• Title/Summary/Keyword: Mandibular denture

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Fabrication of complete dentures using treatment dentures for a patient with erratic mandibular movements: A case report (불규칙한 하악 운동을 하는 환자의 treatment denture를 이용한 총의치 수복 증례)

  • Kim, Jun-Yub;Park, Chan;Vang, Mong-Sook;Yang, Hong-So;Lim, Hyun-Pil;Park, Sang-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.4
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    • pp.359-365
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    • 2015
  • Long-term use of ill-fitting dentures may cause irregular movements of the mandible. In such cases, satisfactory outcomes both in terms of function and esthetics could be achieved by accurate registration of mandibular movement and centric relation when fabricating new dentures. In this case, treatment dentures with flat occlusal tables were used to register centric relation and mandibular movements of a patient with erratic mandibular movements.

Positional change of the condylar heads after wearing complete denture on dental cone beam CT (치과용 콘빔 CT영상에서 총의치 장착 후 하악과두의 위치변화)

  • Lee, Bong-Ho;Kim, Jae-Duk;Chung, Chae-Heon
    • Imaging Science in Dentistry
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    • v.38 no.1
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    • pp.23-27
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    • 2008
  • Purpose: The aim of this study was to evaluate the change in the position of the mandibular condyle within articular fossa by a CBCT after wearing complete denture (CD). Materials and Methods: CBCT of 34 temporomandibular joints were taken from 9 male and 8 female patients with CB $Mercuray^{TM}$ (Hitachi, Japan) before and after wearing a CD for rehabilitation. Position of mandibular condyle within articular fossa at centric occlusion was evaluated with $Vimplant2.0^{TM}$ (CyberMed, Korea) on the central parasagittal view and curved panoramic coronal view of the condylar head. A statistical evaluation was done with SPSS. Results: The range of anteroposterior positional rate (AP) of condylar head within articular fossa was -16-5 and -10-12 respectively on the right and left sides. Before wearing CD, the AP rate showed discrepancy between right and left sides (p<0.05). After wearing CD, both condyles showed a tendency to decrease in posterior condylar position (right side; p<0.05). The average discrepancy between right and left side in mediolateral positional rate (MD) was 15.5 and 4.5 respectively before and after wearing CD. The improvement was observed in mediolateral relationship of both condylar heads after wearing CD (p< 0.01). Before wearing CD, the average horizontal angle of long axis of condylar head was $79.6{\pm}2.7^{\circ}\;and\;80.1{\pm}5.7^{\circ}$ respectively on the right and left sides. After wearing CD, both condyles were rotated in the same direction in average on axial plane. Conclusion: We observed with CBCT the significant clinical evidence in case of positional change of mandibular condyle after wearing complete denture.

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Management of flabby ridges using liquid supported denture: a case report

  • Keni, Nandita Nitin;Aras, Meena Ajay;Chitre, Vidya
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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    • pp.43-46
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    • 2011
  • Flabby ridges commonly occur in edentulous patients. Inadequate retention and stability of a complete denture are the often encountered problems in these patients. A liquid supported denture due to its flexible tissue surface allows better distribution of stress and hence provides an alternate treatment modality in such cases. This case report presents the use of a liquid supported denture in a patient with completely edentulous maxillary arch with flabby tissue in anterior region opposing a partially edentulous mandibular arch.

A Study on the Relationships of Oral Status and Self-perceived Oral Health Status in Elderly (일부 노인의 구강내 상태와 자가인지 구강건강상태와의 관련성)

  • Park, Jong-Hee
    • Journal of Technologic Dentistry
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    • v.35 no.2
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    • pp.145-155
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    • 2013
  • Purpose: The recent proliferation of the aging population, oral health care is closely related to the mental health of the elderly is very important being recognized. Provide basic data for improving the quality of life for the elderly, to determine whether the oral health of the elderly whether oral self-perception of health and any related wish. Methods: Surveys to May 20 from April 15, 2011, subjects were elderly and living in Daejeon and Chungnam 277 people were examined. All the statistics using SPSS 18.0 for the determination of statistical significance, and the significance level was 0.05. Results: 1. Recognized, the most common oral health, self-aware bad the state (46.2%) there was no significant difference in the general characteristics according to self-Oral health status, remaining natural dimensions or the intra-oral prosthetic, there was no significant difference. More teeth, residual phase, in accordance with intra-oral prosthetic mandibular Not all dentures, partial dentures, full dentures net self-perception of oral health status better recognized. 2. According to the type of partial dentures, oral health status self-phase, mixed mandibular removable, fixed, fixed, removable partial dentures in order to recognize that good oral health, self-aware state, showed between them, there was no significant difference. 3. Of variable dimension that has nothing to do with the remaining natural maxillary and mandibular prosthetic maxillary prosthetic mandibular partial dentures, age income, a positive correlation was negatively correlated. The case of the mandible, the mandibular prosthetic mandibular partial denture, maxillary prosthetic, the amount of income were correlated. 4. Intra-oral Prosthetics correlation variables in the maxillary, mandibular prosthesis, the positive correlation between income, age was negatively correlated, if the income of the mandible. Maxillary partial denture has nothing to do with the variable portion of the mandibular denture, age was a negative correlation was found. Conclusion: Satisfaction and how now it is important simply to live as long, but you need to pay attention to the quality of life, sometimes with an aging population and the increase of soybean To buy the loss of teeth causes the typical health problems of the elderly. Elderly people of any relevant oral health and the oral cavity by the state to determine whether to provide the basic data for oral health education was more residual value, intra-oral prosthetics there is no more self-aware, the oral health status is good to recognize that appeared. Strengthen the oral health education to improve the quality of life of the elderly, and is thought to be necessary to increase the number of residual.

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.

Early loading using tempo denture with solitary attachment system, implant supported overdenture with prefabricated bar attachment system on Mandibular edentulous patient: A case report (하악 완전 무치악 환자에서 solitary attachment를 연결한 임시 보철물로 조기 부하를 가한 후, 조립식 바를 이용한 최종 임플란트 지지 피개의치 제작증례)

  • Park, Do-Hyeon;Lee, So-Hyoun;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of the Korean dental association
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    • v.54 no.1
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    • pp.39-48
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    • 2016
  • SFI-bar is prefabricated bar system and can be assembled at chairside without soldering or welding, thus reducing bone loss, costs and time. A 53-year-old male patient, who had severely absorbed mandible, hoped to wear a stable mandiblular denture. Four implants were placed in the extraction site of canine and 1st molar. Early loaded temporary denture with solitary type attachment was delivered 3 weeks after surgery. 3 month later, SFI-bar was connected and adjusted at chairside. Then, implant overdenture using SFI-bar was delivered. This case report showed that a satisfactory clinical result was achieved by 4-implant-supported overdenture using the SFI-Bar system in a mandibular edentulous patient.

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Management of Premature Loss of Primary Molars with Flexible Denture (탄성의치를 이용한 유구치 조기 상실의 치료)

  • Song, Kiun;Nam, Okhyung;Kim, Misun;Lee, Hyoseol;Choi, Sungchul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.43 no.2
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    • pp.187-191
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    • 2016
  • Early loss of a primary second molar can cause mesial drift or tilting of the permanent first molar. We present a case of the early loss of the mandibular primary molars in a 5-year-old girl. The patient required extraction of the mandibular left primary first and second molars due to folliculitis on the successors. A flexible denture was used for eruption guidance of the permanent first molar and the recovery of masticatory function simultaneously.

BIOMECHANICS OF ABUTMENTS SUPPORTING REMOVABLE PARTIAL DENTURES UNDER UNILATERAL LOADING

  • Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young;Lee, Jeong-Taek;Roh, Hyun-Ki;Kim, Hyo-Jin;Lee, Seok-Hyung;Lee, Joo-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.6
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    • pp.753-759
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    • 2007
  • Statement of problem. In distal extension removable partial denture, the preservation of health of abutment teeth is very important, but abutment teeth are subjected to unfavorable stress under unilateral loading specially. Purpose. The purpose of this study was to investigate the biomechanical effects of mandibular removable partial dentures with various prosthetic designs under unilateral loading, using strain gauge analysis. Material and methods. Artificial teeth of both canines were anchored bilaterally in a mandibular edentulous model made of resin. Bilateral distal extension removable partial dentures with splinted and unsplinted abutments were fabricated. Group 1: Clasp-retained mandibular removable partial denture with unsplinted abutments Group 2: Clasp-retained mandibular removable partial denture with splinted abutments by 6-unit bridge. Group 3: Bar-retained mandibular removable partial denture Strain gauges were bonded on the labial plate of the mandibular resin model, approximately 2 mm dose to the abutments. Two unilateral vertical experimental loadings (30N and 100N) were applied subsequently via miniature load cell that were placed at mandibular left first molar region. Strain measurements were performed and simultaneously monitored from a computer connected to data acquisition system. For within-group evaluations, t-test was used to compare the strain values and for between-group comparisons, a one-way analysis of variance (ANOVA) was used and Tukey test was used as post hoc comparisons. Results. The strain values of group 1 and 2 were tensile under loadings. In contrast, strain values of group 3 were compressive in nature. Strain values increased as the applied load in increased from 30N to 100N (p<.05) except for right side in group 1. Under 30N loading, in left side, group 1 showed higher strain values than groups 2 and 3 in absolute quantity (p<.05). And group 2 showed higher strain values than group 1 (p<.05). In right side, group 1 and 2 showed higher strain values than group 3 in absolute quantity (p<.05). Under 100N loading in left side, group 1 showed higher strain values than groups 2 and 3 in absolute quantity (p<.05). And group 2 showed higher strain values than group 1 (p<.05). In right side, group 1 and 2 showed higher strain values than group 3 in absolute quantity (p<.05). Under 30N loading, group 2 and 3 showed higher strain values in right side than in left side. Under 100N loading, right side strain values were higher than left side ones for all groups. Conclusion. Splinting of two isolated abutments by bridge reduced the peri-abutment strain in comparison with unsplinted abutments under unilateral loading. Bar-retained removable partial denture showed the lowest strain of three groups, and compressive nature.

Rehabilitation of the edentulous patient with implant overdenture using CAD-CAM denture system: A case report (CAD-CAM으로 제작된 임플란트 피개의치를 이용한 무치악 환자의 보철 수복 증례)

  • Lee, Han-na;Shim, Ji-Suk;Lee, Jeong-Yol
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.374-381
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    • 2022
  • This case report introduces a 74-year-old male patient who visited retention deficiency of the mandibular implant overdenture, which was fabricated 20 years ago. When the existing dentures were used, the vertical dimension was reduced, the maxillary complete denture lacked lip support and retention, and the mandibular overdenture lacked clip retention due to damage to the bar attachment. After removing the damaged bar attachment, it was replaced with a ball attachment, and impressions were taken using the DENTCATM Tray and then the vertical dimension was measured. The gothic arch tracing was performed to record the centric relation. Obtained impressions were scanned and the shape of final dentures was designed using software and try-in dentures were fabricated using 3D printer. After evaluating the occlusal plane, occlusal relationship, facial shape, and pronunciation using the try-in dentures, the bite registration was recorded, and the final denture was manufactured based on this. The inner surface of the denture was adjusted and bilateral balanced occlusion was formed, and the housing was connected to the mandibular denture by a direct method. This case reports have shown satisfactory resultin recovering improved retention and esthetic outcome by increasing the vertical dimension and the lip support using CAD-CAM technique and the ball attachment.