• Title/Summary/Keyword: complete denture

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Complete denture of a skeletal class III patient with occlusal scheme in consideration: A case report (심한 골격성 class III 환자에서 교합양식을 고려한 총의치 수복증례)

  • Lim, Soeun;Kwon, Kung-Rock;Noh, Kwantae;Paek, Janghyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.50-55
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    • 2018
  • Occlusal disharmony is frequently observed among edentulous patients. When artificial teeth come into contact, the unfavorable displacing force may lead to the discomfort, mucosal trauma, or even neuromuscular alterations and emotional disturbances. An optimal occlusal scheme is a critical factor for successful complete dentures. For this case, an edentulous patient with significant interarch size discrepancy due to mandibular prognathism contributing to inadequate function of dentures was treated with complete dentures. The posterior cross-bite tooth setup for compensating the abnormal jaw relations provided a stable and retentive complete denture prosthesis, which was considered adequate by both patient and dentist.

Integrating 3D facial scanning in a digital workflow to CAD/CAM design and fabricate complete dentures for immediate total mouth rehabilitation

  • Hassan, Bassam;Greven, Marcus;Wismeijer, Daniel
    • The Journal of Advanced Prosthodontics
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    • v.9 no.5
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    • pp.381-386
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    • 2017
  • PURPOSE. To integrate extra-oral facial scanning information with CAD/CAM complete dentures to immediately rehabilitate terminal dentition. MATERIALS AND METHODS. Ten patients with terminal dentition scheduled for total extraction and immediate denture placement were recruited for this study. The patients were submitted to a facial scanning procedure using the in-office PritiMirror scanner with bite registration records in-situ. Definitive stone cast models and bite records were subsequently submitted to a lab scanning procedure using the lab scanner (iSeries DWOS; Dental Wings). The scanned models were used to create a virtual teeth setup of a complete denture. Using the intra-oral bite records as a reference, the virtual setup was incorporated in the facial scan thereby facilitating a virtual clinical evaluation (teeth try-in) phase. After applying necessary adjustments, the virtual setup was submitted to a CAM procedure where a 5-axis industrial milling machine (M7 CNC; Darton AG General) was used to fabricate a full-milled PMMA immediate provisional prosthesis. RESULTS. Total extractions were performed, the dentures were immediately inserted, and subjective clinical fit was evaluated. The immediate provisional prostheses were inserted and clinical fit, occlusion/articulation, and esthetics were subjectively assessed; the results were deemed satisfactory. All provisional prostheses remained three months in function with no notable technical complications. CONCLUSION. Ten patients with terminal dentition were treated using a complete digital approach to fabricate complete dentures using CAD/CAM technology. The proposed technique has the potential to accelerate the rehabilitation procedure starting from immediate denture to final implant-supported prosthesis leading to more predictable functional and aesthetics outcomes.

Comparative analysis of case series for the prosthetic rehabilitation of edentulous patients using suction denture (완전 무치악 환자들을 위한 보철 수복 시 흡착 의치를 이용한 비교 분석 증례)

  • Kim, Ye-Ji;Song, Young-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.389-396
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    • 2019
  • In patients with severely resorbed alveolar bone, it is difficult to gain retention in denture. Lack of retention makes denture unstable and lead to trouble in using denture. Suction denture seals the entire denture border with movable mucosa and this sealing mechanism forms negative pressure beneath the denture and produce higher retention and stability to denture. In this case, 4 edentulous patients visited for lack of retention with dentures. Considering their high expectation with retention, suction denture concept was used to fabricate retentive and stable denture. The purpose of this case report is to compare and analyze the considerations of suction denture restorations in edentulous patients.

Implant-supported overdenture with prefabricated bar attachment system in mandibular edentulous patient

  • Ha, Seung-Ryong;Kim, Sung-Hun;Song, Seung-Il;Hong, Seong-Tae;Kim, Gy-Young
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.254-258
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    • 2012
  • Implant-supported overdenture is a reliable treatment option for the patients with edentulous mandible when they have difficulty in using complete dentures. Several options have been used for implant-supported overdenture attachments. Among these, bar attachment system has greater retention and better maintainability than others. SFI-Bar$^{(R)}$ is prefabricated and can be adjustable at chairside. Therefore, laboratory procedures such as soldering and welding are unnecessary, which leads to fewer errors and lower costs. A 67-year-old female patient presented, complaining of mobility of lower anterior teeth with old denture. She had been wearing complete denture in the maxilla and removable partial denture in the mandible with severe bone loss. After extracting the teeth, two implants were placed in front of mental foramen, and SFI-Bar$^{(R)}$ was connected. A tube bar was seated to two adapters through large ball joints and fixation screws, connecting each implant. The length of the tube bar was adjusted according to inter-implant distance. Then, a female part was attached to the bar beneath the new denture. This clinical report describes two-implant-supported overdenture using the SFI-Bar$^{(R)}$ system in a mandibular edentulous patient.

Open and Closed Mouth Impression Techniques for Mandibular Implant Overdenture: Two Cases Report

  • Ha-Jin, Yoon;Jung-Yoon, Bae
    • Journal of Korean Dental Science
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    • v.15 no.2
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    • pp.152-161
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    • 2022
  • Mandibular implant overdenture is a good treatment option for complete edentulous patients with restoring removable prosthesis. Mandibular implant overdenture with two implants and locator attachments is widely used. It is tissue-supported overdenture that is made with the concept of conventional complete denture fabrication. There are two patients who provided impressions by open mouth technique and closed mouth technique in each case. In both cases, mandibular implant overdentures were restored with functionally and aesthetically satisfying results.

Clinical Usefulness of Denture Adhesives (의치접착제의 임상적 효용성)

  • Lee, Jin-Han;Lim, Young-Jun;Lee, Seok-Hyung;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.163-169
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    • 2012
  • Denture adhesive is the material using for enhancing retention and function of the denture. For a long time, denture adhesive was regarded as a repulsive material for dentist. However, it seems that the needs for using this is increasing. This study was planned to recognize the denture adhesive about kinds, components, and action mechanisms through literature review, and also evaluate its clinical effects and implications.

Analysis of deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a DLP printer (DLP 프린터로 출력한 임시의치용 전악 인공치아의 후경화에 따른 변형 분석)

  • Kim, Dong-Yeon;Lee, Gwang-Young
    • Journal of Technologic Dentistry
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    • v.43 no.2
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    • pp.48-55
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    • 2021
  • Purpose: This study aimed to analyze deformation according to post-curing of complete arch artificial teeth for temporary dentures printed with a digital light processing (DLP) printer. Methods: An edentulous model was prepared and an occlusal rim was produced. The edentulous model and occlusal rim were scanned using a model scanner. A complete denture was designed using a dental computer-aided design, and the denture base and artificial tooth were separated. Ten complete arch artificial teeth were printed using a 3D printer (DLP). Complete arch artificial teeth was classified into the following three groups: a group no post-curing (NC), a group with 10 minutes post-curing (10M), and a group with 20 minutes post-curing (20M). Specimens were scanned using a model scanner. The scanned data were overlapped with the reference data. Statistical analysis was performed using one-way ANOVA analysis of variance, Kruskal-Wallis test, and Mann-Whitney U test (α=0.05). Results: Regarding the overall deviation of complete arch artificial teeth, the NC group showed the lowest mean deviation of 111.13 ㎛ and the 20M group showed the highest mean deviation of 131.03 ㎛. There were statistically significant differences among the three groups (p<0.05). Conclusion: The complete arch artificial tooth showed deformation due to post-curing. In addition, the largest shrinkage deformation was observed at 10 minutes of post-curing, whereas the least deformation was observed at 20 minutes.

The effect of denture adhesives on the retention of complete denture (의치 접착제가 총의치의 유지력에 미치는 영향에 관한 연구)

  • Yoon, Yu-Mi;Choi, Yu-Sung;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.2
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    • pp.87-93
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    • 2010
  • Purpose: The purpose of this study was to compare the retention of the two denture adhesives with a silicone edentulous model and a resin denture base in vitro study. Material and methods: The experimental groups were used two denture adhesives and classified into 5 subgroups each. Subgroups were divided by the number of times the saliva sprayed. The control group was used synthetic saliva only. Dislodging tensile strengths were applied to the resin denture base using Instron in 3 directions ; vertical, lateral, and anterior-posterior. Results: The retention of two denture adhesives was increased significantly than saliva alone (P <.05). In each denture adhesives, the retention of saliva sprayed first was decreased than denture adhesive alone, but it didn't have significant differences. Whenever saliva sprayed repeated, the retention was decreased significantly than saliva sprayed first (P <.05). In each denture adhesives, vertical retentive force was highest than lateral and anterior-posterior retentive forces, and anterior-posterior retentive force was higher than lateral retentive force. This results were significantly different (P < .05). Significant differences of the retentive ability among two denture adhesives were not observed. Conclusion: From the results, use of the denture adhesives resulted in improved retentive ability of denture. Especially retentive force was highest in vertical direction.

3-step digital complete denture restoration using facialscan: a case report (안면 스캔을 이용한 3회 내원 디지털 총의치 수복: 증례보고)

  • Yeongseok Kwon;Seoung-Jin Hong;Janghyun Paek;Ahran Pae;Hyeong-Seob Kim;Kung-Rock Kwon;Kwantae Noh
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.356-366
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    • 2023
  • Support, retention, and stability of dentures are key factors in the use of complete dentures in edentulous patients. With the development of digital dentistry, attempts are being made to replace traditional treatment methods. Also, struggle to reduce the number of patient visits and to manufacture high-quality digitally fabricated dentures are ongoing. In this case, a digital denture was restored using a tray capable of obtaining centric relation through gothic arch tracing and a facial scan. By replacing the traditional complete denture restoration method, the number of patient visits was reduced and esthetic results with satisfactory denture support, retention, and stability were obtained.