• Title/Summary/Keyword: 국소의치

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Prosthetic treatment for patient with anterior overbite and partial edentulism using maxillary hybrid telescopic double crown RPD and mandibular fixed prostheses: A 11-yr follow-up (전치부 과개교합을 가진 상하악 부분 무치악 환자에서의 상악 하이브리드 텔레스코픽 이중관 국소의치와 하악 고정성 보철물을 이용한 치료의 11년 경과관찰 증례)

  • Choi, Hyunsuk;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.415-421
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    • 2021
  • The biomechanical prognosis of conventional removable partial denture is questionable in case of patient with few remaining teeth or periodontally compromised teeth. In this case, hybrid telescopic double crown RPD may be a successful treatment alternative. Hybrid telescopic double crown RPD has following advantages over conventional RPD: secondary splinting effect between abutments, more vertical stress direction and more convenient in repairing the denture after extraction of abutment tooth. In this clinical case, patient had deep overbite in anteriors and partially edentulous. The maxilla was restored with hybrid telescopic double crown RPD and the mandible was restored with implants and fixed prostheses. Long-term follow-up and supportive periodontal treatment were performed, and satisfactory results were achieved in terms of function and aesthetics.

A case of treatment denture and implant-assisted removable partial denture in a patient with collapsed occlusion caused by partial loss of posterior and anterior teeth (편측 구치 및 전치 상실로 인한 교합 붕괴 환자에서 치료 의치와 임플란트 보조 국소의치를 이용한 수복 증례)

  • Ahn, Hye-Bin;Lee, Keun-Woo;Lee, Yong-Sang;Yim, Sun-Young;Kim, Sung Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.110-118
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    • 2022
  • Multiple tooth loss can cause disharmonious occlusial plane, loss of vertical dimension and deflection of mandibular movement. Therefore, restoring proper vertical dimension and occlusion in the centric relation is an important treatment goal. Implant-assisted removable partial denture is a recently used clinical technique, because it increases patient satisfaction by improving retention, support, and stability of conventional denture. The objective of this article is to present a case report describing the fabrication of treatment denture and implant assisted removable partial denture using previously placed implants for a patient with partial loss of posterior support and anterior stop.

Clinical evaluation of the removable partial dentures with implant fixed prostheses (임플란트 고정성 보철물을 이용한 가철성 국소의치의 합병증에 관한 임상적 평가)

  • Kang, Soo-Hyun;Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young;Lee, Joo-Hee;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.239-245
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    • 2016
  • Purpose: The purpose of this study was to identify clinical complications in removable partial denture (RPD) with implant-supported surveyed prostheses, and to analyze the factors associated with the complications such as location of the implant, splinting adjacent prostheses, the type of retentive clasps, Kennedy classification, and opposing dentition. Materials and Methods: A retrospective clinical study was carried out for 11 patients (7 male, 4 female), mean age of 67.5, who received RPD with Implant-supported surveyed prostheses between 2000 and 2016. The mechanical complications of 11 RPDs and 37 supporting implant prostheses and the state of natural teeth and peripheral soft tissue were examined. Then the factors associated with the complications were analyzed. Results: The average of 3.4 implant-supported prostheses were used for each RPD. Complications found during the follow-up period of an average of 42.1 months were in order of dislodgement of temporary cement-retained prostheses, opposing tooth fracture/mobility, screw fracture/loosening, clasp loosening, veneer porcelain fracture, marginal bone resorption and mobility of implant, artificial tooth fracture. Complications occurred more frequently in anterior region compared to posterior region, non-splinted prostheses compared to splinted prostheses, surveyed prostheses applied by wrought wire clasp compared to other clasps, and natural dentition compared to other removable prostheses as opposing dentition. There were no significant differences in complications according to the Kennedy classification. Conclusion: All implant-assisted RPD functioned successfully throughout the follow-up. However, further clinical studies are necessary because the clinical evidences are still not enough to guarantee the satisfactory prognosis of implant-assisted RPD for long-term result.

Full mouth rehabilitation utilizing implant-assisted removable partial denture with a canted occlusal plane: a case report (경사진 교합평면을 갖는 환자에서 임플란트 보조 국소의치를 이용한 전악 수복 증례)

  • Han, A-Reum;Kwon, Tae-Min;Kim, Kyoung-A;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.214-223
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    • 2016
  • Implant-assisted removable partial denture (Implant-assisted RPD, IARPD), posterior edentulous extension areas of which obtains additional support and retention from implants, is attracting increasing interest. This case report presents a successful treatment on a partially edentulous patient with a severely canted occlusal plane resulted from a long-term use of posterior extended RPD. The full mouth was rehabilitated through a fixed prosthesis on maxilla and IARPD with zirconia occlusal surface on mandible, which allowed to achieve an esthetic occlusal plane with long-term stability and, ultimately, functionally satisfying outcome.

Three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension removable partial denture (전방 임플란트 써베이드 고정성 보철물과 후방연장 국소의치를 이용한 전악 보철 치료의 3년 경과 관찰 증례)

  • Gil, Ki-Sung;Yi, Hyo-Gyoung;Kim, Kyoung-A;Lee, Jung-Jin;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.218-226
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    • 2018
  • In partial edentulous patients, implant-assisted removable partial denture which provide additional retention and support by placing a small number of implants in strategic positions might be suitable treatment. This case of patient with loss of maxillary posterior teeth and moderate to severe wear of residual dentition, three implants were placed in the maxillary anterior edentulous area and then surveyed bridges were made including remaining anterior natural teeth. Posterior edentulous area was restored with distal extension removable partial denture (RPD). In addition, the worn mandibular natural teeth were restored with fixed prostheses. As a result, reduced vertical dimension and collapsed occlusal plane were rehabilitated, and improved functionally and aesthetically. The purpose of this case was to report the results of three-year follow-up of full mouth rehabilitation with anterior implant surveyed bridges and distal extension RPD.

Digital interim immediate denture fabrication and implant-supported removable partial denture fabrication after multiple teeth extraction in patient with chronic periodontitis: a case report (만성 치주염 환자에서 다수치 발거 후 디지털 임시 즉시 의치 제작 및 임플란트 지지 가철성 국소의치 수복 증례)

  • Min-Jae Park;Ji-Won Bang;Joo-Hyuk Bang;Seon-Young Lim;Yong-Sang Lee;Keun-Woo Lee;Sung-Yong Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.104-112
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    • 2024
  • When teeth are extracted, patient face social, psychological and aesthetic problems which can be minimized by fabricating a interim immediate denture. Interim immediate denture manufactured using digital technology can be completed with reduced number of patients' visits and simple laboratory process. Implant-supported removable partial denture (ISRPD) has been suggested as alternative treatment option when fixed implant prosthesis is not feasible. In this case, interim immediate dentures were fabricated using digital technology for patient after teeth extraction and treatment using ISRPD by installing implants and surveyed crowns is found to be successful with better support, stability and maintenance of removable partial dentures.

Esthetic removable partial denture with implants and resin clasp: Case report (임플란트와 레진 클래스프를 이용한 심미 가철성 국소의치 증례)

  • Kim, Su-Min;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.58-65
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    • 2015
  • For the rehabilitation of fully edentulous patients, implant-supported removable partial dentures can be considered as one of the treatment options with complete dentures or implant-supported overdentures. If removable partial dentures are used in combination with a small number of implants placed in strategically important positions, it can offer additional stability, retention and support through implants and reduce a burden of surgical procedures compared with fixed implant-supported prostheses with extensive implant placement. Moreover, the economical benefit can be expected as well. The purpose of this case report is to present a treatment in which an implant-supported removable partial denture was fabricated considering residual alveolar bone status and demands after teeth loss in a patient who had been using a distal extension removable partial denture for a long period of time. In anterior area, fixed prostheses were fabricated with implant placement and in posterior area, short implants provide only support for the removable partial denture. In addition, denture base and clasp were made of thermoplastic acrylic resin. Finally, functionally and aesthetically satisfying treatment results can be achieved.

A case of implant-supported removable partial denture in a patient with mandibular unilateral residual tooth (하악 편측 소수 잔존치를 갖는 환자에서 임플란트 지지 가철성 국소의치 수복 증례)

  • Back, Ji San;Lee, Keun-Woo;Lee, Yong-Sang;Bang, Joo-Hyuk;Jang, Hee-Won;Kim, Seong-A
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.19-28
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    • 2022
  • In removable partial dentures, abutment teeth are essential for support, maintenance, and stability of partial dentures, and are an important factor in the fabrication of functional dentures. If the number of periodontally sound abutments is sufficient and they are located on both sides, it will be easy to manufacture functional dentures with good support, maintenance, and stability. But on the contrary, if the number of teeth is insufficient or if they are located on one side, it is biomechanically disadvantageous and relatively difficult to make functional denture. On the other hand, recently, implant-supported removable dentures, which reinforce the three elements of maintenance, support, and stability by using implant surveyed crown, have been frequently selected as treatment plans. In particular, by adding an implant surveyed crown when only a small number of residual teeth remain, mastication efficiency, esthetics, patient comfort, and pronunciation can be improved. In this case, bilateral posterior extension partial denture was fabricated using implant surveyed crown as abutments by placing implants in the premolars area opposite to the residual tooth unilaterally in the mandible. As a result, the asymmetry of the abutment was resolved, and the maintenance and stability of the denture was achieved.

A case of removable partial denture restoration using implant supported surveyed crown in a maxillary edentulous patient (상악 무치악 환자에서 임플란트 지지 서베이드 크라운을 이용한 가철성 국소의치 수복 증례)

  • Seong, Si Young;Choi, Yeon Jo;Ryu, Jae Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.29-36
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    • 2022
  • When planning oral rehabilitation for maxillary edentulous patients, fixed prosthetic restoration using implants, complete denture restoration or overdentures using implants can be considered as treatment methods. In the case of complete denture restoration, it does not require additional surgery and is relatively economical. In the case of implant-supported fixed prostheses, the functional part is generally superior to that of complete denture restoration, but there are cases in which implant placement is clinically difficult. Recently in consideration of the patient's needs and the condition of the remaining alveolar bone, after partial implant placement, a method of restoring with a removable partial denture using implant-supported surveyed crown is also being attempted. This case is a case of performing a removable partial denture restoration using implant-supported surveyed crown in the anterior maxilla, and showing satisfactory esthetic and functional results.