• Title/Summary/Keyword: Dental Impression

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Conventional and digital impressions for complete-arch implant-supported fixed prostheses: time, implant quantity effect and patient satisfaction

  • Pereira, Ana Larisse Carneiro;Medeiros, Vitoria Ramos;Campos, Maria de Fatima Trindade Pinto;Medeiros, Annie Karoline Bezerra de;Yilmaz, Burak;Carreiro, Adriana da Fonte Porto
    • The Journal of Advanced Prosthodontics
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    • v.14 no.4
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    • pp.212-222
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    • 2022
  • PURPOSE. To evaluate and compare the effect of impression type (conventional vs digital) and the number of implants on the time from the impressions to the generation of working casts of mandibular implant-supported fixed completearch frameworks, as well as on patient satisfaction. MATERIALS AND METHODS. 17 participants, 3 or 4 implants, received 2 types of digital impression methods (DI) and conventional (CI). In DI, two techniques were performed: scanning with the scan bodies (SC) and scanning with a device attached to the scan bodies (SD) (BR 10 2019 026265 6). In CI, the making of a solid index (SI) and open-tray impression (OT) were used. The outcomes were used to evaluate the time and the participant satisfaction with conventional and digital impressions. The time was evaluated through the timing of the time obtained in the workflow in the conventional and digital impression. The effect of the number of implants on time was also assessed. Satisfaction was assessed through a questionnaire based on seven. The Wilcoxon test used to identify the statistical difference between the groups in terms of time. The Mann-Whitney test was used to analyze the relationship between the time and the number of implants. Fisher's test was used to assess the patient satisfaction (P<.05). RESULTS. The time with DI was shorter than with CI (DI, $\tilde{x}=02:58$; CI, $\tilde{x}=31:48$) (P<.0001). The arches rehabilitated with 3 implants required shorter digital impression time (3: $\tilde{x}=05:36$; 4: $\tilde{x}=09:16$) (P<.0001). Regarding satisfaction, the DI was more comfortable and pain-free than the CI (P<.005). CONCLUSION. Digital impressions required shorter chair time and had higher patient acceptance than conventional impressions.

A pilot study on remake of dental prosthesis of dental laboratory working (치과보철물의 재제작 실태에 관한 예비조사)

  • Nam, Shin-Eun
    • Journal of Technologic Dentistry
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    • v.40 no.3
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    • pp.173-180
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    • 2018
  • Purpose: The purpose of this study was to verify the remake rate and cause of dental prosthesis and to investigate major factors of remake of dental prosthesis. Methods: This study carried out self-administered questionnaire survey from 126 nationwide dental laboratory CEO and directors, which was conducted from September to October in 2016. Results: Total remake rate of dental prosthesis was 10.1% at the nationwide dental laboratories. It was in order of remake rate of dental prosthesis 11.8% for CAD/CAM, 11.5% for porcelain and 11.0% for implant prosthesis. Error of clinical impression was the highest remake cause(63.7%). Nevertheless, dental laboratory take the responsibility of expense for remake of dental prosthesis, regardless of remake cause(67.4%). There was no relation between dental laboratory characteristics and the remake rate of dental prosthesis(p>.05). Conclusion : The remake rate of dental prostheses should be reduced to minimize the economic loss of dental laboratories and raise dental prosthesis satisfaction. It is required to communicate of dentist, dental technicians, and patients, moreover, undistorted information about oral environment should be provided to the dental technicians.

Correlation between personal temperament, dental visit, and dental fear among adults (일부 성인의 개인적 기질 및 치과 방문경험과 치과공포와의 상관성)

  • Kim, Chul-Sin;Choi, Yong-Keum
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.6
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    • pp.1057-1066
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    • 2016
  • Objectives: The purpose of the study was to investigate the correlation between personal temperament, dental visit, and dental fear among adults. Methods: A self-reported questionnaire was completed by 400 adults visiting dental clinics from April to June, 2016. The questionnaire consisted of general characteristics of the subjects, dental fear, and temperament. Data were analyzed by t test, chi-square test, chi-square test, and pearson's correlation analysis using SPSS v. 23.0. Results: The first impression of dental clinics had an impact on dental fear (p<0.001). The negative image on the dental clinics increased dental fear of the visitors. There was a significant difference between the purpose of dental visit and dentla fear. Conclusions: The positive image of the dental clinics can solve the dental fear due to treatment in the adults. The dental consumers should try to have the comfortable attitude toward dental clinic in case of visit.

Prosthodontic Treatment of Persons with Disabilities Under Dental Sedation and General Anesthesia (치과진정법과 전신마취를 이용한 장애환자의 보철치료)

  • Kim, Yun-Hee;Lee, Jin-Han
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.3
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    • pp.183-191
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    • 2012
  • In most persons with disabilities had poor oral hygiene because of less attention and ability to perform a dental care. So the increased prevalence and severity of dental disease were common oral state. Although most persons with disabilities need a adequate dental treatment, it is often very difficult to treat because of noncooperativity and involuntary muscle movements. Dental treatments under sedation and general anesthesia were make to provide a high-quality dental service because of decreased anxiety and fear associated dental treatment in persons with disabilities. The dental professionals must be able to select and apply the proper sedation methods in agreement with the characteristics of the disabilities, general conditions, sedation experience and capacity of dentist, type and time of dental treatment, equipments of dental clinic, consent of patient's protector. The proshodontic treatment procedures, such as abutment preparation, dental impression taking process, try-in process of prosthesis and adjustment of occlusion, are difficult even for patients without disabilities. Those procedures are more difficult to patients with disability because it's too hard to control breathing and muscle. In this report, we performed prosthetic dentistry procedures to three patients with disabilities under dental sedation and general anesthesia.

A Study on Remake of Dental Prosthesis According to Dental Laboratory Characteristics (Focusing on Daegu and Gyeong-buk of Dental lab) (치과기공소의 특성에 따른 치과보철물의 재제작에 관한 연구 - 대구.경북 치과기공소 중심으로 -)

  • Kim, Jeong-Sook;Lee, Hee-Sung
    • Journal of Technologic Dentistry
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    • v.33 no.3
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    • pp.227-236
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    • 2011
  • Purpose: The purpose of this study was to reduce the remake rate of dental prosthesis. We examined remake cause and major factor of dental prosthesis to determine methods for raising dental prosthesis satisfaction. Methods: Subjects included dental technicians in the metropolitan areas of the cities of Daegu and Gyeong-buk. Surveys were filled out by consenting dental technicians. Statistical analysis was done using SPSS version 19.0 for Windows. We determined frequencies and percentage, calculating means, and standard deviations, and determining statistical significance using t-tests, analysis of variance. Results: Impression or material transform is high among remake cause and margin is high among remake major factor. Crown class showed differences in General characteristics associated with age, number of employees, and number of connection dental. Porcelain class showed differences in General characteristics associated with age, number of employees, and number of connection dental. Denture class showed differences in General characteristics associated with age, monthly salaray, and career. Implant class showed differences in General characteristics associated with age, education, and career. Conclusion: In order to reduce remake rate of dental prosthesis, communication of dentist, dental technician, and the patient are require and correct information of patient and dental prosthesis are need.

Dental Hygienists' Work Cognition and Demand for Related Legislation (치과위생사 업무인지와 법률화 필요 요구도 조사 연구)

  • Hyeong, Ju-Hee;Jang, Yun-Jung;Ju, On-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.5
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    • pp.693-705
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    • 2018
  • Objectives: This study aimed to identify the importance of the directivity of reflecting on a realistic task when aiming to reorganize a relevant law for dental hygienists through examining dental hygiene students' perceived need for a relevant law on dental hygiene related work. Methods: A survey was conducted targeting dental hygiene students from March 28 to April 30, 2018. The following findings were obtained. The results were summarized as follows. The collected data were analyzed using the SPSS WIN 21.0 statistical program. Results: With reference to the influence of the need for a work-related legislation on dental hygienists' awareness of their legal rights, findings revealed that the latter was higher when there was higher involvement in precision impression procedures, higher involvement in occlusal adjustment in the middle stage, and higher perceived need for legislation on a comprehensive dental hygiene course (all p<0.05). Conclusions: Based on these findings, it is considered necessary to pursue a national solution for modifying the relevant legal system to provide institutional support for dental hygienists' work. Additionally, the worry in the whole dentistry in order to establish dental hygienists' task.

전치부 고정성 보철치료를 위한 인상채득시 주의사항

  • Baek, Seung-Jin
    • The Journal of the Korean dental association
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    • v.39 no.11 s.390
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    • pp.892-897
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    • 2001
  • 인상(impression)은 치과임상에서 매일같이 반복되는 과정이다. 본문에서는 주로 전치부심미보철을 위한 인상채득 방법에 대해서 알아보고자 한다. 모든 종류의 보철물에서 인상 채득은 필수적이르므로 인상 재료의 여러가지 성질과 그 특성에 대해서 잘 알아야 할 필요가 있다. 치은연하 변연의 경우에 정확한 인상 채득을 위해서는 치은압배가 필요한데, 여기에서는 지대치삭제 요령, 치은압배술 및 인상채득시 주의사항에 대해 살펴보기로 한다.

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Digital impression taking for full-arch implant restoration to a patient with microstomia (디지털 인상채득을 이용한 소구증을 가진 환자의 전악 임플란트 수복)

  • Shim, Ji Suk;Ryu, Jae Jun
    • The Journal of the Korean dental association
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    • v.56 no.11
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    • pp.616-621
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    • 2018
  • This clinical case highlights the failure of long length implants, and the prosthodontic procedures necessary to rehabilitate the maxillary dentition of a patient with microstomia. The integrated digital technology of intra-oral scanning, computer-aided design, and three-dimensional printing can provide an alternative method to make conventional impressions for patients with microstomia who cannot insert the appropriate tray in their mouths.

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Accuracy of the healing abutment and impression coping combined system on implant impression (인상채득이 가능한 치유지대주를 이용한 임플란트 인상채득의 정확성)

  • Jeon, Kyoung-Bae;Lee, Du-Hyeong;Kim, Jung-Han;Hwang, Jun-Ho;Park, Hyun-We;Lee, Kyu-Bok
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.105-110
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    • 2015
  • Purpose: The purpose of this study was to evaluate the 3 dimensional accuracy of impression taking on the newly developed healing abutment and impression coping combined system comparing conventional pick-up type impression. Materials and methods: For 10 patients who had a single missing tooth on molar area, dental implants (SuperLine; Dentium, Seoul, Korea) were placed and healing abutment (MyHealing; Raphabio Co., Seoul, Korea) abutments were connected. After 3 months, transfer type impression with MyHealing and pick-up type impression with impression coping were performed twice in the same patients, and master models were fabricated. Customized prosthetic abutments (Myplant; Raphabio Co., Seoul, Korea) were milled and connected to the master casts. Through a dental scanner (Scanner S600; Zirkonzahn, South Tyrol, Italy), the master casts were converted into virtual casts. The length and angulation differences between casts were measured using 3 dimentional analysis program (Geomagic Qualify 12; Geomagic, Morrisville, NC, USA). Statistical significance was calculated using Kruskal Wallis test and Mann-Whitney U test (${\alpha}$=.05). Results: The length differences between the two systems were 0.032 mm in sagittal plane, and 0.029 in coronal plane, and 0.023 mm in horizontal plane. The angulation differences were $0.755^{\circ}$ in sagittal plane, and $1.275^{\circ}$ in coronal plane, and $0.420^{\circ}$ in horizontal plane. Conclusion: The accuracy of newly developed healing abutment system is similar to that of conventional pick-up impression. The new system can reduces chair time by not using separate impression coping.

Deep Sedation for Palate Alginate Impression Procedure in a Post-Fontan Procedure Patient with Mental Retardation (Fontan 수술을 받은 정신지체 소아에서 인상채득을 위해 시행한 깊은 진정)

  • Lee, Jung-Man;Seo, Kwang-Suk;Kim, Hyun-Jeong;Shin, Soon-Young;Shin, Teo-Jeon
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.12 no.1
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    • pp.45-50
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    • 2012
  • The Fontan operation is a heart operation used to treat complex congenital heart defects like tricuspid atresia, hypoplastic left heart syndrome, pulmonary atresia and single ventricle. A single ventricle is dedicated to pumping oxygenated blood to the systemic circulation and the entire systemic venous return reaches the pulmonary arterial system without the direct influence of a pumping chamber. In the patient with Fontan operation, it is important to achieve adequate pulmonary blood flow and cardiac output in anesthetic management. In this case, a 10-year-old boy (19.6 kg, 114 cm) with cleft palate, cerebral palsy and severe mental retardation, who underwent a Fontan operation when he was 4 years old, was presented for deep sedation. Because he was suffering from eating disorder with cleft palate, the orthodontist and the plastic surgeon planned to insert intraoral orthodontic device before cleft palate repair. But it was impossible to open his mouth for alginate impression procedure. After careful pre-anesthesia evaluation we planned to administer deep sedation with propofol infusion. After Intravenous catheter insertion, we started propofol intravenous infusion with the formula of a loading dose of 1.0 mg/kg followed by an infusion rate of 6.0 mg/kg/hr with syringe pump. His blood pressure was remained around 80/40 mmHg after loss of consciousness, but he could not maintain his airway patent. So we lowered the infusion rate to 3.0 mg/kg/hr, immediately. The oxygen saturation was maintained above 95% with nasal oxygen supply, and blood pressure was maintained around 100-80/60-40 mmHg. After the sedation of 110 minutes with propofol (the infusion rate to 3.0-5.0 mg/kg/hr), he fully regained consciousness, and was discharged without complication after 1 hour observation. In case of post-Fontan patient, intravenous deep sedation with propofol was safe and effective method of behavioral management during dental treatment.