• Title/Summary/Keyword: 첨상재

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Clinical considerations for complete denture relining (의치상 첨상재의 종류와 임상적 고려사항)

  • Young-Eun Cho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.2
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    • pp.39-45
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    • 2024
  • The residual alveolar ridge below the denture base undergoes physiologic changes over time, which results in the existing dentures becoming less accurate with the residual alveolar ridge. In addition, changes of the occlusal plane, decreasing in vertical dimension and loss of denture retention and facial support can occur. Consequently, denture relining may be required to accommodate these changes and ensure an ongoing close fit. Relining a denture can be performed directly on the chairside using autopolymerizing relining materials or indirectly in the laboratory using heat-cured relining materials. A direct relining method is not only simple but also time and cost effective. However, irritation or burning sensation of the mucosa can occur, and poor bonding of the relining material to the denture base can be cited as disadvantages. The indirect relining method exhibits relatively high bonding strength between the relining material and the denture base, but the patient might experience discomfort during relining process period. This report will examine the characteristics of relining materials, including those used in the relining of CAD-CAM dentures, and explore the clinical considerations for relining procedures.

Tensile bond strength of chairside reline resin to denture bases fabricated by subtractive and additive manufacturing (적층가공과 절삭가공으로 제작한 의치상과 직접 첨상용 레진 간의 인장결합강도 비교)

  • Kim, Hyo-Seong;Jung, Ji-Hye;Bae, Ji-Myung;Kim, Jeong-Mi;Kim, Yu-Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.177-184
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    • 2020
  • Purpose: The purpose of this study was to compare and evaluate the tensile bond strength of chairside reline resin to denture base resin fabricated by different methods (subtractive manufacturing, additive manufacturing, and conventional heat-curing). Materials and methods: Denture base specimens were fabricated as cuboid specimens with a width of 25 mm × length 25 mm × height 3 mm by subtractive manufacturing (VITA VIONIC BASE), additive manufacturing (NextDent Base) and conventional heat-curing (Lucitone 199). After storing the specimens in distilled water at 37℃ for 30 days and drying them, they were relined with polyethyl methacrylate (PEMA) chairside reline resin (REBASE II Normal). The subtractive and additive manufacturing groups were set as the experimental group, and the heat-curing group was set as the control group. Ten specimens were prepared for each group. After storing all bound specimens in distilled water at 37℃ for 24 hours, the tensile bond strength between denture bases and chairside reline resin was measured by a universal testing machine at a crosshead speed of 10 mm/min. The fracture pattern of each specimen was analyzed and classified into adhesive failure, cohesive failure, and mixed failure. Tensile bond strength, according to the fabrication method, was analyzed by 1-way ANOVA and Bonferroni's method (α=.05). Results: Mean tensile bond strength of the heat-curing group (2.45 ± 0.39 MPa) and subtractive manufacturing group (2.33 ± 0.39 MPa) had no significant difference (P>.999). The additive manufacturing group showed significantly lower tensile bond strength (1.23 ± 0.36 MPa) compared to the other groups (P<.001). Most specimens of heat-curing and subtractive manufacturing groups had mixed failure, but mixed failure and adhesive failure showed the same frequency in additive manufacturing group. Conclusion: The mean tensile bond strength of the subtractive manufacturing group was not significantly different from the heat-curing group. The additive manufacturing group showed significantly lower mean tensile bond strength than the other two groups.

Clinical Application of Dynamic Impression Method Using Coe-Comfort$^{(R)}$ in Edentulous Patients (무치악 환자에서 Coe-comfort$^{(R)}$를 이용한 동적 인상 채득의 임상적 활용)

  • Keum, Eun-Cheol;Song, Young-Gyun;Lim, Jong-Hwa;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.1
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    • pp.117-123
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    • 2011
  • Impression taking procedure is very important for support, retention and stability of denture, and it affects the success of denture in completely edentulous patients. Various materials and methods have been used for impression taking in complete denture, while dynamic impression method is more physiological and functional method than the others. We had satisfying results with fabrication and relining of dentures after taking impression in the most physiological condition with recovery of deformed soft tissue by dynamic impression method using Coe-comfort$^{(R)}$ (GC America, IL, USA), tissue conditioner, in edentulous patients in this case report.

Nonthermal plasma on the shear bond strength of relining resin to thermoplastic denture base resin (열가소성 의치상 레진과 첨상용 레진의 접착 강도에 저온플라즈마가 미치는 효과)

  • Manaloto-Ceballos, Liezl;Labriaga, Wilmart;Song, So-Yeon;Park, Jin-Hong;Lee, Jeong-Yol;Shin, Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.199-205
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    • 2018
  • Purpose: This study evaluated the effect of nonthermal plasma treatment on the bond strength of autopolymerizing relining resin to the injection molded thermoplastic denture base resins (TDBRs) with different surface treatments. Materials and methods: Acrylic Resin (Acrytone), Polyester (Estheshot-Bright), Polyamide (Valplast) and Polypropylene (Weldenz) were subjected to various surface treatments: No treatment, Nonthermal plasma, Sandblasting, Sandblasting and nonthermal plasma. Specimens were bonded using an autopolymerizing relining resin. Shear bond strength was tested using universal testing machine with crosshead speed of 1 mm/min. Statistical analysis by two-way analysis of variance with Tukey's test post hoc was used. Results: Acrytone showed significantly higher shear bond strength value among other TDBR group while Weldenz had the lowest. The sandblasting and nonthermal plasma condition had significantly higher shear bond strength value in all of the resin groups (P < .05). Conclusion: The use of nonthermal plasma treatment showed limited effect on the shear bond strength between TDBRs and relining resin, and combination of nonthermal plasma and sandblasting improved the shear bond strength between TDBR and reline material.