• Title/Summary/Keyword: 임플란트 환자

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Prosthetic restoration of the maxillary anterior teeth using implantation and forced eruption: Case report (인위적 정출술과 임플란트 치료를 통한 상악 전치부 보철치료)

  • Kim, Kyoung-Kyu
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.80-86
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    • 2011
  • When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.

Hard and soft tissue management in esthetic zone: A Case Report (경조직과 연조직의 증강을 통한 상악전치부 임플란트 수복: 증례보고)

  • Kim, Na-Hong;Lee, Kyu-Won;Moon, Ji-Kyung;Park, Pil-Kou;Lee, Dong-Woon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.1
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    • pp.13-24
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    • 2015
  • With the development of treatment of hard and soft tissue around the implants, the implant restoration is increasingly used in the maxillary anterior region which is very important aesthetically. However, the aesthetic reconstruction of the maxillary anterior region is still challenged. Three following conditions should be fully satisfied for aesthetic prosthesis restoration; reconstruction of hard tissue, soft tissue and harmonic prosthesis. In this case report, hard and soft tissue augmentations were performed at atrophied maxillary incisor. Additionally, customized impression coping and provisional restoration were used to make the final restoration.

Rehabilitation of edentulous maxilla with implant-supported milled bar overdenture using CAD/CAM customized abutment: A case report (CAD/CAM 맞춤형 지대주를 이용한 milled-bar 피개의치 증례)

  • Ji, Woon;Chang, Jae-Seung;Kwon, Joo-Hyun;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.146-151
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    • 2016
  • In patients with fully edentulous maxilla, fabrication of implant-supported overdenture can be a viable treatment option, when a minimum of six implants were strategically placed. Among several attachment systems used for implant-supported overdentures, milled-bars prevent rotational movement of denture, thus showing great stability, and have the advantage of splinting multiple implants with each other. In this case report, a milled-bar supported overdenture was fabricated for a patient suffering from condition of fully edentulous maxilla with severe ridge resorption in the anterior residual ridge. Seven implants composed of three different systems were effectively utilized by CAD/CAM customized abutment and cement-retained milled bar.

Analysis of the Dental Implants MRI Artifacts by Using the ACR Phantom (ACR 팬텀을 이용한 치아 임플란트 자기공명영상 인공물 분석)

  • Shin, Woon-Jae
    • Journal of the Korean Society of Radiology
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    • v.10 no.8
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    • pp.629-635
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    • 2016
  • ACR phantom for quality control of magnetic resonance imaging equipment can evaluate magnetic resonance imaging picture quality through various structures within the phantom. In this study, percent Signal Ghosting and Slice position accuracy of imaging could be analyzed by attaching implant and the wire for correction of tooth using ACR phantom in Head coil of 3.0T equipment. In the T1 weighted imaging of the first slice and the eleventh slice of implant, the slice position accuracy appeared to be good in ingress bandwidth 300, and it was good in ingress bandwidth 130 when wire for correction was attached. Percent Signal Ghosting in the seventh slice of SE T1 weighted imaging, implant and wire for correction added all appeared to be good when ingress bandwidth was 230. It is thought that in case of implant dental prosthesis patients in brain exam using magnetic resonance imaging, optimum image can be obtained by changing ingress bandwidth.

인공치아와 표면처리

  • Choe, Han-Cheol
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2016.11a
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    • pp.121-121
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    • 2016
  • 치아는 인체중에서도 혹한 환경에서 부분으로 높은 하중과 타액과 같은 강 부식성 매체로 그 환경이 상상을 초월한다. 즉 반복적으로 가해지는 하중(응력)과 침식을 유발하는 타액과 음식물 등이다. 따라서 치아가 쉽게 파괴되거나 썩는 현상이 나타나게 된다. 이렇게 사용되다가 치아의 역할을 다하게 되면 인공치아를 사용하게 되는데 그 재료가 바로 타이타늄(Ti)이다. 생체매식재로 사용되는 Ti는 반응성이 높아 산소와 쉽게 결합하여 표면에 TiO, $TiO_2$, 및 $Ti_2O_3$와 같은 산화피막을 표면에 형성함으로써 뛰어난 부식저항성과 생체적합성을 가지며 생체에 독성이 없고 탄성계수가 골과 비슷하여 골과 임플란트 경계면에서 응력분산에 유리한 성질 등 물리적, 기계적 성질이 뛰어나 외과용 임플란트 재료로 가장 좋은 재료이다. 금속 임플란트의 생체적합도는 임플란트 재료 자체보다는 생체 내 산화막이 화학적으로 불안정할 때 부식이 발생하게 되고 그 결과 금속이온이 주위로 유리되어 조직반응을 일으키므로 금속의 표면을 덮고 있는 산화막에 의해 좌우된다. Ti는 생체불활성재료로서 매식재료로 사용할 경우 뼈와 잘 융합되는 골유착을 나타내나 골과 화학적결합은 하지 않고 골형성을 적극적으로 유도하지 못함으로 환자의 치유기간이 길어지게 된다. 이러한 이유로 골조직내 임플란트의 접합을 개선하기위한 연구가 이루어져 골과의 결합을 높이기 위해 골유착을 일으키는 Ti에 골성장을 유도하는 뼈성분인 하이드록시 아파타이트(HA)라는 물질을 플라즈마 코팅법을 사용하던가 아니면 Hanks' solution내에서 침적 후 HA도금을 하는 방법 등으로 처리하고 있다. 그러나 플라즈마 코팅법은 고온에서 처리를 행하고 Hanks' solution내에 침적할 경우 Ti표면에 밀착도가 저하되거나 합금의 상변화 등으로 인하여 표면처리 과정 중에서 내식성이 크게 감소될 수 있다. 이러한 여러 가지 코팅법을 통하여 골 유착을 증진시키기 위한 연구는 계속되고 있지만 임상적으로 사용 후 문제가 단시일에 발생되는 것도 아니고 수년이 지나야 나타나게 된다. 이러한 방법으로 코팅을 하게 되면 골과 잘 유착이 되어 자연차아와 같은 기능을 하게 된다. 따라서 이러한 문제를 최소화하는 방법이 나노구조를 표면에 형성시켜 골유착을 쉽게 함으로써 이를 개선할 수 있을 것으로 생각되어 본 강의에서는 임플란트의 문제와 사용되는 재료에 대하여 고찰하여 자연치아를 대체 할 수 있는지 알아보았다.

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Rehabilitation of mandibular edentulous patients with a few unilateral remaining teeth using implant-assisted removable partial denture: A case report (하악 편측 소수 잔존치 환자의 임플란트 보조 국소의치를 이용한 보철치료 증례)

  • Lee, Bhumgey David;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.42-48
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    • 2019
  • In the case of a patient with a small number of unilateral remaining teeth in the mandible, a restoration with conventional removable partial denture cannot provide sufficient retention and resistance. A harmful stress from the poor stability of denture on remaining teeth occurs due to alveolar bone resorption in edentulous area. Although implant fixed prosthesis can provide multiple benefits over conventional removable partial denture, there are limitations come from anatomic structures and costs. In this case, an implant-assisted removable partial denture (IARPD) with a couple of implants placed in strategic positions can be a treatment modality. The objective of this article is to present a case report of two patients showed satisfactory clinical outcomes during three-year follow-up period describing the fabrication and advantages of removable partial denture assisted by teeth and implants (IARPD) for a patient with a small number of unilateral remaining teeth in mandible using Locator as an implant attachment.

Diffuse Large B-Cell Lymphoma Associated with a Chronic Inflammatory Condition Induced by Metallic Implants: A Case Report (금속성 임플란트로 인한 만성 염증 상태와 연관된 미만성 거대 B세포 림프종: 증례 보고)

  • Jin Hee Park;Sun Joo Lee;Hye Jung Choo
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.931-937
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    • 2022
  • Chronic inflammatory condition associated with metallic implant insertion is a risk factor for diffuse large B-cell lymphoma (DLBCL). Metal ions play a role in the pathogenesis of lymphoma. We report a rare case of DLBCL in a patient who had a metallic implant in the proximal tibia for 15 months. Radiologic studies, including US and MRI, showed disproportionately large extraosseous soft-tissue mass and bone marrow involvement without prominent bone destruction. Multiple complications are associated with metallic implants, and misdiagnosis may lead to inappropriate treatment. Therefore, distinguishing lymphomas caused by a metallic implant-induced chronic inflammatory condition from other periprosthetic benign lesions and malignant soft tissue masses is challenging, but it is critical.

Implant Isolation Characteristics for 1.25 Gbps Monolithic Integrated Bi-Directional Optoelectronic SoC (1.25 Gbps 단일집적 양방향 광전 SoC를 위한 임플란트 절연 특성 분석)

  • Kim, Sung-Il;Kang, Kwang-Yong;Lee, Hai-Young
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.44 no.8
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    • pp.52-59
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    • 2007
  • In this paper, we analyzed and measured implant isolation characteristics for a 1.25 Gbps monolithic integrated hi-directional (M-BiDi) optoelectronic system-on-a-chip, which is a key component to constitute gigabit passive optical networks (PONs) for a fiber-to-the-home (FTTH). Also, we derived an equivalent circuit of the implant structure under various DC bias conditions. The 1.25 Gbps M-BiDi transmit-receive SoC consists of a laser diode with a monitor photodiode as a transmitter and a digital photodiode as a digital data receiver on the same InP wafer According to IEEE 802.3ah and ITU-T G.983.3 standards, a receiver sensitivity of the digital receiver has to satisfy under -24 dBm @ BER=10-12. Therefore, the electrical crosstalk levels have to maintain less than -86 dB from DC to 3 GHz. From analysed and measured results of the implant structure, the M-BiDi SoC with the implant area of 20 mm width and more than 200 mm distance between the laser diode and monitor photodiode, and between the monitor photodiode and digital photodiode, satisfies the electrical crosstalk level. These implant characteristics can be used for the design and fabrication of an optoelectronic SoC design, and expended to a mixed-mode SoC field.

Technique for fabricating a mandibular suction denture with a plastic implant tray (임플란트용 플라스틱 트레이를 이용하여 하악 흡착의치를 제작하는 방법)

  • Lee, Ju-Hyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.36-42
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    • 2021
  • Even though implant overdentures are preferentially recommended to mandibular edentulous patients, many patients may select conventional complete dentures due to cost and general condition. Proper retention and stability of conventional complete dentures in patients with severe alveolar bone resorption is difficult to achieve. To overcome the limitations, mandibular suction dentures with the closed mouth impression technique have been used. However, the previous technique requires the Frame cut back tray, the Centric tray, and the Gnathometer M. This article introduces a technique for fabricating a mandibular suction denture with common dental materials.

Virtual Reality for Dental Implant Surgical Education (가상현실을 이용한 치과 임플란트 수술 교육)

  • Moon, Seong-Yong;Choi, Bong-Du;Moon, Young-Lae
    • Journal of the Institute of Electronics and Information Engineers
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    • v.53 no.12
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    • pp.169-174
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    • 2016
  • In this study, we evaluated the virtual reality model for dental implant surgery and discussed about the method to make the surgical environment for virtual reality with practical patient data. The anatomical model for patient face was fabricated by facial and oral scan data based on CT data. The simulation scenario was composed step by step fashion with Unity3D. From incision and sinus bone graft procedure which is needed to this patient model to implant installation and bone graft was included in this scenario. We used the HMD and leap motion for immersiveness and feeling of real operation. Twenty training doctor was attended this simulation study, and surveyed their satisfactory results by questionnaire. Implant surgery education program was showed the possibilities of educational tool for dental students and training doctors. Virtual reality for surgical education with HMD and leap motion had advantages, in terms of cheap prcie, easy access.