• Title/Summary/Keyword: Fracture of denture

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REMOVABLE FLEXIBLE DENTURE FOR CHILDREN WITH OLIGODONTIA : A CASE REPORT (탄성의치를 사용한 부분무치증 환아의 보철적 수복)

  • Kim, Jin-Young;Lee, Kwang-Hee;La, Ji-Young;Lee, Dong-Jin;An, So-Youn;Kim, Yun-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.150-156
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    • 2009
  • Objectives : The conventional removable appliance, composed of wires and acrylic resin, had unaesthetic results and poor retention. The flexible denture, as an alternative, presents improved aesthetics with the thin and strong resin retentive area. In addition, it also enhances patients' sensory function as a result of decreased volume of denture base. The flexibility of the flexible denture reduces the possibility of fracture and distributes the masticatory forces transmitted to the abutments and residual bone tissue. This report describes a 10-year-old girl and a 6-year-old boy with oligodontia treated with the flexible dentures as an alternative to conventional removable appliances. Methods : Impression was taken using alginate material and sent to a laboratory with the bite for fabrication of the flexible denture. Prior to try-in, the flexible denture was immersed in water at $90^{\circ}C$ for one minute and cooled. Impinging area of the denture was checked by $Fit-Checker^{(R)}$ and removed and the denture was delivered to the patient. Results : Both patients were satisfied with the flexible dentures, which presented improved retention and aesthetics. Conclusion : For patients with oligodontia, flexible dentures can be considered as a treatment of choice, which may replace the conventional denture.

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DMLS (Direct Metal Laser Sintering) denture repair technique for a removable partial denture: A case report (DMLS (Direct Metal Laser Sintering) 기술을 이용한 가철성 국소의치 수리 증례)

  • Jang, Eun-Sun;Jang, Geun-Won;Byun, Jae-Joon;Kong, Dae-Ryong;Song, Joo-Hun;Lee, Gyeong-Je
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.251-256
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    • 2020
  • In recent years, digital technology has been developed in dentistry, which denture frameworks can be manufactured using DMLS (Direct Metal Laser Sintering) technique. A traditional impression method can be replaced by oral scanning and wax pattern production process can be achieved by the use of CAD/CAM techniques. The designed STL files can be sent to DMLS devices to fabricate final components of removable partial dentures (RPD). The advantages of digital dentistry are concision and precision. In this case study, a fracture of occlusal rests providing support and indirect retention was repaired by DMLS and laser welding techniques. It shows satisfactory results in adaptation accuracy and functional properties of the repaired denture.

Comparison of flexural strength according to thickness between CAD/CAM denture base resins and conventional denture base resins (CAD/CAM 의치상 레진과 열중합 의치상 레진의 두께에 따른 굴곡 강도 비교)

  • Lee, Dong-Hyung;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.3
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    • pp.183-195
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    • 2020
  • Purpose: The purpose of this study is to compare the flexural strength of CAD/CAM denture base resins with conventional denture base resins based on their thicknesses. Materials and Methods: For the conventional denture base resins, Lucitone 199® (C-LC) was used. DIOnavi - Denture (P-DO) and DENTCA Denture Base II (P-DC) were taken for the 3D printing denture base resins. For the prepolymerized PMMA resins, Vipi Block Gum (M-VP) and M-IVoBase® CAD (M-IV) were used. The final dimensions of the specimens were 65.0 mm x 12.7 mm x 1.6 mm / 2.0 mm / 2.5 mm. The 3-point bend test was implemented to measure the flexural strength and flexural modulus. Microscopic evaluation of surface of fractured specimen was conducted by using a scanning electron microscope (SEM). After testing the normality of the data, one-way ANOVA was adopted to evaluate the differences among sample groups with a significance level of P = 0.05. The Tukey HSD test was performed for post hoc analysis. Results: Under the same thicknesses, there are significant differences in flexural strength between CAD/CAM denture base resins and conventional denture base resins except for P-DO and C-LC. M-VP showed higher flexural strength than conventional denture base resins, P-DC and M-IV displayed lower flexural strength than conventional denture base resins. Flexural modulus was highest in M-VP, followed by C-LC, P-DO, P-DC, M-IV, significant differences were found between all materials. In the comparison of flexural strength according to thickness, flexural strength of 2.5 mm was significantly higher than that of 1.6 mm in C-LC. Flexural strength of 2.5 mm and 2.0 mm was significantly higher than that of 1.6 mm in P-DC and M-VP. In M-IV, as the thickness increases, significant increase in flexural strength appeared. SEM analysis illustrates different fracture surfaces of the specimens. Conclusion: The flexural strength of different CAD/CAM denture base resins used in this study varied according to the composition and properties of each material. The flexural strength of CAD/CAM denture base resins was higher than the standard suggested by ISO 20795-1:2013 at a thickness of 1.6 mm or more though the thickness decreased. However, for clinical use of dentures with lower thickness, further researches should be done regarding other properties at lower thickness of denture base resins.

Study of the fracture resistance of zirconia on posterior fixed partial dentures based on inter-abutment distance (지르코니아 고정성 국소의치의 지대치간 거리에 따른 파절저항성에 관한 연구)

  • Park, Gi-Beom;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.61-69
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    • 2020
  • Purpose: Zirconia fixed partial dentures with mandibular 2nd premolar and 2nd molar as abutments are fabricated and then the effects of inter-abutment distance on fracture resistance of zirconia fixed partial dentures is studied. Materials and Methods: The materials used in this study are Cameleon S zirconia block and S2 zirconia block, which are divided into CS Group and S2 Group applying different inter-abutment distance for each material, and the sintered zirconia fixed partial denture was luted to the epoxy resin die using a temporary luting cement, and then the fracture resistance was measured by placing a 6 mm diameter hardened steel ball on the occlusal surfaces of the pontics and applying pressure at a cross head speed of 1.0 mm/min on a universal testing machine with a load cell of 5.0 kN. Results: The fracture resistance of zirconia fixed partial dentures is not significantly affected by inter-abutment distance The fracture resistance of zirconia fixed partial dentures in CS Group was significantly higher in 15 mm of inter-abutment distance than in 13 mm and 17 mm of inter-abutment distance (P < 0.05). The fracture resistance of zirconia fixed partial dentures in S2 Group was not significantly different between the three groups (P > 0.05). Conclusion: The fracture resistance of zirconia fixed partial dentures with mandibular 2nd premolar and 2nd molar as abutments does not significantly affected by the inter-abutment distance.

Comparison of fatigue fracture strength by fixture diameter of mini implants (미니 임플란트 직경에 따른 피로파절강도의 비교 연구)

  • Heo, Yu-Ri;Son, Mee-Kyoung;Kim, Hee-Jung;Choe, Han-Cheol;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.156-161
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    • 2012
  • Purpose: This study was conducted to obtain difference in fracture strength according to the diameter of one-body O-ring-type of mini implant fixture, to determine the resistance of mini implant to masticatory pressure, and to examine whether overdenture using O-ring type mini implant is clinically usable to maxillary and mandibular edentulous patients. Materials and methods: For this study, 13 mm long one body O-ring-type mini implants of different diameters (2.0 mm, 2.5 mm and 3.0 mm) (Dentis, Daegu, Korea) were prepared, 5 for each diameter. The sample was placed at $30^{\circ}$ from the horizontal surface on the universal testing machine, and off-axis loading was applied until permanent deformation occurred and the load was taken as maximum compressive strength. The mean value of the 5 samples was calculated, and the compressive strength of implant fixture was compared according to diameter. In addition, we prepared 3 samples for each diameter, and applied loading equal to 80%, 60% and 40% of the compressive strength until fracture occurred. Then, we measured the cycle number on fracture and analyzed fatigue fracture for each diameter. Additionally, we measured the cycle number on fracture that occurred when a load of 43 N, which is the average masticatory force of complete denture, was applied. The difference on compressive strength between each group was tested statistically using one-way ANOVA test. Results: Compressive strength according to the diameter of mini implant was $101.5{\pm}14.6N$, $149{\pm}6.1N$ and $276.0{\pm}13.4N$, respectively, for diameters 2.0 mm, 2.5 mm and 3.0 mm. In the results of fatigue fracture test at 43 N, fracture did not occur until $2{\times}10^6$ cycles at diameter 2.0 mm, and until $5{\times}10^6$ cycles at 2.5 mm and 3.0 mm. Conclusion: Compressive strength increased significantly with increasing diameter of mini implant. In the results of fatigue fracture test conducted under the average masticatory force of complete denture, fracture did not occur at any of the three diameters. All of the three diameters are usable for supporting overdenture in maxillary and mandibular edentulous patients, but considering that the highest masticatory force of complete denture is 157 N, caution should be used in case diameter 2.0 mm or 2.5 mm is used.

Cr-Co removable partial denture treatment fabricated by selective laser melting: a case report (Selective Laser Melting을 이용한 코발트-크롬 가철성 국소의치의 수복 증례)

  • Yim, Ji-Hun;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.1
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    • pp.39-47
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    • 2021
  • Compared to conventional method, if metal framework of removable partial denture is fabricated by selective laser melting, various laboratory works are omitted, saving time and simplifying the process. In addition, metal framework with homogeneous density can be obtained, expecting excellent mechanical properties, especially resistance to fatigue fracture. In these cases, impression were taken using conventional methods in partial edentulous patients, master casts were fabricated and scanned to obtain digital data. After designing the metal frameworks on the scanned data, removable partial dentures were fabricated using selective laser melting methods. Through these procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

Post and core build-ups in crown and bridge abutments: Bio-mechanical advantages and disadvantages

  • Mamoun, John
    • The Journal of Advanced Prosthodontics
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    • v.9 no.3
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    • pp.232-237
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    • 2017
  • Dentists often place post and core buildups on endodontically treated abutments for crown and bridge restorations. This article analyzes the bio-mechanical purposes, advantages and disadvantages of placing a core or a post and core in an endodontically treated tooth and reviews literature on post and core biomechanics. The author assesses the scientific rationale of the claim that the main purpose of a post is to retain a core, or the claim that posts weaken teeth. More likely, the main function of a post is to help prevent the abutment, on which a crown is cemented, from fracturing such that the abutment separates from the tooth root, at a fracture plane that is located approximately and theoretically at the level of the crown (or ferrule) margin. A post essentially improves the ferrule effect that is provided by the partial fixed denture prosthesis. This paper also explores the difference between bio-mechanical failures of crowns caused by lack of retention or excess taper, versus failures due to a sub-optimal ferrule effect in crown and bridge prostheses.

A Study on the Bond Strength According to Retention forms when Complete Denture Repaired (총의치 수리시 유지형태에 따른 접착강도에 관한 연구)

  • Choi, Seog-Soon
    • Journal of Technologic Dentistry
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    • v.12 no.1
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    • pp.121-124
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    • 1990
  • The purpose of this study was to evaluate the effect of three different retention forms on the bond strength when complete denture repaired. Total 75 samples were divided into 3 groups(Dove-tail form, bevel form, rabbit form). The completed resin samples were compressed in Instron Testing Machine until gross fracture occurred to examine the effect on the bond strength of resin base. The results of the experiment were as follows : 1. The difference of bond strength according to three retention forms were not statistically significant(P>0.05). 2. Dove-tail form was strongest to bond strength among the three retention forms.

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A 10-year retrospective study on the risk factors affecting the success rate of internal connection implants after prosthetic restoration (내부연결 임플란트의 보철 수복 후 성공률에 미치는 위험요소에 관한 10년간의 후향적 연구)

  • Seoin Lee;Min-Jeong Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.113-124
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    • 2023
  • Purpose. The purpose of this study is to help increase the success rate by analyzing the types and characteristics of implant prosthesis and the survival rate. Materials and methods. Among implants placed between 2011 and 2020 at Sanbon Dental Hospital, College of Dentistry, Wonkwang University, a case restored by a prosthetic surgeon was investigated for the characteristics and correlation of failure. The causes of failure were classified as failure of osseointegration, peri-implantitis, fixture fracture, abutment fracture, screw fracture, screw loosening, prosthesis fracture, and loss of prosthesis retention. Prosthetic method, cantilever presence, placement location, etc. were analyzed for their correlation with implant failure. Results analysis was derived through Chi-square test and Kaplan-Meier survival analysis using SPSS ver 25.0 (IBM, Chicago, IL, USA). Results. A total of 2587 implants were placed, of which 1141 implants were restored with Single Crown and 1446 implants with Fixed Partial Denture, and the cumulative survival rate was 88.1%. The success rate of SC was 86.2% (984) and the success rate of FPD was 89.6% (1295), showing statistically significant differences, among which factors that had significant differences were abutment fracture, screw fracture, and screw loosening (P < .05). Conclusion. As a result of the 10-year follow-up, more failures occurred due to biomechanical factors than biological factors. Further studies on the success of implants will be needed in the future.