• Title/Summary/Keyword: Provisional denture

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CLINICAL APPLICATION OF TRANSITIONAL IMPLANTS (Transitional implant를 이용한 임시수복과 최종 수복)

  • Kim, Yu-Lee;Min, Seung-Ki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.6
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    • pp.575-580
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    • 2005
  • Transitional implants were developed to support provisional restorations and to allow for load-free osseointegration of conventional implants while a patient was provided with immediate esthetics and function and are usually placed simultaneously at the time of definitive implant placement. Transitional implants are placed in a non-submerged fashion in a single-stage surgery and are designed to be immediately loaded. They generally are made of commercially pure titanium or titanium alloy and are designed as 1-piece implants composed of root and crown replacement segments. Transitional implants can be used in a wide range of indications, such as basic use as temporary implant, to support and protect the primary implants during the healing phase, single crown in the edentulous anterior region of mandibular, anchorage for orthodontic treatment, support a surgical and radiographic template, and primary implant to extremely atrophied alveolar crests of the mandible and maxilla. This article describes the clinical use of transitional implants to support the provisional complete denture and single crown in the restricted edenturous central incisor region of mandible.

IN VITRO STUDY ON EXOTHERMIC REACTION OF POLYMER-BASED PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS MEASURED BY DIFFERENTIAL SCANNING CALORIMETRY

  • Ko, Mun-Jeung;Pae, Ahran;Kim, Sung-Hun
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.6
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    • pp.690-698
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    • 2006
  • Statement of problems. The heat produced during polymerization of polymer-based provisional materials may cause thermal damage to the vital pulp. Purpose. This study was performed to evaluate the exotherm reaction of the polymerbased provisional materials during polymerization by differential scanning calorimetry and to compare the temperature changes of different types of resins. Material and methods. Three dimethacrylate-based materials (Protemp 3 Garant, Luxatemp Plus, Luxatemp Fluorescence) and five monomethacrylate- based material (Snap, Alike, Unifast TRAD, Duralay, Jet) were selected. Temperature changes of polymer-based provisional materials during polymerization in this study were evaluated by D.S.C Q-1000 (TA Instrument, Wilmington, DE, USA). The following three measurements were determined from the temperature versus time plot: (1) peak temperature, (2) time to reach peak temperature, (3) heat capacity. The data were statistically analyzed using one-way ANOVA and multiple comparison Bonferroni test at the significance level of 0.05. Results. The mean peak temperature was $39.5^{\circ}C({\pm}\;1.0)$. The peak temperature of the polymer-based provisional materials decreased in the following order: Duralay > Unifast TRAD, Alike > Jet > Luxatemp Plus, Protemp 3 Garant, Snap, Luxatemp Fluorescence. The mean time to reach peak temperature was 95.95 sec $({\pm}\;64.0)$. The mean time to reach peak temperature of the polymer-based provisional materials decreased in the following order: Snap, Jet > Duralay > Alike > Unifast TRAD > Luxatemp Plus, Protemp 3 Garant, Luxatemp Fluorescence. The mean heat capacity was 287.2 J/g $({\pm}\;107.68)$. The heat capacity of the polymer-based provisional materials decreased in the following order: Duralay > TRAD, Jet, Alike > Snap, Luxatemp Fluorescence, Protemp 3 Garant, Luxatemp Plus. Conclusion. The heat capacity of materials, determined by D.S.C., is a factor in determining the thermal insulating properties of restorative materials. The peak temperature of PMMA was significantly higher than others (PEMA, dimethacrylate). No significant differences were found among PEMA (Snap) and dimethacrylate (P >0.05). The time to reach peak temperature was greatest with PEMA, followed by PMMA and dimethacrylate. The heat capacity of PMMA was significantly higher than others (PEMA, dimethacrylate). No significant differences were found among PEMA and dimethacrylate (P >0.05).

THE EFFECT OF MONOMER TO POWDER RATIO ON POLYMERIZATION SHRINKAGE-STRAIN KINETICS OF POLYMER-BASED PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS

  • Kim, Sung-Hun
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.6
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    • pp.735-742
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    • 2007
  • Statement of problem. Although a number of previous investigations have been carried out on the polymerization shrinkage-strain kinetics of provisional crown and fixed partial denture (FPD) materials, the effect of the changes of liquid monomer to powder ratio on its polymerization shrinkage-strain kinetics has not been reported. Purpose. The purpose of this study was to investigate the influence of liquid monomer to powder ratio of polymer-based provisional crown and FPD materials on the polymerization shrinkage-strain kinetics. Material and methods. Chemically activated acrylic provisional materials (Alike, Jet, Snap) were investigated. Each material was mixed with different liquid monomer to powder ratios by volume (1.0:3.0, 1.0:2.5, 1.0:2.0, 1.0:1.5, 1.0:1.0). Time dependent polymerization shrinkage- strain kinetics of all materials was measured by the bonded-disk method as a function of time at $23^{\circ}C$. Five recordings were taken for each ratio. The results were statistically analyzed using one-way ANOVA and the multiple comparison Scheffe test at the significance level of 0.05. Trends were also examined by linear regression. Results. At 5 minutes after mixing, the polymerization shrinkage-strains of all materials ranged from only 0.01% to 0.49%. At 10 minutes, the shrinkage-strain of Alike was the highest, 3.45% (liquid monomer to powder ratio=1.0:3.0). Jet and Snap were 2.69% (1.0:2.0) and 1.58% (1.0:3.0), respectively (P>0.05). Most shrinkage (94.3%-96.5%) occurred at 30 minutes after mixing for liquid monomer to powder ratio, ranging from 1.0:3.0 to 1.0:1.0. The highest polymerization shrinkage-strain values were observed for the liquid monomer to powder ratio of 1.0:3.0. At 120 minutes after mixing, the shrinkage-strain values were 4.67%, 4.18%, and 3.07% for Jet, Alike, and Snap, respectively. As the liquid monomer to powder ratio increased, the shrinkage-strain values tend to be decreased linearly (r=-0.769 for Alike, -0.717 for Jet, -0.435 for Snap, $r^2=0.592$ for Alike, 0.515 for Jet, 0.189 for Snap; P<0.05). Conclusion. The increase of the liquid monomer to powder ratio from 1.0:3.0 to 1.0:1.0 had a significant effect on the shrinkage-strain kinetics of polymer-based crown and FPD materials investigated. This increased the working time and decreased the shrinkage-strain during polymerization.

Reinforcing the retention of provisional restoration using provisional implant on maxillary anterior region: clinical case report (상악 전치부 고정성 보철물 수복 시 임시 임플란트를 이용한 임시보철물의 유지력 증가 증례보고)

  • Kim, Chang-Dae;Moon, Hong-Seok;Chung, Moon-Kyu;Lee, Jae-Hoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.3
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    • pp.221-225
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    • 2013
  • Proper management of provisional prosthesis is key to success in prosthodontics. Provisional restoration on maxillary anterior missing area frequently come across a incident of falling off especially in patients with long span pontics and oval arch shape. This is because maxillary anterior teeth are more exposed to horizontal force than the posterior teeth and additional anterior cantilever effect will negatively affect to the retention of provisional prosthesis. Beside that maxillary anterior provisional prosthesis should provide proper incisal guidance during the mandibular functional movements. However occlusal contacts on the prosthesis in maximum intercuspal position are located on opposite side of fulcrum line of prosthesis which will cause removing force against the provisional prosthesis. This case report present that provisional implant prevent pre-described harmful effect on maxillary anterior fixed provisional prosthesis and provide comfort and satisfactory result during post-extraction healing period.

Reinforcement of provisional restoration with cast metal framework: A case report (주조 금속 구조물을 이용하여 강화한 임시보철물 수복 증례)

  • Kim, Hyun-Young;Moon, Yoon-Hee;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.46-52
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    • 2017
  • Provisional restoration plays an important role in the process of restoration with fixed partial denture by providing protection and restoring function and esthetics of abutment tooth. This is especially true in patients requiring use of provisional prosthesis for a long term. However, such situations may lead to higher possibility of provisional prosthesis fracture, and if expected so, reinforcement of provisional prosthesis should be considered. In this article, a patient requiring prosthetic treatment with increase of vertical dimension of occlusion was introduced. Due to increased vertical dimension of occlusion, the provisional restoration was expected to withstand relatively larger amount of load during a relatively long observation period. In order to minimize possible occurrence of fracture, reinforcement of the provisional restoration was sought by insertion of cast-metal framework and by using bis-acryl resin. The reinforced provisional restoration showed satisfactory results during the observation period of 4 months.

Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

  • Kim, Moon-Hyoung;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Advanced Prosthodontics
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    • v.2 no.2
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    • pp.46-49
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    • 2010
  • BACKGROUND. Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered. CASE DESCRIPTION. A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period. CLINICAL IMPLICATION. The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.

Restoration of IARPD in partially edentulous patients with bone defects due to osteomyelitis treatment (골수염 치료로 인해 골결함이 있는 부분무치악 환자에서 IARPD 수복)

  • Park, Se-Hyun;Sung, Han-Gyul;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.359-369
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    • 2021
  • Implant prostheses and removable partial dentures are mainly used as treatment methods for partial edentulous patients who have lost a number of teeth. The implant-assisted removable partial denture (IARPD) is strategically selected. The defect in maxillofacial structure due to osteomyelitis, a type of facial bone infection, causes dysfunction such as mastication, swallowing, and pronunciation, as well as social and psychological effects, so a removable restoration is required to restore the supporting tissue. Design of abutment and partial dentures is an essential factor in the success of treatment. In this case, IARPD, which has superior retention and stability compared to traditional removable partial dentures, can have a good prognosis. In a partial edentulous patient with bone defects due to osteomyelitis treatment, the stability of the denture was secured with IARPD restoration. Moreover, maintenance problem that may occur in the future was minimized by providing an appropriate denture design and occlusal scheme through several provisional restorations. This case can be expected to have a favorable prognosis in the long term.

Conversion of implant overdenture to an implant assisted removable partial denture in maxilla: case report (상악 임플란트 피개의치에서 임플란트 보조 국소의치로의 전환: 증례보고)

  • Seong-Soo Cho;Min-Gyu Song;Yoon-Hyuk Huh;Chan-Jin Park;Lee-Ra Cho;Kyung-Ho Ko
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.54-63
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    • 2024
  • The long-term use of an implant overdenture shows problems, such as wear of attachment, concentrated occlusal forces on the anterior teeth, fracture of artificial teeth and rotation of denture. By transitioning to an Implant-assisted removable partial denture (IARPD) using additional implant placement, the problems can be solved. In this case report, a transition was made from implant overdenture to IARPD utilizing surveyed crowns to distribute occlusal forces concentrated on anterior teeth and to prevent denture rotation in a skeletal Class III patient. Design of definitive prosthesis with appropriate function and aesthetics was determined through several stages of provisional restorations. In this case, appropriate posterior occlusion and maintenance of peri-implant bone level of definitive prosthesis were observed.

Immediate placement and functional loading of implants on canine with fixed partial denture for a patient having canine protected occlusion: a case report

  • Hong, Jun-Won;Ahn, Seung-Geun;Leem, Dae-Ho;Seo, Jae-Min
    • The Journal of Advanced Prosthodontics
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    • v.4 no.1
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    • pp.52-56
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    • 2012
  • Conventional implant protocols required a load-free healing period of three to six months between placement and functional loading of the implants. Many efforts have been made to minimize the duration of treatment time. Several literatures have documented immediate function with provisional or definitive prosthesis within a week of the placement in response to these demands. In addition, immediate implant placement has advantages such as shortened treatment time and preservation of soft tissue architectures. This article presents immediate implant placement into fresh extraction sockets followed by functional immediate loading with provisional prosthesis on canine and premolars for a patient having canine protected occlusion.

The case of interim denture applying for thermoforming technique (열형성 기술을 활용한 임시 의치 수복 증례)

  • Yun, Jun-Gu;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.2
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    • pp.135-140
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    • 2016
  • Patients who get tooth loss would also lost their esthetic, stability and functional aspect suddenly. They have to get provisional restoration immediately. This case reports a satisfied result that thermoforming technique is good for patients to get injury from unexpected tooth loss.