• 제목/요약/키워드: Denture prosthodontics

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

  • 최영균;이영후;홍성진;백장현;노관태;배아란;김형섭;권긍록
    • 대한치과보철학회지
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    • 제59권4호
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    • pp.422-430
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    • 2021
  • Flabby tissue를 가진 환자의 상악 편악 총의치 수복 시 의치의 유지, 지지, 안정을 얻는 것은 어렵다. 본 증례 환자분은 57세 남환으로 기존 의치의 불편감과 치료를 원하시어 내원 하셨다. Flabby tissue 환자의 총의치 수복 시 flabby tissue 부위가 움직임이 없는 상태로 인상채득을 하는 것이 총의치 보철의 안정에 중요한 요소이다. 디지털 기술의 발전으로 구강 내 조직의 스캔이 가능해져 flabby tissue 부위의 완전 무압인상이 가능해졌다. 이를 이용하여 무압인상 채득하고 최종 의치를 진행하였다. 교합 시 의치의 지지, 유지, 안정의 개선된 결과를 얻었기에 이를 보고하는 바이다.

미각 회복을 위한 무구개 의치(Palateless Complete Denture)의 임상증례 (PALATELESS COMPLETE DENTURE FOR RESTORING GOOD TASTES : A CASE REPORT)

  • 송언희;김래경;안현정;변숙;최병갑
    • 대한치과보철학회지
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    • 제37권6호
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    • pp.819-824
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    • 1999
  • The purpose of this article is to present a clinical case report for palateless complete denture. Despite the contravacy of palatal uncoverage in upper complete denture, palateless complete denture has some merits for upper edentulous patient. Following the uncovering of the palatal portion, the patient became easy to talk and restored the lost good tastes. He is happy despite of the decrease of the retention of the upper complete denture. Palateless complete denture is a compatible alternative fir upper edentulous patients in cases of gagging, large palatal torus and restoring the lost good tastes. The clinical points are as follows : 1. The remaning alveolar ridge should be ovoid and have enough width and height for the sup-port and retention. 2. The patient must have strong wish to the palateless complete denture. 3. Palatal beading made on the palatal peripheral border give good border sealing of the palatal flange and minimaized the prominence of the denture flange 4. The peripheral border of the palatal flange should be reduced as thin as possible for more comfort. 5. Upper artificial posterior teeth should be arranged over the alveolar ridge crest and inner incline of the buccal cusp relieved for denture stability while chewing. 6. For stability of palateless complete denture, bilateral balanced occlusion should be sttained. Palateless complete denture will restore the lost good tastes and more comfortable and physiologic to upper edentulous patients and a good alternative to full palatal coverage complete denture in the properly selected cases.

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Power spectrum density analysis for the influence of complete denture on the brain function of edentulous patients - pilot study

  • Perumal, Praveen;Chander, Gopi Naveen;Anitha, Kuttae Viswanathan;Reddy, Jetti Ramesh;Muthukumar, Balasubramanium
    • The Journal of Advanced Prosthodontics
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    • 제8권3호
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    • pp.187-193
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    • 2016
  • PURPOSE. This pilot study was to find the influence of complete denture on the brain activity and cognitive function of edentulous patients measured through Electroencephalogram (EEG) signals. MATERIALS AND METHODS. The study recruited 20 patients aged from 50 to 60 years requiring complete dentures with inclusion and exclusion criteria. The brain function and cognitive function were analyzed with a mental state questionnaire and a 15-minute analysis of power spectral density of EEG alpha waves. The analysis included edentulous phase and post denture insertion adaptive phase, each done before and after chewing. The results obtained were statistically evaluated. RESULTS. Power Spectral Density (PSD) values increased from edentulous phase to post denture insertion adaption phase. The data were grouped as edentulous phase before chewing (EEG p1-0.0064), edentulous phase after chewing (EEG p2-0.0073), post denture insertion adaptive phase before chewing (EEG p3-0.0077), and post denture insertion adaptive phase after chewing (EEG p4-0.0096). The acquired values were statistically analyzed using paired t-test, which showed statistically significant results (P<.05). CONCLUSION. This pilot study showed functional improvement in brain function of edentulous patients with complete dentures rehabilitation.

Immediate fixed partial denture after tooth extraction in patients with systemic diseases: A clinical report

  • Kang, Hyun Sun;Lee, Su Young
    • The Journal of Advanced Prosthodontics
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    • 제8권6호
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    • pp.511-514
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    • 2016
  • For patients with systemic diseases who face difficulties visiting dental clinics, wearing fixed partial denture in the anterior region on the same day of tooth extraction can reduce the total period of treatment and the number of visits, as well as post-treatment psychological effect on the patient.

국소의치 장착시 잔존치아의 치태침착에 관한 연구 (A STUDY ON PLAQUE ACCUMULATION FOLLOWING THE WEARING OF REMOVABLE PARTIAL DENTURE)

  • 주대원;장익태;김광남
    • 대한치과보철학회지
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    • 제26권1호
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    • pp.197-206
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    • 1988
  • The purpose of this study was to investigate the effect of wearing the removable partial denture on plaque accumulation. Twelve removable partial denture cases were examined. Patients were recalled three consecutive 3 day periods. Plaque index was measured after each 3 day period. (1) not wearing the denture, (2) wearing the denture, (3) wearing the denture after intensive tooth brushing instruction. The results were as follows: 1. Plaque indices of all the remaining teeth were higher following the wearing of removable partial denture than those of teeth not wearing the denture and those of teeth after intensive tooth brushing instruction. 2. Plaque indices showed statistical difference between all the tooth surfaces which were in contact with the denture and those which were not. 3. Plaque indices showed no statistical difference between buccal and lingual surfaces which were in contact with the denture and those which were not. 4. Plaque indices showed statistical difference between proximal surfaces which were in contact with the denture and those which were not.

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치조제 흡수가 심한 무치악 환자에서 흡착원리를 이용한 총의치 수복 증례 (Complete denture fabrication of edentulous patient with severe alveolar bone resorption using suction mechanism: A case report)

  • 김현아;윤귀덕;조유진;양홍서;박상원;박찬
    • 대한치과보철학회지
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    • 제58권2호
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    • pp.130-136
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    • 2020
  • 흡착원리를 이용한 총의치 제작은 연하나 저작 등의 운동 시 의치 내면의 음압이 형성되어 의치연 주변의 봉쇄를 이루어 유지와 안정을 향상시키고자 소개된 방식이다. 하악 흡착의치는 특히 변형되기 쉬운 후구치융기를 안정 상태에서 채득하여 개구 시 탈락력을 감소시킨다. 이 증례에서는 하악 치조제 흡수가 심한 무치악 환자에서 흡착원리를 통한 총의치 제작을 통해 의치의 향상된 유지력과 안정 및 환자의 만족도를 얻었다.

Ceramill full denture system을 이용한 무치악 환자의 양악 총의치 제작 (Rehabilitation of fully edentulous patient using Ceramill full denture system (FDS))

  • 이영후;권긍록;배아란;노관태;백장현;홍성진
    • 대한치과보철학회지
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    • 제57권3호
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    • pp.232-237
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    • 2019
  • CAD/CAM 기술은 이미 치과 보철학 영역에서 전반적으로 사용되고 있으며, 1994년 총의치 제작을 위한 CAD/CAM 기술이 처음 소개된 이후 의치 제작과정의 CAD/CAM 적용범위가 증가되고 있는 추세이다. 본 논문에서는 무치악 환자의 양악 총의치 제작을 위한 전통적인 다섯 단계 중 납의치 제작과정에 CAD/CAM기술을 도입하였다. 최종 인상채득하여 악간 관계를 기록한 주모형을 스캔한 후 Amann Girrbach사의 Ceramill full denture system (fds)을 이용해 납의치를 제작하였다. Ceramill fds는 스캔된 상하악 모형에 전용 소프트웨어를 이용해 인공치 배열 및 의치상을 제작하여 이를 밀링하는 방식으로 기존의 기공과정을 디지털로 전환하는 특징을 가진다. 이를 통해 총의치 제작시간의 단축 및 심미적, 기능적으로 만족스러운 의치제작이 가능했기에 본 증례를 보고하고자 하는 바이다.

커피에 의한 의치상 레진의 색 변화에 관한 연구 (THE COLOR CHANCE OF DENTURE BASE RESINS BY COFFEE)

  • 한상훈;동진근;진태호
    • 대한치과보철학회지
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    • 제31권4호
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    • pp.523-531
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    • 1993
  • The purpose of this study was to investigate the color change of denture base resins by coffee. Denture base resins for this study were Triad VLG Denture Base (Dentsply, York Div. U.S.A.), Premium Super-20 (Lang Dental Mfg. Co., Inc., U.S.A.) for denture base, Toughron Rebase (Miki Chemical Prod., Kyoto, Japan), Jet Repair Acrylic (Lang Dental Mfg. Co., Inc., U.S.A.), Triad Reline (Dentsply, fork Div. U.S.A.) and Tokuso Rebase (Tokuyama Soda Co., Ltd., Japan) for denture rebase. Twenty specimens of each denture base resin were made and polished. The color of specimens was measured by colorimeter (Model Tc-6FX, Tokyo Denshoku Co. Japan), and they were stored in coffee for three weeks and then color changes were measured. The obtained results were as follows : 1. The L*, a*, b* and the E*ab values of all denture base resins were changed after three weeks. 2. The amount of color change on L*, a*, b* and the E*ab value of each specimens showed different patterns. 3. The b* values of Triad Reline materials were changed more than the other materials. 4. The E*ab values of Triad Denture Base materials were changed more than the other materials.

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Effect of sociodemographic variables on complete denture satisfaction

  • Singh, Balendra Pratap;Pradhan, Kedar Nath;Tripathi, Arvind;Tua, Reema;Tripathi, Shuchi
    • The Journal of Advanced Prosthodontics
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    • 제4권1호
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    • pp.43-51
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    • 2012
  • PURPOSE. The objective of this study was to evaluate the effect of sociodemographic factors on quality of satisfaction towards denture treatment. MATERIALS AND METHODS. One hundred subjects (filling inclusion criteria) who were wearing a denture for at least two months were enrolled and divided into five groups on the basis of sociodemographic variables (age, gender, literacy level, socio-economic and marital status). Questionnaires consisting of 38 questions (positive and negative attitude towards denture satisfaction) related to patients' perception of clinical outcome in different domains such as mastication, appearance, speech, comfort, health, denture care and social status were scored by the subjects. Questions reflecting positive attitude were scored as 2, 1, or 0 (yes, uncertain and no, respectively) and reversely for the negative questions. Statistical analysis was done by using Statistical Package for Social Sciences (${\alpha}$= .05). RESULTS. Level of denture satisfaction was higher in age subgroup belonging to 45 - 65 years of age in relation to comfort, health and denture care. Female and male showed significant priority for denture treatment because of esthetic and function respectively. Level of satisfaction was statistically significant with literacy level. Upper high income group showed significantly higher level of satisfaction only in case of social status. Married group showed significantly higher satisfaction level only with comfort. CONCLUSION. Patients' sociodemographic variables were influential factors on denture satisfaction.

심한 치조제 흡수를 보이는 무치악 환자에서 Jiro Abe법에 의한 완전틀니 제작 증례 (Complete denture fabricated by Jiro Abe's method for edentulous patient with severe alveolar ridge resorption: a case report)

  • 전대전;양동헌;방몽숙;양홍서;박상원;윤귀덕
    • 대한치과보철학회지
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    • 제52권4호
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    • pp.338-345
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    • 2014
  • Jiro Abe법에 의한 완전틀니 제작 방법은 의치 상연부의 전체 주위를 가동 점막으로 봉쇄하는 것에 의해 연하 또는 교합 시 의치상 내면에서 일시적인 음압을 형성하여 의치의 유지와 안정을 강화할 수 있는 방법으로 소개되고 있다. 본 증례에서는 특히 하악 치조제가 심하게 흡수된 상하악 완전 무치악 환자에게 Jiro Abe법에 의한 인상채득과 의치 제작을 함으로써 임상적으로 의치의 안정성을 향상시키고, 환자의 만족도를 높였기에 이를 보고하는 바이다.