• Title/Summary/Keyword: Removable dentures

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A THREE DIMENSIONAL FINITE ELEMENT STRESS ANALYSIS ON THE FORCE DISTRIBUTION BY DISTAL EXTENSION PARTIAL DENTURES EMPLOYING ATTACHMENTS (Attachment를 이용한 후방연장 국소의치에 의한 압력분산에 관한 3차원 유한요소분석)

  • Shin, Sang-Wan;Ahn, Won-Jun;Jung, Yeon-Jin;Lee, Young-Soo;Shim, Kwang-Sup;Yoo, Kwang-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.6
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    • pp.878-887
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    • 1998
  • Although attachments have been utilized for a retainer of removable prostheses during several decades, there is little information on the force distribution by the attachments. This study was undertaken to evaluate the stress patterns developed by partial dentures employing rigid attachments on the supporting structures. Four types of the mandibular removable partial dentures were designed depending upon the position of the rigid attachment and the existency of lingual bracing. Under 100N of vertical and 25N of lateral loads on the 1st and 2nd lower molar of partial denture, stress distribution patterns and displacement were analysed with three dimensional finite element method by ANSYS version 5.3. 1. The highest stresses were concentrated on the distal alveolar crest of posterior abutment and the second stresses on the apical region of posterior abutment in the models. 2. The greatest displacement were shown on the distal alveolar crest of posterior abutment and the second displacement on the distal alveolar crest of anterior abutment in the models. 3. There was little difference between the models with intraoral attachment and those with extracoronal attachment. 4. There was little difference between the models with and without the lingual bracing.

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Surveyed restoration and RPD framework design utilizing electronic surveying (전자 서베잉을 이용한 서베이드 금관과 국소의치 프레임워크 디자인)

  • Hong, Yong-Shin;Park, Eun-Jin;Kim, Seong-Kyun;Koak, Jai-Young;Heo, Seong-Joo;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.4
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    • pp.354-361
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    • 2011
  • There are still many limitations on fabricating dentures using digital method while computerized production of fixed prostheses utilizing intraoral scanner and CAD/CAM technology has propagated rapidly. Recently the digital solution of fabricating removable partial denture by applying haptic input device, electronic surveying, and rapid prototyping was introduced. In this case presentation, five patients were treated with surveyed crown and removable partial dentures by this digital solution. Fit of dentures was excellent except for one case which showed morphological difference between the actual teeth and that of master cast by the erroneous impression process. There also was not any problem of stability and retention after adaptation in the clinical setting.

Implant-assisted removable partial denture using milled bar and Locator in partially edentulous maxilla: A case report (상악 부분 무치악 환자에서 Milled Bar와 Locator를 이용한 임플란트 융합 국소의치수복 증례)

  • Kim, Ji-Hyun;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, Hyeon-Jong;Lee, So-Hyoun
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.137-144
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    • 2020
  • Implant-fixed prostheses and removable partial dentures are widely used as a traditional treatment method for partially edentulous patients who have lost multiple teeth. Recently, there has been increasing interest in implant-assisted removable partial denture (IARPD), which additionally obtains retention and support using a small number of implants. The IARPDs have higher retention, stability, and aesthetics than conventional removable dentures. It also has the effect of reducing the cost as well as the burden of surgery by placing a small number of implants at the edentulous site. In this case, the patient with a partial edentulous state that has multiple numbers of tooth loss in maxilla initially planned to be treated with implant fixed prosthesis. However, the treatment plan was changed to IARPD using Bar and Locator due to several factors. The clinical results were satisfactory on the aspect of esthetic and masticatory function.

A PHOTOELASTIC STUDY ON THE STRESS ANALYSIS UNDER MADIBULAR DISTAL-EXTENSION REMOVABLE PARTIAL DENTURE WITH DIFFERENT DESIGN OF THE MAJOR CONNECTOR (주 연결장치의 설계변화에 따른 하악 유리단 국소의치의 광탄성 응력 분석에 관한 연구)

  • Lee, Kyw-Chil;Kay, Kee-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.2
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    • pp.177-194
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    • 1991
  • The purpose of this study was to analyze the magnitude and distribution of stress using a photoelastic model from a distal extension removable partial dentures with three kinds of mandibular major connectors, that is, lingual bar, linguoplate, and swing-lock attachment. A photoelastic model was made of the epoxy resin(PC-1) and hardener(PCH-1) and coated with plastic cement-1 (PC-1) at the lingual surface of the epoxy model and set with three kinds of chrome-cobalt removable partial dentures. A bilateral vertical load of 15kg to the middle portion of the metal bar crossing both the first molars of the right and the left, and a unilateral vertical load of 12.5kg to the right first molar were applied with the use of specially designed loading device and the reflective circular polariscope was used to analyze the photoelastic model under each condition. The following results were obtained : 1. When the bilateral vertical load was applied, the magnitude and distribution of the stress concentration of the edentulous area and the terminal abutment or adjacent teeth was in the order of lingual bar, linguoplate, swing-lock attachment. 2. When the unilateral vertical load was applied, the magnitude and distribution of the stress concentration of the edentulous area and the terminal abutment or adjacent teeth was in the order of lingual bar, linguoplate, swing-lock attachment. 3. When the unilateral vertical load was applied, the magnitude and distribution of the stress concentration of the termial abutment or adjacent teeth on the non-loaded side showed the least stress distribution in case of swing-lock attachment. 4. When the bilateral vertical load and the unilateral vertical load were applied the swing-lock attachment showed the mildest uniform stress distribution on the edentulous area and the alveolar bone around the abutment teeth.

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A PHOTOELASTIC STRESS ANALYSIS ON THE SUPPOTING STRUCTURE IN THE MANDIBULAR DISTAL EXTENSION REMOVABLE PARTIAL DENTURE WITH VARIOUS DESINGS OF BACK-ACT10N CLASPS (하악 유리단 국소의치하에서 back-action 클래스프 설계 변화에 따른 광탄성 응력 분석)

  • Lim Soo-Lyoung;Kay Kee-Sung;Ko Yeong-Mu
    • The Journal of Korean Academy of Prosthodontics
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    • v.30 no.3
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    • pp.379-400
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    • 1992
  • The purpose of this study was to analyze the magnitude and distribution of stress using a photoelastic model from the mandibular distal extension removable partial dentures with the mesial or distal placement of the occlusal rest and the mesial or distal connection in the back-action clasp with the five various designs of the back-action clasp, that is, the mesial connection and the distal rest, the distal connection and mesial rest, the mesial connection and mesial rest, the distal connection and the mesial and distal rest, and the mesial connection, and the mesial and distal rest. A photoelastic model was made of the epoxy resin(PC-1) and the hardner(PLH-1) with the acrylic resin teeth used and was coated with the plastic cement-1 at the lingual surface of the model and then five kinds of the removable partial dentures on the photoelastic model were set. A unilateral vertical load of 12.5 kg was applied on the central fossa of the first molar with the use of specially designed loading device and the pattern and distribution of the stress of the photoelastic model under each condition was analyzed by the reflective circular polariscope. The following results were obtained. 1. In the back-action clasp with the mesial connection and mesial rest of the case 3, the effect of the stress distribution was the most favorable. 2. In the back-action clasp with the mesial and distal rest, of the case 4 and 5, the stress distribution was more greatly showed in the terminal abutment. 3. Generally, the stress distribution was more favarable in the mesial connection than in the distal connection. 4. In the back-action clasp with the mesial connection of the case 1, 3 and 5, the stress distribution was the most favorable in the mesial rest.

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Subtractive versus additive indirect manufacturing techniques of digitally designed partial dentures

  • Snosi, Ahmed Mamdouh;Lotfy, Shaimaa Mohamed;Thabet, Yasmine Galaleldin;Sabet, Marwa Ezzat;Rizk, Fardos Nabil
    • The Journal of Advanced Prosthodontics
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    • v.13 no.5
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    • pp.327-332
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    • 2021
  • PURPOSE. The purpose of this in vitro study was to evaluate the accuracy of digitally designed removable partial denture (RPD) frameworks, constructed by additive and subtractive methods castable resin patterns, using comparative 3D analysis. MATERIALS AND METHODS. A Kennedy class III mod. 1 educational maxillary model was used in this study. The cast was scanned after modification, and a removable partial denture framework was digitally designed. Twelve frameworks were constructed. Two groups were defined: Group A: six frameworks were milled with castable resin, then casted by the lost wax technique into Co-Cr frameworks; Group B: six frameworks were printed with castable resin, then casted by the lost wax technique into Co-Cr frameworks. Comparative 3D analysis was used to measure the accuracy of the fabricated frameworks using Geomagic Control X software. Student's t-test was used for comparing data. P value ≤ .05 was considered statistically significant. RESULTS. Regarding the accuracy of the occlusal rests, group A (milled) (0.1417 ± 0.0224) showed significantly higher accuracy than group B (printed) (0.02347 ± 0.0221). The same results were found regarding the 3D comparison of the overall accuracy, in which group A (0.1501 ± 0.0205) was significantly more accurate than group B (0.179 ± 0.0137). CONCLUSION. In indirect fabrication techniques, subtractive manufacturing yields more accurate RPDs than additive manufacturing.

Clinical Report by using hybrid telescopic double crown Removable Partial Denture on a few remaining teeth with severe periodontal disease (치주적으로 불리한 소수 잔존치에서 하이브리드 텔레스코픽 이중관 국소의치를 이용한 임상증례)

  • Seo, Jang-Won;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.24-30
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    • 2019
  • The successful results of the treatment using a double crown denture have been reported in several papers for some of the few remaining teeth in patient. In particular, double crown dentures may be an alternative to treatment in cases where the periodontal status is poor and clasp type removable partial dentures are inappropriate (crown/root ratio > 1). In this case, the patient visited clinic with a chief complaint of difficulty in mastication due to loss of posterior teeth and overall teeth mobility. After teeth with severe periodontitis were extracted, treatment plan of mandible is Kennedy class I removable partial denture (RPD) and treatment plan of maxilla is hybrid telescopic double crown RPD with a friction pin. Patient is well adapted after the prosthetic treatment and we report due to achieving satisfactory results in pronunciation, mastication, retention and aesthetics.

Impression procedures for removable partial dentures (가철성 국소의치 제작을 위한 인상채득)

  • Heo, Yu-Ri;Son, Mee-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.152-158
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    • 2014
  • To fabricate removable partial denture which provide patient's comfort and maintain oral health, cast fabrication which reproduce anatomical and functional state of mouth is needed. Diagnostic cast and master cast are produced through the process of preliminary impression and final impression taking. Both of remaining teeth and edentulous area should be well taken in removable partial denture impression. According to the supporting type of partial denture, impression material and method can be changed. Therefore, understanding of impression procedure is essential for the accurate clinical application.

Cr-Co removable partial denture treatment fabricated by selective laser melting: a case report (Selective Laser Melting을 이용한 코발트-크롬 가철성 국소의치의 수복 증례)

  • Yim, Ji-Hun;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.1
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    • pp.39-47
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    • 2021
  • Compared to conventional method, if metal framework of removable partial denture is fabricated by selective laser melting, various laboratory works are omitted, saving time and simplifying the process. In addition, metal framework with homogeneous density can be obtained, expecting excellent mechanical properties, especially resistance to fatigue fracture. In these cases, impression were taken using conventional methods in partial edentulous patients, master casts were fabricated and scanned to obtain digital data. After designing the metal frameworks on the scanned data, removable partial dentures were fabricated using selective laser melting methods. Through these procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

A clincal study of Kennedy classification and framework design of removable partial denture in Kyungpook National University hospital (경북대학교 병원에 내원한 국소의치 장착 환자의 Kennedy 분류에 따른 분포상황 및 그 설계특성에 관한 연구)

  • Cha, Phill-Seon;Jeong, In-Yeong;Cho, Sung-Am
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.3
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    • pp.189-193
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    • 2010
  • Purpose: This study was aimed to investigate the frequency of different classes of partial edentulism and the most frequently used design components of conventional removable partial dentures. Materials and methods: 63 patients who were treated with removable partial denture in Kyungpook National University hospital for 2003-2006 were selected. A total of 76 removable partial denture frameworks were investigated. Kennedy classification was used to identify the class of partial edentulism. Results: Results indicated that Kennedy class I removable partial dentures were the most frequently constructed. Most patients' cases were designed without modification areas. Conclusion: The most common type of direct retainer were the RPI clasp and RPA clasp in both maxilla and mandible. Lingual bar, linguoplate and anterior posterior palatal straps were the more frequently used mandibular and maxillary major connectors respectively. We did not have any case about Kennedy class IV patients.