• Title/Summary/Keyword: 무치악

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Prosthetic rehabilitation of the edentulous patients using O-ring attachment:A clinical report (O-ring Attachment를 이용한 무치악환자의 보철수복증례)

  • Ahn, Jae-Jin;Jo, Byung-Woan;Ahn, Sang-Hun;Kim, Jong-Pil
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.4
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    • pp.581-586
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    • 1998
  • A successful prosthesis is difficult to produce without using the implants in the severely resorbed alveolar ridges and maxillofacial defects. This report describes clinical experience of the overdenture using O-ring attachment. Clinical results have revealed successful application for the O-ring attachment in the two edentulous patients and a partial maxillectomy patient.

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Full mouth rehabilitation of mandibular edentulous patient using implant hybrid prosthesis (하악 무치악 환자에서 임플란트 하이브리드형 보철물을 이용한 전악 수복 증례)

  • Kim, Hyun-Suk;Kim, So-Hyun;Oh, Namsik
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.25-30
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    • 2018
  • In edentulous patients, the advantages of prosthodontic therapy using oral implants include both stability and comfort. Advantages suggested for this approach include the prevention of mandibular bone resorption and increased masticatory function. Implant hybrid prostheses place 4 to 6 implants between the mental foramens, and cantilevers are used to replace the posterior teeth at both ends. The 85 - year - old female patient visited our clinic with complete edentulism in the maxilla and mandible. This article reports a satisfactory clinical and esthetic outcome of full mouth rehabilitation using removable complete denture in the maxilla and implant hybrid prosthesis in the mandible.

Implant Supported Overdenture using Locator® System on Edentulous Patient (완전 무치악 환자에서 Locator® system을 이용한 임플란트 피개의치 수복 증례)

  • Lee, Sang-Yeob;Shin, Sooyeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.4
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    • pp.351-359
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    • 2008
  • It is difficult to provide prosthodontic treatment to fully edentulous patients with severe alveolar bone resorption, because this makes patents hard to endure functional load, and to adapt to the dentures, which result in emotional stress to patients. Implant supported overdenture can be chosen to solve these problems. Among several types of them, the implant retained and tissue supported overdenture, is available to the patients of low masticatory force with the reduced cost. Attachments also can be used for increasing retention and esthetics in dentures. Especially, $Locator^{(R)}$ system needs a small vertical interarch space for restoration and is able to compensate the difference of angle between fixtures. In this study, we restored maxilla with conventional complete denture, and mandible with implant and tissue supported overdenture and $Locator^{(R)}$ system.

Immediate restorations in a fully edentulous patient utilizing digital system: A case report (완전 무치악 환자에서 디지털 시스템을 이용한 임플란트 즉시 보철수복 증례)

  • Fang, Jeong-Whan;Jeong, Seung-Mi;Kang, Se-Ha;Hwang, Chan-Hyeon;Kim, Dae-Hwan;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.157-166
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    • 2015
  • This article describes how to use CBCT and an intraoral scanner in a fully edentulous case that enables the clinician to place implants with flapless guided surgery and to engage prefabricated, customized implant abutments at the time of implant surgery, with only 1 clinical consultation before implant surgery. The patient's existing denture is used to simulate the teeth, the soft tissue and the vertical dimension of occlusion, and jaw relationship in the fully edentulous jaw. It provides clinicians with a fast workflow and improves clinical efficiency.

Maxillar implant-retained overdenture using CAD/CAM milled zirconia bar with PEKK sleeve: a case report (상악 무치악 환자에서 가공 지르코니아 바와 PEKK 슬리브를 이용한 임플란트 피개의치 증례)

  • Ju, Jin-Seok;Cho, Jin-Hyun;Lee, Cheong-Hee
    • 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.

A three-dimensional finite element analysis of obturator prosthesis for edentulous maxilla (무치악 구개결손 환자를 위한 폐쇄장치의 삼차원 유한요소 분석)

  • Song, Woo-Seok;Kim, Myung-Joo;Lim, Young-Jun;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.3
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    • pp.222-228
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    • 2011
  • Purpose: The purposes of this study were to evaluate the stress distributions and the displacements of obturator for edentulous maxillectomy patients and to compare them with those of complete denture using three-dimensional finite element analysis. Materials and methods: Based on the CT image of edentulous patient, three-dimensional finite element model of edentulous maxillae was constructed. Three-dimensional finite element model of edentulous maxillae with palatal defect was also fabricated. On each model, complete denture and obturator prosthesis were created. Vertical static force of 200 N was applied on the left maxillary premolar and molar region. The von Mises stress values and the displacements of models were analyzed using three-dimensional finite element analysis. Results: Maximum von Mises stress values were recorded in the cortical bones of both models. The von Mises stress value in the complete denture model was 2.73 MPa and 2.69 MPa in the obturator model. High von Mises stress values were also observed on the tissue surface of prosthesis. The maximum value of the displacement in the obturator was higher than that of complete denture. Conclusion: The obturator showed a worse result in terms of stress distribution and displacement than complete denture. In the prosthodontic rehabilitation of edentulous maxillectomy patient accurate impression procedure based on patients'anatomy and application of prosthodontic principle should be considered.

Analysis of the incidence of dementia in complete edentulous patients using the National Health Insurance Service-Elderly Cohort Database (NHIS-ECD) (국민건강보험공단 노인 코호트 자료를 이용한 완전 무치악 환자의 치매 발병률 분석)

  • Koo, Bonsuk;Yoo, Jin-Joo;Kim, Manyong;Lim, Hyunsun;Yoon, Joon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.193-200
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    • 2020
  • Purpose: To investigate the relationship between dementia and complete tooth loss on both sides or one side using large demographic data. Materials and methods: A retrospective cohort study was designed using the National Health Insurance Service-Elderly Cohort Database (NHIS-ECD) which was established for people over the age of 60. The experimental group was the complete edentulous cohort, which had a history of treatment for national health insurance covered complete denture on both sides or one side from July 1, 2012 to December 31, 2013. And the control group was the dentulous cohort, which had a history of conservative dental treatment for the same period. All subjects had no history of diagnosis or treatment of dementia during this time. These cohorts were matched 1:1 by age, gender, and place of residence according to the propensity score matching method. Then the incidence of dementia was compared between these cohorts. Results: Compared with those groups, the incidence of dementia was significantly higher in the experimental group (12.13%) than in the control group (9.74%) (P<.05). No clear association between other factors has been identified. Conclusion: The analysis of large-scale demographic data shows that the incidence of dementia is high in complete edentulous patients on both sides or one side.

All-on-6 implant fixed prosthesis restoration with full-digital system on edentulous patient: A case report (무치악 환자에서 완전 디지털 시스템을 활용한 All-on-6 임플란트 고정성 보철물 수복 증례)

  • Lee, SeungJin;Jeong, Seung-Mi;Chung, Chae-Heon;Fang, YiQin;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.497-507
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    • 2021
  • All-on-six concept can be used as one of the treatment options to maximize the use of available residual alveolar bone for implant-supported fixed prosthesis on edentulous patients. But this process is complex and cumbersome. Digital system can be used at multiple steps, from implantation to prosthetic restoration, to overcome this shortcoming. In this case of a maxillary edentulous patient aged 76, digital system was used for restoration of 1-piece design, screw retained fixed prosthesis from diagnosis, implant surgery to fabrication of provisional and final prosthesis. For preoperative diagnosis and treatment planning stage, intra-oral information of a patient was digitalized by direct intra-oral scan. Surgical guide and immediate provisional prosthesis was designed based on this digitalized data. Patient's inconvenience was minimized by applying immediate provisional prosthesis, which was delicately fabricated according to the location data of six implants on most suitable residual alveolar bone. Then, final prosthesis was designed and fabricated going through new interim prosthesis which was newly designed and fabricated, considering patient's requests, stable vertical dimension and occlusion, and esthetic factors using digital system. We hereby report a case successfully applying digital system to multiple steps including implant surgery to fabricating prosthesis, to simplify existing complicated implant treatment procedure to an edentulous patient.