• Title/Summary/Keyword: Denture retention

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Treatment of the cleft lip and palate patient with few remaining posterior teeth using hybrid telescopic crown denture (치주질환에 이환된 소수 잔존치를 가지는 구순구개열 환자에서의 상악 혼성 이중관 의치를 이용한 수복증례)

  • Park, Jin-Wook;Cho, Jin-Hyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.284-290
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    • 2017
  • For individuals with cleft lip and palate, the removable partial dentures (RPDs) have been an important treatment option. Some modifications from conventional prosthetic treatment may be necessary to achieve satisfactory functional and esthetic results in cleft patients. In case of cleft palate patient with periodontally compromised and only posterior few remaining teeth, removable partial prosthesis connected to telescopic crown can be the alternative treatment option. When connected to the RPD, telescopic crowns increase the prosthetic stability and retention, optimize favorable force transmission to the long dental axis, and improve esthetics. And the cross arch stabilization of double crown denture helps to stabilize both divided maxillary ridges in CLP patient. This case present one adult CLP patient using an RPD connected with hybrid telescopic crowns with friction pins to improve not only retention and stability but also aesthetics.

Comparative observations of lingualized occlusion and monoplane occlusion in the treatment of severe atrophy of edentulous mandible (심한 하악 치조골 흡수를 보이는 환자에서 설측 교두 교합과 단일평면 교합을 비교 관찰한 의치 수복 증례)

  • Ahn, Gyo-zin;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.127-136
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    • 2018
  • The patient who has severely absorbed residual ridges, treatments are challenging to satisfy many factors: support, retention, stability, etc. The neutral zone or monoplane occlusion with non-anatomical tooth would be helpful to get additional retention and stability. The monoplane occlusion has been used long time because it can eliminate horizontal forces and many other advantages. The lingualized occlusion was introduced to improve chewing efficiency and esthetics. But from a stability aspect, it seems controversy between monoplane occlusion and lingualized occlusion. This case report shows the results of the treat two flat residual ridge patients using functional impression; piezography, and made 2 other dentures with monoplane and lingualized occlusion that patient can select denture.

Implant overdenture treatment using several solitary attachment systems on mandibular edentulous patients (하악 무치악 환자에서 수종의 어태치먼트를 이용한 임플란트 피개의치 수복 증례)

  • Park, Mid-Eum;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.242-252
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    • 2015
  • Implant overdenture treatment using several solitary attachment systems on mandibular edentulous patients. Most patients with severe residual ridge resorption report significantly more problems adapting to their mandibular denture due to a lack of comfort, retention, stability and to the inability to chew and eat. Recent scientific studies carried out over the past decade have determined that the benefits of a mandibular implant overdenture are sufficient to get retention and stability. Therefore, overdenture with implants on the mandible and attachments are considered as a treatment of choice as a favorable treatment. In this cases, with consideration for jaw relation, level of bone loss, facial support and economic factor, edentulous patients with severe residual ridge resorption are rehabilitated by complete denture on maxilla and two-implants overdenture using several solitary attachment systems on mandible.

Prosthetic rehabilitation using an obturator in a fully edentulous patient who had partial maxillectomy (상악골 부분 절제술을 받은 무치악 환자에서의 구강폐쇄장치 수복)

  • Chung, Yoo-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.4
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    • pp.331-337
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    • 2018
  • Prosthetic rehabilitation of an edentulous patient who has a maxillary defect is difficult to achieve for many clinicians. The maxillary defect causes leakage of air during pronunciation and compromises denture stability, support and retention by reducing denture-bearing area and breaking peripheral seal. In these patients, the sizes and shapes of defects are very important factors which attribute to prognosis of maxillary obturators. This case report shows the prosthetic rehabilitation of the patient who had maxillectomy on the right maxillary sinus because of squamous cell carcinoma. The patient had a stepwise treatment protocol which started with pre-operative dental examination and followed by surgical, interim and definitive obturation phase. In this case, an acceptable level of retention could be obtained due to well-defined static defects and the preserved premaxillae and the patient was satisfied with the result of the treatment in the aspect of function and esthetics.

Three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension removable partial denture (전방 임플란트 써베이드 고정성 보철물과 후방연장 국소의치를 이용한 전악 보철 치료의 3년 경과 관찰 증례)

  • Gil, Ki-Sung;Yi, Hyo-Gyoung;Kim, Kyoung-A;Lee, Jung-Jin;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.218-226
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    • 2018
  • In partial edentulous patients, implant-assisted removable partial denture which provide additional retention and support by placing a small number of implants in strategic positions might be suitable treatment. This case of patient with loss of maxillary posterior teeth and moderate to severe wear of residual dentition, three implants were placed in the maxillary anterior edentulous area and then surveyed bridges were made including remaining anterior natural teeth. Posterior edentulous area was restored with distal extension removable partial denture (RPD). In addition, the worn mandibular natural teeth were restored with fixed prostheses. As a result, reduced vertical dimension and collapsed occlusal plane were rehabilitated, and improved functionally and aesthetically. The purpose of this case was to report the results of three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension RPD.

Restoration of IARPD in partially edentulous patients with bone defects due to osteomyelitis treatment (골수염 치료로 인해 골결함이 있는 부분무치악 환자에서 IARPD 수복)

  • Park, Se-Hyun;Sung, Han-Gyul;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.359-369
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    • 2021
  • Implant prostheses and removable partial dentures are mainly used as treatment methods for partial edentulous patients who have lost a number of teeth. The implant-assisted removable partial denture (IARPD) is strategically selected. The defect in maxillofacial structure due to osteomyelitis, a type of facial bone infection, causes dysfunction such as mastication, swallowing, and pronunciation, as well as social and psychological effects, so a removable restoration is required to restore the supporting tissue. Design of abutment and partial dentures is an essential factor in the success of treatment. In this case, IARPD, which has superior retention and stability compared to traditional removable partial dentures, can have a good prognosis. In a partial edentulous patient with bone defects due to osteomyelitis treatment, the stability of the denture was secured with IARPD restoration. Moreover, maintenance problem that may occur in the future was minimized by providing an appropriate denture design and occlusal scheme through several provisional restorations. This case can be expected to have a favorable prognosis in the long term.

Fabrication of complete denture using 3D printing: a case report (3D 프린팅을 이용한 양악 총의치 제작 증례)

  • Lee, Eunsu;Park, Chan;Yun, Kwidug;Lim, Hyun-Pil;Park, Sangwon
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.202-210
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    • 2022
  • Recently with the advance in digital dentistry, the fabrication of dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) is on the rise. The denture designed through a CAD software can be produced in a 3-dimensional manufacturing process. This process includes a subtractive processing method such as milling and an additive processing method such as 3D printing and in which it can be applied efficiently in more complex structures. In this case, complete dentures were fabricated using Stereolithography (SLA)-based 3D printing to shorten the production time and interval of visits in patient with physical disabilities due to cerebral infarction. For definitive impression, the existing interim denture was digitally replicated and used as an individual tray. The definitive impression obtained with polyvinyl siloxane impression material was including information about the inclination and length of the maxillary anterior teeth, vertical dimension, and centric relation. In addition, facial scan data with interim denture was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a FDA-approved liquid photocurable resin. The denture showed adequate retention, support, and stability, and results were satisfied functionally and aesthetically.

CORROSION PHENOMENA OF MAGNETIC ATTACHMENT USED IN ORAL ENVIRONMENT (구강 환경에서 사용된 자성 Dyna 어태치먼트의 부식현상)

  • Kwak Jong-Ha;Chung Chae-Heon;Choe Han-Cheol
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.5
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    • pp.470-483
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    • 2002
  • The purpose of this study was to investigate further the mechanics of failure of magnets used for denture retention. Dyna magnets were retrived from denture that had failed after 34 months of clinical use. The magnets were observed and sectioned in order to analyse with high resolution scanning electron microscope. From this study, corrosion behaviors of used magnetic attachment were analysed. The results were as follows ; 1. In Nd-Fe-B based magnetic materials, the erosion-corrosion was started at ununiformed part of stainless steel cover. 2. Corrosion was initiated at weared stainless steel surface and then magnetic materials were spalled by corrosive solution. 3. Spatting was occurred in Nd-Fe-B magnet materials due to corrosion products and then corrosion rate was increased drastically. 4. Corrosion started from ununiformed stainless steel surface as well as welded zone. In conclusion, the failure of magnets may occur by either breakdown of the welding or breakdown of the encapsulating material. So, it is considered that the corrosion problem of dental magnetic materials could be solved to some extent with surface treatment of dental magnetic materials.

Performance of attachments used in implant-supported overdentures: review of trends in the literature

  • Lee, Damian J.
    • Journal of Periodontal and Implant Science
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    • v.43 no.1
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    • pp.12-17
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    • 2013
  • The purpose of this review is to examine the performance of attachments used in implant-supported overdenture (IOD) in both clinical and in vitro settings and report the compiled findings, comparisons, and trends in the research literature. Articles published in PubMed on IOD attachment systems and performance were reviewed. Non-original articles were excluded. For each article included, the type of study, number of implants, number of attachment systems, and study outcome were recorded. Of the 283 articles found, 158 met the inclusion criteria. Ninety-four articles were clinical studies and 64 articles were in vitro studies. Studies on retention were the most common for in vitro studies, and four or more attachment systems were compared in most articles with significant differences in outcome. A clinical outcome of one attachment system was most common for clinical studies, while most studies had neutral outcomes overall. Ball attachment was the most commonly tested IOD attachment system. The trend in the literature showed that there is a large discrepancy between the study designs and outcomes between the clinical and the in vitro studies for IOD. Further clinical studies that can validate in vitro research should be encouraged to address this discrepancy between the two areas.

Immediate loading on mandibular edentulous patient with SFI Bar$^{(R)}$ overdenture

  • Kim, Ha-Young;Kim, Jin-Young-Ryan;Qadeer, Sarah;Jeong, Chang-Mo;Shin, Sang-Wan;Huh, Jung-Bo
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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    • pp.47-50
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    • 2011
  • Despite the greater retention and low maintenance of bar attachment system, the longer clinical time and increased number of visits were the assignments to overcome in bar attachment system. This case report describes SFI-Bar$^{(R)}$ (Cendres et Me$\'{e}$taux, Biel/Bienne, Switzerland) to be solve those problems. A 65-year-old female, who had severely absorbed mandible, hoped to wear a stable mandibular denture without pain. As soon as two implants were placed on mandible, a tube bar was connected to two adaptors connected to each implant. The length of the tube bar was adjusted considering inter implant distance, and reconnected to the adaptors. Finally a female part was seated beneath the denture. This case report showed that a satisfactory clinical result was achieved by delivering bar overdenture immediately after implant placement without laboratory procedure.