• Title/Summary/Keyword: partial denture

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Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition (심한 치아 마모로 인해 수직 고경이 상실된 환자에서 국소 의치를 이용한 전악 수복 증례)

  • Shim, Eun-Young;Lee, Na-Young;Kang, Jeong-Kyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.347-353
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    • 2018
  • Gradual attrition is a normal process of aging, but severe attrition causes occlusal disharmony, functional disorder and esthetic problems. The collapse of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). And it induces the pathologic change of the TMJ, unaesthetic facial appearance and decreased masticatory function. In this case, 70 year-old male presented with decreased vertical dimension and esthetic problems due to worn dentition. Based on assessment of intraoral findings, diagnostic cast and radiographic examination, full-mouth rehabilitation with increase of OVD was planned. After 10 month follow-up, occlusal stability is maintained and through this procedure, satisfactory outcomes were achieved in esthetic and functional aspects.

Flexure Strength of Various Colored and Uncolored Zirconia Ceramics for All-Ceramic Restoration (전부도재수복물을 위한 유색 및 무색 지르코니아 세라믹의 굴곡강도)

  • Oh, Sang-Chun;Lee, Hae-Hyoung;Shin, Mee-Ran;Lee, Il-Kwon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.119-130
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    • 2007
  • Purpose: This investigation was designed to estimate the flexure strength, density, and microstructure of the colored and uncolored zirconia oxide ceramics for fixed partial denture. Material and Methods: LAVATM All Ceramic(3M-ESPE, USA), Cercon Smart Ceramic(Dentsply, USA), and Z-match Ceramic(DentAim, Korea) were used for this study. All specimen was fabricated by ASTM C1161. After preparing $25{\times}2{\times}1.5mm$ of rectangular column and sitting rectangular column on universal test machine (UTM), external supporting point distance is 20.0 mm, internal supporting point distance is 10.0 mm. Specimen was loaded with 0.2 mm/min of cross head speed until fracture and at the time of broken of specimen, measuring loading value with PC software. Results: The results were obtained as follows: 1. Flexure strength of uncolored zirconia was higher than that of colored zirconia. 2. In uncolored zirconia, flexure strength of LAVATM Ceramic was more higher than the other ceramics, and it showed statistical difference between LAVATM Ceramic and Cercon Smart Ceramic (P<0.05). 3. In colored zirconia, flexure strength of LAVATM Ceramic was more higher than the other ceramics too, but they did not show statistical difference (p>0.05). 4. In Weibull analysis, Characterastic strength was showed highest value to uncolored LAVATM Ceramic and lowest value to Z-match ceramic, and Weibull modulus(m) of uncolored zirconia was higher than that of colored zirconia. 5. In XRD analysis, all group except Z-match showed high peak of t-ZrO2 but they did not show m-ZrO2. Colored zirconia group showed lower peak of t-ZrO2 than that of uncolored zirconia group.

Reinforcing the retention of provisional restoration using provisional implant on maxillary anterior region: clinical case report (상악 전치부 고정성 보철물 수복 시 임시 임플란트를 이용한 임시보철물의 유지력 증가 증례보고)

  • Kim, Chang-Dae;Moon, Hong-Seok;Chung, Moon-Kyu;Lee, Jae-Hoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.3
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    • pp.221-225
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    • 2013
  • Proper management of provisional prosthesis is key to success in prosthodontics. Provisional restoration on maxillary anterior missing area frequently come across a incident of falling off especially in patients with long span pontics and oval arch shape. This is because maxillary anterior teeth are more exposed to horizontal force than the posterior teeth and additional anterior cantilever effect will negatively affect to the retention of provisional prosthesis. Beside that maxillary anterior provisional prosthesis should provide proper incisal guidance during the mandibular functional movements. However occlusal contacts on the prosthesis in maximum intercuspal position are located on opposite side of fulcrum line of prosthesis which will cause removing force against the provisional prosthesis. This case report present that provisional implant prevent pre-described harmful effect on maxillary anterior fixed provisional prosthesis and provide comfort and satisfactory result during post-extraction healing period.

AN EVALUATION OF THE TIME-DEPENDENT DIMENSIONAL STABILITY OF ELASTOMERIC IMPRESSION MATERIALS (인상채득 후 시간경과에 따른 고무인상재의 체적변화)

  • Lee Hong-Seok;Cho Suck-Kyu;Yoon Tae-Ho;Park Ju-Mi;Song Kwang-Yeob
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.4
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    • pp.363-373
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    • 2006
  • Statement of Problem : The accuracy and dimensional stability of elastomeric impression materials have been the subject of numerous investigation. Few studies have addressed the effect of changes in time on the dimensional stability of impression materials. Purpose: The purpose of this investigation was to evaluate the effects of elastomeric impression materials and storage time on dimensional stability. Materials and methods: A total of 75 impressions were made of epoxy resin dies mimicked prepared 3-unit fixed partial denture. The dies had 1 buccolingual, 1 mesiodistal and 1 occlusogingival lines and interpreped dot. Impression materials investigated included two polyether impression materials and three polyvinylsiloxane impression material. 15 specimens were made of each impression material and poured by type IV stone over times (30 minutes, 24 hours, 72 hours) after mixing; the same examiner measured each specimen 3 times at a magnification of 3.5$\times$. All statistical tests were performed with the level of significance set at .05. Results : The results indicated that significant difference at any measuring point of stone dies of the polyether impression materials and when measurements at 30 minutes, 24 hours, and 72 hours were compared ; the length of measuring point increased significantly as time passed by. However this result is not significant clinically. Analysis also showed significant differences at any measuring point when polyvinylsiloxane and polyether impression materials were compared and significant differences clinically. Conclusion: Under the conditions of this study, the shrinkage rate of the polyvinylsiloxane and polyether impression materials significantly increased as time passed by. The polyether impression materials showed higher shrinkage significantly, while the shrinkage rate of all five materials showed a significant time-dependent increase.

Reinforcement of provisional restoration with cast metal framework: A case report (주조 금속 구조물을 이용하여 강화한 임시보철물 수복 증례)

  • Kim, Hyun-Young;Moon, Yoon-Hee;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.46-52
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    • 2017
  • Provisional restoration plays an important role in the process of restoration with fixed partial denture by providing protection and restoring function and esthetics of abutment tooth. This is especially true in patients requiring use of provisional prosthesis for a long term. However, such situations may lead to higher possibility of provisional prosthesis fracture, and if expected so, reinforcement of provisional prosthesis should be considered. In this article, a patient requiring prosthetic treatment with increase of vertical dimension of occlusion was introduced. Due to increased vertical dimension of occlusion, the provisional restoration was expected to withstand relatively larger amount of load during a relatively long observation period. In order to minimize possible occurrence of fracture, reinforcement of the provisional restoration was sought by insertion of cast-metal framework and by using bis-acryl resin. The reinforced provisional restoration showed satisfactory results during the observation period of 4 months.

A study on microstructure, corrosion characteries and hardness of pure Ti according to cooling methods (생체용 순수 Ti 주조체의 냉각방법에 따른 주조조직과 부식특성 및 경도에 관한 연구)

  • Kim, Jae-Doo
    • Journal of Technologic Dentistry
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    • v.23 no.1
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    • pp.65-73
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    • 2001
  • The purpose of this study was to investigate the microstucture and hardness, corrosion of pure Ti alloy, which is widely used as partial denture frame work these days, depending on the cooling method, followed by casting. The first group was bench cooling at room temperature($18^{\circ}C$), the second group was slowly cooled in the furnace from $700^{\circ}C$ to room temperature, and third. rapidly cooled in $0^{\circ}C$ water. The microstructure of each specimen observed by means of photomicrograph taken by electron microscope, in add to the physical characteristics of each specimen were obtained using the rockwell Hardnest Number. the characteristics of corrosion. The results were obtained as follows: 1. From Potentiodynamic plot. we conclude furnace-cooled specimen had the best stabiltity of passive film and that air-cooled specimen showed similar characteristics. The density of electric current of quenched specimen was the highest, which formed kind of unstable passive film. 2. Specimen cooled at room temperature (air cooling) had the highest value of hardness of 81.26HRB, specimen cooled at ice-water, $0^{\circ}C$, had the value of 78.42HRB, and specimen furnace-cooled at $700^{\circ}C$ had lowest value of 77.1HRB. 3. Quenching treated micro-structure formed martensite structure by and large. In case of air cooling, we could see $\alpha$-structure widmanstatten formed overall. In furnace cooling, widmanstatten structure and various shape $\alpha$-structures forming colony with direction were detected.

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Full mouth rehabilitation on the patient with class II jaw relation and posterior bite collapse using reestablishment of occlusal vertical dimension: a case report (구치부 교합지지가 상실된 II급 악간관계 환자의 교합 재설정을 통한 완전 구강회복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won;Jung, Ji-Hye
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.262-272
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    • 2015
  • Loss of molar support and abnormal jaw relationship lead to occlusal disharmony and cause pathologic signs. Full mouth rehabilitations with reestablishment of occlusal schemes are needed. In this case, the 75 year-old female patient showed posterior bite collapse, irregular occlusal plane and Class II jaw relationship. By observing her profile and interocclusal distance, she was diagnosed as loss of occlusal vertical dimension. Treatment plan is to restore maxillay class I removable partial denture and mandibular fixed prosthesis and to establish vertical dimension and harmonious occlusal plane. Occlusal vertical dimension of 19 mm, which is obtained by 7.5 mm increase between maxillary right lateral incisor and mandibular canine, was established using temporary prosthesis via diagnostic wax-up. Patient adaptation with newly formed vertical dimension was verified during 8 week follow-up period. Within the information of interim prostheses, final restoration was constructed and delivered. The patient showed sound occlusal scheme and esthetic profile.

IN VITRO EVALUATION OF FRACTURE RESISTANCE OF VARIOUS THICKNESS FIBER- REINFORCED COMPOSITE INLAY FPD

  • Yi Yang-Jin;Yoon Dong-Jin;Park Chan-Jin;Cho Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.6
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    • pp.762-771
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    • 2003
  • Statement of problem. In dentistry, the minimally prepared inlay resin-bonded fixed partial denture (FPD) made of new ceromer / fiber-reinforced composite (FRC) was recently introduced. However, the appropriate dimensions for the long-term success and subsequent failure strength are still unknown. Purpose. The aim of this study was to investigate the most fracture-resistible thickness combination of the ceromer / FRC using a universal testing machine and an AE analyzer. Material and Methods. A metal jig considering the dimensions of premolars and molars was milled and 56-epoxy resin dies, which had a similar elastic modulus to that of dentin, were duplicated. According to manufacturer's instructions, the FRC beams with various thicknesses (2 to 4 mm) were constructed and veneered with the 1 or 2 mm-thick ceromers. The fabricated FPDs were luted with resin cement on the resin dies and stored at room temperature for 72 hours. AE (acoustic emission) sensors were attached to both ends, the specimens were subjected to a compressive load until fracture at a crosshead speed of 0.5 mm/min. The AE and failure loads were recorded and analyzed statistically. Results. The results showed that the failure strength of the ceromer/FRC inlay FPDs was affected by the total thickness of the connectors rather than the ceromer to FRC ratio or the depth of the pulpal wall. Fracture was initiated from the interface and propagated into the ceromer layer regardless of the change in the ceromer / FRC ratio. Conclusion. Within the limitations of this study, the failure loads showed significant differences only in the case of different connector thicknesses, and no significant differences were found between the same connector thickness groups. The application of AE analysis method in a fiber-reinforced inlay FPD can be used to evaluate the fracture behavior and to analyze the precise fracture point.

A Study on the Tensile Strength between Light-cured Relining Resin and Metal Denture Base (광중합형 이장재와 금속의치상 간의 결합력에 관한 연구)

  • Park, In-Chae;Lee, Joon-Kyu;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.3
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    • pp.211-220
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    • 2000
  • The use of autopolymerizing-cured resin and light-cured resin for direct relining of complete and partial dentures has been popular. This investigation compared the adhesion of autopolymerizing-cured reline resin(Tokuso Rebase, Mild Rebaron) or light-cured reline resin(Mild Rebaron LC, Lighton-U) to metal base or resin base. Cylindrical samples were made from metal($Biosil^{(R)}$) or heat-cured resin(QC-20) and were prepared to produce a flat bonding surface. Cylindrical metal samples were roughened by scratch or by scratch and sandblast and were treated with primer(MR Bond) after scratch and sandblast. And then, liners were prossesed to the cylindrical metal or resin samples according to the manufacturer's recommendations so as to bond metal base or resin base. The specimens were tested in pure tension by using an Instron Univesal testing machine for the four direct reline resins. The results were as follows ; 1. In comparison with tensile bond strength of material relined on resin base or metal base, the case of resin base produced significantly higher tensile bond strength than the case of metal base. 2. Metal surface pretreatment or primer improved the tensile bond strength between the reline resin and the metal($Biosil^{(R)}$) base. 3. The tensile bond strength of Mild Rebaron LC relined on resin base or metal base were similar to those of the other reline resins.

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A Study on the Tensile Strength between Light-cured Relining Resin and Metal Denture Base (광중합형 이장재와 금속의치상 간의 결합력에 관한 연구)

  • Park, In-Chae;Lee, Joon-Kyu;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.2
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    • pp.161-170
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    • 2000
  • The use of autopolymerizing-cured resin and light-cured resin for direct relining of complete and partial dentures has been popular. This investigation compared the adhesion of autopolymerizing-cured reline resin(Tokuso Rebase, Mild Rebaron) or light-cured reline resin(Mild Rebaron LC, Lighton-U) to metal base or resin base. Cylindrical samples were made from metal($Biosil^{(R)}$) or heat-cured resin(QC-20) and were prepared to produce a flat bonding surface. Cylindrical metal samples were roughened by scratch or by scratch and sandblast and were treated with primer(MR Bond) after scratch and sandblast. And then, liners were prossesed to the cylindrical metal or resin samples according to the manufacturer's recomendations so as to bond metal base or resin base. The specimens were tested in pure tension by using an Instron Univasal testing machine for the four direct reline resins. The results were as follows ; 1. In comparison with tensile bond strength of material relined on resin base or metal base, the case of resin base produced significantly higher tensile bond strengths than the case of metal base. 2. Metal surface pretreatment or primer improved the tensile bond strength between the reline resin and the metal($Biosil^{(R)}$) base. 3. The tensile bond strengths of Mild Rebaron LC relined on resin base or metal base were similar to those of the other reline resins.

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