• Title/Summary/Keyword: 고정성보철물

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A STUDY ON THE CONFIGURATION OF THE BRISTLE FOR THE PROSTHETIC AND PERIODONTALLY INVOLVED PATIENT (고정성보철물 장착환자 및 치주질환 이환자를 위한 잇솔의 식모에 관한 연구)

  • Lee, Jai-Bong
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.6
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    • pp.867-877
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    • 1998
  • The purpose of this study was to investigate the ideal locations and dimensions of bristles for the patients who were installed with fixed prostheses and severely involved periodontitis. The models of 16 pts were analysed and the resullts were as follows: 1. There were no tooth brushes in the market, which were proper for the patients who were installed with fixed prostheses and had severely periodontally involved teeth. 2. The neck portion of the tooth brush should be narrow as possblly. 3. The size of tooth brush should be analyzed by the size of arch. 4. The width of tooth brush should be analyzed by the degree of bone recession. 5. The custom made tooth brush may be ideal, if possible.

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Full-mouth rehabilitation of a patient with severe tooth wear using fixed prosthesis (마모가 심한 환자의 전악 고정성보철물 제작 증례)

  • Kim, Wook Tae
    • Journal of Technologic Dentistry
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    • v.42 no.4
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    • pp.409-417
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    • 2020
  • This case study is aimed at introducing a full-mouth rehabilitation of a patient with severe tooth wear using fixed prosthesis. This is a case report of a patient with severe wear dentition with changing vertical dimension. In line with using prosthetic treatment, patient adaptation was verified with provisional restorations followed by diagnostic wax-up. Function, esthetics, and occlusal stability were verified during a 4-week follow up period. Prosthodontic reconstruction based on systemic analysis, diagnosis, and treatment plan led to satisfactory results after delivery of definitive prosthesis. Prosthetic treatment of severe wear dentition was functionally and esthetically successful. Dentists and dental technicians would be able to develop better treatment approaches using fixed dental prosthesis.

Fixed prosthetic treatment for the patient with delayed eruption disorder (맹출 지연 장애환자의 고정성 보철치료)

  • Lee, Su-Yeon;Kim, Hee-Jung;Kang, Sung-Nam
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.127-134
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    • 2017
  • Delayed eruption disorders caused by systemic or local conditions are mostly found during childhood and can be treated with orthodontic forced eruption. When the disorder is not found nor treated during childhood, however, orthodontic eruption might become a difficult option while prosthodontic restoration can be considered as an another option. Considerations for the prosthodontic treatment plan include the extent of tooth loss, interdental mesio-distal space and interarch space, and age of the patient. In this case report, oral rehabilitation of the patient with delayed eruption disorder through zirconia partial fixed prostheses for both maxilla and mandible was performed.

In vitro evaluation methods on adaptation of fixed dental prosthesis (고정성 보철물의 적합도에 대한 실험적 평가방법)

  • Lee, Hyunho;Lee, Du-Hyeong;Lee, Kyu-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.63-70
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    • 2017
  • Clinically, the fit of fixed prosthesis is an essential element for successful restoration. The fit of prosthesis is largely classified into marginal fit and internal fit, and various methods to assess these have been introduced including microscopic margin measurement, cross-sectional measurement, silicone replica technique, 3-dimensional scanning data superposition, weight technique and micro CT scanning. Thus, this study is aimed at proposing a more convenient and accurate measurement method of fits in a digital environment by comparatively analyzing the advantages and disadvantages of each known method based on existing literature.

Periodontal and prosthetic treatment of maxillary incisors with pathological tooth migration: a case report with 10-year follow-up (병적 치아 이동된 상악 전치의 치주, 보철 치료 후 10년 경과 증례)

  • Kim, So-Yeun;Kwon, Eun-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.1
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    • pp.26-33
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    • 2022
  • Anterior tooth spacing is observed by pathological tooth movement (PTM), which is common in periodontal patients. And various occlusal factors contribute to PTM, especially in the maxillary anterior region, when there is excessive occlusal force, flaring due to position problem easily occurs. Teeth with loss of periodontal support tissue can secure stability when expanding the support area through intentional splinting, and change the occlusion when restored as a fixed prosthesis. After confirming the stable occlusion through the provisional prosthesis, it can be transferred to the final prosthesis through CAD-CAM. In this case, we present a long-term stable case through accurate diagnosis and treatment of the maxillary anterior teeth that have lost interdental contact.

Full mouth rehabilitation on the patient with class II jaw relation and posterior bite collapse using reestablishment of occlusal vertical dimension: a case report (구치부 교합지지가 상실된 II급 악간관계 환자의 교합 재설정을 통한 완전 구강회복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won;Jung, Ji-Hye
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.262-272
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    • 2015
  • Loss of molar support and abnormal jaw relationship lead to occlusal disharmony and cause pathologic signs. Full mouth rehabilitations with reestablishment of occlusal schemes are needed. In this case, the 75 year-old female patient showed posterior bite collapse, irregular occlusal plane and Class II jaw relationship. By observing her profile and interocclusal distance, she was diagnosed as loss of occlusal vertical dimension. Treatment plan is to restore maxillay class I removable partial denture and mandibular fixed prosthesis and to establish vertical dimension and harmonious occlusal plane. Occlusal vertical dimension of 19 mm, which is obtained by 7.5 mm increase between maxillary right lateral incisor and mandibular canine, was established using temporary prosthesis via diagnostic wax-up. Patient adaptation with newly formed vertical dimension was verified during 8 week follow-up period. Within the information of interim prostheses, final restoration was constructed and delivered. The patient showed sound occlusal scheme and esthetic profile.

Pontic site development with an implant submergence technique for unaesthetic implant in the anterior maxilla (상악 전치부 임플란트의 비심미성 개선을 위한 임플란트 침수(submergence)를 동반한 치조제 증대술)

  • Song, Yujeong;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.289-295
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    • 2020
  • Improving implant esthetics is very difficult, especially in cases where unaesthetic problems are related to implants in the maxillary anterior dentition. A 69-year old male patient was referred by a prosthodontist for periodic pus discharge and an unaesthetic implant prosthesis (maxillary right lateral incisor). The implant was placed too deeply and showed soft tissue volume deficiency and a long clinical crown. After a clinical and radiographic examination, implant submergence and alveolar ridge augmentation were performed to enhance the aesthetics instead of an explantation. The treatment plan was as follows: extraction the adjacent teeth with tooth mobility, secondary caries, and poor prognosis; placement an additional dental implant with hard and soft tissue grafting; fabrication a fixed bridge using implant abutments. A fixed esthetic prosthesis using implants was fabricated, and the patient was satisfied with the prosthesis. A ridge augmentation with implant submergence may be an alternative for solving the problems of unaesthetic implant restorations in the esthetic zone.

Shear Capacity Evaluation of Steel Plate Anchors Using Folded Steel Plate in AU-composite Beam (절곡 강판을 이용한 AU합성보 덮개형 강재앵커의 전단성능 평가)

  • Lim, Hwan Taek;Choi, Byong Jeong
    • Journal of Korean Society of Steel Construction
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    • v.29 no.5
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    • pp.389-400
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    • 2017
  • Based on U-shaped composite beam, the new form of AU-composite beam were developed to create economical and efficient components reducing the cost and shortening the length of construction work. Because the U-shaped sections are open and needs to be fixed by topping concrete securely. Therefore, it is required to maintain the U-shaped sections in a structure and to work in the safe condition through construction. It also requires accessories that resist the horizontal shear force for synthesis between the top and bottom of the U-shaped section. To reinforce these shortcomings, a shear connector has been developed with various purposes of steel plate anchors. In this study, the steel plate anchors were directly tested and the shear force was evaluated by the horizontal shear force. The experiment was divided into two types, depending on the applicable deck plates. As a result of the experiment, the continuous type specimens showed greater resistance in both strength and displacement than the ones of stud anchor specimen. In discontinuous type case, due to shear simulations and simple element analysis, the less increase the ratio of width to height and the more shear strength decreased. Thus, the shear strength equation of the stud anchor was modified to suggest the new shear strength based on the testing results.

Analysis of longevity and success rate of fixed, removable, and implant prostheses treated in Korea (국내에서 치료된 고정성, 가철성, 그리고 임플란트 보철물의 수명 및 성공률 분석)

  • Yoon, Joon-Ho;Park, Young-Bum;Oh, Nam-Sik
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.2
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    • pp.95-104
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    • 2018
  • Purpose: The purpose of this study is to analyze the factors affecting the longevity of failed prosthesis and the success rate of the prosthesis based on the data evaluated with the newly developed Korean Academy of Prosthodontics (KAP) criteria. Materials and methods: Evaluation was performed in the restored prosthesis for patients who visited the prosthodontics department of the 13 dental university hospitals and general hospitals. The status of the prosthesis was classified into four categories: Good, Fair, Bad, Worst. The success was recorded if only the category was classified in 'good'. The mean duration of failed prostheses and the success rate through Kaplan-Meier method were analyzed. Results: A total of 1,804 cases of prosthesis were evaluated: 810 cases of fixed dental prostheses (FDP), 519 cases of Removable Dental Prostheses (RDP), and 475 cases of implant prosthesis. The mean duration of failed FDP was $11.41{\pm}0.30years$ and the median was 10 years. The mean duration of failed RDP was $8.18{\pm}0.29years$ and the median was 7 years. The mean duration of failed implant prosthesis was $7.99{\pm}0.30years$ and the median was 7 years. The factors related to the failure were as follows: number of units, abutments, abutments treated with root canal, and plaque index in FDPs; treated and opposing dentition in RDPs; the number of implants, duration of use, and plaque index in implant prostheses. Conclusion: The average duration of failed prosthesis was 11.41 years for FDPs, 8.18 years for RDPs, and 7.99 years for implant prosthesis, according to the evaluation with newly developed KAP criteria.

Rehabilitation of maxillary partial edentulous patients using implant assisted removable partial denture (상악 소수치 잔존 환자에서 임플란트를 이용한 가철성 부분틀니 수복 증례)

  • Lee, Bo-Ra;Kim, Jee-Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.2
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    • pp.128-135
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    • 2014
  • Treatment options for partially edentulous patients are fixed partial denture, removable partial denture and implant supported fixed partial denture. In case of a patient with a few remaining teeth, removable partial denture and implant supported fixed prosthesis are available. For implant fixed prothesis, enough implant fixtures are required and the patient's general condition, local factors and economic status must be considered. When the condition of the abutments and the residual ridge is favorable and the prosthesis is well designed, removable partial denture can be an option. In removable partial denture, the bilateral support is important. If the teeth remain unilateral, harmful stress is put on the abutments by the fulcrum line. In this situation, strategic implantation and implant-retained or assisted removable partial denture is beneficial to the retention and support of the denture. And this can be cost-effective, functional and esthetic choice of treatment. This article describes the prosthodontic rehabilitation of Maxillary Kennedy class I partially edentulous patients. In these two cases, the patients had a small number of teeth and they were restored by the combination of a removable partial denture and dental implants.