• Title/Summary/Keyword: Dental Bridge

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A COMPARATIVE STUDY OF THE RESISTANCE TO DISLODGEMENT OF FIXED PROSTHESES USING $BIO-PIN^{(R)}$ ($Bio-pin^{(R)}$을 이용한 고정성 보철물의 탈락저항강도의 비교연구)

  • Yi Jong-Won;Cho In-Ho;Lee Jong-Hyuk;Kim Seung-Ki
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.2
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    • pp.176-190
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    • 2005
  • Statement of problem. The current trend in prosthodontics is the adoption of a conservative approach to preparing dental prostheses by minimizing the amount of sound tooth structure removal during preparation. Purpose. The major disadvantage of the adhesion bridge is the inherently poor resistance to dislodgement that its use in areas subjected to high occlusal load is limited. The purpose of this study was to compare the dislodgement resistance of $Bio-pin^{(R)}$, conventional 3-unit and adhesion bridges. Material and methods. The experimental groups were classified as follows : Group I : 3-unit bridge cemented using $Super-Bond^{(R)}$ C&B Group II : Adhesion bridge cemented using $Super-Bond^{(R)}$ C&B Group III : $Bio-pin^{(R)}$ design adhesion bridge without incorporation of $Bio-pin^{(R)}$ (cemented using $Super-Bond^{(R)}$ C&B) Group IV-1 : $Bio-pin^{(R)}$ retained adhesion bridge incorporating a single $Bio-pin^{(R)}$ (cemented using $Super-Bond^{(R)}$ C&B) Group IV-2 : $Bio-pin^{(R)}$ retained adhesion bridge incorporating a single $Bio-pin^{(R)}$ (cemented using $Panavia^{(R)}$ F) Group V : $Bio-pin^{(R)}$ retained adhesion bridge incorporating two $Bio-pins^{(R)}$ (cemented using $Super-Bond^{(R)}$ C&B) Results. The results of this study were as follows : 1. Significant differences in dislodgement resistance of the restorations were found between Group I, Group II and Group III (p<0.05). No significant differences in dislodgement resistance of the restorations were observed between Group I Group IV-1 and Group V. However, there were significant differences in dislodgement resistance between Group II and the other groups (p<0.05). 2. No significant differences in dislodgement resistance of the restorations were observed between GroupIV-1 and GroupIV-2, both of which utilized a single $Bio-pin^{(R)}$. However, significant differences were observed when Group III was compared to either GroupIV-1 or Group V (p<0.05). 3. No significant differences in dislodgement resistance relative to the type of dental cements used were found. Conclusion. From the above results, it is concluded that the dislodgement resistance of $Bio-pin^{(R)}$ bridge restorations utilizing a single $Bio-pin^{(R)}$ is similar to that of a conventional 3-unit bridge. The results also suggest that $Bio-pin^{(R)}$ bridge restorations using a single $Bio-pin^{(R)}$ are a viable alternative to the conventional 3-unit bridge when minimal removal of sound tooth structure and fulfillment of both function and esthetic aspects are considered.

Study on the Casting Ability of Ni-Cr Alloys for Crown and Bridge (관교의치용 Ni-Cr 합금의 주조성에 관한 연구)

  • Lee, In-Kyu;Kim, Yun-Su
    • Journal of Technologic Dentistry
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    • v.10 no.1
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    • pp.47-54
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    • 1988
  • The purpose of this study is to evaluate the castability of Ni-Cr alloys for crown and bridge. New young, Hi-Crown and CB-80 which are widely used in dental laboratory were chosen, casting and increased the temperature of furnace 100$^{\circ}C$ of each 7 grades from 600$^{\circ}C$ to 1200$^{\circ}C$. The results are as follows : 1. CB-80 is the most prominent castability among the three Ni-Cr alloys which are Hi-Crown, New-young and Hi-Cr. 2. The good burning temperatures of casting for CB-8p are 900$^{\circ}C$, 100$^{\circ}C$ and 1100$^{\circ}C$ which are obtained four complate casting body of five former patterns. 3. The most proper burning temperature for three Ni-Cr alloys is 900$^{\circ}C$.

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Prosthetic restorations with cementless screw-retained implant systems: a case report (시멘트리스 나사 유지형 임플란트 시스템을 이용한 보철물 수복 증례)

  • Young-hae Jung;Im-Sun Kim
    • Journal of Technologic Dentistry
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    • v.45 no.4
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    • pp.124-130
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    • 2023
  • This study aims to describe the clinical experience of single and bridge crowns fabricated using a cementless screw-retained implant prosthesis system. In the case of single crown (#37), regular link (HDL) was used, and bridge crowns (#15~#24), (#26~#27), (#17~#14) (#24~#26) were fabricated by selecting regular link and short link considering the vertical height. One abutment was hex shaped to ensure that it could be mounted while preventing insertion and prosthesis rotation. The advantages of cementless implant prosthesis include shorter chair time and periodic care, strong retention with LINK abutment, safety from inflammation, bacterial infection, and complications due to peri-implant cement, and high patient satisfaction. Dentists should double-check the position of the implant fixture and dental technicians should continuously manage the fit of the link and prosthesis with digital equipment to reduce screw loosening and fractures.

A Study on the Status of Management Structure to Dental Laboratory in Chun-Buk (치과기공소(齒科技工所)의 운영구조(運營構造) 실태(實態)에 관(關)한 조사연구(調査硏究))

  • Chung, Kyung-Pung;Kim, Jong-In
    • Journal of Technologic Dentistry
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    • v.13 no.1
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    • pp.79-97
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    • 1991
  • To improve the management of dental laboratory through the research on the actual condition, this study posed questions on 36 dental laboratories. The results are as follows : 1. The establishment of dental laboratory in Chunbuk was increased between in 1980 and 1986. Especially it has been more increased since 1989. According to the proportion of population the number of the dental laboratories in Chunbuk was much more than that of other provinces and took the first place in september 1990. 2. The ratio between the unlicensed dental technician and the licensed was 24.83% and 67.11% each . The former must be replaced by the licensed. And the latter ought to try to improve their culture and technique. 3. Overtime payment must be paid for those who work above eight hours. 4. It takes 5 days at a minimum for the production of dental prosthesis with both stability and esthetics. 5. Every Saturday afternoon, Sunday and national holiday must be free. 6. Bonus must be paid 600% a year at a minimum. The system of retirement allowance should be active. All dental technicians ought to be affliated with their labor union and medica insurance. 7. Such dental restoration as porcelain and crown and bridge prosthesis must by increased to a degree between 30% and 50% at a minimum and the reduction system of charge for a dental technique has to be abolished. 8. The general working conditions of dental laboratory, especially pay and working hour must be improved. 9. To advance the service improvement of dental treatment and the banishment of illegal one, the medical insurance of crown and bridge prosthesis must be generally practised. 10. Ill case of the staff cull:lloyulent of dental laboratory, minimem wage system must be observed. 11. Directing dentist system on the ertablisment of dental laboratory must be abelished or wholly improved.

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Fiber Reinforced Inlay Adhesion Bridge

  • Cho, Lee-Ra;Yi, Yang-Jin;Song, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.366-374
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    • 2000
  • FRC/ceromer system provides the clinician with a durable, flexible, and esthetic alternative to conventional porcelain fused to metal crowns. FRC is the matrix which is silica-coated and embedded in a resin matrix. The ceromer material which is a second generation indirect composite resin contains silanized, microhybrid inorganic fillers embedded in a light-curing organic matrix. FRC/ceromer restoration has a several advantages: better shock absorption, less wear of occluding teeth, translucency, color stability, bonding ability to dental hard tissues, and resiliency. It has versatility of use including inlay, onlay, single crown, and esthetic veneers. With adhesive technique, it can be used for single tooth replacement in forms of inlay adhesion bridge. In single tooth missing case, conventional PFM bridge has been used for esthetic restoration. However, this restoration has several disadvantages such as high cost, potential framework distortion during fabrication, and difficulty in repairing fractures. Inlay adhesion bridge with FRC/ceromer would be a good alternative treatment plan. This article describes a cases restored with Targis/Vectris inlay adhesion bridge. Tooth preparation guide, fabrication procedure, and cementation procedure of this system will be dealt. The strength/weakness of this restoration will be mentioned, also. If it has been used appropriately in carefully selected case, it can satisfy not only dentist's demand of sparing dental hard tissue but also patient's desire of seeking a esthetic restorations with a natural appearance.

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A retrospective comparison of clinical outcomes of implant restorations for posterior edentulous area: 3-unit bridge supported by 2 implants vs 3 splinted implant-supported crowns

  • Yi, Yuseung;Heo, Seong-Joo;Koak, Jai-Young;Kim, Seong-Kyun
    • The Journal of Advanced Prosthodontics
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    • v.14 no.4
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    • pp.223-235
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    • 2022
  • PURPOSE. To compare the clinical outcomes of two types of implant restoration for posterior edentulous area, 3-unit bridge supported by 2 implants and 3 implant-supported splinted crowns. MATERIALS AND METHODS. The data included 127 implant-supported fixed restorations in 85 patients: 37 restorations of 3-unit bridge supported by 2 implants (2-IB), 37 restorations of 3 implant-supported splinted crowns (3-IC), and 53 single restorations (S) as controls. Peri-implantitis and mechanical complications that occurred for 14 years were analyzed by multivariable Cox regression model. Kaplan-Meier curves and the multivariable Cox regression model were used to analyze the success and survival of implants. RESULTS. Peri-implantitis occurred in 28.4% of 2-IB group, 37.8% of 3-IC group, and 28.3% of S control group with no significant difference. According to the implant position, middle implants (P2) of the 3-IC group had the highest risk of peri-implantitis. The 3-IC group showed a lower mechanical complication rate (7.2%) than the 2-IB (16.2%) and S control group (20.8%). The cumulative success rate was 52.8% in S (control) group, 62.2% in 2-IB group, and 60.4% in 3-IC group. The cumulative survival rate was 98.1% in S (control) group, 98.6% in 2-IB group, and 95.5% in 3-IC group. There was no significant difference in the success and survival rate according to the restoration type. CONCLUSION. The restoration type was not associated with the success and survival of implants. The risk of mechanical complications was reduced in 3 implant-supported splinted crowns. However, the middle implants of the 3 implant-supported splinted crowns had a higher risk of peri-implantitis.

Post and core build-ups in crown and bridge abutments: Bio-mechanical advantages and disadvantages

  • Mamoun, John
    • The Journal of Advanced Prosthodontics
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    • v.9 no.3
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    • pp.232-237
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    • 2017
  • Dentists often place post and core buildups on endodontically treated abutments for crown and bridge restorations. This article analyzes the bio-mechanical purposes, advantages and disadvantages of placing a core or a post and core in an endodontically treated tooth and reviews literature on post and core biomechanics. The author assesses the scientific rationale of the claim that the main purpose of a post is to retain a core, or the claim that posts weaken teeth. More likely, the main function of a post is to help prevent the abutment, on which a crown is cemented, from fracturing such that the abutment separates from the tooth root, at a fracture plane that is located approximately and theoretically at the level of the crown (or ferrule) margin. A post essentially improves the ferrule effect that is provided by the partial fixed denture prosthesis. This paper also explores the difference between bio-mechanical failures of crowns caused by lack of retention or excess taper, versus failures due to a sub-optimal ferrule effect in crown and bridge prostheses.

A Clinical Study on the Distribution and The Bond Failure of Etched(Maryland) Bridge: A Preliminary Report of 135 Cases (Maryland Bridge의 적용분포 및 결합실패에 관한 임상적 연구(I))

  • Yang, Jae-Ho
    • The Journal of the Korean dental association
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    • v.25 no.6 s.217
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    • pp.578-587
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    • 1987
  • The purpose of this was to examine the distribution and the bond failure of the acidetched ceramometal retainer (Maryland Bridge). 126 subjects who treated by faculty and residents of Department of Prosthodontics, Seoul National University Hospital from Dec. 1982 to Dec. 1986 were selected for this study. From the foregoing study author obtained the following conclusions. 1. A total of 135 restorations were placed in the mouths of patients ranging in age from 11 to 70 years (Man 62, woman 64) 2. Most restorations were applied to replace anterior teeth. 3. It was found that of the total number of bridges constructed 59.3 percent were the three-unit type. 4. Replacing one tooth missing was the most frequent cases(74.1 percent). 5. Of the total number of cases, 10.4percent showed bond failure. 6. The bond failure, author suggest, be due to one or more of mis-fit of framework, occlusion, material in itself, faulty case selection and lack of technique.

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