• Title/Summary/Keyword: dental prosthesis

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Prosthodontic rehabilitation of a patient with bilateral auricular deformity

  • Mantri, Sneha Shivkumar;Thombre, Ram U.;Pallavi, Daigavane
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.101-105
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    • 2011
  • Maxillofacial prosthodontics is an art and science which provides life like appearance to the person with facial deformity. Maxillofacial prosthetic rehabilitation for acquired defects has become more complex and sophisticated with advancement in techniques and materials. This case report describes the clinical and laboratory procedure for fabricating an auricular prosthesis for a patient with trauma related bilateral auricular deformity. Ear prosthesis was fabricated in two parts taking retention from external auditory canal.

Current chewing difficulty according to dental prosthesis needs in Korean elderly (한국 노인의 보철 필요 상태에 따른 저작불편 조사)

  • Kim, Tae-Heon;Jin, Hye-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4353-4360
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    • 2014
  • This study examined the relationship between the current chewing difficulty and the dental prosthesis needs of the elderly Koreans to improve their oral health status. A total of 1,177 subjects over 65 years who participated in the the Five Korea National Health and Nutrition Examination Survey were examined. An oral examination was conducted to determine the number of missing teeth and dental prosthesis required. A questionnaire was given to measure the sociodemographic characteristics, concerns about oral health, chewing ability and pronunciation ability. Statistical analysis was done using the SPSS 19.0 program. The percentage of the current chewing difficulty in Korean elderly was 42.9%. After adjusting for confounder variables, the odds ratio of the fixed prosthodontics needs were 1.22 (95% CI; 0.74 to 2.02), the odds ratio of partial denture needs were 2.47 (95% CI; 1.71 to 3.56) and the odds ratio of the full denture needs were 2.06 (95% CI; 0.73 to 5.81). The dental prosthesis needs were associated with the current chewing difficulty. Therefore, dental prosthesis support policy and public oral health promotion for the elderly is necessary.

Concentration of elemental ions released from non-precious dental casting alloys (치과주조용 비귀금속 합금의 금속 용출 수준)

  • Sakong, Joon;Park, Soo-Chul
    • Journal of Technologic Dentistry
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    • v.35 no.1
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    • pp.1-17
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    • 2013
  • Purpose: This study was to assess the extents of the release of metals from the non-precious alloys used for dental casting by measuring the differences in the extents of the release of metals by types of alloys, pH level and elapsed time. Methods: Uniform-sized specimens(10 each) were prepared according to the Medical Device Standard of the Korea Food and Drug Administration(2010) and International Standard Organization(ISO22674, 2006), using four types of alloys(one type of Ni-Cr and one type of Co-Cr used for fixed prosthesis, and one type of Ni-Cr and one type of Co-Cr used for removable prosthesis). A total of 12 metal-release tests were performed at one-day, three-day, and two-week intervals, for up to 20 weeks. The metal ions were quantified using an Inductively Coupled Plasma-Atomic Emission Spectrometer. Results: The results showed that the extent of corrosion was higher in the ascending order of Jdium-$100^{(R)}$, Bellabond-$Plus^{(R)}$, Starloy-$C^{(R)}$, and Biosil-$F^{(R)}$. The lower the pH and the longer the elapsed time were, the greater the increase in metal corrosion. At pH 2.4, the release of Ni from Jdium-$100^{(R)}$, a Ni-Cr alloy, was up to 15 times greater than the release of Co from the Co-Cr alloy from two weeks over time, indicating that the Ni-Cr alloy is more susceptible to corrosion than the Co-Cr alloy. Conclusion: It is recommended that Co-Cr alloy, which is highly resistant to corrosion, be used for making dental prosthesis with a non-precious alloy for dental casting, and that non-precious alloy prosthesis be designed in such a way as to minimize the area of its oral exposure. For patients with non-precious alloy prostheses, a test of the presence or absence of periodontal tissue inflammation or allergic reaction around the prosthesis should be performed via regular examination, and education on the good management of the prosthesis is needed.

Esthetic restoration using Noritake powder through communication with the dental clinic (진료실과의 소통과 Noritake powder를 이용한 심미보철제작)

  • Hwang, Boah
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.27 no.2
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    • pp.105-115
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    • 2018
  • Not to recreate the final prosthesis is the shortest way to get a successful outcome. In the case of an aesthetic prosthesis, it is important not only the condition of the oral cavity but also the whole harmony in the face such as the interpupillary line and the smile line. But the dental technician creates the prosthesis only based on the oral model. So if you want to prevent the failure of the prosthesis due to discordance with the face, it is a good idea to use patient's facial photography and provisional restorations to reproduce facial features, shapes and aesthetics before switching to a final prosthesis. To prevent the failure of the final prosthesis, it is important to communicate among the patient, the technician and the doctor according to the model diagnosis, facial and oral photos. Then all the technicians will get satisfactory results. In addition, the technician have to understand the form of natural teeth, to analyze and reproduce colors, and to understand materials in order to produce a successful aesthetic prosthesis. From now on, I will explain two parts. At first, the communication in the dental office for the successful production of aesthetic prosthesis through the clinical case. And the second, my opinion for the successful aesthetic prosthesis.

A study on the dental technology and fabrication cost analysis of implant prosthesis for National Health Insurance (건강보험 급여화 관련 임플란트보철물의 기공원가 분석 연구)

  • Cho, Mi-Hyang;Lee, Gwang-Young;Lee, Hee-kyung;Nam, Shin-Eun;Ryu, Jae-Kyung;Kwon, Hyok-Mun;Kim, Kyung-Rok;Cho, Hong-Kyu
    • Journal of Technologic Dentistry
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    • v.42 no.2
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    • pp.149-162
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    • 2020
  • Purpose: The purpose of this study was to conduct a cost accounting of implant prosthesis according to the fabrication activities. Methods: In this study, the cost price of implant prosthesis fabrication activities was calculated by the bottom-up costing approach for material and labor cost and the top-down costing approach for expenses and other. Results: The total cost price was estimated to 220,000 ~ 310,000 won per one implant prosthesis. By product, the screw type was estimated to 220,000 ~ 230,000 won, and when the stent and tray were included, it was 260,000 ~ 270,000 won, which increased about 40,000 won. And, the cement type with more material and labor time was estimated to 250,000 ~ 260,000 won, and when the stent and tray were included, it was about 300,000 won. Conclusion: In terms of the fabrication cost ratio by items, it was shown that material cost and labor cost accounted for about 40% and 30% of the total cost structure for resin case, respectively, which was the opposite for porcelain. It was shown that expenses and general administrative expenses accounted for about 15%, and profits were about 11% ~ 14% in both cases.

Prosthetic restorations with cementless screw-retained implant systems: a case report (시멘트리스 나사 유지형 임플란트 시스템을 이용한 보철물 수복 증례)

  • Young-hae Jung;Im-Sun Kim
    • Journal of Technologic Dentistry
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    • v.45 no.4
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    • pp.124-130
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    • 2023
  • This study aims to describe the clinical experience of single and bridge crowns fabricated using a cementless screw-retained implant prosthesis system. In the case of single crown (#37), regular link (HDL) was used, and bridge crowns (#15~#24), (#26~#27), (#17~#14) (#24~#26) were fabricated by selecting regular link and short link considering the vertical height. One abutment was hex shaped to ensure that it could be mounted while preventing insertion and prosthesis rotation. The advantages of cementless implant prosthesis include shorter chair time and periodic care, strong retention with LINK abutment, safety from inflammation, bacterial infection, and complications due to peri-implant cement, and high patient satisfaction. Dentists should double-check the position of the implant fixture and dental technicians should continuously manage the fit of the link and prosthesis with digital equipment to reduce screw loosening and fractures.

Luting between Resin Cement and Dental Prosthetic Materials (레진시멘트와 보철재료와의 접착)

  • Kim, Kwang-Mahn
    • The Journal of the Korean dental association
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    • v.53 no.3
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    • pp.195-200
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    • 2015
  • Cementation is the last procedure and an important factor to access successful fixed prosthodontic treatment. Even though there are many kinds of luting materials in dental field, the resin cements are popularly used in now. Metals, polymers and ceramics are used as a material of fixed dental prosthesis. The bonding mechanisms between teeth and fixed restorations are composed of mechanical and chemical mechanism. In dentistry, we are relying on mechanical bonding, but we tried to get chemical bonding and many ways are introduced. So, we have to approach luting procedure differently by the materials of prosthesis for clinical success. In this article, let us think the proper cementation ways according to each prosthesis material.

Three-dimensional finite element analysis of the splinted implant prosthesis in a reconstructed mandible

  • Heo, Kyung-Hoi;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • The Journal of Advanced Prosthodontics
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    • v.10 no.2
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    • pp.138-146
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    • 2018
  • PURPOSE. The purpose of this study was to analyze the effects of the splinted implant prosthesis in a reconstructed mandible using three-dimensional finite element analysis. MATERIALS AND METHODS. Three-dimensional finite element models were generated from a patient's computed tomography data. The patient had undergone partial resection of the mandible that covered the area from the left canine to the right condyle. The mandible was reconstructed using a fibula bone graft and dental implants. The left mandibular premolars and molars remained intact. Three types of models were created. The implant-supported prosthesis was splinted and segmented into two or three pieces. Each of these models was further subcategorized into two situations to compare the stress distribution around normal teeth and implants. Oblique loading of 300 N was applied on both sides of the mandible unilaterally. The maximum von Mises stress and displacement of the models were analyzed. RESULTS. The stress distribution of the natural mandible was more uniform than that of the reconstructed fibula. When the loading was applied to the implant prosthesis of reconstructed fibula, stress was concentrated at the cortical bone around the neck of the implants. The three-piece prosthesis model showed less uniform stress distribution compared to the others. Displacement of the components was positively correlated with the distance from areas of muscle attachment. The three-piece prosthesis model showed the greatest displacement. CONCLUSION. The splinted implant prosthesis showed a more favorable stress distribution and less displacement than the separated models in the reconstructed mandible.

Changes in the Standardized Uptake Value According to the Type of Metal of Dental Prosthesis in PET-CT Fusion Image (PET-CT 융합 영상에서 치과보철물의 금속 종류에 따른 표준섭취계수 값의 변화)

  • Han, Sang-Hyun
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.117-122
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    • 2018
  • In this study, HU(hounsfield unit) value of CT generated by dental prosthesis was measured according to the type of metal when PET-CT was performed, and the degree of distortion and standard deviation of SUV(standard uptake value) and to propose a method to reduce errors in image reading. PET-CT was performed using actual teeth, metal crown, gold crown, titanium, and zirconia dental prosthesis. Compared with general teeth, the SUV value increased with increasing HU value. The SUV value of metal crown, titanium, and zirconia was increased by 37% and the gold crown increased by 45.4%. In addition, image distortions were small in general teeth, metal crown, titanium, and zirconia, but hard curing of the gold crown occurred and image distortion occurred. Therefore, since the metal type of the dental prosthesis affects the SUV value, the NAC(non attenuation correction) PET image of the dental prosthesis can be helpful in the diagnosis of the patient using the gold material.