• Title/Summary/Keyword: Complete edentulous

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Analysis of deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a DLP printer (DLP 프린터로 출력한 임시의치용 전악 인공치아의 후경화에 따른 변형 분석)

  • Kim, Dong-Yeon;Lee, Gwang-Young
    • Journal of Technologic Dentistry
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    • v.43 no.2
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    • pp.48-55
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    • 2021
  • Purpose: This study aimed to analyze deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a digital light processing (DLP) printer. Methods: An edentulous model was prepared and an occlusal rim was produced. The edentulous model and occlusal rim were scanned using a model scanner. A complete denture was designed using a dental computer-aided design, and the denture base and artificial tooth were separated. Ten complete arch artificial teeth were printed using a 3D printer (DLP). Complete arch artificial teeth was classified into the following three groups: a group no post-curing (NC), a group with 10 minutes post-curing (10M), and a group with 20 minutes post-curing (20M). Specimens were scanned using a model scanner. The scanned data were overlapped with the reference data. Statistical analysis was performed using one-way ANOVA analysis of variance, Kruskal-Wallis test, and Mann-Whitney U test (α=0.05). Results: Regarding the overall deviation of complete arch artificial teeth, the NC group showed the lowest mean deviation of 111.13 ㎛ and the 20M group showed the highest mean deviation of 131.03 ㎛. There were statistically significant differences among the three groups (p<0.05). Conclusion: The complete arch artificial tooth showed deformation due to post-curing. In addition, the largest shrinkage deformation was observed at 10 minutes of post-curing, whereas the least deformation was observed at 20 minutes.

NOVEL TREATMENT MODALITY OF IMPLANT-RETAINED OVERDENTURE FOR IMMEDIATE FUNCTION IN COMPLETELY EDENTULOUS PATIENTS (무치악 환자에서 하악 임플랜트 지지 피개의치에 의한 즉시 하중 부담에 관한 연구)

  • Kim, Jang-Wook;Kim, Hyeong-Seob;Baik, Jin;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.1
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    • pp.34-47
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    • 2007
  • Statement of problem: Conventional mandibular complete denture lacks in support and stability for edentulous patients to use. Purpose: To enhance support and stability of mandibular complete denture, 2 implants were inserted on the inter-mental foramina space of edentulous patients. With 2 magnetic attachments on the inner side of the overdenture, we gave immediate loads and evaluated the stability of the implants, the responses of the supporting tissues, and the satisfaction of the patients. Material & methods: 6 edentulous patients (5 male, 1 female) each recieved 2 SLA implants in the inter-mental foramina region and implants were immediately loaded with overdenture with magnet attachments. To evaluate the implants stability and the peri-implant tissues, clinical exams, RFA tests and radiographic exams were preformed at the 1 week, 2wks, 6wks, 12wks, and 24wks. post- surgery. Results: The mean surgery time was $45.7{\pm}7.7mins$., while the denture delivery time was $45.5{\pm}12.6mins$. Only 2 of 14 implants were failed. Survived implants that remained were clincally and radiographically stable. Mean ISQ values were relatively stable, showing $69.71{\pm}5.55$, $69.00{\pm}9.48$, $67.92{\pm}7.86$, $67.92{\pm}9.58$, $70.08{\pm}7.61$, $71.92{\pm}6.43$ at the 1 wk, 2 wks, 6 wks, 12 wks, 24 wks. follow up check. Crestal bone changes were $-1.18mm{\pm}0.68mm$, $-1.35{\pm}0.69mm$, $-1.47{\pm}0.68mm$ at the 6wks, 12wks, 24wks. follow up check. Bleeding on probing(BOP index) was not significant. Conclusion: Mandibular ovedentures with 2 magnetic attachments over two interforaminal implants on edentulous patients for immediate function is a recommendable novel treatment for edentulous patients which shows stability on the implants and supporting tissue.

Implant-retained overdenture with CM LOC® Pekkton® in maxillary edentulous patient (상악 완전 무치악 환자에서 CM LOC® Pekkton® attachment를 이용한 임플란트 유지 피개의치 수복 증례)

  • Hong, Mun Gi;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.321-328
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    • 2017
  • Treatment options for edentulous patients are complete denture and implant prosthesis. A two implant-retained overdenture can be considered the first treatment in the edentulous mandible, but there is no clear consensus of treatment for edentulous maxilla. Implant-retention/support overdenture shows better retention and stability than complete denture and is less expensive and more esthetic than implant-supported fixed prosthesis. CM $LOC^{(R)}$ $Pekkton^{(R)}$ attachment is a solitary type attachment and evaluated to have excellent abrasion resistance and retention with a female part made of poly-ether-ketone-ketone. Meanwhile, SR Ivocap system is injection molding method and discussed to show few changes in the vertical dimension of denture and have excellent fracture resistance. In this case, we restored maxillary arch with a four implant-retained overdenture using CM $LOC^{(R)}$ $Pekkton^{(R)}$ and SR Ivocap system, and mandibular arch with a removable partial denture. Through this procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

Functional impression technique using temporary denture for rehabilitation of severely atrophic maxillary and mandibular ridges (심한 치조제 흡수를 보이는 무치악 환자에서 임시 의치를 사용한 기능 인상에 의한 총의치 수복 증례)

  • Suh, Young-Kyo;Bae, Jung-Yoon;Kim, Hyun-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.238-244
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    • 2019
  • Soft liner is used to functional impression technique when dental stone is immediately poured after taking impression because of viscoelasticity. In this case, a 78-year-old male visited for new dentures. Due to severe resorption of mandibular edentulous ridge, functional impression taking by closed mouth technique was planned. First of all, making maxillary and mandibular provisional dentures was done, and lined by soft liner to rehabilitate pressured maxillary and mandibular edentulous ridge. After this, Functional impression was taken by closed mouth technique using provisional dentures which are transformed to healed maxillary and mandibular edentulous ridge, and final denture were fabricated using maxillary provisional denture as a reference of artificial teeth arrangement. Consequently, restoring a complete edentulous patient with taking functional impression using provisional dentures resulted in recovering satisfying retention and function.

Management of flabby ridges using liquid supported denture: a case report

  • Keni, Nandita Nitin;Aras, Meena Ajay;Chitre, Vidya
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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    • pp.43-46
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    • 2011
  • Flabby ridges commonly occur in edentulous patients. Inadequate retention and stability of a complete denture are the often encountered problems in these patients. A liquid supported denture due to its flexible tissue surface allows better distribution of stress and hence provides an alternate treatment modality in such cases. This case report presents the use of a liquid supported denture in a patient with completely edentulous maxillary arch with flabby tissue in anterior region opposing a partially edentulous mandibular arch.

Occlusal consideration of edentulous patients (무치악 환자의 교합적 고려사항)

  • Paek, Janghyun
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.513-520
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    • 2020
  • Occasionally, complete dentures constructed in accord with the best clinical and laboratory procedures fail to serve successfully. These failures probably result from present ignorance of the occlusion and functions of living tissues. Nonetheless, in each case, the whole treatment procedure, both clinical and laboratory, must be reexamined in order to ascertain the point of failure. One can employ a technique more intelligently, and often improve on it, if the reasons for its use are known. When one is guided only by a recipe, the outcome will be doubtful whenever conditions are not the same as in the recipe. In this manuscript, occlusal consideration of edentulous patients will be discussed thoroughly.

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Rehabilitation of a patient with atrophic ridges using gothic arch tracing and nonpressure impression: a case report (심하게 흡수된 치조제를 가진 환자에서 고딕 아치 기록과 무압 인상을 이용한 총의치 수복: 증례보고)

  • Lee, Shin-Yeop;Yu, Jung-Hyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.232-238
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    • 2018
  • Flabby ridges adversely affect the stability of complete dentures. For the management it is suggested that soft tissues reconditioned before making definitive dentures, and modified impression techniques used for the flabby ridges. Also, correct record of centric relation is important in complete dentures. This case of 67-year-old edentulous female patient had atrophied ridges on the mandible and the flabby ridge on the maxilla. Treatment dentures were fabricated using gothic arch tracing method and tissue conditioner. Definitive dentures were made using window opening impression technique, the gothic arch tracing method, and lingualized occlusion. The patient was satisfied with the function and esthetic quality of the new prostheses.

Accuracy evaluation of resin complete denture made with glass fiber mesh reinforcement before and after curing (유리섬유 보강재로 제작한 레진의치의 온성 전·후에 따른 정확성 평가)

  • Kim, Dong-Yeon;Jung, Il-Do;Park, Jin-Young;Kang, Seen-Young;Kim, Ji-hwan;Kim, Woong-Chul
    • Journal of Technologic Dentistry
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    • v.39 no.1
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    • pp.25-33
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    • 2017
  • Purpose: The aim of this study was to evaluate accuracy of glass fiber mesh complete denture of before and after curing. Methods: Edentulous model was selected as the master model. Ten study models were made by Type IV stone. Wax complete dentures were produced by the denture base and artificial teeth. CD and GD groups were measured six measurement distance before curing. The wax complete denture was investment after measurement is completed. Using a heat polymerization resin was injected resin. After injecting the resin it was curing. A complete denture was re-measured after curing. The measured data was verified by paired t-test. Results: Overall CD group was larger the value of the measured length. In the CD group, A-D point was larger. The smallest point was the B-D point. However, there was no statistically significant difference only C-D point(p>0.05). In the GD group, A-B point was larger. but B-D point was the smallest. A-D and B-C statistically points showed significant differences(p<0.05). Conclusion: Glass fiber mesh resin complete denture can be clinically applied to the edentulous patient.

Maxillary Resorption under Complete Dentures Opposing Mandibular Implant Supported Fixed Prosthesis: A Literature Review and Case Report (하악 임플란트 고정성 보철에 대합되는 상악 총의치 하방의 골흡수에 대한 고찰 및 증례보고)

  • Kim, Bo-Kuk;Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.426-433
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    • 2013
  • When restoring edentulous patients with lower complete denture, the smaller supportive and retentive area of mandible can lead to poor support and stability, denture dislodgement and pain resulting discomfort. In this situation, implant prosthesis can improve esthetics, stability and occlusal force. Whereas, patients with a upper complete denture can adjust more easier because of palate. Therefore, it is suggested to rehabilitate fully edentulous patients with lower implant-supported, upper complete denture as one of the treatment options. So, we are going to report the case and literature review about how the lower implant prosthesis opposing to upper complete denture affects the bone resorption of maxillary residual ridge.

Evaluation of fitness according to application of glass fiber reinforcement for lower jaw complete denture (하악 총의치 전용의 유리섬유 보강재 적용에 따른 적합도 비교 분석)

  • Kim, Dong-Yeon;Park, Jin-Young;Bae, So-Yeon;Kang, Hoo-Won;Kim, Ji-hwan;Kim, Woong-Chul
    • Journal of Technologic Dentistry
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    • v.40 no.4
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    • pp.201-207
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    • 2018
  • Purpose: The purpose of this study is to evaluate the fitness of lower jaw compete denture with glass fiber. Methods: Lower jaw edentulous model was selected as the master model. Ten study models were produced using Type IV stone(n=10). Lower jaw trial dentures were produced by the wax denture base and artificial teeth. Conventional complete denture (CD) group was fabricated by excluding glass fiber reinforcement (n=5). Glass fiber complete denture (GD) group was fabricated with glass fiber reinforcement (n=5). The lower jaw trial complete denture was invested using a plaster. PMMA resin was injected and curing was performed. The CD and GD groups measured the fit using silicone replica technology. The measured data was verified by t-test. Results: The anterior area of the CD group showed the smallest value. There was a statistically significant difference in the anterior area of the CD group and the GD group (p<0.05), but there was no statistically significant difference in the posterior area (p>0.05). Conclusion : Complete denture with glass fiber showed low fitness and further study is needed to apply it clinically.