• Title/Summary/Keyword: 임플란트 환자

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Immediate loading of mandibular single implant by using surgical guide and modeless digital prosthesis: a case report (수술용 가이드와 modeless 디지털 보철물을 이용한 하악 구치부 단일 임플란트 즉시 하중 증례)

  • Lim, Hyun-jeong;Kim, Myung-Joo;Kwon, Ho-Beom;Lim, Young-Jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.299-306
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    • 2017
  • In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.

Full mouth rehabilitation with dental implant utilizing 3D digital image and CAD/CAM system: case report (3차원 디지털 영상과 CAD/CAM 시스템을 활용한 전악 임플란트 수복 증례)

  • Kang, Se-Ha;Jeong, Seung-Mi;Shin, Jae-Ok;Fang, Jeong-Whan;Kim, Dae-Hwan;Choi, Byung-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.158-168
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    • 2015
  • This article describes how to use digital system in a fully edentulous case that diagnosis to definitive prosthesis fabrication. While proceeding oral scan and CBCT taking, digital markers were attached on maxillary palate and lower existing denture. Using CBCT image and oral scan image, the bone contour and anatomical structures were analyzed and flapless surgical guide, customized abutment and prosthesis were made. After the osseointegration, the definitive prosthesis was fabricated using the oral scan image with scan body. It provides clinicians with a fast workflow and improves clinical efficiency.

Interdisciplinary approach on oral rehabilitation of an adolescent patient with multiple missing teeth: a clinical report (타과와의 협진을 통한 다수치 결손을 동반한 성장기 환자의 보철 수복 증례)

  • Kwon, Kung-Rock;Paek, Janghyun;Lee, Hyun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.339-346
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    • 2013
  • In case of missing of permanent teeth by trauma or innate defect, the decision of treatment modalities and application timing have an important effect on the prognosis of oral rehabilitation. In this case report, interdisciplinary approach between the orthodontic and prosthodontic treatment, the way to re-establish the collapsed occlusal vertical dimension, and implant prosthetic considerations will be discussed. Proper diagnosis on teeth and craniofacial skeleton was made prior to treatment and provisional restorations were used in regard of growth patterns of the patient. Finally, the edentulous areas were restored with fixed implant prostheses. Diagnosis, treatment rationale and prognosis will be discussed thoroughly.

Surface Characteristics of Metallic 3D Printed Dental Framework (금속 3D printing으로 제작한 치과보철물의 표면특성)

  • Choe, Han-Cheol
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2018.06a
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    • pp.21-21
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    • 2018
  • 다양한 소재(금속, 세라믹, 고분자 소재 등)들이 3차원 형상기반 적층제조법에 적용되고 있는데, 금속 소재를 이용하여 3D 프린팅 법으로 치과용 수복물을 제조하는 연구가 많이 보고되고 있다. 하지만, 티타늄 또는 티타늄 합금 분말을 이용하여 3D 프린팅 법으로 제작한 치과용 보철물에 관한연구 보고는 많지 않다. Kanazawa 등 (2014)은 Ti-6Al-4V 합금분말을 이용하여 SLM법으로 총의치 용 framework를 제작하여 주조법으로 제작한 것과 비교 평가하였고, Mangano 등(2013)은 Ti-6Al-4V 합금분말로 지름이 작은 일체형 (1-piece narrow-diameter) 임플란트를 SLS법으로 제작하여 16명의 환자에게 식립한 다음, 2년간 관찰하였고, Mangano 등 (2014)은 cone-beam computed tomography (CBCT) data를 3D이미지로 변환시켜 DLMS법으로 치근 형상의 임플란트를 제작하여 15명의 환자에게 식립한 다음, 1년간 관찰하였다. 또한 서울대학교 및 연세대학교 치과생체재료과학교실 (2016)에서는 3D 프린팅 법으로 제작한 티타늄 시편과 기계 가공한 티타늄 시편의 물성을 비교하였다. 그러나 티타늄 합금 분말을 이용하여 3D 프린팅 법으로 제작한 치과용 보철물을 실제 임상에 적용하는 단계에서 기존 기계가공 방식으로 제작한 티타늄 보철물과 3D 프린팅 법으로 제작한 티타늄 보철물의 물성과 표면특성을 다양하게 비교 평가하는 것이 필요하여 본 연구에서는 3D 프린팅 법으로 제작한 티타늄 시편과 기계 가공한 티타늄 시편의 물성특성과 표면특성을 비교하여 조사하였다.

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Associated factors which influence satisfaction of dental implant patients and intention to revisit using structural equation model (구조방정식 모형을 이용한 치과 임플란트 환자의 만족과 재이용 의사에 미치는 영향요인 분석)

  • Cho, Min-Suk;Yoo, Sung-Jin;Yang, Dong-Hyun
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.2
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    • pp.221-230
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    • 2013
  • Objectives : This study is to confirm the influencing factors on patients satisfaction and intention to revisit the implant service clinic by structural equation model. Methods : We surveyed 250 implant patients visiting 6 dental clnics(hospitals) in Busan, Changwon, Gimhae city and questionnaire was for four weeks in July 2012, a total 209 patients filled out the questionnaires within July and the complete data were analyzed. we were used structural equation model for analysis to confirm influencing factors on implant patients' satisfaction and intention to revisits. Results : This study finds that factors influencing on implant patients' satisfaction and intention to revisit are reasonable medical fee, medical skill treatment of dentist, dental hygienist and other support staff, administrative procedure, and there existed between influencing factors and the patient's treatment satisfaction as well as intention to revisit. In order to satisfy the implant patients, dentist and hygienists should try to provide high quality of treatment and dental services. Conclusions : The results of this study provide managerially important messages to the managers of dental clinics in order to develope management strategies for new customers.

Combination restorative restorations using conventional partial denture and CAD / CAM (Conventional partial denture와 CAD/CAM을 이용한 combination 보철물 수복)

  • Choi, Seok-yeun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.1
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    • pp.52-63
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    • 2017
  • When you need to make an upper and lower full-mouth prosthesis, you should design a prosthesis by making an accurate diagnosis and planning well. In particular, in patients with occlusal plane collapsed and misplaced occlusal plane, the patient should be restored to the previous occlusal height and the correct occlusal plane should be created. In addition, appropriate materials should be used to ensure that the patient is able to chew the food well and not force it. When the implants are placed in an inappropriate position, the design of the prosthesis is determined by considering the relationship with the prosthesis and occlusion. Design should be made for the cleanliness around the implant.

Patient satisfaction survey for implant surgical guides in some areas of Jeollanam-do (전남 일부 지역 임플란트 수술용 가이드 이용 환자 만족도 조사)

  • Yoon, So-Ra;Choi, Choong-Ho
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.281-287
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    • 2022
  • Objectives: This study, investigated the satisfaction of patients who received the procedure using an implant guide to identify factors affecting satisfaction in dental hospitals and clinics in Jeollanam-do. Methods: From December 2021 to February 2022, questionnaires randomly were collected from 128 patients aged 20 to 90 years visiting dental hospitals and clinics using surgical guides in some areas of Jeollanam-do. Results: There was a negative correlation between the overall satisfaction average and Visual Analog Scale (VAS) pain level (r=-0.414, p<0.001), and a negative correlation between VAS pain level and VAS satisfaction (r=-0.273, p<0.05), As subjective pain decreased, subjective satisfaction increased, and as subjective pain increased, the overall satisfaction average also decreased, showing an inverse correlation. Factors affecting satisfaction with the guide for implant surgery were whether you would like to recommend it to people around you (β=0.556), whether you would like to explain the guide (β=0.194), and whether you thought it was good to receive the guide (β=0.199). Conclusions: Therefore, in order to increase the satisfaction of the implant surgical guide procedure, it is considered important to perform a sufficient explanation of the implant surgical guide before the procedure.

Full mouth rehabilitation of severely worn dentition with implants and removable partial dentures (심한 마모를 가진 환자에서 임플란트와 가철성 국소의치를 이용한 전악수복 증례)

  • Lee, Shin Eon;Lee, Won Sup;Lee, Cheol Won;Lee, Su Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.70-76
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    • 2018
  • Excessive tooth wear can lead to decrease in occlusal vertical dimension and can cause pathological changes in the oral environment and masticatory system. When recovering occlusal vertical dimension and occlusion, accurate diagnosis and analysis are essential. This clinical case describes a 75-year-old woman with severely worn dentition due to loss of the posterior support. Full mouth rehabilitation with occlusal vertical dimension increment was planned. Clinical and radiographic examinations, occlusal vertical dimension evaluation, and diagnostic wax-up were performed and patient adaptability was evaluated using provisional restorations. As for definitive restoration, considering economic condition of the patient, removable partial denture was fabricated and solitary implants were placed in the mandibular left and right posterior region to increase support and retention of the removable partial denture. During one year of follow-up, functional and esthetic outcomes were observed satisfactory.

Retrospective radiographic and clinical analysis of implant survival placed after alveolar ridge preservation (발치와 치조제 보존술 시행 후 식립한 임플란트의 방사선학적 및 임상적 후향적 연구)

  • Lee, Sung-Jo;Jang, Hyun;Shin, Hyun-Seung;Park, Jung-Chul;Song, Young-Gyun;Cho, In-Woo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.167-174
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    • 2018
  • Purpose: The purpose of present study was to retrospectively analyze the survival rate of implant placed after alveolar ridge preservation by initial stability and radiographic measurements. Materials and Methods: In total, 19 patients who received 21 sandblasted, large-grit, acid-etched (SLA) implants were enrolled in this retrospective study. Implants placed after alveolar ridge preservation technique (ARP) 2 - 3 months healing period, Periotest value (PTV) measured at implant placement and before placed prosthodontics. Marginal bone level (MBL) was measured at implant placement and final recall check. Results: Overall survival rate of implant was 100%. Mean PTV at implant placement was $-0.06{\pm}8.33$ and mean PTV before placed prosthodontics was $-5.75{\pm}1.7$. The range of MBL change was from -0.55 mm to 1.6 mm (Mean: $0.19{\pm}0.58mm$). Conclusion: The findings of present study suggest that the implant paced after alveolar ridge preservation appear high survival rates and stable MBL.

Digital intraoral impression for immediate provisional restoration of maxillary single implant: A case report (구강 내 디지털 인상채득을 통한 상악 전치부 임플란트 즉시 임시 보철 수복 증례)

  • Chang, Yun-Jeong;Kim, Hong-Jun;Song, Mi-Kyoung;Moon, Ji-Eun;Lee, Hal-La;Park, Chan-Ik
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.3
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    • pp.234-243
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    • 2015
  • Developing of digital technique, it is possible to fabricate implant prostheses for edentulous area using intraoral 3-dimentional information throughout implant diagnosis and treatment process. It is being changed that from the method using CAD/CAM, producing prostheses by model scanning after conventional impression and model processing, to the method of fabricating implant provisional restorations and customized abutments by digital impression after connecting digital impression copings (scanbody) and implant fixtures without models. But, this digital method has not been actively used for implant prostheses not yet. Specially, it is short of intraoral digital impression cases for immediate provisional restorations of the maxillary anterior implants. The gingival contour impression of maxillary anterior area is very important for esthetic restorations. Accordingly, in this case report, the using a digital impression coping (scanbody) and digital impression by CEREC Omnicam (Sirona, Bensheim, Germany) or Trios (3shape, Copenhagen, Denmark) were introduced for immediate provisional restorations in 3 cases needed a single implant restoration in maxillary anterior area. The clinical results were satisfactory on the convenience and accuracy of digital impression technique and the good esthetics of final restorations.