• Title/Summary/Keyword: dental prothesis

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Implant Maintenance Care (임프란트의 유지관리)

  • Jung, Jae-Jeon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.104-106
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    • 1999
  • There has been a growing interest in implant among dentists and patients, recently. Maintenance of the implant and prothesis is the key factor for a long tern1 success. This article describes several methods for maintenance care which can be achieved with the cooperation of the patient and the dental staff members. By following this maintenance program I hope that our patient can enjoy their implants much more.

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EFFECTS OF OVERDENTURE RETENTION ON THE AXIAL LOAD OF IMPLANT IN THE MANDIBULAR IMPLANT-SUPPORTED OVERDENTURE (하악 임플란트지지 오버덴춰에서 바 어태치먼트의 유지력이 임플란트의 축력에 미치는 영향)

  • Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.1
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    • pp.98-107
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    • 2000
  • Three linear strain gauges (KFR-02N-120-C1-23, Kyowa, Japan) were placed around the abutment of implant future and the maximum axial loads on the mandibular implants supporting over dentures were registered in experimental model when the overdenture was removed. The overdenture attachments used in this study were Round bar Hader bar, Dolder bar with and with out spacer. The retention of bar attachment was measured using universal testing machine while being con-trolled by Activating set and Deactivator except in case of the Hader bar. Simultaneously strains were recorded with the strain smart program in strain P-6000 series (Measurement group, Raleigh, USA). The maximum axial load was calculated and compared with each other. The results were as follows: 1. The amount and the timing of the maximum axial loads were different between the right and left implant in all attachment systems. 2. The retention of bar attachment except Hader bar could be adjusted but the controllability was different among the attachment systems. 3. The more the axial load, the higher the retention with Hader bar and Dolder bar without spacer. but the tendency of increase was not shown with round bar and Dolder bar with spacer.

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Cost Analysis for Dentures Performed at Dental Clinics in Korea (치과의원 의사의 틀니진료 원가 분석)

  • Chung, Seol Hee;Lee, Hye Jin;Oh, Ju-yeon;Woo, Kyung suk;Kim, Han sang
    • Health Policy and Management
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    • v.25 no.2
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    • pp.107-117
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    • 2015
  • Background: The purpose of this study is to analyze the cost for the denture treatment in accordance with the government's plan to expand the National Health Insurance coverage for dental prothesis from July 1, 2012. Methods: We developed the draft of classification of the treatment activities based on the existing researches and expert's review and finalized the standard procedures through confirming by Korean Dental Association. We also made the list of input at each stage of treatments. We conducted survey of 100 dental clinics via post from April 4 to May 20 in 2011 and 37 clinics took part in the survey. The unit of cost calculation is the process from the first visit for denture treatment to setting of denture and adjustment. The manufacturing process performed by dental technician was not included in the cost analysis. Results: The process for the complete denture treatment was classified with 10 stages. The partial denture treatment was classified with 8 stages. The treatment time per each denture is about 5.6 hours for complete dentures and about 6.6 hours for partial dentures. The treatment cost were from 591,108 won to 643,913 won for complete denture and from 670,219 won to 738,840 won for partial denture in 2011, depending on the location, type of the clinics and the types of physician's income. Conclusion: This study shows the example of cost analysis for the treatment to set the fee schedule. Measures to get representative and accurate information need to be made.

PHOTOELASTIC STRESS ANALYSIS OF LOAD TRANSFER TO SATELLITE ABUTMENT AS AN IMMEDIATE ABUTMENT (인공치아의 즉시부하를 위해 새로이 개발된 인공치아 지대주(Satellite Abutment)의 광탄성 응력 분석)

  • Park, Sang-Kyu;Lee, Baek-Soo;Engelke, W;Kim, Boo-Dong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.6
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    • pp.472-479
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    • 2002
  • Since $Br^{\circ}anemark$ introduced the osseointegrated implants, they have been granted for useful methods for the restoration of oral function. The original $Br^{\circ}anemark$ protocol recommended long stress-free healing periods to achieve the osseointegration of dental implants. However, many clinical and experimental studies have shown that the osseointegration is no wonder in almost cases and that early and immediate loading may lead to predictable osseointegration. So we are willing to introduce the Satellite Abutment newly invented for immediate loading. We think that it will make the occlusal forces dispersed to surrounding bone and that we can restore the oral function immediately after implant installation not disturbing osseointegration. In case of using Satellite abutment, stress concentrated to bone contact area of implant was distributed not only fixation plate and screws but also superior, middle portion of implant and cortical layer of jaw bone. It was clearly decreased on the bone contact surfaces around dental implants. 1. Stress was decreased more than 76.5% when satellite straight abutment was used. 2. Stress was decreased more than 50% when satellite angled abutment was used. 3. The stress around dental implant was well distributed along the cortical bone surface and the fixation plate and screw. This study concludes that satellite abutment can be used as all immediate loading implant prothesis because it was possible to distribute periimplant occlusal stress through implant contact bone surface and cortical layer of jaw bone.

A Study on the Actual Condition of Dental Prosthesis of the Elderly in Seoul and Gyeonggi-do (서울 및 경기지역 노인의 치과보철물 실태에 대한 조사 연구)

  • Lee, Tae-Jung;Jung, Jung-Ock;Lee, Kyeong-Hee
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.369-378
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    • 2011
  • Purpose: This study was carried out for the purpose of obtaining basic data necessary for developing the future oral health promotion program of the elderly by surveying the actual condition of managing dental prosthesis in the elderly. Methods: It collected materials targeting 346 elderly brackets in over 65 years old who dwell in Seoul and Gyeonggi-do Province for about 10 months from September 2010 to June 2011, analyzed 312 copies except 34 copies, which are inappropriate for data processing due to being insufficient in response among these things, and obtained the following results. Results: In the actual condition of missing tooth, a case of missing tooth was indicated to be 78.8%. In case of missing tooth, the number of missing teeth was indicated to be 75.6% for under 5 pieces and 19.1% for over 21 pieces. In the actual condition of managing prosthesis, a case with dental prosthesis treatment was indicated to be 77.6%. A kind of prosthesis was indicated to be the highest in fixed partial dentures with 36.5%. In a method of rinsing dentures, 47.7% of the elderly responded as saying of washing it out with water. The appearance of removing dentures at night was indicated to be the highest in doing so with 63.1%. Satisfaction with prosthesis of being mounted now was indicated to be moderate with 50.4%. As for the appearance of having experience of education on how to manage prosthesis, it was indicated to be high with 50.4% in having none. In a kind of prosthesis depending on averagely monthly income, the ratio of total dentures was high when averagely monthly income is low. On the other hand, a case with high income was indicated to have high ratio in implants. The satisfaction with prosthesis was low when averagely monthly income is low. Also, in the experience of education on how to manage prosthesis, the ratio of responses as saying of having no experience of education on how to manage prosthesis was indicated to be high when averagely monthly income is low. Conclusion: Examining the above results, a developmental plan is considered to be necessary such as developing continuous and systematic oral health promotion program for managing elderly people's managing dental prothesis.

Fixed prosthetic treatment for the patient with delayed eruption disorder (맹출 지연 장애환자의 고정성 보철치료)

  • Lee, Su-Yeon;Kim, Hee-Jung;Kang, Sung-Nam
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.127-134
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    • 2017
  • Delayed eruption disorders caused by systemic or local conditions are mostly found during childhood and can be treated with orthodontic forced eruption. When the disorder is not found nor treated during childhood, however, orthodontic eruption might become a difficult option while prosthodontic restoration can be considered as an another option. Considerations for the prosthodontic treatment plan include the extent of tooth loss, interdental mesio-distal space and interarch space, and age of the patient. In this case report, oral rehabilitation of the patient with delayed eruption disorder through zirconia partial fixed prostheses for both maxilla and mandible was performed.

A STRESS ANALYSIS OF THE IMPLANT - SUPPORTED OVERDENTURE USING STRAIN GAUGE (스트레인 게이지를 이용한 임플랜트 지지 오버덴춰의 응력분석)

  • Cho, Hye-Won;Kwon, Joo-Hong;Lee, Wha-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.1
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    • pp.93-103
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    • 1999
  • Stress distribution on mandibular implants supporting overdentures were registered in vitro experimental model by means of 4 rosette gauges which were placed around the implant. The overdenture attachments used in this study were the Resilient Dolder bar, Rigid Bolder bar, Round bar, Hader bar & Dal-Ro attachment. An occlusal jig was placed on the overdenture and the loading sites were 3 points which mimicked working, balancing, and median relations. With 5 and 10kg loading, strains were measured by strain indicator(P-3500, Measurement group, Raleigh, USA), and using these data, maximum and minimum principal stresses and Von Mises stress were calculated and evaluated. The results were as follows : There was a tendency of high stress concentration in the lingual side of the implant, and in the buccal side low stress was developed regardless of the attachment systems. The resilient Bolder bar concentrated highest stress among the attachment systems, and the Round bar and the Dal-Ro attachment provided comparatively low stresses around the implant. The rigid Bolder bar concentrated high stress in the mesial side, and the Dal-Ro attachment developed tensile stress patterns in the lingual and distal sides of the implant at the balancing relation.

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The Factors Influencing to the Implant Patients Discomfort (임플란트 식립 후 불편감에 영향을 주는 요인)

  • Yoon, Hyun-Seo;Heo, Soo-Hee;Chun, Jin-Ho
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.325-332
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    • 2011
  • To get the evidences for decreasing the discomfort, dissatisfaction, and for improving management of the implant prothesis through assessment implant patients' awareness and discomforts about care of the prostheses. The subjects were 300 implant patients who treated in the 20 dental clinics in Pusan, Ulsan and Daegu. The general characteristics, recognition, maintenance, discomfort and dissatisfaction, and oral hygiene status were collected. Level of the discomfort and dissatisfaction was measured by a 5 Likert scale, and analyzed by the equivalent of 100. The life-span of the implants was overestimated, however, periodic recall check and scaling were underwent. The level of discomfort and dissatisfaction was generally good, but many of them (65.3%) complained the food impaction. As a result of the multiple regression analysis, level of the discomfort and dissatisfaction increased in case of more number of the prosthesis ($\beta$=0.864), however decreased in case of more frequent teeth brushing ($\beta$=0.737), more frequent periodic check ($\beta$=-0.737), longer duration from the implantation ($\beta$=-0.090). It is very important for the implant patients to be recognized that the lack of care may shorten the life-span of the implant prosthesis. Therefore, efforts of the continuous oral hygiene care such as, periodic recall check, scaling, teeth brushing, the correct using of additional oral hygiene product, and education would be more emphasized.

Study on the Oral Health Care by Parents Who have The Child (자녀(子女)에 대한 구강(口腔) 보건(保健) 기초(基礎) 지식(知識)에 관한 연구(硏究) (대구시내(大邱市內) 치과내원(齒科內院) 환자(患者)의 부모(父母)를 중심(中心)으로))

  • Lee, Jong-Do
    • Journal of Technologic Dentistry
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    • v.19 no.1
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    • pp.175-184
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    • 1997
  • The purpose of this study is to examine the effect of parents knowledge on oral health status toward their children. This study was carried out to investigate and analyze the congnitive degree of dental subjects and public who have an experience to be treated for their teeth on the dental knowledge, operative dentistry, and dental prothesis in the oral health care through the questionnaires. The results are as follows; 1. In questioning the fundamental knowledges, 47.6% of respondents in their thirties said that milk tooth of their children are number 20. Although schooling level of their parents is not rel evant to this survey, 21.9% who have only high-school diploma, said also "number 20". As a conclusion, most parents have a big concern in their children's teeth. 2. 44.0% parents answered, asked "who do decayed teeth sping up, and 26.4% said" It is why children eat sugary. Asked "What is efficient preventive measures decayed teeth", 26.5% said it is very relevant to be in the utilization of F-tooth-paste. 3. For children's good theeth, periodically brushing is the important. Most parents recognized brushing efficient. 4. In questioning the possession amount of decayed teeth, 45.8% have more than four. Usually those parents who have children filled their decayed teeth with artificial or installed with dental prosthesis. As a conclusion age is relevant in this study in P<0.05 level. 5. In asking for efficient starting-year of tooth brushing, 42.6% said that 2 or 3 year age is the most efficient, and especially 80.6% teath children to learn brushing themselves(P<0.05) 6. In surveying the way they obtained dental information, 38.9% were given from mass media, but 90% were once not delivered with the education of dental health. Because parents have been know narrow and deficient information of dental health mass media, experts in dental health have to deliver help their parents to be delivered with systematical dental information. The conclustion of this study can summarized that parent's role very important to their children's tooth health and the education program for systematical dental information should be delivered to their parents.

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Applying the New Technology for Making Pontic Ridge Lap in Posterior Bridge Restoration (대체 신기법을 적용한 구치부 교의치 pontic ridge lap 제작방법)

  • Kim, Wook-Tae
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.3
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    • pp.308-316
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    • 2013
  • The purpose of this study is to investigate the production method of posterior bridges pontic ridge lap type which prevents the infection in bridge pontic base and is able to cleanse itself, in the process of producing final prothesis that maintains healthy mucous membrane of oral cavity and interproximal papilla, minimizing diastema, is aesthetic and has no effect on pronunciation. New technology is applied to make optimal pontic base which prevent inflammation and clean itself and its products were clinically evaluated in 10 places of dental clinics in busan and gyeongnam. The making of posterior 3 unit bridge pontic base, it was presented as the new technology of forming ridge lab type and to carry out clinical validation, existing conventional method and the new technology were compared. Pontic base made with the existing conventional method cause infection and other periodontal disease by 96% but the pontic base made with the new technology cause infection and other periodontal disease by 3%. Remains of food cause infection and other periodontal disease 100% by the existing conventional method and 91% by the new technology, showing a distinct difference. However, after a gargle, the new technology had low 13%. Additionally, the pontic base made with the existing conventional method showed 71% of chance, the new technology method showed 8% of chance in terms of self-cleansing.