• Title/Summary/Keyword: Full arch

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Analysis of post-insertion denture maintenance in patient aged 65 and over (만 65세 이상 의치 환자의 장착 후 의치 유지관리 횟수 분석)

  • Joosub Whang;Jin-Joo Yoo;Joon-Ho Yoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.1-5
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    • 2024
  • Purpose. To investigate the differences in the frequency of post-fitting denture check-ups based on gender, age, insurance status, denture arch, and type among patients aged 65 and above. Methods. This research analyzed 988 patients from National Health Insurance Service Ilsan Hospital's Department of Prosthodontics, who had denture fittings over the last 10 years. Variables including gender, age, insurance status and type, denture arch, and denture type were assessed. Statistical analyses were performed at a 5% significance level. Results. The study incorporated 988 dentures, revealing a median of 3 check-ups post-fitting. Male patients significantly had more visits than females (P = .017), and those with full metal dentures visited significantly more than those with partial dentures (P = .005). Other variables were not significantly influential on the post-fitting check-up frequency. Conclusion. Within this study's confines, an increase in denture adjustment sessions was observed for male patients and those with full metal dentures.

Comparative analysis on digital models obtained by white light and blue LED optical scanners (백색광과 청색 LED 방식의 광학스캐너로 채득된 디지털 모형의 비교분석)

  • Choi, Seog-Soon;Kim, Jae-Hong;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.36 no.1
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    • pp.17-23
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    • 2014
  • Purpose: The purpose of this study was to analyze and compare the relative accuracy of digitized stone models of lower full arch, using two different scanning system. Methods: Replica stone models(N=20) were produced from lower arch acrylic model. Twenty digital models were made with the white light and blue LED($Medit^{(R)}$, Korea) scanner. Two-dimensional distance between the landmarks were measured on the Delcam $CopyCAD^{(R)}$(Delcam plc, UK). Independent samples t-test was applied for comparison of the groups. All statistical analyses were performed using the SPSS software package(Statistical Package for Social Sciences for Windows, version 12.0). Results: The absolute disagreement between measurements made directly on the two different scanner-based dental digital models was 0.02~0.04mm, and was not statistically significant(P>0.05). Conclusion: The precision of the blue LED optical scanner was comparable with the digitization device, and relative accuracy was similar. However, there still is room for improvement and further standardization of dental CAD technologies.

The Effects of Shoe Type on Ground Reaction Force

  • Yi, Kyung-Ok
    • Korean Journal of Applied Biomechanics
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    • v.21 no.1
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    • pp.9-16
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    • 2011
  • The purpose of this study is to analyze the effects of both various shoe types and bare feet on ground reaction force while walking. Ten first-year female university students were selected. A force platform(Kistler, Germany) was used to measure ground reaction force. Six types of shoe were tested: flip flops, canvas shoes, running shoes, elevated forefoot walking shoes, elevated midfoot walking shoes, and five-toed shoes. The control group was barefooted. Only vertical passive/active ground reaction force variables were analyzed. The statistical analysis was carried out using the SAS 9.1.2 package, specifically ANOVA, and Tukey for the post hoc. The five-toed shoe had the highest maximum passive force value; while the running shoe had the lowest. The first active loading rate for running shoes was the highest; meanwhile, bare feet, the five-toed shoe, and the elevated fore foot walking shoe was the lowest. Although barefoot movement or movement in five toed shoes increases impact, it also allows for full movement of the foot. This in turn allows the foot arch to work properly, fully flexing along three arches(transverse, lateral, medial), facilitating braking force and initiating forward movement as the tendons, ligaments, and muscles of the arch flex back into shape. In contrast movement in padded shoes have a tendency to pound their feet into the ground. This pounding action can result in greater foot instability, which would account for the higher loading rates for the first active peak for padded shoes.

Using implants for worn dentition with the altered vertical dimension of occlusion based on shortened dental arch concept: a case report (과도한 마모를 보이는 환자에서, 임플란트를 활용해 수직 고경을 증가시키며 shortened dental arch 개념을 적용한 보철 수복 증례)

  • Lee, Jae Hyun;Kim, Tae Su;Lee, Chul Won;Lee, Won Sup;Lee, Su Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.1
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    • pp.49-56
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    • 2016
  • Excessive occlusal wear can result in unacceptable damage to the residual teeth structure, anterior guidance and masticatory function. An 86-year-old man presented with worn dentition and anterior deep bite due to loss of the posterior support. Two implants covered by Korean national health insurance, fixed partial denture and direct composite resin were used to restore the dentition, instead of removable prosthesis. The occlusal vertical dimension was increased by 2 mm in the premolar area and shortened dental arch concept was applied. This treatment was a less expensive alternative to full-mouth rehabilitation with positive esthetic and functional outcomes after 7 months of follow-up.

Self-propulsion Test and Analysis of Amphibious Armored Wheeled Vehicle with Propulsion System of POD Type Waterjet (전투 차량용 포드형 물 분사 추진장치의 모형시험 및 해석)

  • Byun, Tae-Young;Kim, Moon-Chan;Chun, Ho-Hwan;Kim, Jong-Hyun
    • Journal of the Society of Naval Architects of Korea
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    • v.42 no.3
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    • pp.197-204
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    • 2005
  • A waterjet propulsion system has many advantages compared with a conventional screw propeller especially for amphibious armored wheeled vehicles because of a good maneuverability at low speed, good operation ability at shallow water, high thrust at low speed to aid maneuverability and exit from water, etc. The POD type waterjet is adequate for the present wheeled vehicle because the weight is lighter and L/B is longer than the conventional armored amphibious vehicle. Resistance and self-propulsion tests with a 1/3.5-scale model are conducted at PNU towing tank. Based on these measurements, the performance is analyzed according to ITTC 96 standard analysis method and also according to the conventional propulsive factor analysis method. Based on these two methods, the full-scale effective and delivered powers of amphibious armored wheeled vehicle are estimated. This paper emphasizes the analysis method of model test of the waterjet propulsion system for a amphibious armored wheeled vehicle and the model test technique together with the comparison of the two analysis methods.

Full mouth rehabilitation in patient with deep bite, inter-dental arch discrepancy and loss of vertical dimension: a case report (과개교합과 치열궁부조화 및 수직고경 감소를 가진 환자의 전악수복증례)

  • Song, Han-Sol;Lee, Ye-Jin;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-La;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.157-170
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    • 2021
  • Loss of posterior bite support might cause unstable occlusal relationship and when the mandible slides forward in the centric or habitual occlusion, excessive load is applied to the anterior region followed by causing the occlusal plane to collapse or leading to a decrease in occlusal vertical dimension. In addition, disorder of temporomandibular joint function may occur. The inter-dental arch discrepancy causes a mismatch in the vertical and horizontal overlap of the anterior and posterior regions. The deep bite in the anterior region and the scissor bite in the posterior region cause unstable occlusal contact and insufficient occlusal contact area. This report was to rehabilitate a patient with above-mentioned complex problems. Physiologic adaptation to increased vertical dimension and new occlusal plane were evaluated using provisional prostheses, and definitive prostheses was fabricated using cross-mounting technique. Stable occlusion, harmonious teeth overlap and adequate occlusal plane were established, so functionally and aesthetically satisfactory results are obtained.

Full mouth rehabilitation in partially edentulous patient with an unstable mandibular position (불안정한 하악위를 가진 부분 무치악 환자에서 전악 수복 증례)

  • Donghwi Yook;Younghoo Lee;Seoung-Jin Hong;Ahran Pae;Kwantae Noh;Hyeong-Seob Kim;Kung-Rock Kwon;Janghyun Paek
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.308-315
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    • 2023
  • In the case of a patients who have lost the centric stop and have a staggered occlusion of the residual teeth, various movements occur when the denture is loaded. Implant placement is necessary to reinforce the retention, support, and stabilization elements to reduce denture movement. However, in this case, considering the patient's age, aversion to surgery, and bone loss, implants were not placed and restoration was performed with a removable partial denture. In this case, it is important to set the correct mandibular position for restoration because the patient has a habit of chewing with the remaining teeth. In this case, a stable mandibular position was established using a gothic arch tracing, and good results were obtained by restoring with partial dentures, so this is reported.

AN EXPERIMENTAL STUDY ON THE ACCURACY OF INTEROCCLUSAL RECORDING MATERIALS (교합관계 기록 재료의 정확성에 관한 임상적 비교 연구)

  • Park, Hong Yul;Chang, Ik Tae;Kim, Kwang Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.28 no.2
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    • pp.91-108
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    • 1990
  • The purpose of this study was to compare the maganitude of the discrepancies of the mounting errors in according to the states of dentitions, and to the superoinferior, anteroposterior, and rightleft driecetions. GROUP I. : Fourteen patients 22 to 26 years of age with a full complement of teeth, were used in the study. The criteria fro patient selection were a complete dentition, sparse restorarive treatment, and adequate posterior and anterior occlusan stops. And they had no sign and sympton at TMG area. GROUPII. : Eigth patients 37 to 62 years of age with bilateral free ends. The criteria for patient selection were Kennedy classification class 1 cases, and adequate posterior and anterior stops. And the opposite dentitions were a full complement of teeth. Irreversible hydrocolloid impresiion of each arch was taken of each patient. These were immediatel poured in stone and mounted on a Denar Mark II. Articulator with the arbitrary slidematic face-bow. With hand articulation th e mandibular cast was mounted to the maxillary cast in centric occlusion. Five types of interocclusal records were taken of each patient : (1) aluwax (2) baseplate wax; (3) znic oxide-eugenol pasts; (4) polyether (Ramitec); (5) modeling compound. All measurement of the five selected recording materials were compared with those of the hand-articulated full arch models in centric occlusion or maximum interdigitation. The results were as follows; 1. There were statistical differences in amount of devitation in according to the materials and the states of dentition. The amount of deviation of compound was the largest. 2. There were statistical differences in amount of deviation in complete dentition at all directions. The amount of diviation of compound was the largest. And at the right-left direction the amount of znic oxide-eugenol paste was larger than that of baseplate wax. 3. There was a statistical difference in amount of diviations in partial edentulous dentition at the superoinferior direction. The amount of deviation of compound was larger than that of znic oxide-eugenol paste. 4. There was as statistical difference in amount of deviations in partial edentulous dentition at the right-left direction. The amount of deviation of baseplate wax was larger that tnat of polyether. 5. There was not a statistical difference in amount of diviation in partial edentulous dentition at the anteroposterior direction.

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Evaluation of Validity of Edentulous Digital Model for Complete Denture Fabrication (총의치 제작을 위한 무치악 디지털 모형의 정확도 평가)

  • Kim, Won-Soo;Kim, Ki-Baek
    • Journal of dental hygiene science
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    • v.15 no.4
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    • pp.393-398
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    • 2015
  • One of the most critical causes in determining the clinical outcomes of dental prostheses is the validity of models. However, studies that evaluated validity of digital models are few. The objectives of this study were to evaluate validity of edentulous digital models for full denture fabrication. Twenty stone models (edentulous model) were manufactured and scanned by dental blue light emitting diode scanner. Twenty digital models were manufactured. Six linear distances (inter-canine distance, inter-molar distance, two dental arch lengths (right, left), two diagonal of dental arch lengths (right, left) were measured for validity evaluation. The measurements of distances of stone models were used by digital vernier caliper and digital models were used by computer program. The mean${\pm}$deviations values of six distances were calculated. The means were compared by the Mann Whitney U test (${\alpha}=0.05$). All statistical analysis were performed using IBM SPSS Statistics ver. 20.0. Although digital models were smaller than stone models in six distances, there were no significant differences (p>0.05) and non exceeded the clinical acceptable range. The edentulous digital models for full denture fabrication can be considered clinically acceptable.

Accuracy of interocclusal record established by different occlusal scans (교합스캔의 이용 방식에 따른 교합면간기록의 정확성)

  • Minjee Kang;Cheong-Hee Lee;Kyu-Bok Lee;So-Yeun Kim;Du-Hyeong Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.3
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    • pp.142-148
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    • 2024
  • Purpose: The purpose of this study was to investigate the accuracy of digital mounting with occlusal scans in the interocclusal record for a full-mouth fixed prosthetic treatment condition. Materials and Methods: The entire maxillary teeth were prepared in a dentiform model and attached to an articulator in maximum intercuspation. Temporary crowns were fabricated and occlusion was adjusted. After scanning the arch with tooth preparation, digital mounting was performed using an occlusion scan of the anterior or posterior teeth areas. The accuracy of the positioned jaw relation was evaluated three-dimensionally through positional deviation and angular error of the occlusal plane. Afterwards, the same procedure was repeated on the partially edentulous model to evaluate the accuracy of digital interocclusal record. Kruskal-Wallis test and Mann-Whitney U test were used for statistical analysis, and the significance level was set at 0.05. Results: There was no significant difference in the positional error at the center of the arch in the digitally established jaw relation depending on the scan area used and remaining tooth conditions (P = 0.53). The angular error of the occlusal plane was larger when the anterior teeth were used as the overlapping area, and a smaller error value was observed when both posterior teeth were used as the overlapping area (P < 0.001). Conclusion: The use of bilateral posterior occlusal scans is recommended when digitally mounting the jaw relation established with temporary teeth during full-mouth fixed prosthetic treatment.