• Title/Summary/Keyword: Existing denture

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Fabricating retrofit crowns to an existing removable partial denture by CAD-CAM: a case report (CAD-CAM을 이용한 RPD 지대치의 retrofit crown 제작 증례)

  • Hyuksoon Lee;Seong-A Kim;Joo-Hyuk Bang;Sung Yong Kim;Hee-Won Jang;Keun-Woo Lee;Yong-Sang Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.140-145
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    • 2024
  • Removable partial denture wearers are exposed to the risks that remaining teeth get damaged by caries, attritions, erosion, and fracture. In the case of damaged abutment tooth which should fit to Removable partial denture (RPD), the fabrication of surveyed crown is followed by the making of RPD. However, making new denture takes a long time, and needs several processes and costs. Also, patients should get used to new denture. If other abutment teeth and edentulous ridges provide the existing denture with support, retention, and stability, use of existing denture is considered clinically acceptable. In this situation, fabricating retrofit crowns to an existing removable partial denture makes patient use existing denture, cuts costs, and reduces discomfort. In this case, severely worn teeth were restored using monolithic zirconia crown which fit to an existing removable partial denture by CAD-CAM. Moreover, support, retention, and stability of the denture were improved, and both doctor and patient were satisfied with the result.

The fabrication of abutment crowns for existing removable partial denture using CAD/CAM: A clinical report (CAD/CAM을 이용하여 기존 국소의치에 맞는 지대치 보철물 제작 증례)

  • Chae, Min-Jeong;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.490-494
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    • 2019
  • Abutment teeth supporting removable partial denture could be faced a number of problems including development of dental caries. If the existing removable partial denture is in clinically acceptable state and the patient does not want to replace the existing removable partial denture, then a new prosthesis for abutment teeth need to be made. The procedure of fabricating a new prosthesis of abutment teeth for existing removable partial denture is complicate and technically challenging. To fabricate the abutment crown, the original cast of patient obtained before any complication to the abutment teeth is required. The original cast should also contain teeth other than the abutment teeth as a reference point. Once the cast is prepared, CAD/CAM could be used to produce retrofitting prosthesis effortlessly and efficiently. This clinical report presents fabricating a crown to fit existing removable partial denture using CAD/CAM for a patient with post and core failure and dislodged prosthesis. The prosthesis had high stability with minimum adjustment yielding satisfying result.

Fabrication of CAD-CAM complete denture using existing provisional denture and digital facebow transfer (기존 임시의치와 디지털 안궁이전을 이용하여 상하악 CAD-CAM 총의치 수복 증례)

  • Jaehyeok Ro;Haemin Bang;Sangwon Park;Hyun-Pil Lim;Kwi-Dug Yun;Chan Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.268-274
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    • 2023
  • In this case, a CAD-CAM complete denture that can be easily remanufactured and reduced the number of visits was decided in consideration of the fact that it was difficult to visit the dental hospital and many existing dentures were lost because the patient was inpatient in a nursing hospital. In order to reflect the shape, vertical dimension, and maxillomandibular relationship of the existing provisional dentures adapted by the patient to the fabrication of the final denture, the existing provisional dentures were scanned and closed mouth impression was taken with the printed individual tray. After digital facebow transfer using UTS CAD and arranging artificial teeth in CAD software, the maxillary and mandibular complete dentures were fabricated by milling the denture base and artificial teeth at once with the monolithic disc.

Study on Curriculum of Denture clinician (의치사의 교육과정에 관한 연구)

  • Park, Myung-Ho;Bae, Bong-Jin;Lee, Hwa-Sik;Lee, Hee-Kyung
    • Journal of Technologic Dentistry
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    • v.32 no.1
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    • pp.47-56
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    • 2010
  • As Korea is entering an aging society, the number of elderly people who need new denture or who have problems with their existing denture or adjacent tissue is increasing and it will double in 2018. Therefore, denture clinician system will lessen patients financial burden and introduce market economy to the dental prosthesis field. Therefore, Korea needs to adopt denture clinician system as soon as possible as USA or Canada to increase people s accessibility in quality and quantity. Denture clinician will determine the size and shape of denture after performing oral examination, make impression using various materials, fabricate denture, deliver and adjust completed denture to the patient, repair denture, and carry out financial management in the denture fabricating company or manage human resources. Considering denture clinicians services, American and European education system seems to be close to our system. Therefore, in this study, basic curriculums of several countries in Europe and America were reviewed and curriculum that meets Korean situation was suggested.

Fabrication of denture by using the individual tray duplicated an existing denture through 3D printing: A case report (3D 프린팅을 통해 기존의치를 복제하여 개인트레이로 활용한 총의치 제작 증례)

  • Park, Juyoung;Park, Sangwon;Lim, Hyun-Pil;Park, Chan;Yun, Kwi-Dug
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.508-514
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    • 2021
  • In this report, Replicated denture was fabricated by 3d printing after scanning the existing denture. It was used as an individual tray in closed-mouth technique. It reduced laboratory process and clinical time. Also it helped in facial evaluation and tooth arrangement. Compared to open-mouth technique, the number of visits was reduced, and the patient's adaptability to new denture was enhanced by utilized various information of the existing denture, including vertical dimension.

Denture repair for elderly patients in dental laboratories: a case report (고령 환자의 기존 의치를 치과기공소에서 수리한 증례)

  • Ju-Hyoung Lee;Gyu-Heon Lee
    • Journal of Technologic Dentistry
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    • v.44 no.4
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    • pp.154-160
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    • 2022
  • The need for repairing removable dentures has grown as the population had aged. The direct methods allow existing dentures to be repaired without interrupting their use. However, if patient compliance is low, direct methods may be challenging. Moreover, attaching an artificial tooth to a metal base is a complicated procedure because it necessitates casting a retentive element and soldering it to a metal base. This clinical report describes how to add an artificial tooth to a metal base, reline denture bases, and reestablish occlusion on relined removable dentures using indirect methods. Existing removable dentures were successfully repaired and their service life was efficiently extended using the methods described.

Three dimensional deformation of dry-stored complete denture base at room temperature

  • Lim, Seo-Ryeon;Lee, Joon-Seok
    • The Journal of Advanced Prosthodontics
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    • v.8 no.4
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    • pp.296-303
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    • 2016
  • PURPOSE. The aim of this study was to evaluate whether there is any typical deformation pattern existing in complete denture when it was dried by using the 3D scanner and surface matching program. MATERIALS AND METHODS. A total of 28 denture bases were fabricated with heat curing acrylic resin (each 14 upper and lower denture bases), and 14 denture bases (each 7 upper and lower denture bases) were stored in the water bottle (water stored), and another 14 denture bases were stored in the air (dry stored). Each specimen was scanned at $1^{st}$ day after deflasking, $14^{th}$ day after deflasking, and $28^{th}$ day after deflasking, and digitalized. Three dimensional deformation patterns were acquired by comparison of the data within storage group using surface matching program. For evaluating differences between groups, these data were compared statisticallyusing Kruskal Wallis and Mann Whitney-U test (${\alpha}$=.05). RESULTS. When evaluating 3D deformation of denture base, obvious deformations were not found in maxillary and mandibular water storage group. However, in dry stored group, typical deformation pattern was detected as storage time passes. It occurred mostly in first two weeks. Major deformations were found in the bilateral posterior area in both maxillary and mandibular group. In maxillary dry stored group, a statistical significance was found. CONCLUSION. It was proved that in both upper and lower denture bases, dry storage caused more dimensional deformation than water storage with typical pattern.

The number of existing permanent teeth and the denture status of elderly adults aged 65 years and above living in metropolitan cities using data from the Korean National Health and Nutrition Examination Survey (대도시에 거주하는 65세 이상 노인들의 현존치아수와 의치장착상태: 제6기(2013-2015년) 국민건강영양조사 자료 이용)

  • Kim, Ji-Soo;Kim, Se-Yeon;Jun, Eun-Joo;Jeong, Seung-Hwa;Kim, Jin-Bom
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.6
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    • pp.921-932
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    • 2018
  • Objectives: The aim of this study was to investigate the number of existing permanent teeth and the denture usage status in elderly adults aged 65 years and above living in metropolitan cities and to confirm the degree of oral health inequality caused by the differences in oral conditions in each metropolitan city using the Lorenz curve and the Gini coefficient. Methods: The raw data for the analysis were obtained from the dataset of the sixth Korea National Health and Nutrition Examination Survey conducted between 2013 and 2015. The subjects included 1,764 people who underwent oral examination and answered questions. The complex samples general linear model was used to analyze the number of existing permanent teeth adjusted for age and monthly household income. The proportion of edentulousness and the denture status was analyzed using complex samples crosstabs. Results: The number of existing permanent teeth in the elderly adults aged 65 years and above was lowest in Ulsan (15.41) and highest in Gwangju (20.44). The proportion of edentulousness was highest in Busan (14.5%) and lowest in Daejeon (4.0%). With regard to the proportion of denture users, Busan had the highest tendency for denture usage (50.4%) and Gwangju had the lowest tendency (34.9) (p=0.172). The Gini's coefficient for the number of existing teeth was lowest in Busan (0.332). Oral health inequality was most severe in metropolitan cities. Conclusions: We found that oral health inequality exists among elderly adults living in the metropolitan cities of Korea using the Lorenz curve and Gini's coefficient.

Current status and future perspectives of CAD/CAM fabricated complete denture (임상가를 위한 특집 2 - CAD/CAM 기술을 이용한 총의치 제작의 현재와 전망)

  • Park, Chan-Jin
    • The Journal of the Korean dental association
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    • v.52 no.6
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    • pp.346-353
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    • 2014
  • Currently, computer-aided technology becomes one of main issues in clinical dentistry. About 25 years ago, the development of dental CAD/CAM systems for the fabrication of crowns and fixed partial dentures leads to be able to fabricate complete denture today. The fabrication of milled complete denture prostheses with digital scanning technology may decrease the number of patient appointments. However, the precise tooth arrangement and evaluation by patient is not promising relatively. The purpose of this review was to analyze the existing literature on computer aided technology for fabricating complete denture with historical background, current status, and future perspectives. In addition, two available commercial systems were introduced.

A METHOD OF CAST CROWN RESTORATION FOR EXISTING PARTIAL DENTURE CLASP AND A CASE REPORT OF IT (기존 Clasp에 적합한 주조 금관 형성법과 임상응용 1 예)

  • Lee, Ho-Yong;Chung, Moon-Kyu;Kim, Chong-Youl
    • The Journal of the Korean dental association
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    • v.16 no.2 s.105
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    • pp.123-128
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    • 1978
  • Sometimes in clinic, we have found that cast crown construction is necessary to fit the existing partial denture clasp, when the abutment is involved with caries, a failing restoration, periodontal disease, or fracture. This is important not only to protect the abutment tooth from missing, but to restore retention, bracing and support for partial denture. For constructing the cast crown, several methods have been reported by many of previous authors. The number of techniques reported during the past are ideal but have uncertain results However, with more improved and practical technic developed by me, the problem becomes more successful. One method in which does not need the laboratory technecian is the wax pattern has been made in chairside waxing by doctor himself. The other in which requires the laboratory technician is to use special impression method and articulator for laboratory waxing. In one case of the reported here, we have successful results in restoring the abutment with cast crown for original denture clasp.

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