• Title/Summary/Keyword: 임플란트 주위염

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Unusual bone regeneration following resective surgery and decontamination of peri-implantitis: a 6-year follow-up (임플란트주위염의 삭제형 골수술 후 골재생 증례보고: 6년 추적관찰)

  • Kim, Hyun-Joo;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.171-177
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    • 2022
  • Peri-implantitis is an inflammatory lesion of the periodontium surrounding an endosseous implant, with progressive loss of the supporting peri-implant bone. The main purposes of treatment for peri-implantitis due to biological factors include addressing the inflammation and restoring a healthy but reduced periodontium around the implant, similar to the treatment of periodontitis in natural teeth. The proposed treatment protocol includes surgical treatment, mainly resective surgery, after non-surgical treatment such as oral hygiene instructions, mechanical cleansing of the fixture, and general or topical antiseptic or antibiotic application according to the extent of inflammation. In this article, we present a 6-year follow-up case showing unusual marginal bone regeneration after resective surgery and decontamination of an implant surface for the treatment of peri-implantitis and discuss the possible reasons.

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.

Maxillary anterior fixed implant prosthesis using customized nonprecious metal casting abutment: a case report (비귀금속 주조 맞춤형 지대주를 이용한 상악 전치부 임플란트 보철수복 증례)

  • Lee, Jae-In
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.1
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    • pp.50-59
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    • 2015
  • It is hard to restore and manage anterior teeth esthetically and functionally; because of peri-implantitis, not only hard and soft tissue problem such as alveolar bone resorption and interdental papilla loss but also esthetic problem caused by metal abutment exposure can occur. This case presents patients using customized abutment made of Co-Cr alloy that can be made by conventional casting and compensate the shortcomings of prefabricated titanium abutments, and cement-retained prosthesis.

Clinical cases of implant-supported fixed dental prosthesis using modified lingual screw system (T-screw system) (개선된 설측 고정 나사 시스템(T-screw system)을 이용한 임플란트 보철 수복 증례)

  • Hong, Tae-Young;Kim, Man-Yong;Yoon, Joon-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.423-430
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    • 2016
  • The implant prosthesis can be divided into the screw retained prosthesis and cement retained prosthesis. Each type has advantages as well as disadvantages which is unfavorable to maintain the implants. To overcome these drawbacks, T-screw system was developed. T-screw system which utilizes a lingual direction of the screw to retain the implant prosthesis, has advantages of retrievability of the prosthesis, passive fit, and possibility to form esthetic and functional occlusal surface. The prior prosthesis which utilized horizontal screws had difficulty in fabrication especially in the case of multiple units, and also limited use with all-ceramic prosthesis. In this case, fabricating the implant prosthesis by using the T-screw system showed superior results in easy maintenance, esthetics, and also functions. In addition, we are to report the method of using the T-screw system in implant prosthesis, such as multiple units of implant prosthesis and all ceramic prosthesis.

Etiological risk factors of peri-implantitis : a literature review (임상가를 위한 특집 2 - 임플란트 주위염의 병인론적 위험요소에 대한 문헌적 고찰)

  • Hwang, Jae Ho
    • The Journal of the Korean dental association
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    • v.51 no.12
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    • pp.637-642
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    • 2013
  • Because the implant is regarded as a common treatment. It is clinically important that systemic and local risk factor of threatening peri implant mucosa should be considered during the process. The most risk factors are detected in clinical diagnosis, but it might be difficult and not clear to recognize systemic or combined factors. This article reviews risk factors of peri-implantitis. Local factors are biomechanics, periodontal soft tissue characteristics, infected site and oral hygiene. Systemic factors are alcohol, smoking and genetic traits.

Multidisciplinary approach of the problem of unaesthetic implants in the maxillary anterior dentition (비심미적 임플란트의 심미성 회복을 위한 다각적 접근법)

  • Joo, Ji-Young;Choi, Jeomil;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.126-133
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    • 2015
  • Periodontal tissue destroyed by inflammation is difficult to achieve regeneration of the tissue and esthetic restorations only by surgical methods. In particular, improvement of esthetics is more difficult if the problem is related to the implant. A 23 year old woman suffered from unesthetic anterior implant prosthesis. According to her dental history, a repeated bone graft and soft tissue graft failed at a local dental clinic. It was needed to resolve the inflammation and to improve the esthetics. A free gingival graft and ridge augmentation accompanied by guided bone regeneration and a vascularized interpositional periosteal connective tissue graft was performed. Instead of implant prosthesis, a conventional fixed bridge was adopted for better esthetic result. The patient was satisfied with the esthetic conventional fixed prosthesis. This case report introduces esthetic rehabilitation of unesthetic implant prosthetics in the maxillary anterior dentition by a combination of surgical and prosthetic approaches.

A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report (임플란트 보철 합착 시 잔여 시멘트 최소화를 위해 열가소성 접착제를 이용한 복제 지대주 제작 방법: 증례보고)

  • Seo, Chi-Won;Han, A-Reum;Seo, Jae-Min;Lee, Jung-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.240-245
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    • 2016
  • Removal of excess cement is important to prevent biological complication in cementation of implant restoration with subgingival margin. It can be difficult to completely remove excess cement. Several techniques have been introduced to minimize excess cement using abutment replica. In this case report, a simple method for making abutment replica with hot melt adhesive material in dental office was described. This technique is simple and effective because it can be used for pre-fabricated or custom abutment without additional laboratory procedure. In addition, it can minimize excess cement after cementation of implant restoration.

Laser therapy in dentinal hypersensitivity and periodontal treatment (상아질 지각과민증과 치주 처치에서 레이저의 이용)

  • Namgung, Cheol;Lee, Jong-Ho;Kum, Kee-Yeon;Lim, Young-Jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.4
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    • pp.307-314
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    • 2014
  • Although a laser has been introduced to implant dentistry for decades, its efficacy is still open debate. The aim of this literature review is to analyze and evaluate the efficacy of laser therapy for the treatment of dentinal hypersensitivity and periodontal conditions.

A conversion to implant assisted removable partial denture in failed fixed implant prosthesis of mandible: A case report (실패한 고정성 임플란트 보철물을 제거 후 임플란트 융합 가철성 국소의치로 전환 치료한 증례)

  • Jin, Seung-Lee;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, Hyeon-Jong;Lee, So-Hyoun
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.161-168
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    • 2020
  • Failure of fixed implant supported prosthesis is caused by biomechanical factors such as excessive occlusal stress and biological factors such as bacterial infections and inflammation. Implants with severe bone resorption that have worsened without being resolved due to implant complications should be removed and then new treatments should be planned, taking into account remaining teeth, remaining implants, and residual alveolar. The patient of this case removed some of fixed implant prosthesis of mandible. The condition of the remaining alveolar bone was reassessed for further implant replacement and a few implants were placed. Then implant assisted removable partial denture (IAPRD) treatment is performed using implant surveyed bridge as abutment. Through this treatment, the clinical results were satisfactory on aspect of masticatory function recovery and oral hygiene management.