• 제목/요약/키워드: partial denture

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직접유지장치 설계 변화에 따른 하악 후방연장 국소의치 지지조직의 광탄성 응력분석 (PHOTOELASTIC STRESS ANALYSIS ON THE SUPPORTING TISSUE OF MANDIBULAR DISTAL EXTENSION REMOVABLE PARTIAL DENTURE WITH VARIOUS DESIGN OF DIRECT RETAINERS)

  • 이창호;김광남;장익태
    • 대한치과보철학회지
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    • 제30권2호
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    • pp.203-224
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    • 1992
  • The purpose of this study was to evaluate the stress distribution developed in supporting structures by distal extension removable partial denture with 4-types of direct retainer. The direct retainers examined were Akers clasp, RPI clasp, RPA clasp and RPL clasp in bilateral & unilateral free end case. 3-dimensional photoelastic stress analysis was used to record the isochromatic fringe patterns and to calculate the compressive stress at measuring points. The results were as follows. 1. In bilateral free end case, RPI clasp exhibited the similar stress distribution on distal and mesial alveolar crest but Akers clasp exhibited higher stress concentration on distal alveolar crest than mesial alveolar crest. 2. In bilateral free end case, RPA clasp and RPL clasp exhibited the similar stress distribution on distal and mesial alveolar crest and RPL clasp exhibited higher stress concentration on buccal alveolar crest than lingual alveolar crest. 3. Akers clasp produced high stress concentration on residual alveolar ridge distally, but RPI clasp, RPA clasp and RPL clasp produced even stress distribution on residual alveolar ridge. 4. Removable partial denture in unilateral free end case exerted higher stress on abutment tooth root apex than bilateral distal extension removable partial denture.

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Combined application of roll flap and combination onlay-interpositional graft to enhance esthetics of maxillary anterior fixed partial denture: A case report

  • Oh, Sang-Chun;Cha, Dong-Hee;Lee, Jae-In
    • The Journal of Advanced Prosthodontics
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    • 제8권1호
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    • pp.70-74
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    • 2016
  • In the maxillary anterior region, reconstruction of the localized alveolar ridge defect is very important in enhancing the esthetics of fixed partial denture. A 40-year-old female patient presented with a chief complaint of the inconvenience and unesthetic problem of 3-unit maxillary anterior prosthesis due to alveolar ridge resorption. After removal of old prosthesis, intraoral examination revealed moderate (buccolingually 4 mm) ridge deficiency in missing tooth region, leading to the diagnosis of Class I alveolar ridge defect. One of the reconstruction techniques to overcome this problem might be a technique that combines two types of soft tissue augmentation techniques. The purpose of this paper was to demonstrate the new combined technique of roll flap and combination onlay-interpositional graft utilized to acquire sufficient dimension of recipient area by one time of operation and to present the esthetic improvement of fixed partial denture by using this procedure in case of maxillary anterior localized ridge defect.

소수의 임플란트 크라운을 지대치로 이용한 하악 가철성 국소 의치 수복 증례 (Mandibular implant assisted removable partial denture with a small number of implant crowns: two case reports)

  • 김유라;이수영
    • 구강회복응용과학지
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    • 제38권2호
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    • pp.110-119
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    • 2022
  • 부분 무치악 환자의 가철성 국소의치 수복 시 지대치가 항상 유리한 위치에 존재하지는 않는다. 이로 인하여 잘 맞게 제작된 가철성 국소의치임에도 불구하고 환자는 가철성 국소의치의 안정과 지지에 대하여 만족하지 못하는 경우가 발생하게 된다. 이 때, 소수의 임플란트 크라운을 이용한 가철성 국소의치가 부분 무치악 환자에게 좋은 대안이 될 수 있다. 소수의 임플란트를 위치시키고 지대치로 이용하여 가철성 국소의치의 안정과 지지를 증가시킬 수 있다. 본 증례는 하악 편측에 잔존치를 갖는 환자에서 두개의 임플란트를 전략적으로 위치시켜 지대치를 양측으로 분포시켰다. 최종 가철성 국소의치 수복 이후 환자는 저작 기능에 만족감을 보였으며 국소의치 사용시 편안함을 나타내었다.

Bar attachment와 Konus telescope를 이용한 부분 무치악 환자의 수복 (Clinical Appliance of Konus Telescope Denture and Bar-Retained Overdenture on Partially Edenturous Patient)

  • 최성호;심준성;이호용;이근우
    • 구강회복응용과학지
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    • 제18권2호
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    • pp.119-126
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    • 2002
  • The purpose of this study was to restorate a patient who has a few remaining teeth with #15,23,24 supported Konus telescope denture in Maxillar and #44,43,33,34 supported Dolder bar retained overdenture in Mandible. Konus telescope and bar retained overdenture was taken better results in retention, support, stability compair with regular Removable partial denture. In Removable partial denture, the change of remaining teeth and edentulous ridge is natural. But Konus telescope and bar retained overdenture is a little effected in this change, so it is possiblble in long-term use. In cosider of patient's medical history and the possibility of additional tooth loss, Konus telescope denture can be easily repaired. Compaired with Konus telescope and bar retained overdenture showed high stability and easy cleansing because of rigid support, cross - arch splinting, and simple design. In delivery, patient had a difficulty with removal of denture and plaque control, but showed better condition, good oral hygienic care. Patient satisfied with denture functionally and esthetically. This study showed Konus telescope and bar retained overdenture was effective for treatment of patient remaing a few teeth in function, esthetic and psycologic satisfaction.

TIME-DEPENDENT DEFORMATION OF POLYMER-BASED PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS

  • Pae Ahran;Jeong Mi-Sook;Kim Sung-Hun
    • 대한치과보철학회지
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    • 제43권6호
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    • pp.717-726
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    • 2005
  • Statement of problem. One of the common problems of provisional crown and fixed partial denture materials is that when they are subjected to constant loads for a long period of time, they exhibit a dimensional change (creep). Purpose. The aim of this study was to investigate the viscoelastic behaviour of polymer-based provisional crown and fixed partial denture materials with time at constant compressive load. Material and methods. Three dimethacrylate-based materials (Protemp 3 Garant, Temphase, Luxatemp) and one monomethacrylate-based material (Trim) were selected. Dimensional changes of the specimens were recorded by a LVDT to evaluate their viscoelastic behavior and creep strain. For all specimens, two loading procedures were used. At first, static compressive stress of 4 MPa was applied for 30 minutes and followed by 1 hour of strain recovery. Then, after 24 hours of water storage, the specimens were loaded again. The creep values between materials were statistically analyzed using one-way ANOVA and multiple comparison $Scheff\acute{e}$ test. Independent samples t-test was also used to identify the difference of creep strain between first and secondary loading conditions at the significance level of 0.05. Results. Following application of the first loading, Trim showed the highest maximum creep strain (32.7%) followed by Luxatemp, Protemp 3 Garant and Temphase, with values of 3.78%, 2.86% and 1.77%, respectively. Trim was significantly different from other materials (P<0.05), while there were no significant differences among Luxatemp, Protemp 3 Garant and Temphase (P>0.05). The highest recovery and permanent set of Trim, were significantly different from those of others (P<0.05). At the secondary loading of the dimethacrylate-based materials, creep deformation, recovery and permanent set decreased and the percentage of recovery increased, while in Trim, all values of the measurements increased. This result showed that the secondary loading at 24 hours produced a significant creep magnitude. Conclusion. The dimethacrylate-based provisional crown and fixed partial denture materials showed significantly higher creep resistance and lower deformation than the monomethacrylate-based material. Thus, monomethacrylate-based materials should not be used in long-term stress-bearing situations.

DEGREE OF CONVERSION OF BIS-ACRYLIC BASED PROVISIONAL CROWN AND FIXED PARTIAL DENTURE MATERIALS

  • Kim, Sung-Hun;Watts, David C.
    • 대한치과보철학회지
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    • 제46권6호
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    • pp.639-643
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    • 2008
  • STATEMENT OF PROBLEM: The degree of conversion may influence the ultimate mechanical and physical properties of provisional crown and fixed partial denture materials. The high levels of the unreacted residual monomer may cause deleterious effect on the properties. PURPOSE: The purpose of this study was to measure the degree of conversion of bis-acrylic based provisional crown and fixed partial denture materials by using an infrared spectroscopic method. MATERIAL AND METHODS: Chemically activated three bis-acrylic based provisional crown and fixed partial denture materials, LuxaTemp [DMG, Hamburg, Germany], fast set TemPhase [Kerr, Orange, CA, USA] and Protemp 3 Garant [3M-ESPE, St Paul, MN, USA], were investigated by Fourier transform infrared spectrometry (FTIR). The FTIR spectra of the materials tested were immediately obtained after mixing. The specimens were stored under dry conditions and at $23^{\circ}C$ for 24 hours, and then the spectra of the materials were also obtained. The degree of conversion (%) was calculated from the spectrum of the absorbance between the aliphatic double bond at 1637 $cm^{-1}$ and the aromatic double bond at 1608 $cm^{-1}$ using the baseline method. The data were statistically analyzed using one-way ANOVA and the multiple comparison Scheffe test at the significance level of 0.05. RESULTS: The mean value and standard deviation of the degree of conversion were 52.5 % ${\pm}$ 1.1 %, 50.3 % ${\pm}$ 0.8 %, and 42.3 % ${\pm}$ 4.9 % for LuxaTemp, Protemp 3 Garant and fast set TemPhase, respectively. There was no significant difference between LuxaTemp and Protemp 3 Garant, whereas there was a statistically difference between Protemp 3 Garant and fast set TemPhase, and LuxaTemp and fast set TemPhase (P < .05). CONCLUSION: The degree of conversion of fast set TemPhase was significantly lower than those of the others. The degree of conversion may be correlated with the rate of polymerization.

치과용 주조합금의 주조방법에 따른 부식거동 (Corrosion Behavior of Dental Alloys Cast by Various Casting Methods)

  • 최한철;고영무
    • 한국표면공학회지
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    • 제37권5호
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    • pp.296-300
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    • 2004
  • The defects of partial denture frameworks are mainly shrinkage porosity, inclusions, micro-crack, particles from investment, and dendritic structure. In order to investigate a good casting condition of partial denture frameworks, the three casting alloys and casting methods were used and detected casting defects were analyzed by using electrochemical methods. Three casting alloys (63Co-27Cr-5.5Mo, 63Ni-16Cr, 63Co-30Cr-5Mo) were prepared for fabricating partial denture frameworks with various casting methods; centrifugal casting (Kerr, USA), high frequency induction casting (Jelenko Eagle, USA), vacuum pressure casting (Bego, Germany). The casting temperature was $1,380^{\circ}C$ (63Co-27Cr-5.5Mo and 63Ni-16Cr) and $1,420^{\circ}C$ (63Co-30Cr-5Mo). The casting morphologies were analyzed using FE-SEM and EDX. The corrosion test of the dendritic structure was performed through potentiodynamic method in 0.9% NaCl solutions at $36.5^{\circ}C$ and corrosion surface was observed using SEM. The defects of partial denture frameworks improved in the order of centrifugal casting, high frequency induction casting, and vacuum pressure casting method, especially, pore defects were found at part of clasp in the case of centrifugal casting method. The structure of casting showed dendritic structure for three casting alloys. In the 63Co-27Cr-5.5Mo and 63Co-30Cr-5Mo, $\alpha$-Co and $\varepsilon$-Co phases were identified at matrix and $${\gamma}$-Ni_2$Cr second phase were shown in 63Ni-16Cr. Also, the corrosion resistance of cast structure increased in the order of vacuum pressure casting, high frequency induction casting, and centrifugal casting method.

상악 전치부 단일치 상실 환자에서 지르코니아 레진접착성 고정성 국소의치를 이용한 수복 증례 (Zirconia resin-bonded fixed partial denture in maxillary single-tooth edentulous area: A case report)

  • 오로지;장희원;김나홍;방주혁;이근우;이용상
    • 대한치과보철학회지
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    • 제61권2호
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    • pp.135-142
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    • 2023
  • 일명 '메릴랜드 브릿지'로 불리는 Resin-bonded fixed partial denture (RBFPD)는 전치부 결손부위를 수복하는데 있어 침습범위를 최소화하는 보존적 보철치료로 잘 정립되어 있다. 하지만 RBFPD의 여러 이점에도 불구하고 높은 탈락률, 비심미성, 지지체 파절 등으로 인해 보편적인 치료방법으로 선택되지는 못하였다. 최근 치과 재료의 발달과 함께 지르코니아가 RBFPD의 새로운 재료로 도입되면서 강도와 심미성이 개선된 전치부 RBFPD의 적용에 적합한 재료로 평가받고 있다. 본 증례는 상악 좌측 측절치를 상실한 환자에서 지르코니아 RBFPD를 수복한 증례로, 전치부에서 비침습적이며 심미적인 보철물을 이용하여 치아상실부위를 수복하였고, 환자와 술자 모두 만족하는 결과를 얻었기에 본 증례를 보고하는 바이다.

과도한 치아 마모와 교합평면 붕괴를 보이는 환자에서 상악 고정성 보철 및 하악 임플란트 보조 국소의치를 통한 구강회복 증례 (A case of oral rehabilitation in a patient with severe tooth wear and occlusal plane collapse, utilizing maxillary fixed prosthesis and mandibular implant-assisted removable partial denture)

  • 안재형;김성용;김성아;이용상;이근우;장희원
    • 대한치과보철학회지
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    • 제62권2호
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    • pp.174-182
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    • 2024
  • 다수의 구치를 상실한 환자에서는 전방부 치아들의 마모나 변위, 교합평면의 붕괴와 교합수직고경의 감소가 일어날 수 있다. 특히 편측으로 소수의 치아만 가진 경우 국소의치는 생역학적으로 불리하므로, 소수의 임플란트 서베이드 크라운을 추가한 임플란트 보조 국소의치가 대안이 될 수 있다. 본 증례의 환자는 하악 우측 구치부 상실로 인해 전방부 치아들이 심하게 마모되고, 교합평면이 붕괴되어 있었다. 최소한의 교합 수직고경 거상과 함께 상악 고정성 보철 및 하악 임플란트 보조 국소의치로 수복을 진행하였고, 기능적 및 심미적으로 양호한 임상 결과를 얻을 수 있었다.