의치상 첨상재의 종류와 임상적 고려사항
Clinical considerations for complete denture relining
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
의치상 하방의 잔존 치조제는 시간이 지남에 따라 생리적인 흡수가 일어난다. 이로 인하여 기존의 의치는 잔존 치조제와의 적합성이 떨어지게 되며, 임상적으로 교합평면의 변화, 수직고경의 감소, 의치의 유지력과 안정성의 소실로 인한 구강 기능의 상실 및 심미적인 손상이 나타난다. 따라서 의치상과 잔존 치조제 사이의 첨상은 의치의 유지관리면에서 필수적이며 잔존 치조제와 의치상의 정확한 적합은 의치 치료의 성공을 결정하는 중요한 요인이 된다. 통상적인 첨상의 방법으로는 진료실에서 시행하는 직접법과 기공실에서 시행하는 간접법이 있다. 직접법은 진료실에서 시행하기 때문에 간편하고 쉽게 시행할 수 있는 장점이 있으나, 의치상 레진과 첨상재의 결합강도에 따라 영향을 받을 수 있는 단점이 존재한다. 반면, 간접법은 기공실에서 시행하며 첨상재와 의치상 레진간의 결합력을 제공한다는 장점이 있으나, 기공실 작업 기간 동안에 환자가 의치를 사용할 수 없다는 단점이 있다. 본 연구에서는 CAD-CAM의치를 포함하여 첨상에 사용하는 재료들과 각각의 특징들을 살펴보고, 첨상시 임상적으로 고려해야 하는 사항에 대해 알아보고자 한다.
Abstract
The residual alveolar ridge below the denture base undergoes physiologic changes over time, which results in the existing dentures becoming less accurate with the residual alveolar ridge. In addition, changes of the occlusal plane, decreasing in vertical dimension and loss of denture retention and facial support can occur. Consequently, denture relining may be required to accommodate these changes and ensure an ongoing close fit. Relining a denture can be performed directly on the chairside using autopolymerizing relining materials or indirectly in the laboratory using heat-cured relining materials. A direct relining method is not only simple but also time and cost effective. However, irritation or burning sensation of the mucosa can occur, and poor bonding of the relining material to the denture base can be cited as disadvantages. The indirect relining method exhibits relatively high bonding strength between the relining material and the denture base, but the patient might experience discomfort during relining process period. This report will examine the characteristics of relining materials, including those used in the relining of CAD-CAM dentures, and explore the clinical considerations for relining procedures.
참고문헌 (28)
- Lekholm U, "Tissue integrated prostheses: Osseointegration in clinical dentistry", pp.199~209 (1985), Quintessence
- Bergman B, "Carlsson GE. Clinical long-term study of complete denture wearers", J Prosthet Dent, 53, pp.56~61 (1985)
- Atwood DA, "Some clinical factors related to rate of resorption of residual ridges. 1962", J Prosthet Dent, 86, pp.119~125 (2001)
- Tallgren A, "The continuing reduction of the residual alveolar ridges in complete denture wearers : a mixed longitudinal study covering 25 years", J Prosthet Dent, 27, pp.120~132 (1972)
- Bowman JF, "Relining and rebasing techniques", Dent Clin North Am, 21, pp.369~378 (1977)
- Yoshida K, "Effects of adhesive primers on bond strength of self-curing resin to cobalt-chromium alloy", J Prosthet Dent, 77, pp.617~620 (1997)
- Kreve S, "Denture liners : A systematic review relative to adhesion and mechanical properties", Scientific World Journal, 2019, pp.6913080~ (2019)
- Tanoue N, "Factors affecting the bond strength of denture base and reline acrylic resins to base metal materials", J Appl Oral Sci, 21, pp.320~326 (2013)
- Lee JS, "The Effects of Thermocycling on the Shear Bond Strength between Metal Denture Base and Relining Resin", J Dent Rehabil Appl Sci, 21, pp.95~103 (2005)
- Hashem MI, "Advances in Soft Denture Liners : An Update", J Contemp Dent Pract, 16, pp.314~318 (2015)
- Chander S, "Tissue conditioning materials as functional impression materials", Eur J Prosthodont Restor Dent, 15, pp.67~71 (2007)
- Bowman JF, "Relining and rebasing techniques", Dent Clin North Am, 21, pp.369~378 (1977)
- Kim KS, "Changes of the surface roughness depending on immersion time and powder", liquid ratio of various tissue conditioners, 2009, pp.47, 108~118
- Usumez A, "Bond strength of a silicone lining material to alumina-abraded and lased denture resin", J Biomed Mater Res B Appl Biomater, 71, pp.196~200 (2004)
- Mutluay MM, "Evaluation of bond strength of soft relining materials to denture base polymers", Dent Mater, 23, pp.1373~1381 (2007)
- Hatamleh MM, "Effect of net fiber reinforcement surface treatment on soft denture liner retention and longevity", J Prosthodont, 19, pp.258~262 (2010)
- Wyatt CC, "A comparison of physical characteristics of six hard denture reline materials", J Prosthet Dent, 55, pp.343~346 (1986)
- Mutluay MM, "Evaluation of adhesion of chairside hard relining materials to denture base polymers", J Prosthet Dent, 94, pp.445~452 (2005)
- Utz KH, "Complete denture displacement following open mouth reline", J Oral Rehabil, 39, pp.838~846 (2012)
- Kattadiyil MT, "CAD", CAM complete dentures : a review of two commercial fabrication systems, 2013, pp.41, 407~416
- Goodacre BJ, "Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques", J Prosthet Dent, 116, pp.249~256 (2016)
- Awad AN, "Comparison of tensile bond strength of denture reline materials on denture bases fabricated with CADCAM technology", J Prosthet Dent, 129, pp.616~622 (2023)
- Wemken G, "Bond strength of conventional, subtractive, and additive manufactured denture bases to soft and hard relining materials", Dent Mater, 37, pp.928~938 (2021)
- Mert D, "CAD-CAM complete denture resins : Effect of relining on the shear bond strength", J Dent, 131, pp.104438~ (2023)
- Cho SY, "A comparison study on shear bond strength of 3D printed resin and conventional heat-cured denture base resin to denture relining materials", J Dent Rehabil Appl Sci, 37, pp.232~243 (2021)
- Park SJ, "Effect of surface treatment on shear bond strength of relining material and 3Dprinted denture base", J Adv Prosthodont, 14, pp.262~272 (2022)
- Boucher CO, "The relining of complete dentures", J Prosthet Dent, 30, pp.521~526 (1973)
- Limpuangthip N, "Evaluation of dynamic impression lining material effects on masticatory function and the oral health-related quality of life of complete denture wearers : A six-month randomized controlled trial", J Prosthodont Res, 67, pp.214~221 (2023)