• Title/Summary/Keyword: denture wearer

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Experimental Study on the Swallowing Threshold of the Full Denture Wearer (총의치(總義齒) 장착환자(裝着患者)의 연하역치(曣下閾値) 관(關)한 실험적(實驗的) 연구(硏究))

  • Shim, Tae-Suk;Chin, Yong-Whan;Kim, Yung-Soo;Kim, Hyun-Ku
    • The Journal of Korean Academy of Prosthodontics
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    • v.8 no.1
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    • pp.77-79
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    • 1968
  • The swallowing threshold tests were conducted on the 8 subjects over one month of full denture wearing experience of Korean. The results were follows. 1) The swallowing threshold of the full denture wearer was higher than that of the normal control group. 2) The swallowing threshold of the full denture wearer was different according to the quality and quantity of the test food. 3) The swallowing threshold of full denture wearer seemed to be no correlation between short and long duration of wearing experience.

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A STUDY ON MASTICATORY PERFORMANCE AND FUNCTION BY POSTERIOR OCCLUSAL SCHEMES IN COMPLETE DENTURE (총의치의 교합면 형태에 따른 저작 효율 및 기능에 관한 연구)

  • Kwon, Kung-Rock;Choi, Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.2
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    • pp.389-423
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    • 1998
  • This investigation was designed to determine the effectiveness of the posterior occlusal schemes on masticatory activity during mastication in complete denture. Twelve edentulous subjects were selected for this study. All subjects had no past history and no functional abnormality on masticatory system and TMjoint. And, they had residual ridge of favorable morphology, firm mucosa and Class I skeletal jaw relationship, Twelve experimental denture with interchangeable occlusions(0-degree teeth, 30-degree teeth, Levin teeth and S-A teeth) were constructed for this study. The masticatory performance was analyzed by means of standard sieve(10, 16, 20, 30sieve), and the electrical activity from selected muscles(Temporalis and Masseter muscle) was recorded simultaneously with electromyography (Bio-Pak system) as the subject masticated test foods (rice, peanut and gum) with four different occlusal schemes. Mandibular movement was, also, measured with Sirognathography(Bio-Pak system). These recordings were performed in immediately, after 1 week and after 2 weeks of insertion of complete denture. The results were as fellows; 1. The average masticatory performance of 0-degree artificial teeth was higher than any other artificial teeth. 2. Masticatory performance in denture wearer was affected preferentially by food and artificial occlusal schemes. 3. During chewing, there was a statistical difference of EMG activity between masseter and temporal muscle(p<0.01). Especially, EMG activity of working masticatory muscle was highly affected by food rather than by artificial occlusal schemes. 4. In denture wearer, the velocity of opening was not affected by food, whereas, the velocity of closing was faster in soft food chewing than in hard food chewing, and the amount of vertical displacement was grater in chewing of soft and large bolus than in chewing of hard and small bolus. However, the amount of lateral displacement showed conversely(p<0.05). 5. It was considered that masticatory performance in denture wearer is not affected by the condition of residual ridge. the history of denture wear, the preference, the adaptation to artificial teeth and the total mesiodistal length of artificial posterior teeth.

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A STUDY ON MASTICATORY PERFORMANCE AND FUNCTION BY POSTERIOR OCCLUSAL SCHEMES IN COMPLETE DENTURE (총의치의 교합면 형태에 따른 저작 효율 및 기능에 관한 연구)

  • Kwon, Kung-Rock;Park, Nam-Soo;Choi, Dae-Gyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.3
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    • pp.539-573
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    • 1996
  • This investigation was designed to determine the effectiveness of the posterior occlusal schemes on masticatory activity during mastication in complete denture. Twelve edentulous subjects were selected for this study. All subjects had no past history and no functional abnormality on masticatory system and TMjoint. And, they had residual ridge of favorable morphology, firm mucosa and Class I skeletal jaw relationship, Twelve experimental denture with interchangeable occlusions(0-degree teeth, 30-degree teeth, Levin teeth and S-A teeth) were constructed for this study. The masticatory performance was analyzed by means of standard sieve(10, 16, 20, 30sieve), and the electrical activity from selected muscles(Temporalis and Masseter muscle) was recorded simultaneously with electromyography(Bio-Pak system) as the subject masticated test foods (rice, peanut and gum) with four different occlusal schemes. Mandibular movement was, also, measured with Sirognathography(Bio-Pak system). These recordings were performed in immediately, after 1 week and after 2 weeks of insertion of complete denture. The results were as follows; 1. The average masticatory performance of 0-degree artificial teeth was higher than any other artificial teeth. 2. Masticatory performance in denture wearer was affected preferentially by food and artificial occlusal schemes. 3. During chewing, there was a statistical difference of EMG activity between masseter and temporal muscle(p<0.01). Especially, EMG activity of working masticatory muscle was highly affected by food rather than by artificial occlusal schemes. 4. In denture wearer, the velocity of opening was not affected by food, whereas, the velocity of closing was faster in soft food chewing than in hard food chewing, and the amount of vertical displacement was grater in chewing of soft and large bolus than in chewing of hard and small bolus. However, the amount of lateral displacement showed conversely (p<0.05). 5. It was considered that masticatory performance in denture wearer is not affected by the condition of residual ridge, the history of denture wear, the preference, the adaptation to artificial teeth and the total mesiodistal length of artificial posterior teeth.

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Comparison between denture wearer's evaluation and clinician's rating for complete denture (총의치 사용에 대한 환자와 술자간 평가 비교)

  • Byun, Jin-Soo;Huh, Yoon-Hyuk;Cho, Lee-La;Park, Chan-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.364-369
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    • 2016
  • Purpose: The aim of this study was to compare denture wearer's evaluation and clinician's technical rating for complete denture used on edentulous patients. Materials and methods: Total 43 edentulous patients who had complete denture fabricated more than one year ago were recalled. The questionnaire based on the various literatures was modified and applied to patients for subjective assessments. Functional aspects related to retention, stability, occlusion and denture condition were included in operator's evaluation. In addition, correlations were evaluated between patient's subjective and operator's objective assessments. Friedman test and Cohen's Kappa value were used for statistical analysis. Results: It was found that denture wearers' evaluations were slightly or fairly agree to clinician's rating for complete denture. More differences were found in maxillary denture than mandibular denture and moderate difference was found in esthetic, occlusion aspects. Conclusion: There were slightly or fairly agreement between subjective and objective evaluations.

A study of oral malodor of denture wearers (의치장착자의 구취발생에 관한 연구)

  • Kweon, Taeg-Ga;Jang, Kyung-Soo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.17 no.2
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    • pp.85-90
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    • 2001
  • In order to investigate the amount of oral malodor of denture wearers, concentration of volatile sulfur compounds of 20 denture wearers(10 male, 10 female) was measured by Halimeter(RH-17, Interscan, CA, USA) at following four conditions ; condition 1(with denture) : male - $415.0{\pm}90.1$, female - $430.9{\pm}101.3$ condition 2(immediately after denture removal) : male - $291.4{\pm}35.5$, female - $259.8{\pm}20.4$ condition 3(with denture after 30 minutes immersing in chlorhexidine) :male - $210.1{\pm}25.7$, 여자 - $197.4{\pm}22.2$ condition 4(with denture after 24 hours immersing in chlorhexidine) : male - $120.1{\pm}35.2$, 여자 - $109.2{\pm}20.0$ There was no sexual difference, but, value at the condition 1 showed statistically significant difference from the others(p<0.05). It is dentists' responsibility and privilege to understand and diagnose the strong association between mouth and oral malodor and treat it.

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Study on the Actual Condition of Denture Management in Understanding of Denture Management Education of Elderly (노인의 의치관리 교육이해에 따른 의치관리 실태 연구)

  • Lee, Jung-Hwa;Kim, Ji-Hwa
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.159-165
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    • 2017
  • This study was accomplished to get to know the actual condition of denture management in understanding of denture management education relate to the post denture management of elderly, by meeting directly, among elderly people (more than 65 years old) wearing dentures, using structured guestionnaire from 15th Oct. to 15th Dec. 2016 in Daegu Metropolitan City. As a result, there was a significant difference in understanding of denture management education according to age, education level, cost of denture, general health condition, position of denture, period of wearing upper and bottom denture, frequencies of dental treatment and degree of halitosis(p<0.05). As a result, it is considered that continuing denture management education by studying characteristics of the elderly is needed and standardized denture management manual has to be made.

A FLUOROSCOPIC STUDY ON THE STABILITY OF SKIN REFERENCE POINTS DURING JAW OPENING AND CLOSING MOVEMENT (방사선 투시를 이용한 개폐구 운동에 따른 수직 고경 계측점의 안정성에 관한 연구)

  • Ahn, Hyung-Jun;Kim, Chang-Whe;Kim, Yung-Soo;Kim, Yong-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.4
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    • pp.516-530
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    • 1999
  • The current clinical technique for occlusal vertical dimension recording is based on marking the skin reference points on the patient's face and measuring between these points using caliper-like device. And it is difficult to achieve reliable measurements by this technique because of movable soft tissue. The purpose of this study is to reveal the stability of skin reference points by comparing the relative movement between extra-oral skin reference points and intra-oral reference points using X-ray fluoroscope. 10 test subjects were divided into 2 groups : Group I (natural dentition) and Group II (denture-wearer whose vertical dimension was lost) and Group III consists of identical test subjects to Group II with their upper denture removed and record base inserted. Attaching the 3 mm diameter steel ball to nose tip, lower lip, chin and to existing denture (or record base), fluoroscopic examination and recording were taken during 2 jaw opening and closing movements. After subsequent digitization using personal computer, 1219 still pictures with 0.1 second interval were made. Using the 2 dimensional graphic software, measurements between reference points were executed. Dividing the entire jaw movement into 3 ranges (total, 1st half opening, 2nd half opening), rate of movement and relative movement between extra-oral and intra-oral reference points were calculated and statistically analyzed. The results of this study are as follows. 1 Within the same experimental group, no statistical difference was found in the stability of skin reference between lower lip point and chin point during total range of jaw opening and closing movement (p>.05) 2. In the first half range of jaw opening, statistical difference was found between Group I (natural dentition) and Group II (denture wearer) (p<.05) Group I has greater skin reference stability than Group II. 3. In the first half range of jaw opening, statistical difference was found between Group I and Group III (record base wearer) (p<.05). Group I has greater skin reference stability than Group III. 4. In the first half range of jaw opening, no statistical difference was found in the stability of skin reference between Group II and Group III (p>.05). 5. In the second half range of jaw opening, no statistical difference was found in the stability of skin reference between any experimental groups (p>.05). 6. In patients with their occlusal vertical dimension lost, employing other measuring references rather than skin is recommended because of low stability.

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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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A STUDY ON MASTICATORY PERFORMANCE AND MUSCLE ACTIVITY IN REMOVABLE PARTIAL DENTURE WEARERS (자연치열자와 가철성 국소의치 장착자의 저작효율과 근활성도에 관한 비교 연구)

  • Paik, Jin;Park, Nam-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.1
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    • pp.81-103
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    • 1998
  • The purpose of this study was to compare and evaluate the differences in masticatory performance, muscle activity, and patterns of occlusal contact between persons with natural dentition and removable partial denture wearers. Twenty healthy adult subjects with more than 28 teeth and thirteen removable partial denture wearers that classified Kennedy classification I was selected. The degree of pulverized rice and peanut was measured and analyzed by means of sieving method to compare the masticatory performance. For the muscle activity, EMG was recorded in selected muscles(Temporalis and masseter muscle) during mastication and resting state. The occlusal record in maximal intercuspation was taken with a silicone occlusal bite registration material for analysis of the patterns of occlusal contact. The obtained results were as follows: 1. When chewed peanuts, masticatory performance ratio at 10-sieve size was 81.31% in natural dentition group. In removable partial denture wearer, 27.01% without RPD and 69.09% with RPD. When chewed rice, 42.04%, 11.87%, and 21.58%, respectively. The differences of masticatory performance ratio between groups were statistically significant at the 0.05 level. 2. The mean EMG value in resting state was $1.06{\mu}V$ on temporal muscle, $0.98{\mu}V$ on masseter muscle in natural dentition group. In removable partial denture wearers, $1.13{\mu}V$ on temporal muscle, $1.05{\mu}V$ on masseter muscle without RPD and $1.11{\mu}V$ on temporal muscle, $1.04{\mu}V$ on masseter muscle with RPD. 3. The mean EMG value during mastication was $45.64{\mu}V$ in natural dentition group, and in removable partial denture wearers, $22.06{\mu}V$ without RPD and $31.01{\mu}V$ with RPD when chewed peanuts. When chewed rice, $45.24{\mu}V,\;25.53{\mu}V\;and\;32.14{\mu}V$, respectively. The differences of mean masticatory EMG value between groups were statistically significant at the 0.05 level. 4. The number of posterior occlusal contact point was 20.15 in natural dentition group and 11.92 in removable partial denture wearers. The area of perforated surface was $16.50mm^2$ in natural dentition group and $6.06mm^2$ in removable partial denture wearers. The area of contact surface was $78.93mm^2,\;51.52mm^2$, respectively. 5. The area of contact surface was effective to masticatory performance ratio in natural dentition group and removable partial denture wearers (p<0.05). From these results, it is concluded that in partially edentulous patient, masticatory efficiency can be improved by removable partial denture wearing, and for efficient mastication, tight occlusal contact surface shoud be maintained by maximum support that is provided from mucosa.

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ADHESION OF CANDIDA ALBICANS ISOLATES TO ACRYLIC RESIN IN RELATION TO SALIVARY GLYCOPROTEINS IN DENTURE STOMATITIS PATIENTS (의치 구내염 환자에서 분리한 Candida albicans의 아크릴 수지에 대한 부착성과 타액 단백질과의 상호 관계)

  • Oh, Jung-Hwan;Choi, Boo-Byung;Choi, Dae-Gyun;Woo, Yi-Hyung;Lee, Sung-Bok;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.5
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    • pp.698-713
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    • 1999
  • Adherence of Candida albicans(C. albicans) to the surface of a denture is believed to be an initial and essential step in the formation of denture-induced stematitis. Previous studies have provided enormous infomation on the relationship between composition of palatine gland/parotid saliva and upper denture stomatitis. Relatively little information is available on the correlation between lower denture stomatitis and sublingual-submandibular ( SLSM ) saliva. The plaque samples were collected from the two sites($100mm^2$) on the inner surface of lower partial denture corresponding to the stematitis and healthy region of the lower partial dentures of 12 denture stomatitis patients and 6 nor-mal persons who wore lower partial dentures. The samples were plated to isolate C. albicans on a selective Saboraud's dextrose agar plate and the isolates were identified by germ tube test and gram staining. The subjects were divided into group I (stomatitis with C. albican), group II (lesion without C. albicans), group III (no lesion but C. albicans), and group IV (normal and healthy denture wearer). Individual SLSM saliva($20{\mu}g$ of protein) was analyzed by SDS-PAGE (SDS -poly-acrylamide gel electrophoresis) with Coomassie brilliant blue and PAS(Periodic Acid Schinff) stain-ing. The salivary proteins separated in the polyacryamide gels were subjected to immunoblot anaysis using anti-lactoferrin, anti-sIgA, and anti-secretory component of sIgA. In this study using custom made acrylic denture resin beads(5mm in diameter) coated with stimulated individual SLSM saliva, the binding ability of individual C. albicans strains to the beads was observed. Levels of C, albicans adhered to the acrylic resin beads were determined by measuring the optical density of the bound C. albicans to the beads at 580nm. The results showed that a higher number of C. albicans was observed in the lesion site than healthy site. The saliva of group I contained more high molecular weight glycoprotein(mucin, MGI) as compared to group II, III and IV. And lactoferrin and sIgA affected to the binding ability of C. albicans to acylic resin beads. Binding ability of individual C. albicans to the acrylic resin coated with respective individual saliva was found to be greater in group I than the other 3 groups. And when bound cells of C. albicans isolated from individual subject #2 to the saliva coated beads were used binding ability of subject #2 saliva coated beads was founed to be greater than the other sutjects. These results suggested that denture induced stomatitis is related to individual patient's salivary protein composition, especially MG-1. Future studies will be directed toward saliva exam-ination of patients who have general disease and analysis of pellicles formed on prosthesis with respect to oral disease.

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