• Title/Summary/Keyword: Relining

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DOUBLE CROWN RETAINED REMOVABLE PARTIAL DENTURE - 4 YEARS IN RETROSPECT (Double crown retained RPD의 4년 임상 관찰)

  • Lee Seok-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.1
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    • pp.73-82
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    • 2004
  • Statment of problem : Little in known about the importance of selection of various double crowns as retainer in determining the outcome of treatment with double crown retained removable partial denture. Purpose : To obtain information about the effects and the results of this treatment modality. Material and methods : This study describes 61 double crown retained removable partial dentures worn by 51 patients from Samsung Medical Center, Seoul a time ranging between 6 and 48 months and evaluate occlusal contacts on the denture teeth, denture movement, incidence of denture relining, denture retention, fracture of dentures and abutments, hygiene, residual ridge inflammatory changes, number of lost abutment,. interruption of denture use. Results : One tenth of all the restorations were relined. Restorations in 21 arches fractured repeatedly for various reasons . There was no apparent interrelationship between fractures and the five groups. Conclusion : Good prognoses of removable partial dentures were shown in all groups(Kennedy Classes I, II, III, combination and few remaining abutment).

Denture repair for elderly patients in dental laboratories: a case report (고령 환자의 기존 의치를 치과기공소에서 수리한 증례)

  • Ju-Hyoung Lee;Gyu-Heon Lee
    • Journal of Technologic Dentistry
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    • v.44 no.4
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    • pp.154-160
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    • 2022
  • The need for repairing removable dentures has grown as the population had aged. The direct methods allow existing dentures to be repaired without interrupting their use. However, if patient compliance is low, direct methods may be challenging. Moreover, attaching an artificial tooth to a metal base is a complicated procedure because it necessitates casting a retentive element and soldering it to a metal base. This clinical report describes how to add an artificial tooth to a metal base, reline denture bases, and reestablish occlusion on relined removable dentures using indirect methods. Existing removable dentures were successfully repaired and their service life was efficiently extended using the methods described.

An alternative impression technique based on McLean's functional impression concept (McLean의 기능 인상법에 기반한 새로운 인상채득법)

  • Choi, Hyun-Suk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.32-37
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    • 2017
  • In this case report, an alternative impression technique for fabricating removable partial dentures was used in a patient with very few remaining teeth. In this technique, an individual tray was made on the cast, which was made by relining interim denture and taking overimpression with irreversible hydrocolloid according to McLean's functional impression concept. This method showed the following advantages: the no need for border molding with modeling compound, time saving for denture impression without overextension and accurate seating of the individual tray.

Clinical Application of Dynamic Impression Method Using Coe-Comfort$^{(R)}$ in Edentulous Patients (무치악 환자에서 Coe-comfort$^{(R)}$를 이용한 동적 인상 채득의 임상적 활용)

  • Keum, Eun-Cheol;Song, Young-Gyun;Lim, Jong-Hwa;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.1
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    • pp.117-123
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    • 2011
  • Impression taking procedure is very important for support, retention and stability of denture, and it affects the success of denture in completely edentulous patients. Various materials and methods have been used for impression taking in complete denture, while dynamic impression method is more physiological and functional method than the others. We had satisfying results with fabrication and relining of dentures after taking impression in the most physiological condition with recovery of deformed soft tissue by dynamic impression method using Coe-comfort$^{(R)}$ (GC America, IL, USA), tissue conditioner, in edentulous patients in this case report.

Effect of chemical surface treatment on the flexural bond strength of heat curing denture base resin and reliners (화학적 표면처리가 열중합형 의치상 레진과 이장재간의 굴곡결합강도에 미치는 영향)

  • Choi, Esther;Han, Min-Soo;Kwon, Eun-Ja
    • Journal of Technologic Dentistry
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    • v.37 no.4
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    • pp.219-227
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    • 2015
  • Purpose: The purpose of this study was to evaluate the effect of the chemical surface treatment on the flexural bond strength of heat curing denture base resin and reliners. Methods: Denture base resin surface was treated with MMA 95% and TEGDMA 5%, MMA 95% and silane coupling agent 5%, heat curing resin monomer. After denture reliners were injected, flexural bond strength was measured. Results: The repair resin of Vertex SC was higher than Lang, hard reliner of Kooliner was higher than Rebase. Soft reliner of Dura base and Coe-soft showed differently according to the surface treatment. The all chemical treatment groups on Vertex SC were significantly higher than control(p<0.05). In Lang group, 5% MPS treated group showed significantly higher flexural bond strength than others(p<0.05). In Kooliner group, all chemical treatment groups showed significantly higher than control(p<0.05). In Rebase group, the 5% MPS and the monomer denture base resin treated groups showed significantly higher than others(p<0.05). In Dura base group, 5% MPS treated group showed significantly higher flexural bond strength than others(p<0.05). In Coe-soft group, all treated groups were significantly higher than control group(p<0.05). Conclusion: TEGDMA, MPS, and the monomer of heat-cured denture base resin were effective to improve the bond strengths between denture base and denture relining materials. Especially, 5% MPS expected to strengthen effectively the bonding property of denture base and denture reliners within the results of this study.

CYTOTOXICITY OF DENTURE BASE RESINS (의치상 레진의 세포독성에 관한 연구)

  • Kim Seong-Kyun;Chang Ik-Tae;Heo Seong-Joo;Keak Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.4
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    • pp.309-322
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    • 2002
  • The purpose of this study was to investigate the cytotoxicity and mutagenicity of denture base resins. According to manufacturer's instructions, resin specimens were made. Group 1 : heat-polymerizing acrylic resin (Luciton $199^{(R)}$) Group 2 : heat-polymerizing acrylic resin containing polyhedraloligosilsesquioxane(POSS resin) Group 3 : auto-polymerizing acrylic resin (Repair $Acrylic^{(R)}$) Group 4 : direct relining auto-polymerizing acrylic resin (Tokuso $Rebase^{(R)}$). Fresh specimens 24 hrs. and 72 hrs. soaked specimens in distil)ed water were made. Responses with metabolic assay and mutagenesis assay to eluates from resin specimens were measured. Cultures with medium alone provided controls. Cytotoxicity was assessed with agar overlay test. The results were as follows; 1. Group 4 showed higher cytotoxicity than Group 1, Group 2 and Group 3 in fresh, 24-an4 72-hour immersion caries (p<.05). Group 3 showed higher cytotoxicity than Group 2 in fresh cases and showed higher cytotoxicity than Group 1 and Group 2 in 24-and 72-hour immersion cases (p<.05) . Group 1 and Group 2 showed no significant difference. 2. All acrylic denture base resins skewed significant increase of cell activity as immersion time increased (p<.05). 3. Auto-polymerizing acrylic denture base resins skewed higher cytotoxicity than heat-polymerizing acrylic denture base resins (p<.05). 4. All acrylic denture base resins showed lower mutagenicity than controls (p<.05).

Effect of light-curing, pressure, oxygen inhibition, and heat on shear bond strength between bis-acryl provisional restoration and bis-acryl repair materials

  • Shim, Ji-Suk;Lee, Jeong-Yol;Choi, Yeon-Jo;Shin, Sang-Wan;Ryu, Jae-Jun
    • The Journal of Advanced Prosthodontics
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    • v.7 no.1
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    • pp.47-50
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    • 2015
  • PURPOSE. This study aimed to discover a way to increase the bond strength between bis-acryl resins, using a comparison of the shear bond strengths attained from bis-acryl resins treated with light curing, pressure, oxygen inhibition, and heat. MATERIALS AND METHODS. Self-cured bis-acryl resin was used as both a base material and as a repair material. Seventy specimens were distributed into seven groups according to treatment methods: pressure - stored in a pressure cooker at 0.2 Mpa; oxygen inhibition- applied an oxygen inhibitor around the repaired material,; heat treatment - performed heat treatment in a dry oven at $60^{\circ}C$, $100^{\circ}C$, or $140^{\circ}C$. The shear bond strength was measured with a universal testing machine, and the shear bond strength (MPa) was calculated from the peak load of failure. A comparison of the bond strength between the repaired specimens was conducted using one-way ANOVA and Tukey multiple comparison tests (${\alpha}$=.05). RESULTS. There were no statistically significant differences in the shear bond strength between the control group and the light curing, pressure, and oxygen inhibition groups. However, the heat treatment groups showed statistically higher bond strengths than the groups treated without heat, and the groups treated at a higher temperature resulted in higher bond strengths. Statistically significant differences were seen between groups after different degrees of heat treatment, except in groups heated at $100^{\circ}C$ and $140^{\circ}C$. CONCLUSION. Strong bonding can be achieved between a bis-acryl base and bis-acryl repair material after heat treatment.

DIMENSIONAL STABILITY OF IMPRESSION BODY USING SILICONE INDEX TOOTH TRAY IMPRESSION SYSTEM (Silicone Index Tooth Tray를 이용한 인상체의 체적안정성에 대한 연구)

  • Lee Kyu-Young;Jeong Seung-Mi;Shim June-Sung;Choi Byung-Gap;Lee Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.5
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    • pp.622-632
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    • 2005
  • Statement of problem: Silicone Index Tooth Tray impression system which does not use gingicord has a shortcoming. It takes time to remove internal wall of Silicone Index Tooth Tray for space of wash impression material. Purpose: This study was to evaluate whether providing certain space to impression body can prevent from doing complicated laboratory work. Material and methods: After mounting metal dies with shoulder and chamfer margins arbiturarily, SITT was produced using $Blu-mousse^(R)$. In one experimental group, wash impression was taken using $Fit-tester^(R)$ without removing interior surface of SITT and in the other group, wash impression was taken using $Fit-tester^(R)$ providing 0.5mm space in the SITT and then compared the differences in two groups. Results: 1. There was no significant difference between a group which did not allow space and a group which granted equal 0.5mm space. 2. There was no significant difference between gingival diameter, occlusal diameter of metal die that has shoulder margin and gingival diameter, occlusal diameter of metal die that has chamfer margin. 3. There was no significant difference between a group which did not take pick-up impression and a group which took pick-up impression through relining method using SITT 4. There was no significant difference between a group that poured immediately after taking primary impression and a group that poured after removing poured stone die. Conclusions: When taking an impression of an abutment using SITT impression system, it is considered to obtain clinically identical results between a group that did not grant a 0.5mm space within SITT for wash impression and a group which invest a space. Furthermore, it is considered possible to produce an individual die through secondary pouring.

Effects of cementless fixation of implant prosthesis: A finite element study

  • Lee, Hyeonjong;Park, Soyeon;Kwon, Kung-Rock;Noh, Gunwoo
    • The Journal of Advanced Prosthodontics
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    • v.11 no.6
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    • pp.341-349
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    • 2019
  • PURPOSE. A novel retentive type of implant prosthesis that does not require the use of cement or screw holes has been introduced; however, there are few reports examining the biomechanical aspects of this novel implant. This study aimed to evaluate the biomechanical features of cementless fixation (CLF) implant prostheses. MATERIALS AND METHODS. The test groups of three variations of CLF implant prostheses and a control group of conventional cement-retained (CR) prosthesis were designed three-dimensionally for finite element analysis. The test groups were divided according to the abutment shape and the relining strategy on the inner surface of the implant crown as follows; resin-air hole-full (RAF), resin-air hole (RA), and resin-no air hole (RNA). The von Mises stress and principal stress were used to evaluate the stress values and distributions of the implant components. Contact open values were calculated to analyze the gap formation of the contact surfaces at the abutment-resin and abutment-implant interfaces. The micro-strain values were evaluated for the surrounding bone. RESULTS. Values reflecting the maximum stress on the abutment were as follows (in MPa): RAF, 25.6; RA, 23.4; RNA, 20.0; and CR, 15.8. The value of gap formation was measured from 0.88 to 1.19 ㎛ at the abutment-resin interface and 24.4 to 24.7 ㎛ at the abutment-implant interface. The strain distribution was similar in all cases. CONCLUSION. CLF had no disadvantages in terms of the biomechanical features compared with conventional CR implant prosthesis and could be successfully applied for implant prosthesis.

Retrospective Evaluation of Implant Retained Overdentures Using Two Implants and Locator Attachments in the Edentulous Mandibles (Locator attachment를 이용한 하악 임플란트 유지 피개의치의 후향적 평가)

  • Lee, Ju-Hyoung;Sohn, Dong-Seok;Lee, Cheong-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.2
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    • pp.153-162
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    • 2013
  • This study compared the marginal bone loss around dental implants that were placed in the canine areas of the mandibles and finded the survival rate of the implants, marginal bone loss around implants and prosthetic complications in 20 patients treated with overdentures retained with Locator attachments. Implants placed in this study showed a 95% survival rate and the average marginal bone loss was 1.21 mm($SD{\pm}0.60mm$) in 94.3 weeks of functional loading. Implant-retained overdentures had various prosthetic complications such as male change, metal cap loosening, Locator attachment loosening, denture teeth change, relining and denture fracture. Implant-retained overdentures using two implants and Locator attachments in the edentulous mandibles is considered as a stable way for long terms because of minimal invasive operation, simple prosthetic process and easy repair.