• 제목/요약/키워드: Provisional denture

검색결과 44건 처리시간 0.029초

TIME-DEPENDENT DEFORMATION OF POLYMER-BASED PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS

  • Pae Ahran;Jeong Mi-Sook;Kim Sung-Hun
    • 대한치과보철학회지
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    • 제43권6호
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    • pp.717-726
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    • 2005
  • Statement of problem. One of the common problems of provisional crown and fixed partial denture materials is that when they are subjected to constant loads for a long period of time, they exhibit a dimensional change (creep). Purpose. The aim of this study was to investigate the viscoelastic behaviour of polymer-based provisional crown and fixed partial denture materials with time at constant compressive load. Material and methods. Three dimethacrylate-based materials (Protemp 3 Garant, Temphase, Luxatemp) and one monomethacrylate-based material (Trim) were selected. Dimensional changes of the specimens were recorded by a LVDT to evaluate their viscoelastic behavior and creep strain. For all specimens, two loading procedures were used. At first, static compressive stress of 4 MPa was applied for 30 minutes and followed by 1 hour of strain recovery. Then, after 24 hours of water storage, the specimens were loaded again. The creep values between materials were statistically analyzed using one-way ANOVA and multiple comparison $Scheff\acute{e}$ test. Independent samples t-test was also used to identify the difference of creep strain between first and secondary loading conditions at the significance level of 0.05. Results. Following application of the first loading, Trim showed the highest maximum creep strain (32.7%) followed by Luxatemp, Protemp 3 Garant and Temphase, with values of 3.78%, 2.86% and 1.77%, respectively. Trim was significantly different from other materials (P<0.05), while there were no significant differences among Luxatemp, Protemp 3 Garant and Temphase (P>0.05). The highest recovery and permanent set of Trim, were significantly different from those of others (P<0.05). At the secondary loading of the dimethacrylate-based materials, creep deformation, recovery and permanent set decreased and the percentage of recovery increased, while in Trim, all values of the measurements increased. This result showed that the secondary loading at 24 hours produced a significant creep magnitude. Conclusion. The dimethacrylate-based provisional crown and fixed partial denture materials showed significantly higher creep resistance and lower deformation than the monomethacrylate-based material. Thus, monomethacrylate-based materials should not be used in long-term stress-bearing situations.

DEGREE OF CONVERSION OF BIS-ACRYLIC BASED PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS

  • Kim, Sung-Hun;Watts, David C.
    • 대한치과보철학회지
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    • 제46권6호
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    • pp.639-643
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    • 2008
  • STATEMENT OF PROBLEM: The degree of conversion may influence the ultimate mechanical and physical properties of provisional crown and fixed partial denture materials. The high levels of the unreacted residual monomer may cause deleterious effect on the properties. PURPOSE: The purpose of this study was to measure the degree of conversion of bis-acrylic based provisional crown and fixed partial denture materials by using an infrared spectroscopic method. MATERIAL AND METHODS: Chemically activated three bis-acrylic based provisional crown and fixed partial denture materials, LuxaTemp [DMG, Hamburg, Germany], fast set TemPhase [Kerr, Orange, CA, USA] and Protemp 3 Garant [3M-ESPE, St Paul, MN, USA], were investigated by Fourier transform infrared spectrometry (FTIR). The FTIR spectra of the materials tested were immediately obtained after mixing. The specimens were stored under dry conditions and at $23^{\circ}C$ for 24 hours, and then the spectra of the materials were also obtained. The degree of conversion (%) was calculated from the spectrum of the absorbance between the aliphatic double bond at 1637 $cm^{-1}$ and the aromatic double bond at 1608 $cm^{-1}$ using the baseline method. The data were statistically analyzed using one-way ANOVA and the multiple comparison Scheffe test at the significance level of 0.05. RESULTS: The mean value and standard deviation of the degree of conversion were 52.5 % ${\pm}$ 1.1 %, 50.3 % ${\pm}$ 0.8 %, and 42.3 % ${\pm}$ 4.9 % for LuxaTemp, Protemp 3 Garant and fast set TemPhase, respectively. There was no significant difference between LuxaTemp and Protemp 3 Garant, whereas there was a statistically difference between Protemp 3 Garant and fast set TemPhase, and LuxaTemp and fast set TemPhase (P < .05). CONCLUSION: The degree of conversion of fast set TemPhase was significantly lower than those of the others. The degree of conversion may be correlated with the rate of polymerization.

심한 치조제 흡수를 보이는 무치악 환자에서 임시 의치를 사용한 기능 인상에 의한 총의치 수복 증례 (Functional impression technique using temporary denture for rehabilitation of severely atrophic maxillary and mandibular ridges)

  • 서영교;배정윤;김현희
    • 대한치과보철학회지
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    • 제57권3호
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    • pp.238-244
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    • 2019
  • 연성 이장재는 점탄성적 특수성으로 인하여 인상 채득 후 바로 치과용 경석고를 주입할 시, 기능 인상에 사용할 수 있다. 본 증례는 78세의 남성으로 새로운 의치를 제작하고 싶다는 주소로 내원하였다. 하악 치조제의 심한 흡수로 인하여, 폐구법을 통한 기능 인상을 채득하기로 계획하였다. 먼저, 상, 하악 임시 의치의 제작을 시행하고, 연성 이장재를 내면에 도포하여 압박된 상, 하악 무치악 치조제의 치유를 유도하였다. 이후, 회복된 상, 하악 치조제에 맞게 내면이 변형된 상, 하악 임시 의치를 이용하여 폐구법을 통한 기능 인상을 채득하였으며, 상악 임시 의치의 치아 배열을 참고하여 최종 의치를 제작하였다. 이상과 같이 완전 무치악 환자에서 임시 의치를 이용하여 기능 인상을 채득하여 만족스러운 유지와 기능을 회복할 수 있었기에 본 증례를 보고하고자 한다.

THE EFFECT OF THICKNESS OF THE PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS ON THE TRANSLUCENCY AND MASKING EFFECT

  • Jae, Hyun-Jee;Kim, Sung-Hun;Lee, Seok-Hyung;Pae, Ahran
    • 대한치과보철학회지
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    • 제45권6호
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    • pp.724-734
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    • 2007
  • Statement of problem. Translucency and masking effect of provisional crown and fixed partial denture materials is an important esthetic consideration. But, provisional resin materials differ substantially in their ability to mask underlying colors. Purpose. The purpose of this study was to evaluate the translucency differences of provisional resin materials at various thicknesses and the correlation between the translucency and the masking efficiency. Material and methods. Two polymethyl methacrylate resins (Jet Tooth Shade, Alike) and three resin composites (Protemp 3 Garant, Luxatemp and Revotek LC) were used. Specimens (n=6) were fabricated from each material in 0.3, 0.5, 0.8, 1.0, 1.5, 2.0 and 3.0 mm thickness. The CIELAB parameters of each specimens were measured using a spectrophotometer. The translucency parameter (TP) values and the masking effect $({\Delta}ME^*{_{ab}})$ values were computed and all data were statistically analyzed by one-way ANOVA and the multiple comparisons Scheffe test. The correlation between the thickness and the TP values and the correlation between the thickness and the ${\Delta}ME^*{_{ab}}$ values were also evaluated by correlation analysis and regression analysis. Results. The TP values and the ${\Delta}ME^*{_{ab}}$ values were significantly related to the thickness in all specimens. The TP values were more sensitive to the change of thickness than the ${\Delta}ME^*{_{ab}}$ values. The order of the translucency by brand was different from the order of the masking effect by brand in all thickness groups. Conclusion. Within the limitations of this study, the translucency and masking effect of the provisional resin materials investigated were significantly related to their thickness. The masking effect of provisional resin was correlated with the translucency parameter, but the order of the masking effect by brand was different from the order of the translucency parameter.

총의치 난증례에 대한 접근법: 진단부터 최종의치까지 (Approach to complicated fully edentulous case: from the diagnosis to the definitive denture)

  • 오진아;이현민;백장현;노관태;권긍록;배아란
    • 대한치과보철학회지
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    • 제53권3호
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    • pp.250-255
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    • 2015
  • 심한 잔존치조제의 흡수와 의치지지조직의 손상을 동반한 총의치 난증례는 정확한 진단과 체계적인 치료계획 수립을 통해 보철물의 유지, 안정, 지지를 증진시켜야 한다. Provisional restoration은 총의치의 안정성을 다각도로 평가하고 환자와 치과의사의 피드백을 가능하게 하는 유용한 도구로서 사용될 수 있다. 본 증례에서는 진단용의치를 통해 인상면, 연마면, 교합면을 평가하여 의치의 안정성을 증대시키고 환자의 심미적 요구를 반영하여 최종의치로 이행하였으며 임상적으로 기능과 심미적인 측면에 있어서 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

기존 임시의치와 디지털 안궁이전을 이용하여 상하악 CAD-CAM 총의치 수복 증례 (Fabrication of CAD-CAM complete denture using existing provisional denture and digital facebow transfer)

  • 노재혁;방혜민;박상원;임현필;윤귀덕;박찬
    • 대한치과보철학회지
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    • 제61권4호
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    • pp.268-274
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    • 2023
  • 본 증례는 요양병원에 입원치료 중인 환자에서 치과에 내원하기 힘든 점과 의치 분실이 많은 점을 고려하여 내원 횟수를 감소시키고 재제작이 쉬운 CAD-CAM 총의치를 제작하였다. 환자가 적응한 기존 임시의치의 형태 및 수직고경, 악간관계를 최종의치 제작에 반영하기 위해 기존 임시의치를 스캔하고 프린팅한 개인트레이로 폐구인상을 채득하였다. UTS CAD를 이용하여 디지털 안궁이전하고 CAD 소프트웨어에서 치아배열 후 상하악 총의치를 단일 구조의 디스크로 의치상과 인공치를 한번에 절삭하여 제작하였다.

Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation

  • Hassan, Bassam;Greven, Marcus;Wismeijer, Daniel
    • The Journal of Advanced Prosthodontics
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    • 제9권5호
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    • pp.381-386
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    • 2017
  • PURPOSE. To integrate extra-oral facial scanning information with CAD/CAM complete dentures to immediately rehabilitate terminal dentition. MATERIALS AND METHODS. Ten patients with terminal dentition scheduled for total extraction and immediate denture placement were recruited for this study. The patients were submitted to a facial scanning procedure using the in-office PritiMirror scanner with bite registration records in-situ. Definitive stone cast models and bite records were subsequently submitted to a lab scanning procedure using the lab scanner (iSeries DWOS; Dental Wings). The scanned models were used to create a virtual teeth setup of a complete denture. Using the intra-oral bite records as a reference, the virtual setup was incorporated in the facial scan thereby facilitating a virtual clinical evaluation (teeth try-in) phase. After applying necessary adjustments, the virtual setup was submitted to a CAM procedure where a 5-axis industrial milling machine (M7 CNC; Darton AG General) was used to fabricate a full-milled PMMA immediate provisional prosthesis. RESULTS. Total extractions were performed, the dentures were immediately inserted, and subjective clinical fit was evaluated. The immediate provisional prostheses were inserted and clinical fit, occlusion/articulation, and esthetics were subjectively assessed; the results were deemed satisfactory. All provisional prostheses remained three months in function with no notable technical complications. CONCLUSION. Ten patients with terminal dentition were treated using a complete digital approach to fabricate complete dentures using CAD/CAM technology. The proposed technique has the potential to accelerate the rehabilitation procedure starting from immediate denture to final implant-supported prosthesis leading to more predictable functional and aesthetics outcomes.

Evaluation of C. Albicans and S. Mutans adherence on different provisional crown materials

  • Ozel, Gulsum Sayin;Guneser, Mehmet Burak;Inan, Ozgur;Eldeniz, Ayce Unverdi
    • The Journal of Advanced Prosthodontics
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    • 제9권5호
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    • pp.335-340
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    • 2017
  • PURPOSE. Bacterial adhesion on provisional crown materials retained for a long time can influence the duration for which permanent prosthetic restorations can be healthily worn in the oral cavity. The aim of this study was to compare seven different commonly used provisional crown materials with regard to Streptococcus mutans and Candida albicans surface adhesion. MATERIALS AND METHODS. For each group, twenty specimens of the provisional fixed prosthodontic materials TemDent ($Sch{\ddot{u}}tz$), Imident (Imicryl), Tab 2000 (Kerr), Structur Premium (Voco), Systemp (Ivoclar Vivadent), Acrytemp (Zhermack), and Takilon-BBF (Takilon) were prepared (diameter, 10.0 mm; height, 2.0 mm). Surface roughness was assessed by atomic force microscopy. Each group was then divided into 2 subgroups (n=10) according to the microbial suspensions used: S. mutans and C. albicans. The specimens were incubated at $37^{\circ}C$ with S. mutans or C. albicans for seven days. Bacterial adherence on surfaces was assessed using the 2,3-bis[2-methyloxy-4-nitro-5-sulfophenyl]-2H-tetrazolium-5-carboxanilide (XTT) assay. RESULTS. S. mutans showed maximum adhesion to Structur, followed by Systemp, Acrytemp, Takilon, Tab 2000, Imident, and TemDent (P<.05). The highest vital C. albicans adhesion was noted on Takilon, followed by Imident and Tab 2000; the lowest adhesion was noted on Systemp (P<.05). CONCLUSION. The materials showed significant differences in the degree of bacterial adhesion. C. albicans showed higher surface adhesion than S. mutans on provisional crown and fixed partial denture denture materials.

임시 의치와 이중 디지털 스캐닝 기법을 활용한 전악 고정성 임플란트 수복 증례 (Full mouth rehabilitation with fixed implant-supported prosthesis using temporary denture and double digital scanning technique: a case report)

  • 신석현;박찬익;강세하;문지은;오민석;박철민;전우진;한성구;김선재;최수진
    • 대한치과보철학회지
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    • 제61권3호
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    • pp.245-256
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    • 2023
  • 임플란트 고정성 보철물 제작 시 디지털 시스템을 이용하여 수복할 때, 3차원적인 임플란트 위치의 구내 스캔과 임시 의치 혹은 임시 보철물 장착 후 구내 스캔을 이용한 이중 디지털 스캐닝(double digital scanning) 기법이 필요하다. 구내 스캔 시, 스캔 바디를 안정적인 랜드마크로 이용하면 다지털 인상의 정확도 향상과 기공과정이 효율적이고 단순화될 수 있다. 본 증례는 완전 디지털 시스템을 활용하여 맞춤형 치과용 임플란트 지대주 및 임시 보철물, 최종 보철물을 계획하고 제작하였다. 임플란트 식립 후, 임플란트에 체결한 구내 스캔 바디와 임시 의치 조직면에 인기 된 구내 스캔 바디의 스캔 영역을 중첩하였다. 중첩된 파일에서 임시 의치의 수직 고경에 맞는 맞춤형 치과용 임플란트 지대주와 임시 보철물을 제작하여 환자에게 시적 하였고, 임시 보철물을 토대로 최종 보철물을 제작하였다. 임시 의치 제작 시 설정한 수직 고경, 중심위 등을 최종 보철물까지 활용하여 기능 및 심미적으로 만족할 만한 결과를 얻어 이를 보고하고자 한다.

Implant overdenture impressions using a dynamic impression concept

  • Lee, Byung-Kil;Park, Sang-Hun;Lee, Cheong-Hee;Cho, Jin-Hyun
    • The Journal of Advanced Prosthodontics
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    • 제6권1호
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    • pp.66-70
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    • 2014
  • A dynamic impression is a functional impression that records the functional movement of the patient's own muscle and muscle attachment. This process reduces the number of random factors. This article describes a method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing. The individual tray is used to make a wash-impression to record the features of the mucosa in detail. The main advantage of this technique is that it provides a functional relationship of the implant components to the supporting tissues without overextension because provisional denture had been used for 2 months and the border length of individual tray was nearly the same as that of provisional denture. The delivery of the prosthesis constructed using this impression technique is time-saving because there is no need for border molding and there are fewer post-insertion appliance adjustments.