• Journal of Dental Rehabilitation and Applied Science
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• v.29 no.4
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• pp.384-390
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• 2013

Postinsertion problems tend to be minimized when a sequential insertion procedure is followed. However, problems may occur as the result of one or any combination of comfort, function, esthetics, and phonetic difficulties. Following the insertion of a partial denture, an appointment for review in approximately 7 days should be made for the patient. At the review visit, the patient should be questioned concerning any problems that have been experienced when wearing the denture. A thorough examination should then be carried out of the oral tissues and the denture, in the course of which signs of tissue damage may be observed. A diagnosis is then made of the cause of all the problems revealed in the history and examination procedures. Appropriate treatment should then be applied to resolve these problems.

• 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.

• The Journal of Korean Academy of Prosthodontics
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• v.40 no.4
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• pp.406-413
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• 2002

The purpose of this article is the consolidation of several methods in fabrication of Konus denture. It is different Konus denture from traditional Clasped removable partial denture in the procedures of construction. There are multiple procedures of fabrications of inner and outer crowns in the construction of Konus denture. It is important to fabricate the inner crown, the outer crown and the denture framework in construction of Konus denture. Each procedure should be performed exactly. However, there are many procedures in fabrications of them, and thus, the operator and technician bear trial and error. This article consolidate the multiple methods of fabrications of components of Konus denture. The first method is completion of inner crown, outer crown and denture after one impression taking. The second method is the procedures of cementation of inner crown, impression taking of edentulous area, and completion of outer crown and denture. The third method is the procedures or pick up impression taking of inner crown and completion of outer crown and denture on the inner crown of working cast. Each method is acceptable, but operater and technician should be accustomed with their own systemic procedures and minimize the errors in the construction of denture.

• The Journal of Korean Academy of Prosthodontics
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• v.52 no.4
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• pp.359-365
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• 2014

Successful results of treatments using double crown prostheses for the partially edentulous patients who have a few remaining teeth have been reported in several journals. A double crown removable partial denture can be an alternative treatment for the patients with a poor periodontal condition of remaining teeth. Since a double crown removable partial denture can be applied without the risk of surgical operation to the medically compromised patients with a poor periodontal condition which is inadequate for dental implants, it has psychological and economical advantages. In this case, there were sufficient remaining teeth to be restored with fixed prostheses in maxilla, while there were a few remaining teeth with a very poor periodontal condition so that it was almost impossible to restore with a clasp removable partial denture using these remaining teeth in mandible. In addition, the patient had the medical history of surgical operation due to osteomyelitis in the mandibular anterior areas a year ago, thus difficult to conduct an implant placement. The main objective of this report is to introduce our case because a double crown partial denture using a few mandibular remaining teeth showed satisfactory results in functional and esthetical aspects during more than two years follow-up period in this unfavorable condition.

• The Journal of the Korean dental association
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• v.55 no.8
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• pp.528-536
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• 2017

Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with $Parkinson^{\circ}$Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.1
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• pp.80-86
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• 2016

A few authors have reported good clinical results using double crown removable partial denture (RPD) with a few remaining teeth. Hybrid telescopic double crown is a good indication for a patient with poor periodontal condition and/or few remaining teeth after extraction, especially located in cross-arch position. In this case, there was a poor periodontal condition with teeth mobility. Several teeth with poor prognosis were extracted. Remaining anterior teeth was restored with fixed prostheses and edentulism was restored with Kennedy class I removable partial denture in maxilla. In mandible, it was hard to restore with clasp removable partial prostheses because of bilaterally isolated remaining teeth so that hybrid double crown removable partial denture with friction pin was suitable for this case. The objective of this report is to discuss the characteristics and the utility of hybrid double crown prostheses using a few remaining teeth in mandible.

• The Journal of Korean Academy of Prosthodontics
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• v.33 no.3
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• pp.413-439
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• 1995

The purpose of this study was to evaluate the stress distribution developed in the supporting structures by mandibular distal extension removable partial dentures with 2 different direct retainer designs and with or without indirect retainer and abutment splinting. The examined direct retainers on the second bicuspid abutment tooth were Akers clasp and RPA clasp, the indirect retainer was located on the mesial fossa of the first bicuspid, and the first and second bicuspid were splinted in case of tooth splinting. Total 8 cases were compared and analyzed with 3-dimensional finite element method. 150N were applied vertically on the artificial teeth of the removable partial denture, and then stress distribution patterns were analyzed and compared. The results were as follows : 1. The forces transmitted to the abutment tooth were primarily from the occlusal rests. 2. The abutment tooth was displaced distally when the force was applied. The compressive stress was observed at the distal root surface of the abutment tooth and the tensile stress, at the mesial root surface. 3. The denture base was displaced posteriorly and inferiorly when the force was applied. At the more distal portion of the denture base, the greater displacement was observed.And the anterior portion of the major connector was displaced superiorly. 4. The occlusal rest placed on the distal part of the abutment tooth tended to tip the tooth more posteriorly than did one on the mesial part of that tooth. 5. Severe superior displacement was observed at the anterior portion of the major connector in case of removable partial dentures without indirect retainer. 6. In case of tooth-splinting, the stress was distributed through all the root surface of both abuments. In case of no tooth-splinting, the stress was concentrated on the distal root surface of the primary abutment.

• Journal of Technologic Dentistry
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• v.35 no.4
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• pp.303-312
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• 2013

Purpose: In this research, non-linear three dimensional finite element models with contact elements were constructed. For the investigations of the distributions of contact stresses, 3 units fixed partial dentures model were studied, especially on the interface of the gold screw and cylinder, abutment screw. Methods: 3 types of models were constructed ; the basic fixed partial denture in molar region with 3 units and 3 implants, the intermediate pontic fixed partial denture model with 3 units and 2 implants, and the extension pontic fixed partial denture model with 3 units and 2 implants. For all types, the external loading due to chewing was simulated by applying $45^{\circ}$ linguo-buccal loading of 300 N to the medial crown. For the simulation of the clamping force which clinically occurs due to the torque, thermal expansion was provided to the cylinder as a preload. Results: Under 300 N concentrated loading to the medial crown, the maximum contact stress between abutment screw and gold screw was 86.85~175.86MPa without preload, while the maximum contact stress on the same area was 25.59~57.84MPa with preload. Conclusion: The preloading affected the outcomes of the finite element stress analysis. Reflecting the clinical conditions, the preloading conditions should be considered for other practical study utilizing FEA. For the study of the contact stresses and related motions, various conditions, such as frictional coefficient changes, gap between contact surfaces, were also varied and analyzed.

• Journal of Technologic Dentistry
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• v.16 no.1
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• pp.57-77
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• 1994

The purpose of this study is to investigate the extent to which dental laboratories use proper materials, procedures, devices, and equipments to fabricate crown & bridge, PFM(Porcelain Fused to Metal) crown & bridge, partial denture, complete denture, and other prosteses. 100 laboratories in Seoul were selected for this investigation. Questionnaires were constructed focusing on five topocs:crown & bridge, PFM crown & bridge, partial denture, complete denture, and other prostheses. The results from this survey were as follows : 1. Most dental laboratories used old, inexpensive, and familiar materials rather than newly developed ones. 2. Most of the dental technicians did not stick to the standard procedures of handling materials, but to their own experiences. 3. Newly developed equipments to fabricate dental prostheses were possessed by nearly 30% dental laboratories. 4. About 80% of dental laboratories were using the procedures they had learned in the school : die trimming for accurate crown margin and softening heat treatment after RPD gold casting. But less than 30% of laboratories were shown to follow the boxing procedure to produce master cast and laboratory remounting in the process of complete denture. The findings show that dental laboratory procedures to fabricate dental prostheses are incomplete and inaccurate in some instances. So, further studies are neededs to clarify the causes of some inaccurate procedures, the better and more equipments should be supplied to produce the more accurate dental posthesis, and more efforts at enancing the appropriate use of dental materials and procedures should be made.

• The Journal of Korean Academy of Prosthodontics
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• v.37 no.5
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• pp.698-713
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• 1999

Adherence of Candida albicans(C. albicans) to the surface of a denture is believed to be an initial and essential step in the formation of denture-induced stematitis. Previous studies have provided enormous infomation on the relationship between composition of palatine gland/parotid saliva and upper denture stomatitis. Relatively little information is available on the correlation between lower denture stomatitis and sublingual-submandibular ( SLSM ) saliva. The plaque samples were collected from the two sites($100mm^2$) on the inner surface of lower partial denture corresponding to the stematitis and healthy region of the lower partial dentures of 12 denture stomatitis patients and 6 nor-mal persons who wore lower partial dentures. The samples were plated to isolate C. albicans on a selective Saboraud's dextrose agar plate and the isolates were identified by germ tube test and gram staining. The subjects were divided into group I (stomatitis with C. albican), group II (lesion without C. albicans), group III (no lesion but C. albicans), and group IV (normal and healthy denture wearer). Individual SLSM saliva($20{\mu}g$ of protein) was analyzed by SDS-PAGE (SDS -poly-acrylamide gel electrophoresis) with Coomassie brilliant blue and PAS(Periodic Acid Schinff) stain-ing. The salivary proteins separated in the polyacryamide gels were subjected to immunoblot anaysis using anti-lactoferrin, anti-sIgA, and anti-secretory component of sIgA. In this study using custom made acrylic denture resin beads(5mm in diameter) coated with stimulated individual SLSM saliva, the binding ability of individual C. albicans strains to the beads was observed. Levels of C, albicans adhered to the acrylic resin beads were determined by measuring the optical density of the bound C. albicans to the beads at 580nm. The results showed that a higher number of C. albicans was observed in the lesion site than healthy site. The saliva of group I contained more high molecular weight glycoprotein(mucin, MGI) as compared to group II, III and IV. And lactoferrin and sIgA affected to the binding ability of C. albicans to acylic resin beads. Binding ability of individual C. albicans to the acrylic resin coated with respective individual saliva was found to be greater in group I than the other 3 groups. And when bound cells of C. albicans isolated from individual subject #2 to the saliva coated beads were used binding ability of subject #2 saliva coated beads was founed to be greater than the other sutjects. These results suggested that denture induced stomatitis is related to individual patient's salivary protein composition, especially MG-1. Future studies will be directed toward saliva exam-ination of patients who have general disease and analysis of pellicles formed on prosthesis with respect to oral disease.