• Journal of Dental Rehabilitation and Applied Science
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• v.33 no.4
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• pp.307-313
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• 2017

The object of this case report is to introduce milled zirconia bar and PEKK female part made by CAD/CAM technology for bar attachment implant supported overdenture in maxillary edentulous patients. For over 2 years, in terms of function and esthetics, satisfactory result was obtained. Esthetically and functionally satisfactory results were obtained in periodic follow up check.

• The Journal of Korean Academy of Prosthodontics
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• v.61 no.1
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• pp.90-99
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• 2023

Implant overdentures are widely used as a treatment method to restore oral function in completely edentulous or partially edentulous patients with severe bone resorption. Using a milled bar, it is mechanically advantageous as the implant fixtures are splinted. Applying additional attachments to the bar has the advantage of dispersing the stress applied to the implant. In this case, a patient who used implant overdentures using 4 implants wanted to fabricate a new prosthesis due to repeated fractures of the denture and weakened retention. Milled bar with ADD-TOC attachment and zirconia prosthesis were fabricated by CAD-CAM method and mechanically and aesthetically satisfactory results were obtained.

• The Journal of Korean Academy of Prosthodontics
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• v.62 no.3
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• pp.193-200
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• 2024

In patients with severe alveolar bone resorption on mandibular anterior edentulous areas, it can be difficult to place implants in the location for crowns, and to create the fixed prosthesis having an adequate emergence profile or embrasure, which makes maintenance difficult. Fabricating a removable zirconia prosthesis with a milled bar on poorly positioned implants can be a good option because of easy maintenance. In this case, the patient had severe bone resorption on mandibular anterior region, and large vertical space. We report on the aesthetical and easy-to-maintain results by placing two implants and fabricating a zirconia prosthesis using milled bar.

• The Journal of Advanced Prosthodontics
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• v.14 no.1
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• pp.12-21
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• 2022

PURPOSE. The purpose of this study was to investigate changes in retention and wear pattern of Locator^® and ADD-TOC attachments on a digital milled bar by performing chewing simulation and repeated insertion/removal of prostheses in fully edentulous models. MATERIALS AND METHODS. Locator (Locator^®; Zest Anchors Inc., Escondido, CA, USA) was selected as the control group and ADD-TOC (ADD-TOC; PNUAdd Co., Ltd., Busan, Republic of Korea) as the experimental group. A CAD-CAM milled bar was mounted on a master model and 3 threaded holes for connecting a bar attachment was formed using a tap. Locator and ADD-TOC attachments were then attached to the milled bar. Simulated mastication and repeated insertion/removal were performed over 400,000 cyclic loadings and 1,080 insertions/removals, respectively. Wear patterns on deformed attachment were investigated by field emission scanning electron microscopy. RESULTS. For the ADD-TOC attachments, chewing simulation and repeated insertion/removal resulted in a mean initial retentive force of 24.43 ± 4.89 N, which were significantly lower than that of the Locator attachment, 34.33 ± 8.25 N (P < .05). Amounts of retention loss relative to baseline for the Locator and ADD-TOC attachments were 21.74 ± 7.07 and 8.98 ± 5.76 N (P < .05). CONCLUSION. CAD-CAM milled bar with the ADD-TOC attachment had a lower initial retentive force than the Locator attachment. However, the ADD-TOC attachment might be suitable for long-term use as it showed less deformation and had a higher retentive force after simulated mastication and insertion/removal repetitions.

• Journal of Technologic Dentistry
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• v.40 no.1
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• pp.17-25
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• 2018

Purpose: When casting of ceramics, proper amount of deflocculant was added for disperse the particles in slip. In this study, examined the optimum amount of APMA(ammonium polymethaacrylate) water as deflocculant for casting the zirconia. Methods: The 100 g of zirconia powder were ball milled with 300 g zirconia ball, 90 g of distilled water, and APMA water in polyethylene pot for 24 hours. The amount of APMA water were added as deflocculant from 0.5 to 0.9 g at an intervals of 0.1 g. The viscosity of slip with no deflocculant showed 1362c.p. and the minimum viscosity with 580c.p. obtained when the slip contained 0.7% of deflocculant. Bar type specimens were casted with plaster mold and biscuit fired at $1100^{\circ}C$ for 1 hours. Biscuit fired specimens were finished with $60mm(L){\times}14mm(W){\times}10mm(H) bar$. Finished specimens were 2nd fired at $1500^{\circ}C$ for 1 hour. Results: Regardless the addition of deflocculant, all 2nd fired specimens showed 0% of apparent porosity and water absorption. The specimens with no deflocculant showed 24% of drying shrinkage and 27.4% firing shrinkage. On the other hand, The specimens with deflocculant showed 17.4% of drying shrinkage and 17.6% firing shrinkage regardless the amount of deflocculant. The maximum bulk density with $6.09g/cm^3$ obtained when the specimens casted with 0.7~0.9% of deflocculant contained slips. Bend strength of specimen with no deflocculant showed 680 MPa and the maximum bend strength with 814 MPa obtained when the specimen casted with 0.7% of diflocculant contained slip. Conclusion : It was found that the particle shape of the powder according to the dispersing agent is added, the particle size, sintering temperature and affect the particle size distribution, sintering time, sintering atmosphere, such a great influence on the sintering.