• Title/Summary/Keyword: abutment teeth selection

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Diagnosis and treatment planning for removable partial denture: diagnostic cast analysis and abutment teeth selection (가철성 국소의치의 진단 및 치료계획: 진단모형 분석과 지대치 선정)

  • Son, Mee-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.1
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    • pp.45-52
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    • 2014
  • Diagnosis and treatment planning is initial step to fabricate removable partial denture, and one of most important factor influencing the prognosis. Partial edentulous patients have various condition of remaining teeth and oral mucosa. Therefore, for the proper diagnosis and treatment planning for each patient, getting many informations from patients during initial examination and fabricating accurate diagnostic cast are required. Especially, because the use of various diagnostic tools and surveying of diagnostic cast will be a guide for the abutment teeth selection, oral preparation and design of partial denture, dentist should understand and be able to apply this procedure during diagnosis.

DOUBLE CROWN RETAINED REMOVABLE PARTIAL DENTURE - 4 YEARS IN RETROSPECT (Double crown retained RPD의 4년 임상 관찰)

  • Lee Seok-Hyung
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.1
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    • pp.73-82
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    • 2004
  • Statment of problem : Little in known about the importance of selection of various double crowns as retainer in determining the outcome of treatment with double crown retained removable partial denture. Purpose : To obtain information about the effects and the results of this treatment modality. Material and methods : This study describes 61 double crown retained removable partial dentures worn by 51 patients from Samsung Medical Center, Seoul a time ranging between 6 and 48 months and evaluate occlusal contacts on the denture teeth, denture movement, incidence of denture relining, denture retention, fracture of dentures and abutments, hygiene, residual ridge inflammatory changes, number of lost abutment,. interruption of denture use. Results : One tenth of all the restorations were relined. Restorations in 21 arches fractured repeatedly for various reasons . There was no apparent interrelationship between fractures and the five groups. Conclusion : Good prognoses of removable partial dentures were shown in all groups(Kennedy Classes I, II, III, combination and few remaining abutment).

Selection of all ceramic crown (완전 도재관의 선택)

  • Lee, Seung-Kyu
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.2
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    • pp.122-133
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    • 2015
  • The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction" and "the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this review article.

OPTICAL EFFECTS OF NONMETALLIC POST AND CORE SYSTEMS ON ALL-CERAMIC CROWNS (비금속 포스트 코어가 전부도재관에 미치는 광학적인 영향)

  • Kim Sung-Won;Cho In-Ho;Lim Ju-Hwan;Lim Heon-Song
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.5
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    • pp.493-506
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    • 2002
  • Recently as the esthetic concerns about dental prosthesis have been increased, the nonmetallic post and core systems have been introduced clinically to improve the color and the low optical transmittance of conventional casting metal post and core systems. The purpose of this study was to compare and analyze the optical transmittance and the shade changes of all-ceramic crowns with two nonmetallic post and core systems. The experimental groups were classified as follows : Total 27 specimens(9 samples in each group) were evaluated. Group I : Natural teeth as a control group Group II : CosmoPost and $Empress^{(R)}$ core (Ivoclar-Vivadent, Liechtenstein) Group III : $LIGHT-POST^{TM}$ and $LIGHT-CORE^{TM}$ (Bisco, U.S.A.) In all group, all-ceramic crowns were fabricated with the same shade of IPS $Empress^{(R)}$ II (Ivoclar-Vivadent, Liechtenstein) after abutment preparation, and then two kinds of spectrophotometers, UV 3101 PC (Shimadzu, Japan) and CM 503i (Minolta Co. Ltd. Japan), were used to measure the optical transmittance and the color value. The following results were obtained : 1. The optical transmittance of each group without all-ceramic crowns, was siginificantly decreased in order of Group III, I and II (p<0.05). 2. The optical transmittance of each group with all-ceramic crowns cemented, were siginificantly decreased in order of Group I, II and III (p<0.05). 3. In comparison with the shade of all-ceramic crowns, there were no significant differences between groups regardless of the cementation. 4. In comparison with the shade changes in each group after the cementation of all-ceramic crowns, there were no significant differences between groups. From the above results, it is thought that the selection among materials used in this study doesn't influence greatly the esthetic restoration, because the differences of optical transmittance were so small that those were clinically insignificant.