• Title/Summary/Keyword: Complete Denture

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Maxillary complete denture rehabilitation in flabby tissue patient considering of function and stability: A clinical report (Flabby tissue 환자에서 기능과 안정을 고려한 편악 총의치 수복 증례)

  • Choi, Youngkyun;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Pae, Ahran;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.422-430
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    • 2021
  • It is very difficult to achieve denture support, stability and retention in single-maxillary complete denture patients with flabby tissue. A 57-year-old male patient was uncomfortable with the existing denture and wanted treatment. The reduction of flabby tissue was confirmed using the treatment denture. Non-pressure impression was obtained using an intraoral scanner during the definitive denture process. This is reported because the resulting denture improved when observing the retention, support and stability of the denture during occlusion.

THE EFFECT OF DENTURE CLEANSERS ON THE BOND STRENGTH AND THE SURFACE HARDNESS OF RELINE RESIN TO DENTURE BASE RESIN (의치 세정제가 의치상 레진과 이장용 레진의 결합강도와 표면경도에 미치는 영향)

  • Kim Kyea-Soon;Jeong Hoe-Yeol;Kim Yu-Lee;Cho Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.4
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    • pp.493-502
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    • 2003
  • Statement of problem : Removable partial denture and complete denture often require denture base relines to improve the fittness against tissue-bearing mucosa because of the gradual change in edentulous ridge contour and resorption of underlyng bony structure. Self-curing hard reline resins offers the immediate and relatively inexpensive means to be recondition the surface of denture base directly However weak bond between denture base resin and reline material can harbor bacteria, promote staining, or result in complete separation of the two materials. Purpose : The purpose of this study was to evaluate the effect of denture cleansers on bond strength and surface hardness of reline resin to denture base resin Denture base resin beams($60.0{\times}15.0{\times}3.0mm$) were made with Lucitone 199. Material and methods : 10mm section was removed from the center of each specimen. The samples were replaced in the molds and the space of l0mm sections were packed with Tokuso Rebase reline material. The specimens were immersed in denture cleansers (Polident, Cleadent) and were evaluated after 1 week, 2 weeks, and 4 weeks. The bond strength and surface hardness of self-curing hard reline materials to heat-curing denture base resin were measured using an UTM (universal testing machine). Results and conclusion : 1) There was no significant difference of usage, kind, and denture cleaner by application time on the bonding strength of self-curing hard reline resin to denture base resin. 2) There was no significant difference of usage, kind, and denture cleaner by application time on the surface hardness, but the surface hardness showed decreasing tendency, as the time of immersion was extended. 3) The failure modes of the specimens was initially adhesive failure and finally cohesive failure of self-curing hard reline resin.

Maxillary complete denture rehabilitation in flabby tissue patient fabricated by no-pressure impression technique with individual tray replicated treatment denture through 3D printing: A case report (3D 프린팅으로 치료 의치를 복제한 개인 트레이를 이용한 무압 인상을 통해 제작한 flabby tissue 환자의 상악 총의치 수복 증례)

  • Hong, Jun-Pyo;Bae, Jung-Yoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.246-253
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    • 2022
  • Flabby tissue is not rare for denture wearers. Mucostatic impression technique is necessary due to compromised retention and stability of denture resulting from distortion of mobile flabby tissue. In this report, individual tray was fabricated by model-scanning and 3D printing treatment denture. And then, mucostatic impression for flabby tissue was obtained by using individual tray modified with window technique. Definitive denture was fabricated based on information of treatment denture including incisal pontic arrangement, jaw relationship and occlusion.

The developmental history of Complete denture and its occlusal principle (임상가를 위한 특집 2 - 총의치 발달의 역사와 교합원리)

  • Lim, Young-Jun;Joo, Young-Hun;Lee, Jin-Han
    • The Journal of the Korean dental association
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    • v.50 no.1
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    • pp.13-21
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    • 2012
  • In an edentulous situation, the dentist must make several determinations when constructing artificial teeth. These include vertical and horizontal relationships of mandible with respect to the maxilla, occlusal form and position, vertical dimension, occlusal relationships during both centric closure and eccentric excursive movements. Artificial teeth are attached to a movable base resting on movable and displaceable living tissue subject to damage. They act as a unit; therefore, they must be arranged to function as a unit. Bilateral balanced occlusion is that stability of the denture is attained when bilateral contacts ex ist throughout all dynamic and static states of the denture during function. Lateral excursion in a balanced scheme implies simultaneous working side and nonworking side contact, while occlusal contacts are maintained on both anterior and posterior teeth as the mandible moves anteriorly into protrusion.

각종 의치상재료가 상악총의치의 유지에 미치는 영향에 관한 실험적 연구

  • Lee, Eun-Ho
    • The Journal of the Korean dental association
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    • v.12 no.9
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    • pp.667-677
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    • 1974
  • A testing machine was devised and constructed for the purpose of measuring the retentive forces of maxillary complete denture bases in subjects. Forth complete denture bases were made for ten subjects with three different denture base materials, following the usual denture construction technique. Retentive forces of the forty dentures were determined at seven locations. The tests on each base were repeated three times at intervals of 5 minutes. Differences in retention values were evaluated statistically. 1) Differences in retention values were found by the differences of the denture base materials, but acrylic resin was similar to chromium cobalt alloy. 2) The chromium cobalt alloy and acrylic resin bases from master models revealed the best retention values, the gold alloy base from master model was the poor second and the acrylic resin base from snap model was the third. 3) The retention values for hook-1 revealed higher than that for hook-2 and the retention values for hook-3 revealed the lowest value.

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Descriptive study on the procedure of dental prostheses at the dental laboratory in Seoul (치과기공소의 보철 기공물 제작 과정에 사용되는 재료 및 방법에 관한 실태조사 연구)

  • Hwang, Kyung-Sook
    • Journal of Technologic Dentistry
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    • v.16 no.1
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    • pp.57-77
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    • 1994
  • The purpose of this study is to investigate the extent to which dental laboratories use proper materials, procedures, devices, and equipments to fabricate crown & bridge, PFM(Porcelain Fused to Metal) crown & bridge, partial denture, complete denture, and other prosteses. 100 laboratories in Seoul were selected for this investigation. Questionnaires were constructed focusing on five topocs:crown & bridge, PFM crown & bridge, partial denture, complete denture, and other prostheses. The results from this survey were as follows : 1. Most dental laboratories used old, inexpensive, and familiar materials rather than newly developed ones. 2. Most of the dental technicians did not stick to the standard procedures of handling materials, but to their own experiences. 3. Newly developed equipments to fabricate dental prostheses were possessed by nearly 30% dental laboratories. 4. About 80% of dental laboratories were using the procedures they had learned in the school : die trimming for accurate crown margin and softening heat treatment after RPD gold casting. But less than 30% of laboratories were shown to follow the boxing procedure to produce master cast and laboratory remounting in the process of complete denture. The findings show that dental laboratory procedures to fabricate dental prostheses are incomplete and inaccurate in some instances. So, further studies are neededs to clarify the causes of some inaccurate procedures, the better and more equipments should be supplied to produce the more accurate dental posthesis, and more efforts at enancing the appropriate use of dental materials and procedures should be made.

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Esthetically improved complete denture by gingival shade alteration: a case report (무치악 환자에서 치은의 색조 개선을 통해 심미성을 향상 시킨 총의치 수복 증례)

  • Yim, Soo-Hyun;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.3
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    • pp.239-245
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    • 2014
  • Complete denture prosthodontics includes replacement of natural teeth and associated maxillary and mandibular structures for full edentulous patients. The final objectives of prosthodontic treatment include esthetic and functional rehabilitation. Because the esthetic demand of senior patients has increased esthetic requirement should not be overlooked in denture treatment. In complete denture treatment, attempts have been made to reproduce tooth wear, arrangement, recession of cervical gingiva, staining, improved gingival shade and so on. This 61 year old female patient came to the Department of Prosthodontics with the chief complaint that dentures made 5 years ago in a local clinic were broken and did not fit well. The patient put more emphasis on fabrication of natural and esthetic dentures than recovery of masticatory function. Remake of maxillary complete denture and mandibular implant retained overdenture was planned. In order to create esthetic and natural contour, Aesthetic Color Set Easy system$^{(R)}$ (Candulor dental GmbH, Wangen, Germany) was used to make complete dentures reproducing various gingival shades. Patient's esthetic satisfaction was high. When complete denture prosthodontics treatment involves appropriate expression of individual characteristics in addition to proper selection of esthetic materials, treatment will give satisfaction to both dentist and patient.

Complete denture made with closed-mouth impression technique on severely atrophied edentulous jaw (하악 치조골이 심하게 위축된 무치악 환자에서 폐구인상법을 이용한 총의치 수복 증례)

  • Lee, Suk-Hwan;Leesungbok, Richard;Lee, Suk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.195-202
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    • 2019
  • At the department of prosthodontics, the elderly patients with severely atrophied alveolar ridge who have been wearing complete dentures for a long period frequently visit the clinic. In general, the open-mouth impression technique for manufacturing a mandibular complete denture to secure primary support on buccal shelf area has been prevalent. In addition, for securing retention and stability of mandibular denture, we should consider diagnosis, oral function, denture border, occlusal plane, teeth arrangement, and patient training, etc.. But in edentulous patients with severe alveolar bone atrophy, it may hardly secure retention and stability of mandibular complete denture. To promote these, some of clinicians are making an attempt manufacturing the mandibular complete dentures using closed-mouth impression technique based on several reports that compare various impression techniques including open-mouth and closed-mouth impression technique. This case report suggests closed-mouth impression technique may promote retention and stability of mandibular complete denture and compares between the two impression techniques clinically.

A STUDY ON MASTICATORY PERFORMANCE AND FUNCTION BY POSTERIOR OCCLUSAL SCHEMES IN COMPLETE DENTURE (총의치의 교합면 형태에 따른 저작 효율 및 기능에 관한 연구)

  • Kwon, Kung-Rock;Choi, Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.2
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    • pp.389-423
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    • 1998
  • This investigation was designed to determine the effectiveness of the posterior occlusal schemes on masticatory activity during mastication in complete denture. Twelve edentulous subjects were selected for this study. All subjects had no past history and no functional abnormality on masticatory system and TMjoint. And, they had residual ridge of favorable morphology, firm mucosa and Class I skeletal jaw relationship, Twelve experimental denture with interchangeable occlusions(0-degree teeth, 30-degree teeth, Levin teeth and S-A teeth) were constructed for this study. The masticatory performance was analyzed by means of standard sieve(10, 16, 20, 30sieve), and the electrical activity from selected muscles(Temporalis and Masseter muscle) was recorded simultaneously with electromyography (Bio-Pak system) as the subject masticated test foods (rice, peanut and gum) with four different occlusal schemes. Mandibular movement was, also, measured with Sirognathography(Bio-Pak system). These recordings were performed in immediately, after 1 week and after 2 weeks of insertion of complete denture. The results were as fellows; 1. The average masticatory performance of 0-degree artificial teeth was higher than any other artificial teeth. 2. Masticatory performance in denture wearer was affected preferentially by food and artificial occlusal schemes. 3. During chewing, there was a statistical difference of EMG activity between masseter and temporal muscle(p<0.01). Especially, EMG activity of working masticatory muscle was highly affected by food rather than by artificial occlusal schemes. 4. In denture wearer, the velocity of opening was not affected by food, whereas, the velocity of closing was faster in soft food chewing than in hard food chewing, and the amount of vertical displacement was grater in chewing of soft and large bolus than in chewing of hard and small bolus. However, the amount of lateral displacement showed conversely(p<0.05). 5. It was considered that masticatory performance in denture wearer is not affected by the condition of residual ridge. the history of denture wear, the preference, the adaptation to artificial teeth and the total mesiodistal length of artificial posterior teeth.

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A STUDY ON MASTICATORY PERFORMANCE AND FUNCTION BY POSTERIOR OCCLUSAL SCHEMES IN COMPLETE DENTURE (총의치의 교합면 형태에 따른 저작 효율 및 기능에 관한 연구)

  • Kwon, Kung-Rock;Park, Nam-Soo;Choi, Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.3
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    • pp.539-573
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    • 1996
  • This investigation was designed to determine the effectiveness of the posterior occlusal schemes on masticatory activity during mastication in complete denture. Twelve edentulous subjects were selected for this study. All subjects had no past history and no functional abnormality on masticatory system and TMjoint. And, they had residual ridge of favorable morphology, firm mucosa and Class I skeletal jaw relationship, Twelve experimental denture with interchangeable occlusions(0-degree teeth, 30-degree teeth, Levin teeth and S-A teeth) were constructed for this study. The masticatory performance was analyzed by means of standard sieve(10, 16, 20, 30sieve), and the electrical activity from selected muscles(Temporalis and Masseter muscle) was recorded simultaneously with electromyography(Bio-Pak system) as the subject masticated test foods (rice, peanut and gum) with four different occlusal schemes. Mandibular movement was, also, measured with Sirognathography(Bio-Pak system). These recordings were performed in immediately, after 1 week and after 2 weeks of insertion of complete denture. The results were as follows; 1. The average masticatory performance of 0-degree artificial teeth was higher than any other artificial teeth. 2. Masticatory performance in denture wearer was affected preferentially by food and artificial occlusal schemes. 3. During chewing, there was a statistical difference of EMG activity between masseter and temporal muscle(p<0.01). Especially, EMG activity of working masticatory muscle was highly affected by food rather than by artificial occlusal schemes. 4. In denture wearer, the velocity of opening was not affected by food, whereas, the velocity of closing was faster in soft food chewing than in hard food chewing, and the amount of vertical displacement was grater in chewing of soft and large bolus than in chewing of hard and small bolus. However, the amount of lateral displacement showed conversely (p<0.05). 5. It was considered that masticatory performance in denture wearer is not affected by the condition of residual ridge, the history of denture wear, the preference, the adaptation to artificial teeth and the total mesiodistal length of artificial posterior teeth.

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