• 제목/요약/키워드: removable prosthodontics

검색결과 319건 처리시간 0.02초

In vitro evaluation of a removable partial denture framework using multi-directionally forged titanium

  • Suzuki, Ginga;Shimizu, Satoshi;Torii, Mana;Tokue, Ai;Ying, Guo;Yoshinari, Masao;Hoshi, Noriyuki;Kimoto, Katsuhiko;Miura, Hiromi;Hayakawa, Tohru;Ohkubo, Chikahiro
    • The Journal of Advanced Prosthodontics
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    • 제12권6호
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    • pp.369-375
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    • 2020
  • PURPOSE. This study evaluated the availability of multi-directionally forged (MDF) titanium (Ti) as a component of removable partial dentures (RPDs). MDF-Ti remarkably improved the mechanical properties of RPDs due to its ultrafine-grained structure. MATERIALS AND METHODS. The wear resistance, plaque adhesion, and machinability of MDF-Ti were tested. As controls, commercially pure (CP) titanium was used for wear, plaque adhesion, and machinability tests. For wear resistance, the volume losses of the titanium teeth before and after wear tests were evaluated. Plaque adhesion was evaluated by the assay of Streptococcus mutans. In the machinability test, samples were cut and ground by a steel fissure bur and carborundum (SiC) point. An unpaired t-test was employed for the analysis of the significant differences between MDF-Ti and the control in the results for each test. RESULTS. Wear resistance and plaque adherence of MDF-Ti similar to those of CP-Ti (P>.05) were indicated. MDF-Ti exhibited significantly larger volume loss than CP-Ti in all conditions except 100/30,000 g/rpm in machinability tests (P<.05). CONCLUSION. Although the wear resistance and plaque adherence of MDF-Ti were comparable to those of controls, MDF-Ti showed better machinability than did CP-Ti. MDF-Ti could be used as a framework material for RPDs.

다수 치아를 상실한 한국 성인에서 가철성 의치의 장착 여부와 우울증의 연관성: 국민건강영양조사 제 7기 자료를 활용한 단면 연구 (Relationship between usage of removable denture and depression in Korean adults with loss of multiple teeth: A cross-sectional study using the seventh Korea National Health and Nutrition Examination Survey)

  • 심재승;이영후;홍성진;노관태;배아란;김형섭;권긍록;백장현
    • 대한치과보철학회지
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    • 제59권1호
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    • pp.1-10
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    • 2021
  • 목적: 이 연구의 목적은 가철성 의치 장착 여부와 우울증의 연관성을 평가하는 것이다. 가철성 의치를 장착한 군과 가철성 의치의 장착이 필요하나 사용하지 않은 군으로 구분하여 각 군과 우울증의 관련성에 대해 알아보고자 한다. 대상 및 방법: 국민건강영양조사(Korea National Health and Nutrition Examination Survey, KNHNES) 제 7기 원시자료를 활용하였다. 가철성 의치의 장착에 관한 자료로는 구강검진자료 중 보철물 상태, 보철물 필요 여부에 관한 변수를 이용하여 가철성 의치를 사용하고 있는 군, 가철성 의치가 필요한 군으로 분류하였다. 그리고 우울증에 관한 변수로는 PHQ-9의 값을 활용하여 정상(0-4), 경증 우울증(5-9), 중등도 우울증(10-19), 중증 우울증(20-27)로 구분하였다. 통계 분석은 SAS 9.4를 이용하여 로지스틱 회귀분석을 시행하였다. 결과: 가철성 의치 장착 필요군에서, 가철성 의치를 장착하고 있는 군과 비교하여 중증 우울증의 위험이 통계적으로 유의하게 높았다. 결론: 가철성 의치를 이용한 치료는 다수의 치아를 상실한 환자에게 중증 우울증 발병의 가능성을 줄일 수 있을 것으로 기대된다.

Standardized multi-institutional data analysis of fixed and removable prosthesis: estimation of life expectancy with regards to variable risk factors

  • Hae-In Jeon;Joon-Ho Yoon;Jeong Hoon Kim;Dong-Wook Kim;Namsik Oh;Young-Bum Park
    • The Journal of Advanced Prosthodontics
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    • 제16권2호
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    • pp.67-76
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    • 2024
  • PURPOSE. This study aims to assess and predict lifespan of dental prostheses using newly developed Korean Association of Prosthodontics (KAP) criteria through a large-scale, multi-institutional survey. MATERIALS AND METHODS. Survey was conducted including 16 institutions. Cox proportional hazards model and principal component analysis (PCA) were used to find out relevant factors and predict life expectancy. RESULTS. 1,703 fixed and 815 removable prostheses data were collected and evaluated. Statistically significant factors in fixed prosthesis failure were plaque index and material type, with a median survival of 10 to 18 years and 14 to 20 years each. In removable prosthesis, factors were national health insurance coverage, antagonist type, and prosthesis type (complete or partial denture), with median survival of 10 to 13 years, 11 to 14 years, and 10 to 15 years each. For still-usable prostheses, PCA analysis predicted an additional 3 years in fixed and 4.8 years in removable prosthesis. CONCLUSION. Life expectancy of a prosthesis differed significantly by factors mostly controllable either by dentist or a patient. Overall life expectancy was shown to be longer than previous research.

편측 후방 치아 잔존시 의치 설계에 따른 지대치지지 조직과 잔존 치조제의 응력 분석에 관한 연구 (STRESS ANALYSIS AT SUPPORTING TISSUE OF ABUTMENT TEETH AND RESIDUAL RIDGE ACCORDING TO DENTURE DESIGN WITH REMAINING UNILATERAL POSTERIOR TEETH)

  • 안광호;정영완;진태호
    • 대한치과보철학회지
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    • 제37권2호
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    • pp.185-199
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    • 1999
  • This study was peformed to investigate the distribution and magnitude of stress at supporting tissue of abutment teeth and residual ridge tissue with remaining unilateral posterior teeth. Four types of removable partial dentures that included clasp retained removable partial denture, attachment retained removable partial denture, telescopic removable partial denture, and swing-lock partial denture were designed, and strain gauge was used for stress analysis. Each prosthesis was subjected to simulated vertical and oblique load. The following conclusions were drawn from this study. 1. The clasp retained removable partial denture generally distributed simulated vertical force more evenly to the supporting structure. 2. The stress at buccal side of 1st premolar was the lowest in swing-lock partial denture and that was highest in attchment retained removable partial denture. The stress at lingual side of 1st premolar was the lowest in telescopic partial denture. 3. In clasp retained removable partial denture, stress was lower at load site and ridge crest at mid-line, but it was higher at 1st premolar area on vertical load. 4. In attachment removable partial denture, stresses at buccal side of 1st premolar. lingual side of 1st premolar on vertical load, and ridge crest at midline on oblique load were higher. 5. In telescopic removable partial denture, stress at lingual side of 1st premolar was the least in all removable partial dentures, but the stress at load site was higher. 6. In swing-lock removable partial denture, stress at buccal side of 1st premolar was the lowest, and stresses at load site and distal end of residual ridge crest were higher.

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한국인의 부분 치아 결손 증례와 국소의치 설계에 관한 연구 (A SURVEY OF PARTIAL EDENTULISM AND REMOVABLE PARTIAL DENTURE DESIGNS FOR PATIENTS IN KOREA)

  • 이시혁;장익태;김광남
    • 대한치과보철학회지
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    • 제32권2호
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    • pp.235-248
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    • 1994
  • There were many studies that distribute the partial edentulous states and examine the removable partial denture designs in the planning of removable partial denture treatment. This study was performed in the point of removable partial denture prescription to evaluate partial edentulism and its removable partial denture designs. The data was collected from the dental laboratory of each three dental colleges in Seoul and from two dental laboratories only for removable partial dentures as a prescription form. A total of 1411 cases with prescription form collected from dental laboratories were distributed for this study, then 788 cases were selected for this study. The case selection was done according to the contents of prescription form. The selected cases were divided into maxillary arch and mandibular and classified in terms of types of major connector and direct retainer, unbroken anterior teeth, Kennedy classification, the number of remaining teeth, and distribution of age and sex. The analyzed results were as follows : 1. The Kennedy classification I showed highest frequency both in maxilla and mandible. 2. The arch distribution of removable partial denture was 50.08% for maxilla and 49.92% for mandible. 3. The highest frequency in the distribution of direct retainer was the RPA clasp design. 4. The frequency of unbroken anterior 6 was 73.36% for maxilla and 82.30% for mandible. 5. The design of broad palatal strap and lingual bar revealed the highest prevalence in the major connector construction. 6. The mean number of remaining teeth per arch was 8.25 for maxilla and 8.37 for mandible. 7. The mean age of the patients supplied with removable partial denture was 52.25 years for men, 51.68 years for women, 52.11 years for maxilla, and 51.76 years for mandible and women showed more prevalence.

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Clinical performance of implant-assisted removable partial dentures using implant surveyed crowns: a systematic review and meta-analysis

  • So-Yeun Kim;Young-Eun Cho;Seoung-Jin Hong;Jung-Bo Huh;Se-Wook Pyo;Yuseung Yi;Soo-Yeon Yoo
    • The Journal of Advanced Prosthodontics
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    • 제16권4호
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    • pp.255-266
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    • 2024
  • PURPOSE. This study aimed to evaluate the clinical performance of implant-assisted removable partial dentures (IARPD) with surveyed crowns, also known as implant-crown-retained removable partial dentures (ICRPDs). MATERIALS AND METHODS. Electronic searches of MEDLINE/PubMed, the Cochrane Central Register of Controlled Trials, the Web of Science, and the Korea Citation Index were performed according to the established search terms for ICRPD. A literature search was conducted for studies published in English or Korean until September 2023, using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. RESULTS. A total of 216 journals were searched, and 31 eligible studies were selected based on the inclusion and exclusion criteria. One systematic review included five case reports of ICRPD. Nine retrospective studies evaluated implant survival/success rate, implant failure cases, marginal bone loss, periodontal status, clinical complications, and patient satisfaction. Twenty-one case reports published in Korea showed good prognoses. CONCLUSION. According to the findings of this systematic review, ICRPD has a reasonable survival/success rate, minimal bone loss, and high patient satisfaction.

엇갈린 교합 및 교합평면 부조화를 가진 부분무치악 환자에서 임플란트를 이용한 가철성 국소의치 증례 (Rehabilitation of a crossed-occlusion patient using implant-assisted removable partial denture with Locator® attachment: A case report)

  • 김동운;최정윤;서재민;이정진
    • 대한치과의사협회지
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    • 제54권7호
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    • pp.513-520
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    • 2016
  • In crossed occlusion, displacement of removable partial denture is likely to occur during function due to different characteristics of abutment and supporting tissue. It increases discomfort to the patient. In addition, adverse effect on the residual ridge and abutment can induce an unfavorable prognosis of the denture. In this case, a small number of implants can be placed in strategic locations. Attachment can be added for additional support and retention of removable partial denture assisted by implants. This article describes the rehabilitation of a crossed occlusion patient using implant-assisted removable partial denture with Locator$^{(R)}$ attachment. After 24 months, the patient was satisfied with the aesthetic and function of the prosthesis that is maintained stable.

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Full mouth rehabilitation of destroyed dentition with rotational path removable partial denture: a case report

  • Kim, Moon-Hyoung;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Advanced Prosthodontics
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    • 제2권2호
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    • pp.46-49
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    • 2010
  • BACKGROUND. Though implant dentistry is very successful and predictable in treatment of patients with destroyed dentition, there are some cases with limitations to implant therapy. In these cases, alternative treatment modality should be considered. CASE DESCRIPTION. A patient with destroyed dentition was rehabilitated with a lateral rotational path removable partial denture. According to the diagnosis, we determined to raise vertical dimension for esthetic and functional restoration. The final restoration was performed after four months of provisional period. CLINICAL IMPLICATION. The edentulous patients with compromised esthetics and functions can be successfully treated with a rotational path removable partial denture through adequate treatment planning and precise laboratory procedure.