• The Journal of Advanced Prosthodontics
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• 제8권3호
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• pp.187-193
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• 2016

PURPOSE. This pilot study was to find the influence of complete denture on the brain activity and cognitive function of edentulous patients measured through Electroencephalogram (EEG) signals. MATERIALS AND METHODS. The study recruited 20 patients aged from 50 to 60 years requiring complete dentures with inclusion and exclusion criteria. The brain function and cognitive function were analyzed with a mental state questionnaire and a 15-minute analysis of power spectral density of EEG alpha waves. The analysis included edentulous phase and post denture insertion adaptive phase, each done before and after chewing. The results obtained were statistically evaluated. RESULTS. Power Spectral Density (PSD) values increased from edentulous phase to post denture insertion adaption phase. The data were grouped as edentulous phase before chewing (EEG p1-0.0064), edentulous phase after chewing (EEG p2-0.0073), post denture insertion adaptive phase before chewing (EEG p3-0.0077), and post denture insertion adaptive phase after chewing (EEG p4-0.0096). The acquired values were statistically analyzed using paired t-test, which showed statistically significant results (P<.05). CONCLUSION. This pilot study showed functional improvement in brain function of edentulous patients with complete dentures rehabilitation.

• 구강회복응용과학지
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• 제32권2호
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• pp.141-148
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• 2016

Computer-aided technology는 최근 치과 치료의 흐름이다. DENTCA$^{TM}$ CAD/CAM denture (DENTCA Inc.)는 상용화된 computer-aided design/computer-aided manufacturing (CAD/CAM) 의치 시스템 중 하나로, 한 번의 내원을 통해 의치 제작에 필요한 환자의 모든 정보를 획득하여, 이 정보를 컴퓨터에 저장하고 3D 프린팅을 통해 두 번째 내원 시에 의치 장착을 목표로 한다. 현재까지 여러 증례들은 총의치 제작에 대한 CAD/CAM system의 임상적 적용을 시험해 보았다. 본 증례는 두 명의 환자에서 DENTCA system을 이용한 의치와 전통적인 방법을 이용한 의치를 동시에 제작하여 DENTCA system의 효용성과 한계점을 고찰하였다.

• 대한치과보철학회지
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• 제58권1호
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• pp.42-49
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• 2020

무치악 환자에게서 의치의 제작은 통상적이고 전통적인 방법을 따를 경우 최종 의치 장착까지 여러 단계를 거쳐야 하며 이로 인한 환자의 잦은 내원이 불가피하다. 또한 기공 과정 상에서 나타나는 중합수축에 의한 오차나, 의치의 파절이나 분실 시 빠른 재제작의 어려움 등의 단점이 존재하였다. 하지만 최근 치과 분야에서 computer-aided design and computer-aided manufacturing (CAD/CAM) System이 사용되기 시작하였고, 의치 제작에까지 그 영역을 넓히기 시작하였다. CAD/CAM System을 이용하여 의치를 제작하면 첫 번째 내원 시에 인상채득과 악간관계의 기록, 인공치의 선택 등이 동시에 이루어지고 두 번째 내원 시 의치의 장착이 가능하기 때문에 환자의 내원 횟수와 진료시간을 감소시킬 수 있다. 또한 3D-Printing 기술을 이용하기 때문에 중합수축에 의한 기공 오차를 감소시킬 수 있다. 현재 상용화 되어 있는 CAD/CAM System을 사용한 의치로는 DENTCA CAD/CAM denture (DENTCA Inc., Los Angeles, CA, USA)가 있다. 본 증례에서는 상, 하악 완전 무치악 환자에게서 conventional 한 방법과 DENTCA CAD/CAM Denture System을 사용하는 방법을 동시에 사용하여 두 쌍의 총의치로 수복함으로써 발음, 저작, 연하 등의 기능적인 측면뿐만 아니라 심미적인 측면에서도 양호한 결과를 얻었기에 이를 보고하고자 한다.

• 음성과학
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• 제8권4호
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• pp.139-156
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• 2001

Speech intelligibility in patients with complete dentures is an important clinical problem depending on the material used. The objective of this study was to investigate the speech of two edentulous subjects fitted with a complete maxillary prosthesis made of two different palatal materials: chrome-cobalt alloy and acrylic resin. Three patients with complete dentures in the experiment group and ten people in the controls groups participated in the experiment. CSL, Visi-Pitch were used to measure speech characteristics. The test words consisted of a simple vowel /e/, meaningless three syllabic words containing fricative, affricated and stops sounds, and sustained fricative sounds /s/ and /$\int$/. The analysis speech parameters were vowel and lateral formants, VOT, sound durations, sound pressure level and fricative frequency. Data analysis was conducted by a series of paired T-test. The findings like the following: (1) Vowel formant one of patients with complete denture is higher than that of the control group (p<0.05), while lateral formant three of patients with complete denture is lower than that of the control group (p<0.0l). (2) Patients with complete denture produced lower speech intelligibility with low fricative frequency (/$\int$/) than control group (p<0.0). The speech intelligibility of patients with metal prosthesis was higher than that of those with resin prosthesis (p<0.05). (3) Fricative, lateral and stop sound durations of patients with complete denture were longer than those of the control group (p<0.01 and p<0.05), respectively. Total sound durations of patients with metal prosthesis were similar to that of the control group (p<0.05), while those with resin prosthesis had a shorter duration (p<0.01). This implied that those with metal prosthesis had higher speech intelligibility than those with resin prosthesis. (4) Patients with complete denture had higher sound pressure levels /t/ and /c/ than the control group (p<0.01). However, sound pressure levels for /c/ of patients with metal prosthesis or resin prosthesis was similar to the control group (p<0.05). (5) Patients with complete denture had higher fundamental frequency than the control group (p<0.01).

• 대한치과기공학회지
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• 제46권3호
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• pp.84-92
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• 2024

Purpose: To evaluate the effect of post-curing on the three-dimensional (3D) accuracy of artificial teeth, denture bases, and denture base monoblock manufactured using digital light processing (DLP) technology. Methods: Using an edentulous model, a 3D design was made for complete dentures. Three groups were printed by DLP: artificial teeth, denture bases, and denture base monoblock. The models were scanned, subjected to post-curing, and scanned again. Three-dimensional analysis was performed based on the post-treatment differences among the three groups. Statistical analysis was performed using SPSS Statistics ver. 22.0 (IBM), and the Mann-Whitney U-test and Kruskal-Wallis test were employed as nonparametric tests. Results: The complete denture monoblock (CM) and complete denture artificial teeth (CA) groups showed the lowest and highest errors at 15.13 and 23.37 ㎛, respectively. The groups did not show significant differences (p>0.05). In the significance test among the three groups, no significance was found in the CA group; however, significant differences were found between the complete denture base (CB) and CM groups. In addition, the three groups showed significant differences (p<0.05). Conclusion: Although deformation may occur during the post-curing process, it is within the clinically acceptable range. Future comparative studies using different 3D printers and searching for ways to minimize errors through optimization of the post-curing process are warranted.

• The Journal of Advanced Prosthodontics
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• 제3권4호
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• pp.236-239
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• 2011

Maxillary labial and buccal frena are considered as normal anatomic structures in the oral cavity. However, they may exist intraorally as a thick broad fibrous attachment and/or become located near the crest of the residual ridge, thus interfering with proper denture border extension resulting in inferior denture stability, retention and overall patient satisfaction. This case report highlights the importance of clinical examination and treatment planning which may mandate preprosthetic surgery prior to fabrication of a new conventional complete denture. Adequate patient satisfaction with conventional complete dentures can be significantly increased after frenectomy.

• 대한치과기공학회지
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• 제40권4호
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• pp.201-207
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• 2018

Purpose: The purpose of this study is to evaluate the fitness of lower jaw compete denture with glass fiber. Methods: Lower jaw edentulous model was selected as the master model. Ten study models were produced using Type IV stone(n=10). Lower jaw trial dentures were produced by the wax denture base and artificial teeth. Conventional complete denture (CD) group was fabricated by excluding glass fiber reinforcement (n=5). Glass fiber complete denture (GD) group was fabricated with glass fiber reinforcement (n=5). The lower jaw trial complete denture was invested using a plaster. PMMA resin was injected and curing was performed. The CD and GD groups measured the fit using silicone replica technology. The measured data was verified by t-test. Results: The anterior area of the CD group showed the smallest value. There was a statistically significant difference in the anterior area of the CD group and the GD group (p<0.05), but there was no statistically significant difference in the posterior area (p>0.05). Conclusion : Complete denture with glass fiber showed low fitness and further study is needed to apply it clinically.

• The Journal of Advanced Prosthodontics
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• 제13권6호
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• pp.361-372
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• 2021

PURPOSE. To improve the clinical effects of complete denture use and simplify its clinical application, a digital complete denture restoration workflow (Functional Suitable Digital Complete Denture System, FSD) was proposed and preliminary clinical evaluation was done. MATERIALS AND METHODS. Forty edentulous patients were enrolled, of which half were treated by a prosthodontic chief physician, and the others were treated by a postgraduate student. Based on the primary impression and jaw relation obtained at the first visit, diagnostic denture was designed and printed to create a definitive impression, jaw relation, and esthetic confirmation at the second visit. A redesigned complete denture was printed as a mold to fabricate final denture that was delivered at the third visit. To evaluate accuracy of impression made by diagnostic denture, the final denture was used as a tray to make impression, and 3D comparison was used to analyze their difference. To evaluate the clinical effect of FSD, visual analogue scores (VAS) were determined by both dentists and patients. RESULTS. Two visits were reduced before denture delivery. The RMS values of 3D comparison between the impression made via diagnostic dentures and the final dentures were 0.165 ± 0.033 mm in the upper jaw and 0.139 ± 0.031 mm in the lower jaw. VAS ratings were between 8.5 and 9.6 in the chief physician group, while 7.7 and 9.5 in the student group; there was no statistical difference between the two groups. CONCLUSION. FSD can simplify the complete denture restoration process and reduce the number of visits. The accuracy of impressions made by diagnostic dentures was acceptable in clinic. The VASs of both dentists and patients were satisfied.

• 대한치과보철학회지
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• 제37권4호
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• pp.494-505
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• 1999

In spite of the progress in techniques and materials of the prosthodontic rehabilitation of patients with complete edentulous arches, prosthodontists still face patients' complaints about dissatisfaction and discomfort from their dentures. In the past several decades, prosthodontists tried to find the factors that influence the patient's satisfaction with dentures. However the results are contraversial especially with the psychological factor. In this study using 'patient denture satisfaction questionnaire' and Hopkins Symptom Checklist, we tried to find the correlation between the patient's denture satisfaction and the patient's psychological aspects. 23 complete edentulous patients who have visited the Department of Prosthodontics, Yonsei University Dental Hospital from September 1998 to June 1999 for complete denture treatment were asked to complete the questionnaires 4 to 6 weeks after the upper and lower complete delivery. After the measurement of validity of the questionnaires, correlations between the patient's general satisfaction with their new upper and lower complete dentures and the other satisfaction questions including the satisfactions with esthetics, retention, mastication, speech, comfort and other people's opinion and between the patient's general satisfaction with their new upper and lower complete dentures and the 5 symptoms of Hopkins Symptoms Checklist including somatic, obsessive-compulsive, interpersonal sensitivity, depression and anxiety were analyzed. Among the several satisfaction questionnaire items, comfort with the lower denture showed highest relation to the patient's general satisfaction with dentures. However, only the anxiety scale of Hopkins Symptoms Checklist among the other symptom scales was related to the patient's general satisfaction with dentures. The two questionaires used in this study turned out to be valid means of analyzing patient's denture satisfaction and psychological status before and after the complete denture treatment.

• The Journal of Advanced Prosthodontics
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• 제9권1호
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• pp.22-30
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• 2017

PURPOSE. The aim of this study was to investigate the effect of reinforcing materials on the fracture resistances of glass fiber mesh- and Cr-Co metal mesh-reinforced maxillary complete dentures under fatigue loading. MATERIALS AND METHODS. Glass fiber mesh- and Cr-Co mesh-reinforced maxillary complete dentures were fabricated using silicone molds and acrylic resin. A control group was prepared with no reinforcement (n = 15 per group). After fatigue loading was applied using a chewing simulator, fracture resistance was measured by a universal testing machine. The fracture patterns were analyzed and the fractured surfaces were observed by scanning electron microscopy. RESULTS. After cyclic loading, none of the dentures showed cracks or fractures. During fracture resistance testing, all unreinforced dentures experienced complete fracture. The mesh-reinforced dentures primarily showed posterior framework fracture. Deformation of the all-metal framework caused the metal mesh-reinforced denture to exhibit the highest fracture resistance, followed by the glass fiber mesh-reinforced denture (P<.05) and the control group (P<.05). The glass fiber mesh-reinforced denture primarily maintained its original shape with unbroken fibers. River line pattern of the control group, dimples and interdendritic fractures of the metal mesh group, and radial fracture lines of the glass fiber group were observed on the fractured surfaces. CONCLUSION. The glass fiber mesh-reinforced denture exhibits a fracture resistance higher than that of the unreinforced denture, but lower than that of the metal mesh-reinforced denture because of the deformation of the metal mesh. The glass fiber mesh-reinforced denture maintains its shape even after fracture, indicating the possibility of easier repair.