes the complication and management in patient of Kennedy class I edentulism with ISRPD using healing abutment. The wear and fracture of healing abutment occurred at 36 months after delivery. So, healing abutment was replaced by connecting $Locator^{(R)}$ abutment for altering into the implant retained partial overdenture.

• The Journal of Korean Academy of Prosthodontics
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• v.47 no.3
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• pp.295-300
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• 2009

Statement of problem: As the number of elders is growing with the advancement of medicine, partially or fully edentulous patients have increased. Medically compromised conditions are common in the older population so that it should be taken into account in prosthetic treatment planning as well as their economic conditions. In the older patients, removable prosthesis has been preferred to implant prosthesis. However, cast metal based removable partial dentures also has several limitations. Purpose: In this report, we present several cases of Valplast$^{(R)}$ flexible denture which were fabricated in patients who had medically compromised conditions or whose remaining teeth showed a relatively poor prognosis. Results & Conclusion: This article describes an alternative treatment for a partially edentulous patient with mouth opening limitation, after cancer surgery, compromised general condition and questionable remaining teeth. In these patients, Valplast$^{(R)}$ flexible denture was used because of its unique characteristics and the results were all satisfactory. Patients had 1-2 check-up and there were no postoperative pain or fracture of denture up to now.

• The Journal of Advanced Prosthodontics
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• v.4 no.2
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• pp.76-83
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• 2012

PURPOSE. Zirconia has been used in clinical dentistry for approximately a decade, and there have been several reports regarding the clinical performance and survival rates of zirconia-based restorations. The aim of this article was to review the literatures published from 2000 to 2010 regarding the clinical performance and the causes of failure of zirconia fixed partial dentures (FPDs). MATERIALS AND METHODS. An electronic search of English peer-reviewed dental literatures was performed through PubMed to obtain all the clinical studies focused on the performance of the zirconia FPDs. The electronic search was supplemented by manual searching through the references of the selected articles for possible inclusion of some articles. Randomized controlled clinical trials, longitudinal prospective and retrospective cohort studies were the focuses of this review. Articles that did not focus on the restoration of teeth using zirconia-based restorations were excluded from this review. RESULTS. There have been three studies for the study of zirconia single crowns. The clinical outcome was satisfactory (acceptable) according to the CDA evaluation. There have been 14 studies for the study of zirconia FPDs. The survival rates of zirconia anterior and posterior FPDs ranged between 73.9% - 100% after 2 - 5 years. The causes of failure were veneer fracture, ceramic core fracture, abutment tooth fracture, secondary caries, and restoration dislodgment. CONCLUSION. The overall performance of zirconia FPDs was satisfactory according to either USPHS criteria or CDA evaluations. Fracture resistance of core and veneering ceramics, bonding between core and veneering materials, and marginal discrepancy of zirconia-based restorations were discussed as the causes of failure. Because of its repeated occurrence in many studies, future researches are essentially required to clarify this problem and to reduce the fracture incident.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.23 no.1
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• pp.34-40
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• 2014

There are several treatment options for rehabilitation of partial edentulism including the use of conventional or implant-retained fixed prostheses. However, such prosthetic options cannot always be possible because of compromised general and oral health (i.e. loss of supporting tissues, medical reasons, extensive surgical protocol and osseointegration failure of dental implant) as well as the affordability of patients. In some cases, removable partial denture provides easier access for oral hygiene procedures and the ability to correct discrepancies in dental arch relationships than implant fixed prosthesis. Recently, Implant Supported Removable Partial Denture (ISRPD) where to place dental implant in strategic position has been suggested to improve the limitation and shortcomings of conventional RPD. ISPRD can overcome mechanical limition of conventional RPD by placing implant in a favorable position and can be cost-effective, prosthetic solution for partially edentulous patients who are not immediate candidates for extensive, fixed implant supported restorations. Incorporation of dental implants to improve the RPD support and retention and to enhance patient acceptance should be considered when treatment planning for RPD. In this case, 59 years old male patient who received dental treatment of implant fixed prosthesis on both side of the upper jaw and implant overdenture on lower jaw showed implant abutment screw fracture on #15i and osseointegration failure on multiple number of implants. After removing failed implants, we planned ISRPD using #15i,24i,25i,26i and #23 natural tooth for RPD abutment. We fabricated #23 surveyed crown,#24i=25i=26i surveyed bridge and #15i gold coping for support,retention and stability for RPD. Periodic follow up check for 2years has been performed since the ISRPD delivery to the patient. No sign of screw loosening, fracture or bone resorption around abutment implants were detected.

• Journal of Dental Rehabilitation and Applied Science
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• v.22 no.4
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• pp.301-307
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• 2006

The subgingival fracture near the alveolar bone is difficult to treat. This fractured tooth will be treated by many methods. First approach is to preserve the fractured tooth. Periodontal surgery has been used to lengthen the clinical crown, thereby allowing the tooth to be restored. Another method is erupting the tooth with orthodontic eruption (forced eruption) or surgical extrusion. Second approach is the restoration after extraction of the subgingivally fractured tooth. This is restorative with conventional fixed partial denture or implant. This article presents the variable restorative approach of subgingivally fractured upper incisor.

• Journal of Dental Rehabilitation and Applied Science
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• v.29 no.4
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• pp.327-336
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• 2013

This study aimed to investigate the reinforcing effect of two kinds of glass fiber, Quarts Splint$^{TM}$ Mesh and SES MESH$^{(R)}$ and to evaluate the effect of the thermocycling on the transverse strength of the denture base and on the reinforcing effect of the reinforcements. 20 specimens of the size of $2.5{\times}10.0{\times}65.0mm$ were fabricated for each group; control group, metal mesh reinforcement group, Quarts Splint$^{TM}$ Mesh reinforcement group and SES MESH$^{(R)}$ reinforcement group. To find the difference made by the thermocycling, 10 specimens of each reinforcement group were treated by thermocycling. 3-point bending test was performed to measure the transverse strength of the denture base resin. The specimens reinforced with SES MESH$^{(R)}$ and Quarts Splint$^{TM}$ Mesh showed significantly higher transverse strength than the control group (P<.05), and significantly lower transverse strength than the specimens reinforced with the metal mesh (P<.05). Thermocycled specimens were lower in transverse strength than non-thermocycled specimens in the control group, metal mesh group, Quarts Splint$^{TM}$ Mesh group and SES MESH$^{(R)}$ group, however significant difference (P<.05) was found only in the control group.