• 제목/요약/키워드: Complete arch

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Evaluation of dimension stability according to UV-C ultrasonic cleaning of full arch artificial teeth made with DLP printer for photopolymerization (광중합용 DLP 프린터로 제작한 전악 인공치아의 UV-C 초음파 세척에 따른 체적 안정성 평가)

  • Kim, Dong-Yeon;Lee, Gwang-Young
    • Journal of Technologic Dentistry
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    • v.43 no.3
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    • pp.84-92
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    • 2021
  • Purpose: The purpose of this study was to compare the dimension safety evaluation between a general ultrasonic cleaner and an ultrasonic cleaner equipped with UV-C (ultraviolet-C). Methods: An edentulous model was prepared. A denture base and an occlusal rim were fabricated, and scanning was performed. After scanning, a denture base and full arch artificial teeth were designed. The full arch artificial teeth were printed using a three-dimensional printer (n=10). The residual resin was washed with alcohol and then scanned (reference data). The printed specimens were classified and cleaned using a general ultrasonic cleaner (GU group) and an ultrasonic cleaner equipped with UV-C (UC group). After each washing, a rescan was performed (scan data). Reference data and scan data were superimposed using overlapping software. Data were statistically analyzed using the Mann-Whitney test (α=0.05). Results: In the deviation values of full arch artificial teeth, the GU group showed a high deviation of 18.02 ㎛ and the UC group showed a low deviation of 15.02 ㎛. The two groups demonstrated a statistically significant difference (p<0.05). Conclusion: Full arch artificial teeth prepared using photopolymerized resin were deformed according to the temperature of water generated in the ultrasonic cleaner. It is judged that there is no deformation according to the UV-C ultrasonic cleaner.

Comparing the accuracy of six intraoral scanners on prepared teeth and effect of scanning sequence

  • Diker, Burcu;Tak, Onjen
    • The Journal of Advanced Prosthodontics
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    • v.12 no.5
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    • pp.299-306
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    • 2020
  • PURPOSE. The aim of this study was to evaluate the accuracy of six recently introduced intraoral scanners (IOSs) for single crown preparations isolated from the complete arch, and to determine the effect of scanning sequence on accuracy. MATERIALS AND METHODS. A complete arch with right and left canine preparations for single crowns was used as a study model. The reference dataset was obtained by scanning the complete arch using a highly accurate industrial scanner (ATOS Core 80, GOM GmbH). Six different IOSs (Trios, iTero, Planmeca Emerald, Cerec Omnicam, Primescan, and Virtuo Vivo) were used to scan the model ten times each. The scans performed with each IOS were divided into two groups, based on whether the scanning sequence started from the right or left quadrant (n=5). The accuracy of digital impression was evaluated using three-dimensional analyzing software (Geomagic Studio 12, 3D Systems). The Kruskal Wallis and Mann- Whitney U statistical tests for trueness analysis and the One-way ANOVA test for precision analysis were performed (α=.05). RESULTS. The trueness and precision values were the lowest with the Primescan (25 and 10 ㎛), followed by Trios (40.5 and 11 ㎛), Omnicam (41.5 ㎛ and 18 ㎛), Virtuo Vivo (52 and 37 ㎛), iTero (70 and 12 ㎛) and Emerald (73.5 and 60 ㎛). Regarding trueness, iTero showed more deviation when scanning started from the right (P=.009). CONCLUSION. The accuracy of digital impressions varied depending on the IOS and scanning sequence used. Primescan had the highest accuracy, while Emerald showed the most deviation in accuracy for single crown preparations.

A Study on the Attrition of Maxillary Lateral Incisors in Korea (상악 측절치의 교모에 관한 연구)

  • Lim, Byung-Chul
    • Journal of Technologic Dentistry
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    • v.18 no.1
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    • pp.117-127
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    • 1996
  • This study was aimed to help the construction of esthetic dental prosthesis by investigation of the factors affecting on the atterition position and attrition angle of maxillary lateral incisors. Therefore 197 complete cast of maxillary and mandibualar extracted form the student of K. college were subjected for this study, and result throught the study are as follows. 1. None attrite rate of the maxiilary right lateral incisors was about 16.2% and that of the maxillary left lateral incisors was about 32.4% of examined teeth. 2. Throught mesiodistal attrition area 1) It showed that right lateral incisors was the most frequence in attrition of mesial area of incisal edge, and left lateral incisors was the most frequence in attrition of mesial and mid area of incisal edge. 2) It showed that square type arch was more frequence in attrition of all incisal edge, and ovoid type arch was more frequence in the attrition of mid area of incisal edge, and ovoid type arch was more frequence in the attrition of mid area of incisal edge, and taper type arch was more frequence in the attrition of mesial area of incisal edge than it of average frequence of right lateral incisors, by dental arch type. 3) It showed that square type arch was more frequence in the attrition of all area and mid area of incisal edge, and ovoid type arch was more frequence in the attrition of mid area of incisal edge, and taper type arch was more frequence in the attrition of mesial and distal area of incisal edge than it of average frequence of left lateral incisal, by dental arch type. 4) Sex, vertical overlap, horizontal overlap, incisal guide angle, did not affect significantly to throughout mesiodistal attrition, statistically 3. Throughout labiolingual attrition quantity. 1) It showed that throughout labiolingual attrition quantity was more attrition in order of taper type arch < ovoid type arch < square type arch, by dental arch type. 2) It showed that throughout labiolingual attrition qauntity was more attrition when the length of horizontal overlap is shorter than it of other, by horizontal overlap. 3) Throughout labiolingual attrition quantity of right lateral incisors showed that male was more attrition than it of female. 4) Vertical overlap, incisal guide angle, sex on left lateral incisors did not affect significantly to throughout labiolingual attrition, statistically. 4. Attrition angle 1) It showed that average attrition anlge of right lateral incisors were $30{\pm}13.02$ degree, and it of left lateral incisors were $26{\pm}13.37$ degree. 2) It showed that taper type arch have a bigger attrition angle than it of average of lateral incisors, and square tape arch have a smaller attrition angle than it of average of lateral incisors, by dental arch type. 3) It showed that horizontal overlap of 2.1mm above have a bigger attrition angle than it of average, by horizontal overlap. 4) It showed that female have a bigger attrition angle it of male, by sex.

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A comparative study of impression methods using stock tray and intraoral scanner in a completely edentulous patient with an atypical arch shape: a case report (비정형적인 악궁을 가진 완전 무치악 환자에서 기성 트레이와 구강 스캐너를 이용한 인상 채득 방법의 비교 연구: 증례 보고)

  • Jae-Hoon Park;Ji-Hyun Kim;Jae-Min Seo;Jung-Jin Lee;Yeon-Hee Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.344-355
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    • 2023
  • In complete denture fabrication, accurate preliminary impressions are crucial for obtaining an accurate final impression. However, it can be challenging in cases of atypical arch shapes. This case report compares diagnostic casts made with a stock tray and an intraoral scanner (IOS) in a patient with an atypical arch shape. A 58-year-old edentulous male patient with long, narrow, atypical arches was referred to the Oral and Maxillofacial Surgery department for complete denture fabrication. Compared to the diagnostic cast obtained using IOS with adequately captured anatomical parameters, the primary model obtained using a stock tray showed prominent overextended flanges on the labial and buccal sides of the maxillary arch and less prominent overextended flanges in the mandibular arch with pressure spots in the posterior palatal seal area. The custom tray fabricated from such a model required additional adjustment resulting in increased chair time during the final impression procedure.

Shape Design Sensitivity Analysis and Optimization of General Plane Arch Structures (일반 평면 아치 구조물의 형상설계민감도 해석 및 최적설계)

  • 최주호
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2000.10a
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    • pp.238-245
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    • 2000
  • A general formulation for shape design sensitivity analysis over a plane arch structure is developed based on a variational formulation of curved beam in linear elasticity. Sensitivity formula is derived using the material derivative concept and adjoint variable method for the stress defined at a local segment. Obtained sensitivity expression, which can be computed by simple algebraic manipulation of the solution variables, is well suited for numerical implementation since it does not involve numerical differentiation. Due to the complete description for the shape and its variation of the arch, the formulation can manage more complex design problems with ease and gives better optimum design than before. Several examples are taken to show the advantage of the method, in which the accuracy of the sensitivity is evaluated. Shape optimization is also conducted with two design problems to illustrate the excellent applicability.

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A CASE REPORT OF THE ARTHROSIS OF THE TEMPOROMANDIBULAR JOINT RESULTED NONTREATED FRACTURES OF THE ZYGOMATIC ARCH AND CORONOID PROCESS (협골궁과 근돌기 골절의 미처치로 초래된 악관절증의 외과적 치험례)

  • Chung, Hoon;Oh, Byung-Sub
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.215-220
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    • 1994
  • In the case of the trauma on the maxillofacial region occurred, we think that one of the most important thing is recovery of the function as well as reconstruction of the anatomical form. Especially, it has been that the structure of the surrounded temporomandibular joint has a great possibility to cause mouth opening limitation when a bit of displacement is caused. Therefore, in the case of the trauma on mid-face we think that we treat it after complete evaluate condition of soft and hard tissue surrounding the articular disc as well as fracture site. We report results of our study, since we obtained good results from our study concerning the refixation of the zygomatic arch, high condylectomy, coronoidectomy and myotomy for the patient being suffered from the arthrosis of the temporomandibular joint caused by insufficient fracture treatment of zygomatic arch and coronoid process.

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Three-dimensional evaluation of alveolar changes induced by nasoalveolar molding in infants with unilateral cleft lip and palate: A case-control study

  • Burgaz, Merve Altay;Cakan, Derya Germec;Yilmaz, R. Burcu Nur
    • The korean journal of orthodontics
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    • v.49 no.5
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    • pp.286-298
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    • 2019
  • Objective: The objectives of this study were to evaluate linear and volumetric alveolar changes induced by nasoalveolar molding (NAM) in infants with complete unilateral cleft lip and palate (UCLP) and compare the maxillary dimensions after NAM with the normal dimensions in infants without clefts. Methods: A total of 26 infants with UCLP treated by NAM (mean age before and after NAM: $14.20{\pm}8.09days$ and $118.16{\pm}10.06days$, respectively) comprised the treatment group, while 26 infants without clefts (mean age: $115.81{\pm}8.71days$) comprised the control group. Changes in the maxillary dimensions following NAM were measured on three-dimensional models using Mimics software, version 17.0. Results: During NAM, there was a decrease in the cleft widths, maxillary arch depths, and rotation of the greater segment. While the anterior alveolar arch width exhibited a significant decrease, the posterior arch width was mostly maintained. There were no changes in the anterior vertical deviations of the alveolar segments. The alveolar crest lengths, arch circumference, and bilateral posterior volumetric measures exhibited an increase. After NAM, the anterior arch width was comparable between the treatment and control groups, whereas the posterior arch width and anterior vertical deviations were greater in the treatment group than in the control group. The maxillary arch depths, alveolar crest lengths, and maxillary volumes were smaller in the NAM group than in the control group. Conclusions: During NAM in infants with UCLP, the cleft width and anteroposterior and transverse alveolar dimensions exhibited a decrease while the vertical dimensions were maintained. Compared with infants without clefts, those with UCLP treated by NAM exhibited sagittal and vertical alveolar growth deficiencies and tissue insufficiency.

Factors influencing the frequency of denture adjustments after delivery of complete denture: a retrospective study (총의치 장착 후 의치 조정 횟수에 영향을 미치는 요인에 관한 후향적 연구)

  • Lee, Seungwon;Yoon, Joon-Ho;Yoo, Jin-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.239-245
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    • 2022
  • Purpose. The purpose of this study was to analyze the frequency and duration of adjustments after delivery of complete denture according to age, sex, arch with complete denture, insurance coverage of a denture, type of antagonist, the experience of wearing denture, the period of edentulism, and the type of denture base. Materials and methods. For 5 years, medical records of patients aged 65 or older who had treated full dentures were assessed for the frequency and duration of follow-up visits after complete denture delivery. Statistical analysis was performed at the 5% level of significance to analyze the correlation between the frequency and duration of follow-up according to sex, insurance coverage, arch with the complete denture, type of denture base, type of antagonist, experience of wearing a denture, age, and healing period. Results. 247 complete dentures were included in this study. The median frequency of follow-up visits was 3, and the median duration of follow-up was 36 days. Lower dentures had significantly higher frequency of follow-up visits than upper dentures (P = .036). According to the type of antagonist, dentures opposing a complete denture had a significantly higher frequency of follow-up visits than dentures opposing a removable partial denture (P = .016). There was no statistically significant difference in the frequency and duration of adjustments after delivery of complete denture by age, sex, insurance coverage, healing period, the experience of wearing a denture, and type of denture base. Conclusion. Within the limitations of the present study, lower complete dentures or dentures opposing a complete denture had an increased frequency of follow-up visits.

Complete denture rehabilitation in the edentulous patient with severe mandibular bone resorption and vascular malformation using closed mouth impression and monoplane occlusion: A case report (심한 하악골 흡수와 혈관기형을 보이는 무치악 환자에서 폐구인상법과 단일평면교합법을 이용한 총의치 수복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.220-227
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    • 2021
  • A patient failed to use conventional complete dentures due to severe mandibular bone resorption and soft tissue hyperplasia on lips, tongue and oral vestibule from vascular malformation. The treatment of choice would be an implant-retained overdenture, however, he refused owing to high cost. The closed mouth impression technique using BPS principle, CR record registration with gothic arch tracing and monoplane occlusion using non-anatomic teeth were used to fabricate complete dentures for this patient. Patient satisfaction, the retention and the stability of complete dentures were highly improved as a result.

A STUDY ON THE THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF THE STRESSES ACCORDING TO THE CURVATURE OF ARCH AND PLACEMENT OF IMPLANTS (악궁의 만곡도 및 임플랜트 위치에 따른 삼차원적 유한요소 응력분석)

  • Lee, Don-Oh;Chung, Chae-Heon;Cho, Kyu-Zong
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.1
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    • pp.98-129
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    • 1995
  • The purpose of this study was to evaluate how mandibular implant-supported fixed complete prosthesis, implant and mandible responded mechanically, according to curvature of arch, number and location of fixture, and amounts of load. The shape of mandibular arch was tapered or square form and, 4 or 6 fixtures were implanted in each arch model. A vertical load of 10kg was applied at the center of prosthesis and a vertical load of 20kg was applied at the location of the 10mm or 20mm cantilever posterior to the most distal implant. Three-dimensional finite element analysis was performed for stress distribution and deflection using commercial software(ABAQUS program) for Sun-SPARC Workstation. The results were as follows : 1. The case square arch form was more stable to compare with that of tapered arch form in respect of stress distribution and displacement under vertical load on the center of prosthesis. 2. 6-implants cases were more stable than 4-implants cases for decreasing bending torque under vertical load on the center of prosthesis. 3. Under vertical load on cantilever extension, the case of 10mm long cantilever was more stable than that of 20mm long cantilever in respect of stress distribution and displacement. 4. Under vertical load on cantilever extension, 6-implants cases had a tendency to reduce displacement and to increase the reaction force of supporting point due to increasing of the bending stiffness of the prosthesis than 4-implant case. 5. When the ends of 10mm or 20mm long cantilever were loaded, the most distal implant was under compressive stress but the second most distal implant was under the highest tensile stress and the remaining implants were under varying tensile stress. 6. Because 6-implants cases had smaller displacement than 4-implants cases, 6-implants cases were more favorable in respect of prevention of screw loosening under repeated loadings.

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