• Title/Summary/Keyword: 임플란트의 선택

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Criteria for Implant Choice of Reverse Total Shoulder Arthroplasty (역행성 인공관절 전치환술 시 임플란트 선택에 대한 기준)

  • Choi, Chang-Hyuk;Kim, Jun-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.377-390
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    • 2021
  • Reverse total shoulder arthroplasty (RTSA) is a surgical method that has recently been conducted in widely irrepairable rotator cuff tears with pseudoparalysis, cuff tear arthropathy, and osteoarthritis of the shoulder joint. Several topics can be described, but this review article provides an opinion on the criteria for the choice of implant in RTSA.

Rehabilitation using milled-bar with attachment maxilla overdenture in a patient with peri-implantitis fixed prosthesis: A case report (임플란트 주위염이 발생한 고정성보철 환자에 상악 Milled-bar와 부착장치를 이용한 피개의치로 수복한 증례)

  • Joon-Myung Lee;So-Yeun Kim;Du-Hyeong Lee;Kyu-Bok Lee;Cheong-Hee Lee
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.123-130
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    • 2024
  • There are various methods for restoring the dentition of completely edentulous patients. Removable complete dentures have the advantage of being relatively economical, but they can be uncomfortable to wear. With the introduction of implant prosthodontics, various options such as implant-supported overdentures and hybrid prostheses have become available. If there is inadequate remaining ridge or limited financial resources, an overdenture supported by a few implants with additional attachments may be more suitable. In this case, due to severe peri-implantitis and other complications, the implants were removed. Subsequently, four implants (two on each side) were placed in the maxilla and a milled-bar with attachment was fabricated for each side of the maxilla.

A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report (상악 고정성 임플란트 보철물 실패 환자에서 임플란트 피개의치로 전환한 치료 증례)

  • Kim, Joon-Soo;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.393-400
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    • 2016
  • Fixed implant prosthesis and removable implant overdenture are the main treatment options for treating edentulous maxilla with implants. If clinicians select one of the treatment options without accurate diagnosis and evaluation, this may lead to unfavorable treatment result and one would not be able to guarantee successful long term prognosis. In this case, 69 year-old female presented with failed fixed implant prosthesis that was treated in private dental clinic. Since the patient did not want additional insertion of implants and considering factors such as oral hygiene maintenance, splinting effect, and esthetics, the patient was treated with removable implant bar type overdenture using pre-existing implants. The clinical results were satisfactory in the aspect of esthetics and masticatory function, oral hygiene maintenance.

Management of peri-implantitis associated with tear-like implant fracture: case reports (열리형 임플란트 파절과 연관된 임플란트 주위염의 관리: 증례 보고)

  • Kim, Yeon-Tae;Lee, Jae-Hong;Jeong, Seong-Nyum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.138-144
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    • 2020
  • Implant fracture is rare, but one of the most serious problem in implantation. Treatment of implant fracture can be different according to the extent of the fracture and on the state of the surrounding prosthetic restoration. Maintaining or submerging implant after treatment of peri-implantitis can be useful options for cases of tear-like fracture on the coronal area of an implant.

A Study on the Factors Giving Effects to Patient's Satisfaction in the Selection of Implant Operation (임플란트 시술선택에 있어 환자 만족도에 영향을 미치는 요인)

  • Kim, Gi-Ug;Choi, Sung-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4354-4359
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    • 2010
  • The study performed questionnaire to the patients receiving implant operation, who visited dental clinics and hospitals(2 hospitals and 5 clinics) from Jul. 1, 2009 to Sep. 12, 2009 in order to study the factors giving effects to patient's satisfaction in the selection of implant. 145 questionnaire papers collected from patients were analyzed with SPSS12.0 program. The result revealed that the satisfaction with implant operation was usually normal when implant was operated because of tooth extraction due to dental caries and periodontal disease and it was usually high when implant was operated because of wound(P<0.05). When considering each cause of tooth extraction, the satisfaction with pronunciation function was usually normal(P<0.001), the satisfaction with functional part including foreign body sense was very low when the cause of operation was periodontal disease(P<0.01). The satisfaction with hospital environment depending on the cause of hospital selection was usually high when hospital was selected because of doctor's fame. It was low when hospital was selected because it was close to home(P<0.001). The satisfaction with the number of hospital visits depending on the number of implanted teeth was usually low when many teeth were implanted(P<0.01). The analysis on the satisfaction with tooth shape and color showed that the satisfaction was high when '1~2' teeth and 'more than 6' teeth were implanted(P<0.05). In order to improve patient's satisfaction with implant, it is necessary to recognize individual's oral status and request correctly. It is determined that proposal of operation period, number of hospital visits, function and expected aesthetic satisfaction degree will contribute to the improvement of mutual reliance between doctor and patient and post-operation satisfaction degree.

Implant Placement in Growing Adolescents : a Literature Review (성장기 소아 청소년 환자에서의 치과 임플란트 식립)

  • Shin, Hyun-Seung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.270-274
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    • 2015
  • Although there are a number of studies on the treatment planning and the prognosis of dental implants, limited studies provide the information on the implant placement on growing adolescents. The aim of this review is to discuss the use of dental implants in growing patients and the impact of skeletal and dentoalveolar growth on the long-term stability of implants. The general information regarding skeletal growth of maxilla and mandible would be briefly reviewed and the general treatment options would be discussed.

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.

Long-term Evaluation of IMZ Implants;Success and Survival Rates (IMZ 임플란트의 장기적 성공률과 실패율)

  • Park, Ji-Eun;Kim, Tae-Gyun;Jung, Ui-Won;Kim, Chang-Sung;Choi, Seong-Ho;Cho, Kyoo-Sung;Kim, Chong-Kwan;Chai, Jung-Kiu
    • Journal of Periodontal and Implant Science
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    • v.35 no.4
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    • pp.1039-1052
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    • 2005
  • IMZ는 "intramobile cylinder implant system" (IMZ)로 독일에서 가장 오래되고 많이 사용되어진 임플란트 중 하나이다. 이 임플란트에 관한 장기적 성공률과 생존률에 대한 연구는 대개 80% 이상을 보고하고 있다. 그러나, 연세대학교 치과병원 치주과에서 식립된 83개의 임플란트에서는 이전의 연구와는 다른 결과를 나타내었다. 1. IMZ 임플란트의 생존률은 67.5% 였다. 2. 변연 치조골 소실에 대한 성공 기준을 적용한 결과 성공률은 49.4%로 나타났다. 3. 발거된 총 27개의 임플란트 중에서 임플란트 주위 골소실을 가지는 경우는 17개, 내부구조 파절은 4개, 식립체 파절은 5개로 보고되었다. 4. 10년 이상 생존된 임플란트에서 변연골 소실의 평균치는 2.82mm였다. IMZ 임플란트는 장기적으로 높은 실패율을 보고하였다. 이는 cylindrical design, titanium plasma flame spray coating, prosthodontic complication 등의 요소에 기인한 것으로 사료된다. 임플란트는 그 형태, 표면 처리 등 여러 가지 요인들에 의해 실패가 나타날 수 있으며 본 연구를 통해 임플란트의 개발 및 선택에 바탕이 될 수 있을 것으로 생각된다.

Concept and application of implant connection systems: Part II. Placement and restoration of external connection implant and tissue level implant (임플란트 연결부의 개념과 적용: Part 2. 안착형 외부 및 내부 연결형 임플란트의 식립과 보철)

  • Ko, Kyung-Ho;Kang, Hyeon-Goo;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.222-231
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    • 2020
  • To use the external connection implant (EXT) appropriately, the inter-implant distance should be carefully considered during placement, and the bones raised above the implants should be trimmed during the second surgery. The hex abutment is more useful than the non-hex abutment. EXT is particularly useful when the inter-arch space is limited. The tissue level (TL, internal butt connection) implant has a biomechanical advantage of coronal wall thickness and a biological advantage of an inherent transmucosal smooth surface. During TL implant restoration, an abutment can be selected using the abutment and fixture margins with considerations for the inter-arch space. Since no single type of implant can satisfy all the cases, it is necessary to select the appropriate type, considering the occlusal force and the bone condition.

Importance of subgingival contour of anterior mandibular region with narrow space (공간이 협소한 하악 전치부에서 치은하 형태(Subgingival contour)의 중요성)

  • Jungsam, Lee
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.31 no.1
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    • pp.4-10
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    • 2022
  • A lack of space can be a key challenge when restoring lower anterior teeth using implants, especially for proper implant placement and the limitation on suitable implant selections. Moreover, depending on the shape of the prosthetic, the adjacent teeth and bone around the implant can also have a significant impact, while in certain cases, the implant can have a detrimental effect on the surrounding bone. Therefore, this case series highlights how variations in the subgingival contour can produce different results for the biology of the marginal bone around an implant and the interproximal bone of the adjacent teeth.