• 제목/요약/키워드: partial dentures

검색결과 211건 처리시간 0.03초

편측 후방 치아 잔존시 의치 설계에 따른 지대치지지 조직과 잔존 치조제의 응력 분석에 관한 연구 (STRESS ANALYSIS AT SUPPORTING TISSUE OF ABUTMENT TEETH AND RESIDUAL RIDGE ACCORDING TO DENTURE DESIGN WITH REMAINING UNILATERAL POSTERIOR TEETH)

  • 안광호;정영완;진태호
    • 대한치과보철학회지
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    • 제37권2호
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    • pp.185-199
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    • 1999
  • This study was peformed to investigate the distribution and magnitude of stress at supporting tissue of abutment teeth and residual ridge tissue with remaining unilateral posterior teeth. Four types of removable partial dentures that included clasp retained removable partial denture, attachment retained removable partial denture, telescopic removable partial denture, and swing-lock partial denture were designed, and strain gauge was used for stress analysis. Each prosthesis was subjected to simulated vertical and oblique load. The following conclusions were drawn from this study. 1. The clasp retained removable partial denture generally distributed simulated vertical force more evenly to the supporting structure. 2. The stress at buccal side of 1st premolar was the lowest in swing-lock partial denture and that was highest in attchment retained removable partial denture. The stress at lingual side of 1st premolar was the lowest in telescopic partial denture. 3. In clasp retained removable partial denture, stress was lower at load site and ridge crest at mid-line, but it was higher at 1st premolar area on vertical load. 4. In attachment removable partial denture, stresses at buccal side of 1st premolar. lingual side of 1st premolar on vertical load, and ridge crest at midline on oblique load were higher. 5. In telescopic removable partial denture, stress at lingual side of 1st premolar was the least in all removable partial dentures, but the stress at load site was higher. 6. In swing-lock removable partial denture, stress at buccal side of 1st premolar was the lowest, and stresses at load site and distal end of residual ridge crest were higher.

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Complication rates and patient satisfaction with removable dentures

  • Bilhan, Hakan;Erdogan, Ozge;Ergin, Selen;Celik, Melahat;Ates, Gokcen;Geckili, Onur
    • The Journal of Advanced Prosthodontics
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    • 제4권2호
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    • pp.109-115
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    • 2012
  • PURPOSE. The purpose of this clinical study was to evaluate the frequency and type of prosthetic complications in relation to type and properties of removable dentures and to investigate the influence of these complications and several data about the existing dentures on patient satisfaction. MATERIALS AND METHODS. Ninety nine patients (44 males and 55 females) wearing removable dentures have been included in the study. The complications of the patients were recorded; patient satisfaction was determined with a Visual Analog Scale (VAS) and the relationship of complications and patient satisfaction with several data about the dentures such as denture age, type of denture, centric relation and vertical dimension was investigated. Kruskal Wallis, Mann Whitney U and Chi square tests were used for statistical analyses. The results were evaluated statistically at a significance level of $P$ <.05. RESULTS. Need for addition of artificial teeth for dentures with correct centric relations was found to be significantly lower than dentures with wrong centric relations ($P$ <.01). Loss of retention, ulcerations and high vertical dimension affected the VAS chewing ability scores negatively and ulcerations affected the VAS phonation scores negatively ($P$ <.05). CONCLUSION. Considering the results of this study, it can be concluded that loss of retention, ulcerations and high vertical dimension caused patient dissatisfaction. Additionally, dentures with wrong centric relations caused need for addition of artificial teeth.

Clinical gap changes after porcelain firing cycles of zirconia fixed dentures

  • Bugurman, Bugurman Burcu;Turker, Sebnem Begum
    • The Journal of Advanced Prosthodontics
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    • 제6권3호
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    • pp.177-184
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    • 2014
  • PURPOSE. The aim of this study was to measure the changes on the marginal and internal adaptation of zirconia based anterior fixed partial dentures after the porcelain firing process. MATERIALS AND METHODS. A total of 34 anterior fixed partial dentures using LAVA CAD/CAM system (3M ESPE, Germany) were applied. Two silicone replicas were obtained: one is obtained before porcelain firing process (initial) and the other is obtained after porcelain firing process (final), followed by the examination under a binocular stereomicroscope. Kruskal Wallis and Wilcoxon Signed Ranks tests were used for the statistical analysis (P<.05). RESULTS. No statistically significant difference was found between initial and final marginal gap values (P>.05). At the internal gap measurements, final marginal area values ($59.54{\mu}m$) were significantly lower than the initial marginal area values ($68.68{\mu}m$)(P<.05). The highest and the lowest internal gap values were observed at the incisal/occlusal area and at the marginal area, respectively. In addition, lower internal gap values were obtained for canines than for central incisors, lateral incisors and premolars at the incisal area (P<.05). CONCLUSION. The firing cycles did not affect the marginal gap of Lava CAD/CAM system, but it is controversial for the internal gap.

임상가를 위한 특집 1 - CAD/CAM 치과적 응용 (The Application of CAD/CAM in Dentistry)

  • 최호식;문지은;김성훈
    • 대한치과의사협회지
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    • 제50권3호
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    • pp.110-117
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    • 2012
  • Dental computer-aided design (CAD) and computer-aided manufacturing (CAM) technology have rapidly progressed over the past 30 years. The technology, which can be used in the dental laboratory, the dental office and the form of production centers, has become more common in recent years. This technology is now applied to inlays, onlays, crowns, fixed partial dentures, removable partial denture frameworks, complete dentures, templates for implant installation, implant abutments, and even maxillofacial prostheses. Dentists and dental technicians, who want to use these techniques, should have certain basic knowledge about that. This article gives an overview of CAD/CAM technologies, histories and how it applies in prosthetic dentistry.

수종 골내 임플란트의 보철 수복물에 가해진 응력 분산에 관한 광탄성학적 연구 (Photoelastic Study on Stress Distribution of the Fixed Partial Dentures with Various Designed Endosseous Implants)

  • 이능수
    • 대한치과의사협회지
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    • 제25권12호통권223호
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    • pp.1145-1156
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    • 1987
  • The purpose of this experimental study was to analyze the stress distribution from fixed partial dentures to the surrounding structures. This study was carried out on the experimental bridges with K-L blade, F.D.B.I.-11 type, F.D.B.I.-21 type, shape-memory metal blade and two-Apacerams as posterior abutment. The stress patterns and fringes were observed through the circular transmission polariscope. The results of this study were obtained as follows: 1. The stress was more concentrated to the roots apex than the implants. 2. In all blade implants, the stress was more concentrated to the distal side than the mesial side. 3. F.D.B.I.-11 type was more stress concentrated than the 21 type. 4. Shape-memory metal blade was the most effective for stress distribution. 5. Apacerams were more stress concentrated than the blde types and in the model of Apaceram with rubber-ring, anterior root was tipped distally.

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Oral rehabilitation for a patient with oligodontia and maxillary hypoplasia

  • Chung, Da-Woon;Vang, Mong-Sook;Park, Sang-Won;Lim, Hyun-Pil;Yang, Hong-So
    • The Journal of Advanced Prosthodontics
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    • 제1권1호
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    • pp.6-9
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    • 2009
  • An 18 year old female with oligodontia and maxillary hypoplasia was treated using an interdisciplinary team approach involving orthodontists, maxillofacial surgeons and prosthodontists. Full mouth one-piece fixed partial dentures were the final restoration. The fixed partial dentures fabricated for the maxilla and mandible using the concept of a shortened dental arch resulted in improved esthetics and the masticatory function. This paper describes the treatment procedures for an oligodontia patient with alveolar bone hypoplasia.