• 제목/요약/키워드: Full denture

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A Clinical Study on CSP Attachment Partial Denture (CSP 를 이용한 정밀부착형 국부의치에 관한 임상적 연구)

  • Kim, Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.19 no.1
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    • pp.7-16
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    • 1981
  • The technology of precision attachments has developed at such a pace that from a very few T-shaped attachments and bar attachments from the years 1915 to 1935 since removable bridge utilizing a T-shaped intracoronal attachment was constructed by Dr. Herman E.S. Chayes in 1906. There are now more than 120 models of the most diversified designs, ready made or laboratory fashioned. In 1971, 126 attachments were listed and classified by Mensor in his E M Attachment Selector. This selector consists of five charts giving specifications as to type, vertical dimensions, application, type of resilience, size of movement, type of retention and type of material and alloy. Thus the E M Attachment Selector is a useful guide for dentists to choose the attachment for his patients. But dentists should apply the attachment in each patient's case according to an accurate diagnosis and treatment plan. This paper is a case report of removable partial dentures utilizing CSP, PD and Bar attachment on a patient who needed full mouth reconstruction. Patient has right first, second molar and left first molar on the upper arch and also left first molar, first premolar and right canine on the lower arch. (Fig. 5)All remaining teeth are relatively healthy in their supporting tissues. On upper arch, ring shape CSP attachment was designed on left first molar and modified ring shape CSP attachment was designed on right first and second molar as the direct retainer of the removable partial denture. Full palatal coverage was used as the major connector in this case. (Fig. 23) On lower arch, author first splinted with a fixed bridge between left first molar and second premolar and a splint bar between left second premolar and right canine. (Fig. 11) A lower removable partial denture in which was designed with an Aker clasp on the left first molar and a PD attachment on .the right canine was constructed. (Fig. 17) This denture could get additional support from anterior splint bar. After both removable partial dentures were delivered to the patient (Fig. 26), author evaluated function of the dentures and supporting structures of the abutment teeth by means of clinical and X-ray examinations for eighteen months. According to the examination data author came to the conclusion that the prognosis of this case was excellent.

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A study on dental health and physical & psychological health status of the aged (노인 구강보건실태 및 신체·심리적 건강상태에 관한 연구)

  • Yoon, Young-Suk;Jung, Young-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.1
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    • pp.39-51
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    • 2005
  • This study was conducted to investigate the dental health and physical & psychological health status of the aged. The subjects were 61 old persons, women who were over 65, living at Sahagu in Pusan. The data for this study were collected by using direct interviewing method from October 22th, 2004. The data were analysed by using a computerized program named statistical package for social science including frequency, percentage, ANOVA. The results of the study were summarized as follows: 1. The dental status and the use of dental care institute 1) In status of denture use, it was found to be no denture(45.2%), full denture(35.5%), partial denture(19.4%). 2) In the questionaire of "when did you go to the dental care institute recently?", it was found to be uncertain(41.9%), less than one year(38.8%), 2~3years(16.1%), 1~2years(3.2%). 3) In the questionaire of "what type of the dental care institute did you use?", it was found to be in the dental clinic(80.6%), others(9.7%), dental hospital(6.5%), department of dentistry in general hospital(3.2%). 4) In the questionaire of "why did you select the dental care institute?", it was found to be in the nearly distance(80.6%), relative advice(16.1%), advertisement(3.2%). 5) In the questionaire of "how did you go to the dental care institute?", it was found to be walking(71.0%), bus & subway(22.6%), car(3.2%) and others(3.2%). 6) In the questionaire of "how long did it take to the dental care institute?", it was found to be 10~30min(48.4%), less than 10min(38.7%), 30min~1h(6.5%), 1~2h(3.2%), more than 2h(3.2%). 7) In the questionaire of "what kind of dental care did you take?", it was found to be denture making(45.2%), extraction of tooth, dental surgery, general exam(12.9%), caries(9.7%), denture repair(6.5%), others(3.2%). 8) In the questionaire of "how much did you pay for dental care recently?", it was found to be less than 5,000won(35.5%), 20,000~100,000won(19.4%), 1~3million won(16.1%), 5,000~20,000won, 100,000~300,000won, 500,000~1million won, more than 3million(6.5%), 300,000~500,000won(3.2%). 9) Average score of the subject's physical health status was 4.11 and psychological health status, 4.01 in a 5 point Likert scale. 10) The physical and psychological health status showed the significant differences according to the frequency of eating snack(pE0.05) and snack type(pE0.01). Above findings suggest that geriatric oral health program is necessary in improving the dental health & health status of the aged.

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A Study on the Swallowing Threshold of the Patients with Bilateral Missing of Molars (양측 대구치 상실환자의 연하역치에 관한 연구)

  • Yang, Jae-Ho
    • The Journal of the Korean dental association
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    • v.11 no.1
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    • pp.53-57
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    • 1973
  • The swallowing threshold of 40 subjects with bilateral missing of molars was tested. The results were as follows : 1) The swallowing threshold of the patients with bilateral missing of molars was higher than that of the normal control subjects. 2) The swallowing threshold of the patients with bilateral missing of molars was higher than that of the full denture wearer. 3) The swallowing threshold of the patients with bilateral missing of molars was different according to the quality and quantity of the test food.

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Effect of location of glass fiber pre-impregnated with light-curing resin on the fracture strength and fracture modes of a maxillary complete denture (광중합형 레진에 함침시킨 유리섬유의 위치가 상악 총의치의 파절강도와 파절양상에 미치는 영향)

  • Yoo, Hyun-Sang;Sung, Su-Jin;Jo, Jae-Young;Lee, Do-Chan;Huh, Jung-Bo;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.279-284
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    • 2012
  • Purpose: This study evaluated the effect of glass fiber pre-impregnated with light-curing resin on the fracture strength and fracture modes of a maxillary complete denture. Materials and methods: Maxillary acrylic resin complete dentures reinforced with glass fiber pre-impregnated with light-curing resin (SES MESH, INNO Dental Co., Yeoncheongun, Korea) and without reinforcement were tested. The reinforcing material was embedded in the denture base resin and placed different regions (Control, without reinforcement; Group A, center of anterior ridge; Group B, rugae area; Group C, center of palate; Group D, full coverage of denture base). The fracture strength and fracture modes of a maxillary complete denture were tested using Instron test machine (Instron Co., Canton, MA, USA) at a 5.0 mm/min crosshead speed. The flexure load was applied to center of denture with a 20 mm diameter ball attachment. When fracture occurred, the fracture mode was classified based on fracture lines. The data were analyzed with one-way ANOVA at the significance level of 0.05. Results: There were non-significant differences (P>.05) in the fracture strength among test groups. Group A showed anteroposterior fracture and posterior fracture mainly, group B, C and control group showed partial fracture on center area mostly. Most specimen of group D showed posterior fracture. Conclusion: The location and presence of the fiber reinforcement did not affect the fracture strength of maxillary complete denture. However, reinforcing acrylic resin denture with glass fiber has a tendency to suppress the crack.

Potential Factors Associated with the Quality of Life in South Korean Senior People: Based on Oral Health (한국 노인의 삶의 질에 관련된 요인: 구강건강을 중심으로)

  • Nam, Young-Shin;Jang, Jae-Yeon
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.281-289
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    • 2013
  • The purpose of this study is to find out potential factors associated with the quality of life in South Korean senior people, on the basis of their oral health, so that it may provide basic reference materials in developing and assessing national policies for improving the quality of life in senior people. The data of 3,882 senior citizens who were at the Western age of 65 and up and got a dental checkup were selected from the first-, second- and third-year raw data of the 4th National Health and Nutrition Survey that were conducted from July 2007 to December 2009. And the statistical package SPSS 19.0 was employed to analyze the selected data. The findings of the study were as follows: The senior citizens whose remaining tooth was larger in number and who didn't need partial or full denture lead a better quality of life. Therefore, dental loss without any prosthetic appliance has significant negative effects on the quality of life in senior people, so it is urgently demanded to try to increase the number of remaining teeth and apply dental prosthesis to senior people for recovery of their oral health.

Full mouth rehabilitation utilizing computer guided implant surgery and CAD/CAM (Computer guided implant surgery와 CAD/CAM을 활용한 전악 수복 증례)

  • Kim, Sungjin;Han, Jung-Suk;Kim, Sung-Hun;Yoon, Hyung-In;Yeo, In-Sung Luke
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.57-65
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    • 2019
  • Computer aided design and manufacturing and implant surgery using a guide template improve restoration-driven implant treatment procedures. This case utilized those digital technologies to make definitive prostheses for a patient. According to the work flow of digital dentistry, cone beam computed tomography established the treatment plan, which was followed to make the guide template for implant placement. The template guided the implants to be installed as planned. The customized abutments and surveyed fixed restorations were digitally designed and made. The metal framework of the removable partial denture was cast from resin pattern using an additive manufacturing technique, and the artificial resin teeth were replaced with the zirconia onlays for occlusal stability. These full mouth rehabilitation procedures provided functionally and aesthetically satisfactory results for the patient.

Eight-year follow-up of two different removable prostheses using six implants in maxillary edentulous patients (상악 완전 무치악 환자에서 6개의 임플란트를 동반한 두가지 가철성 의치 치료의 8년 경과 관찰 증례)

  • Yang, Seung-Won;Kim, Jong-Eun;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.300-304
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    • 2017
  • An implant-supported fixed dental prosthesis (ISFDP) or an implant-supported overdenture (IOD) are good options when treating a completely edentulous jaw opposing natural teeth. However, an ISFDP for a full arch requires sufficient bone quality and quantity, which limits its application. Meanwhile, using an ISFDP as an abutment of a removable partial denture has been considered recently. This clinical report discusses the treatments applied to two patients with edentulous maxillas and opposing natural teeth: one was treated with an IOD and the other was treated with an ISFDP and removable partial denture. Follow-up and management were performed for 8 years.

Corrosion of the non-beryllium dental casting Ni-Cr alloys for the denture base framework metal and the porcelain-fused-to-metal crown (베릴륨 불포함 치과 주조용 니켈-크롬 합금 중 금속의치상용 합금과 금속소부도재관용 합금의 부식에 관한연구)

  • Kim, Hong-Sik;Song, Jae-Sang;Park, Soo-Chul
    • Journal of Technologic Dentistry
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    • v.34 no.4
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    • pp.337-344
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    • 2012
  • Purpose: This study examined the corrosion level by alloy type and pH, and used the corrosion levels as the dental health data. The study utilized one Ni-Cr alloy for the full and removable partial denture metal frameworks and two Ni-Cr alloys for porcelain-fused-to-metal crown, among the non-beryllium dental casting non-precious Ni-Cr alloys. Methods: The alloy specimens were manufactured in $10cm^2$ and stored in the corrosive solution(pH 2.2-4.4) in the electrical water bath($37^{\circ}C$) for seven days. Afterwards, the metal ions were quantitatively analyzed using the ICP. Results: Of the three metal alloys, Bellabond-Plus$^{(R)}$alloy and SOLIBOND N$^{(R)}$alloy, with 22% or higher chrome chemical contents, had higher corrosion resistance than Jdium-100$^{(R)}$alloy with 20% chrome chemical content. In all three alloys, the corrosion of Ni was highest, and metal ion corrosion was higher in the pH 2.2 corrosive solution. Conclusion: Although Ni-Cr alloy was not very corrosive, a Ni-allergic patient should not have Ni-Cr alloy prosthesis. The Ni-Cr alloy for porcelain-fused-to-metal crown should be designed for the dental porcelain to cover the whole crown.

Full mouth rehabilitation using removable prosthesis of patient with unstable mandible movements: A case report (불안정한 하악운동을 보이는 환자에서 가철성 의치 수복 증례)

  • Sohn, Dong-Hwan;Yi, Yang-Jin;Jo, Deuk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.35-41
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    • 2020
  • Patients with collapsed occlusal support and unilateral chewing show parafunctional mandibular movements, which can be complicated in older patients. Gothic arch tracing and split cast technique are used to confirm the deviation between centric relation and anterior habitual bite in patient who has oral dyskinesia and collapsed occlusion. Temporary denture as occlusal stabilization appliance was provided for stable occlusion and reproducible mandibular movement. Definitive denture was fabricated by lingualized occlusion concept.

The Relationship between Chewing Ability and Health Status in the Urban Elderly who Resides in the House (도시 재택노인의 저작능력과 건강상태와의 관련성)

  • Bae, Yoon-Ho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.21 no.1
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    • pp.51-59
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    • 2004
  • Background: The objective of this study is to evaluate the relationship between chewing ability and health status in order to provide basic information for the development of program which may lead to an improvement of a the elderly health status in urban areas. Materials and methods: The subjects of this study were 128 elderly urban female over the age of 65 who reside at house. The data were collected from May 21 to August 20, 2001, through questionnaires about nutrient intake status, direct measurement of anthropometrics, and oral examinations. Results: In terms of remaining teeth, there was significant negative relationship between age and number of remained teeth. The average number of remained teeth our subjects was $13.1{\pm}10.6$. About sixty five percent of the subjects were denture users (partial or full dentures) and there was positive relationship between age and the percentage of denture user. There was a significant negative correlation between age and chewing ability. The group that was able to chew had more remained teeth than the other group. Conclusion: This study suggests that there is strong positive relationship between chewing ability (remaining teeth) and elderly health status in urban areas, and the importance of preserving original teeth to improve the elderly health status in the public health program.

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