• Title/Summary/Keyword: removable partial denture

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Trend analysis of prosthodontic treatment modality between 2005 and 2008 in Seoul National University Dental Hospital

  • Li, Hongbo;Lee, Jai-Bong;Liu, Hongchen;Han, Jung-Suk;Yang, Jae-Ho;Koak, Jai-Young;Heo, Seong-Joo
    • The Journal of Advanced Prosthodontics
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    • v.2 no.1
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    • pp.4-6
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    • 2010
  • PURPOSE. The aim of this article is to analyze the preference for treatment modality of dentists. MATERIAL AND METHODS. Data of 20,038 patients was involved. Data analysis were done by distribution according to the various kinds of prosthesis, including complete denture, removable partial denture, fixed partial denture, implant-supported dental prosthesis as well as distribution according to the professional titles of the dentists finishing the treatment, including resident and professors. RESULTS. The number of cases of dental prosthesis increased year by year. 61.06% of the patients accepted fixed partial denture restoration. The number of patients who accepted implant supported restoration is also increasing year by year. The number of complete denture, implant-supported dental prosthesis finished by professors was larger than that done by residents, while it was contrary for removable partial denture, fixed partial denture, and the difference was statistically significant (P < .05). CONCLUSION. Professors and residents have some difference in the categorization of prosthesis finished. Fixed partial denture and implant-supported dental prosthesis are preferred.

Esthetic removable partial denture with implants and resin clasp: Case report (임플란트와 레진 클래스프를 이용한 심미 가철성 국소의치 증례)

  • Kim, Su-Min;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.58-65
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    • 2015
  • For the rehabilitation of fully edentulous patients, implant-supported removable partial dentures can be considered as one of the treatment options with complete dentures or implant-supported overdentures. If removable partial dentures are used in combination with a small number of implants placed in strategically important positions, it can offer additional stability, retention and support through implants and reduce a burden of surgical procedures compared with fixed implant-supported prostheses with extensive implant placement. Moreover, the economical benefit can be expected as well. The purpose of this case report is to present a treatment in which an implant-supported removable partial denture was fabricated considering residual alveolar bone status and demands after teeth loss in a patient who had been using a distal extension removable partial denture for a long period of time. In anterior area, fixed prostheses were fabricated with implant placement and in posterior area, short implants provide only support for the removable partial denture. In addition, denture base and clasp were made of thermoplastic acrylic resin. Finally, functionally and aesthetically satisfying treatment results can be achieved.

Implant-assisted removable partial denture using Milled-Bar and Attachment in partially edentulous maxilla: A case report (상악 부분 무치악 환자에서 Milled-bar와 어태치먼트를 이용한 임플란트 부분 피개의치 수복 증례 보고)

  • Jeong, Yun-Su;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.412-419
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    • 2022
  • For treatment of partially edentulous patients, a treatment using implant is widely used. Treatment method using implant are implant fixed prostheses and removable partial dentures, and for patients with severe bone resorption, removable implant overdenture with the effects of aesthetic and reducing cost can be used as treatment options. Specially, prosthesis with milled-bar and attachment has the effect of being splinted between implant fixtures, higher retention and stability than conventional removable partial denture. And it has the effect of improvement of aesthetic through lip support by denture base. In this case, the patient with severe alveolar bone resorption and partial edentulous maxilla and mandible was treated by implant-assisted removable partial denture using Milled-bar and ADD-TOC attachment. The esthetic was improved by removing the clasp because of effects of additional retention by using the attachment, and reducing palatal coverage of implant-assisted removable partial denture. The clinical results were satisfactory on the aspect of aesthetic and masticatory function.

A Clinical Study on Rotational Path Removable Partial Denture (회전삽입로를 이용한 국소의치에 관한 임상적연구)

  • Kim, Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.21 no.1
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    • pp.67-72
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    • 1983
  • Path of insertion(1) can be defined that the direction of movement of an appliance from the point of initial contact of its rigid parts with the supporting teeth to the place of final rest. Krol(2) described that in the conventional path of insertion, all the rests are seated more or less simultaneously but in the use of the rotational path one segment of the partial denture is seated first then the remainder of the prosthesis is rotated into position. The rotational path of insertion is limited primarily to the tooth borne prosthesis. Its great advantages are the elimination of anterior clasps to improve ethetic and reduction of tooth coverage to minimize plaque accumulation. Either a rigid minor connector or proximal plate provides retention through its intimate contact with a proximal tooth surface below the height of contour as indicated at a o-degree tilt. A specially designed rest in conjunction with this retentive component satisfies the basic requirements of clasp design. The purpose of this study was a clinical evaluation of rotational path removable partial dentures. Author delivered rotational path removable partial dentures to three different cases of patients and evaluated function of the dentures, difficulties of removal and insertion of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of the rotational path removable partial dentures was excellent.

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An implant-supported removable partial denture on milled bars to compromise the inadequate treatment plan: a clinical report

  • Kim, Jee-Hwan;Lee, Jae-Hoon
    • The Journal of Advanced Prosthodontics
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    • v.2 no.2
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    • pp.58-60
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    • 2010
  • Presurgical prosthetic treatment planning is critical for the success of the implant prosthesis. Inadequate treatment plan, due to insufficient discussion between prosthodontist, and surgeon, may result in poor prognosis. A 26-year-old male patient was referred for prosthodontic treatment after implant was placed in the area of teeth #17,16, 22, 25 and 27, without adequate discussion nor the treatment planning between oral surgeon and prosthodontist. It was found that the patient had two hopeless teeth, and a severely resorbed alveolar ridge. Additional tooth extraction was needed and the type of definitive prosthesis was shifted from fixed type to removable one. Proper pre-surgical treatment planning is essential for the good prognosis. Implant-supported removable prosthesis on milled bars may be a useful treatment option in patients with incorrect angled placement on severely resorbed alveolar ridge.

Comparison of Stress of the Abutment Teeth and Denture Base in Distal Extension Removable Partial Dentures Retained Konus Crown, Precision Attachment and RPI Clasp with the Occlusal Load Application (유리단 국소의치의 교합하중 적용시 이중금관, 어태치먼트 및 RPI clasp 유지장치에 따라 지대치와 의치상에 미치는 응력 비교)

  • Jun, In-Sik;Kim, Bu-Sub;Chung, In-Sung
    • Journal of Technologic Dentistry
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    • v.28 no.2
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    • pp.331-346
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    • 2006
  • Free-end partial dentures, which are supported by teeth surrounded by dental root membranes and elastic mucous membrane tissues, may cause stress to the abutment teeth due to external force imposed on the denture base, increase the mobility of the abutment teeth, and bring about a change in the periodontal tissue. General retainers used in partial dentures are categorized into clasp, attachment, and Konus crown. Stress imposed on the abutment teeth and mobility of the denture base have relations with the lifetime of a crown and abutment teeth, and have direct relations with the chewing ability. Thus, a need arises to make a comparative analysis of stress of the three direct retainers on the abutment teeth and interpret the mobility of the denture base. This study designed three kinds of removable partial dentures (one kind of attachment partial denture, one kind of Konus crown partial denture, and one kind of clasp partial denture), and fabricated Dentiforms of bilateral partial dentures (Kennedy Class I) with lower left 1st premolar and lower right 1st and 2nd premolars being as the abutment teeth. A strain gauge was installed in the mesial and distal surface of the lowerr left 1st premolar (No. 34) of the fabricated dentiform and in the lower part of the denture base, and installed were a clasp partial denture, an attachment partial denture, and a Konus crown partial denture. Then, the vertical static load of 5kgf and 7.5kgf at the occlusion surface of the lower left No. 6 molar was generated for a total of 20 frequencies of load each using a push-full gauge, and thus a change in the output of the strain gauge was measured. With the respective application of Konus crown, attachment and RPI clasp in the free-end partial denture, surveyed was the distribution of stress imposed on the abutment teeth and the denture base according to the location of occlusion force load so as to come up with the following results. 1. Konus crown and attachment partial dentures generated much stress, and more stress on the abutment teeth than RPI clasp dentures did. Attachment dentures tended to further intensify stress on the abutment teeth than Konus crown dentures did. 2. Attachment dentures and Konus dentures imposed less stress on the denture base than RPI clasp dentures did. There was no stress difference between Attachment and Konus crown dentures. 3. Dentures that were designed with the application of retainers using sturdy linkage methods tended to be less mobile.

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SUPERELASTICITY OF CAST SHAPE MEMORY Ni-Ti ALLOY (주조 형상기억 니켈-티타늄 합금의 초탄성)

  • Choi, Dong-Ik;Choie, Mok-Kyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.3 no.1
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    • pp.32-43
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    • 1995
  • Ni-Ti alloy has excellent corrosion resistance, biocompatibility, shape memory effect and superelasticity, so it has been used widely in biomedical fields. But it has difficulty in casting due to its high melting temperature and oxygen affinity at high temperature. Recently it has been attempted to cast Ni-Ti alloy using new casting machine and investment. The purpose of this study was to examine the superelastic behavior of cast shape memory Ni-Ti alloy and to compare the mechanical properties of the cast shape memory alloy with those of commercial alloys for removable partial denture framework. Ni-Ti alloy(Ni 50.25%, Ti 49.75% : atomic ratio) was cast with dental argon-arc pressure casting machine and Type IV gold alloy, Co-Cr alloy, Ni-Cr alloy, pure titanium were cast as reference. Experimental cast Ni-Ti alloy was treated with heat($500{\pm}2^{\circ}C$) in muffle furnace for 1 hour. Transformation temperature range of cast Ni-Ti alloy was measured with differential scanning calorimetry. The superelastic behavior and mechanical properties of cat Ni-Ti alloy were observed and evaluated by three point bending test, ultimate tensile test, Vickers microhardness test and scanning electron microscope. The results were as follows : 1. Cast Ni-Ti alloy(Ni 50.25%, Ti 49.75% : atomic ratio) was found to have superelastic behavior. 2. Stiffness of cast Ni-Ti alloy was considerably lesser than that of commercial alloys for removable partial denture. 3. Permanent deformation was observed in commercial alloys for removable partial denture framework at three point bending test over proportional limit(1.5mm deflection), but was not nearly observed in cast Ni-Ti alloy. 4. On the mechanical properties of ultimate tensile strength, elongation and Vickers microhardness number, cast Ni-Ti alloy was similiar to Type IV gold alloy, Co-Cr alloy, Ni-Cr alloy and pure titanium. With these results, cast Ni-Ti alloy had superelastic behavior and low stiffness. Therefore, it is suggested that cast Ni-Ti alloy may be applicated to base metal alloy for removable partial denture framework.

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