• Title/Summary/Keyword: Mandibular denture

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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.

Rehabilitation using short implants in the mandibular fully edentulous patient with severe alveolar bone loss: a case report (치조골 흡수가 심한 하악 완전 무치악 환자에서 짧은 임플란트를 이용한 고정성 보철 수복 증례)

  • Hwang, Hee-Sun;Lee, Ki-Young;Kim, Yu-Lee
    • The Journal of the Korean dental association
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    • v.54 no.9
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    • pp.692-702
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    • 2016
  • A short dental implant is considered as possible solution in difficult clinical situations for the placement of a regular length implant. Using a short implant avoiding more invasive surgical procedures simplifies the treatment plan and shortenes the duration of treatment. In this case, 71-year-old female came up with discomfort from her old mandibular denture. As she had fully edentulous mandible and got a negative feedback from removable denture, implant-supported fixed prosthesis was planned. Six short implants were placed on her mandible with severe alveolar bone loss. After 1 year follow up period, implants were well retained with any other abnormal findings. The patient was satisfied with her prostheses and satisfactory outcomes were attained in terms of both esthetic and functional clinical results.

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A STUDY ON CHEWING MOVEMENTS BETWEEN DENTATE AND COMPLETE DENTURE GROUP (자연치군과 총의치군의 저작운동에 관한 연구)

  • Jeong, Jae-Kyoon;Kim, Chang-Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.25 no.1
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    • pp.181-193
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    • 1987
  • Author examined the chewing patterns between the 16 normal subjects and the 10 complete denture wearers with LED mandibular tracking device, and analized the chewing envelope and opening, closing velocity during chewing various test foods-standardized carrot, ham and almond. The results were as follows; 1. The chewing envelope of carrot chewing was greater than that of ham chewing in both groups. 2. The average opening velocity was faster than the average closing velocity in both groups. 3. During chewing carrot or almond, the chewing envelope of dentate stoup was greater than that of denture group, but during chewing ham, there was no statistical difference. 4. During chewing carrot or almond the average opening and closing velocity in dentate group were faster than those of denture group.

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CLINICAL CONSIDERATION OF ANGLE'S CLASSIFICATION CLASS I MALOCCLUSION (Angle씨 분류 I급 부정교합의 임상적 고찰)

  • Kang, Hong-Koo
    • The Journal of the Korean dental association
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    • v.15 no.2
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    • pp.107-110
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    • 1977
  • Class I malocclusion is essentially a dental dysplasia. Rotations, individual tooth malpositions, missing teeth, tooth size discrepancies, etc., fall under this classification. There are two types of class I malocclusions. One is identified by and insufficient denture base to accommodate the teeth; the other has more denture base than tooth material, creating spaces in the arch. The tooth material-to denture base discrepancies may be slight, calling for only a little increase in arch length for alignment and the correction of minor rotations. Discrepancies may also be great, in which case it becomes necessary to reduce tooth material by extraction, so as to make the tooth material more in proportion to the size of the denture base. The author had attempted orthodontic treatment of a class I malocclusion case of 13-year old boy in which high canines and impacted mandibular second premolars were involved. The author obtained good results.

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Evaluation of the dimensional change of 3D-printed complete denture after post-curing (후경화에 따른 3차원 프린팅 의치의 체적변화)

  • Suyeon, Lee;Younghun, Kwak;Eunchul, Park;Heejung, Kim
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.233-241
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    • 2022
  • Purpose: The purpose of this study was to assess the dimensional change of 3D-printed dentures after post-curing. Materials and Methods: The upper and lower dentures were designed in Exocad DentalCAD software and exported as STL files. The upper and lower dentures were printed from 10 STL files using a DLP-type dental 3D printer. The printed upper and lower dentures were cleaned, and a scan file was created using a model scanner before and after post-curing. The dimensional change was evaluated by superimposing the scanned denture files before and after post-curing and measuring the distance between measurement points on the denture. SPSS was used for statistics, and the level of significance was 5%. Results: The maxillary denture reduced in size during post-curing, with the most notable color change occurring in the posterior palatal region. The reduction in anteroposterior maxillary denture length (A-D, A-E, A-F), as well as the distance between the first molars on both sides (B-C), was statistically significant. After post-curing, the mandibular denture showed more noticeable color change in the posteriorly buccal and lingual region. The decrease of length on the posterior (A-M, A-D, A-E, A-L, A-H, A-I, H-I) and lingual (J-K, L-M) sides of the denture were statistically significant. Conclusion: There was significant dimensional change in both the length and width of the 3D-printed maxillary and mandibular dentures after post-curing in this experiment. Consequently, it is seemed necessary to develop post-curing techniques and materials that reduce such denture deformation.

A study of the EQ-5D index according to the dental prostheses status of the elderly in Korea (한국 노인의 치과보철 상태에 따른 건강 관련 삶의 질에 관한 연구)

  • Hwang, Hong-Gu;Lee, Jong-Hwa
    • Journal of Technologic Dentistry
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    • v.43 no.1
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    • pp.19-28
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    • 2021
  • Purpose: This study aimed to obtain basic data on oral health improvement by investigating the EQ-5D index according to the oral prosthesis status of elderly persons aged 65 years or older in Korea using the Seventh Korea National Health and Nutrition Examination Survey. Methods: In this study, 3,426 elderly persons aged 65 years or older were included to analyze the relationship between the dental prostheses status and EQ-5D index in the collected data. Results: Compared to the "complete denture" in oral prosthesis, EQ in case of no dental prostheses or fixed dental prostheses is comparable to removable prosthetics such as "no dental prostheses," "one fixed bridge," and "two or more fixed bridges." Removable partial denture and complete denture required for the maxillary and mandibular EQ-5D index were significantly higher in "not necessary" than in "complete denture necessary" in all the elderly persons. Conclusion: The condition of the dental prosthesis and the need for a removable partial denture and complete denture for the elderly's EQ-5D index were confirmed, and it was found that the fixed dental prostheses were more effective than the removable dental prostheses. Therefore, oral health education programs for the elderly should be developed to promote dental function and oral health maintenance.

Trueness of 3D printed partial denture frameworks: build orientations and support structure density parameters

  • Hussein, Mostafa Omran;Hussein, Lamis Ahmed
    • The Journal of Advanced Prosthodontics
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    • v.14 no.3
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    • pp.150-161
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    • 2022
  • PURPOSE. The purpose of the study was to assess the influence of build orientations and density of support structures on the trueness of the 3D printed removable partial denture (RPD) frameworks. MATERIALS AND METHODS. A maxillary Kennedy class III and mandibular class I casts were 3D scanned and used to design and produce two 3D virtual models of RPD frameworks. Using digital light processing (DLP) 3D printing, 47 RPD frameworks were fabricated at 3 different build orientations (100, 135 and 150-degree angles) and 2 support structure densities. All frameworks were scanned and 3D compared to the original virtual RPD models by metrology software to check 3D deviations quantitatively and qualitatively. The accuracy data were statistically analyzed using one-way ANOVA for build orientation comparison and independent sample t-test for structure density comparison at (α = .05). Points study analysis targeting RPD components and representative color maps were also studied. RESULTS. The build orientation of 135-degree angle of the maxillary frameworks showed the lowest deviation at the clasp arms of tooth 26 of the 135-degree angle group. The mandibular frameworks with 150-degree angle build orientation showed the least deviation at the rest on tooth 44 and the arm of the I-bar clasp of tooth 45. No significant difference was seen between different support structure densities. CONCLUSION. Build orientation had an influence on the accuracy of the frameworks, especially at a 135-degree angle of maxillary design and 150-degree of mandibular design. The difference in the support's density structure revealed no considerable effect on the accuracy.

Comparative evaluation of peri-implant stress distribution in implant protected occlusion and cuspally loaded occlusion on a 3 unit implant supported fixed partial denture: A 3D finite element analysis study

  • Acharya, Paramba Hitendrabhai;Patel, Vilas Valjibhai;Duseja, Sareen Subhash;Chauhan, Vishal Rajendrabhai
    • The Journal of Advanced Prosthodontics
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    • v.13 no.2
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    • pp.79-88
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    • 2021
  • Purpose. To assess peri-implant stress distribution using finite element analysis in implant supported fixed partial denture with occlusal schemes of cuspally loaded occlusion and implant protected occlusion. Materials and methods. A 3-D finite element model of mandible with D2 bone with partially edentulism with unilateral distal extension was made. Two Ti alloy identical implants with 4.2 mm diameter and 10 mm length were placed in the mandibular second premolar and the mandibular second molar region and prosthesis was given with the mandibular first molar pontic. Vertical load of 100 N and and oblique load of 70 N was applied on occlusal surface of prosthesis. Group 1 was cuspally loaded occlusion with total 8 contact points and Group 2 was implant protected occlusion with 3 contact points. Results. In Group 1 for vertical load, maximum stress was generated over implant having 14.3552 Mpa. While for oblique load, overall stress generated was 28.0732 Mpa. In Group 2 for vertical load, maximum stress was generated over crown and overall stress was 16.7682 Mpa. But for oblique load, crown stress and overall stress was maximum 22.7561 Mpa. When Group 1 is compared to Group 2, harmful oblique load caused maximum overall stress 28.0732 Mpa in Group 1. Conclusion. In Group 1, vertical load generated high implant stress, and oblique load generated high overall stresses, cortical stresses and crown stresses compared to vertical load. In Group 2, oblique load generated more overall stresses, cortical stresses, and crown stresses compared to vertical load. Implant protected occlusion generated lesser harmful oblique implant, crown, bone and overall stresses compared to cuspally loaded occlusion.

DIMENSIONAL ACCURACY OF DENTURE BASE USING LASER SCANNER OF REVERSE ENGINEERING TECHNIC (Reverse Engineering 기법의 레이저 스캐너를 이용한 의치상의 정확도에 관한 연구)

  • Lee, Si-Hyuk;Chang, Ik-Tae;Yim, Soon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.2
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    • pp.167-184
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    • 1999
  • The purpose of this study was to evaluate and compare the at of denture bases processed by injection pressing technic using laser scanner of reverse engineering technic. The auther duplicated 20 maxillary edentulous models and 20 mandibular edentulous models, which were scanned on HYSCAN 45C 3D BCANNER(Hymarc Co., Canada). The scanned data were stored in the personal computer using SURFACER (Imageware Co. U.S.A.) software program. After 40 dentures were cured by PERform Inkovac system, SR-Ivocap system, Palajet system, and Sulfon system, they were stored in water at room temperature fir 24 hours. The dentures were scanned on HYSCAN 45C 3D SCANNER(Hymarc Co., Canada). The scanned data were stored in the personal computer using SURFACER (Imageware Co., U.S.A.) software program. By overlapping two images using the same program, the fit between two surfaces was scaled by positive and negative errors. The obtained results were as follows 1. In the upper denture, most of the positive errors occurred on the lingual side of anterior alveolar ridge and the negative errors were on the flange of denture bases. 2. In the lower denture, most of the positive errors occurred on the inner side of lingual flange and the negative errors were on the border of anterior labial flange areas, 3. There were no statistical differences among the positive errors of the four types of injection denture curing methods and also no statistical differences between negative errors except only in negative maximum errors. 4. In PERform system and SR-Ivocap system, they have the tendency of inaccurate at of lower denture bases comparing to that of upper denture bases. 5. The negative error scales were greater than the positive error scales in all types of injection denture curing methods.

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