• Title/Summary/Keyword: Fixed prosthodontics

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Standardized multi-institutional data analysis of fixed and removable prosthesis: estimation of life expectancy with regards to variable risk factors

  • Hae-In Jeon;Joon-Ho Yoon;Jeong Hoon Kim;Dong-Wook Kim;Namsik Oh;Young-Bum Park
    • The Journal of Advanced Prosthodontics
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    • v.16 no.2
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    • pp.67-76
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    • 2024
  • PURPOSE. This study aims to assess and predict lifespan of dental prostheses using newly developed Korean Association of Prosthodontics (KAP) criteria through a large-scale, multi-institutional survey. MATERIALS AND METHODS. Survey was conducted including 16 institutions. Cox proportional hazards model and principal component analysis (PCA) were used to find out relevant factors and predict life expectancy. RESULTS. 1,703 fixed and 815 removable prostheses data were collected and evaluated. Statistically significant factors in fixed prosthesis failure were plaque index and material type, with a median survival of 10 to 18 years and 14 to 20 years each. In removable prosthesis, factors were national health insurance coverage, antagonist type, and prosthesis type (complete or partial denture), with median survival of 10 to 13 years, 11 to 14 years, and 10 to 15 years each. For still-usable prostheses, PCA analysis predicted an additional 3 years in fixed and 4.8 years in removable prosthesis. CONCLUSION. Life expectancy of a prosthesis differed significantly by factors mostly controllable either by dentist or a patient. Overall life expectancy was shown to be longer than previous research.

A SURVEY OF THE FIXED RESTORATIONS (고정성 치아보철에 관한 연구)

  • Lee Sun-Hyung;Chung Hun-Young;Choi Soo-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.3
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    • pp.359-367
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    • 1994
  • The number and the distribution of fixed restorations including crowns, fixed bridges, Maryland bridges, periodontal splints and cast cores were statistically investigated with two thousand seven hundred and thirty cases of crowns and bridges placed at the Department of Prosthodontics of Seoul National University Hospital, from January 4th to December 31st, 1988. The results were as follow : 1. Among the fixed restorarions, single crowns were 46.9% , fixed bridges were 41.9%, Maryland bridges were 5.0%, periodontal splints were 0.6% and cast cores were 5.6%. 2. Three thousand nine hundred and ninty two teeth were restored with the fixed restorations, among them cast gold restorations were 47.2% and metal-ceramic restorations were 52.8%. 3. Cast gold restorations of the maxillary posteriors occupied 98.5% of the maxillary cast gold restorations, and 99.7% of the mandibular cast gold restorations and metal-ceramic restoration of maxillary anteriors occupied 68.4% of the maxillary metal-ceramic restorations, and 38.7% of the mandibular metal- ceramic restorations. 4. It is recommended that the curriculum of the dental school for undergraduated students and graduated students should be changed to accomodate the relative importance of the restorations.

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A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

  • Choi, Sunyoung;Yeo, In-Sung;Kim, Sung-Hun;Lee, Jai-Bong;Cheong, Chan Wook;Han, Jung-Suk
    • Journal of Periodontal and Implant Science
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    • v.45 no.4
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    • pp.152-155
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    • 2015
  • Purpose: This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone. Methods: Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented. Results: The submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch. Conclusions: The results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.

Implant supported prosthetic rehabilitation of severely atrophic mandible with fixed detachable prosthesis (심하게 흡수된 하악골에서 fixed detachable prosthesis를 이용한 임플란트 지지 보철 수복증례)

  • Lee, Hak-Joo;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.180-186
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    • 2017
  • Implant supported prostheses have improved the quality of lives of totally edentulous patients. However, there are some limitations on the number of implants related to the residual bone level or the economic concern and so on. In this situation, applying fixed detachable prosthesis with bilateral cantilevers can be considered. This clinical report describes implant supported prosthetic rehabilitation of a patient with severe bone resorption. The patient was satisfied and felt comfortable with upper complete denture and lower fixed detachable prosthesis.

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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    • v.8 no.6
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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.

CLINICAL PERSPECTIVES ON 2-UNIT CANTILEVERED RESIN-BONDED FIXED PARTIAL DENTURE (2-unit cantilever 레진접착성 가공의치 (resin-bonded fixed partial denture) 임상의 현재)

  • Yi Yang-Jin;Choi Lee-Ra;Parki Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.1
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    • pp.81-88
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    • 2003
  • Resin-bonded bridge has been an alternative to conventional bridge, since resin-bonded bridge has many attractive advantages such as minimal tooth preparation, short chair time and low cost over conventional bridge. Unfortunately, however, it was reported that resin-bonded bridge showed high failure rate from debonding of retainer in spite of consecutive advances in preparation and materials. And it was shown that multiple abutments were more likely to fail. The majority of debonding failure was considered due to the mobility of the abutment during function. In this view, recently, modification in resin-bonded bridge design was tried. Single retainer, single pontic. 2-unit cantilevered resin-bonded bridge was applied to clinical performance and was shown as retentive or more retentive than fixed-fixed type resin-bonded bridge. This was consistent with the results of studies in 2-unit cantilevered resin-bonded bridges made with all ceramic, In-ceram. The purpose of this article was to overview principles of design and to analyze clinical results of 2-unit cantilevered resin-bonded bridge in comparison with the reports of fixed-fixed resin-bonded bridge.