• Title/Summary/Keyword: Abutments

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A STUDY OF DUPLICATING OCCLUSAL CONTOUR USING NEGATIVE INDEX (NEGATIVE INDES를 이용한 교합면 복제에 관한 연구)

  • Chang, Wan-Shik
    • The Journal of the Korean dental association
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    • v.19 no.2 s.141
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    • pp.159-162
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    • 1981
  • The author devised a simple technique for duplicating occlusal contour of natural teeth on the prepared abutments using hard stone index obtained from the study cast of natural teeth. Throughout this author devised method, the following advantages are studied. Firstly the dentist can obtain an ideal occlusal wax patterns which have arrived at the physiologic state through a long period of adjustment to various habits and functional movements. Secondly the construction procedure is simple, and thirdly it is easy to adjust wax pattern of nomal natural teeth which duplication is required.

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A modified technique for extraoral cementation of implant retained restorations for preventing excess cement around the margins

  • Yuzbasioglu, Emir
    • The Journal of Advanced Prosthodontics
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    • v.6 no.2
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    • pp.146-149
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    • 2014
  • The major drawback of cement-retained restorations is the extrusion of the excess cement into the peri-implant sulcus, with subsequent complications. Insufficient removal of the excess cement may initiate a local inflammatory process, which may lead to implant failure. This article presents a method of controlling cement flow on implant abutments, minimizing the excess cement around implant-retained restorations.

A case report on telescopic denture with a small number of residual teeth in mandible (하악 소수 잔존치에서 텔레스코픽 의치를 이용한 수복 증례)

  • Oh, Sang-Min;Lee, Jae-Hoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.46-50
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    • 2015
  • Restoration of a patient with thin and low residual ridges using a removable partial denture cannot provide proper anterioposterior stability and support, so it results in patient discomfort and severe occlusal force. Also, when a small number of residual teeth are far apart from one another, it is difficult to splint. When these teeth are not splinted, they become solitary abutments, which is not a wise treatment decision. In this case, telescopic system reduces severe lateral load on abutments resulting from a clasp denture and it provides stable and definite retention and solidity. In this case report, a patient exhibited full edentulism in maxilla, and a small number of residual teeth in mandible, which were restored with a complete denture and a telescopic denture respectively. In treatment planning, it was concluded that a patient was restored with a telescopic denture since it was highly probable that a clasp denture would create discomfort and difficulty due to a small number of residual teeth located far apart and residual ridges without proper support.

Centrifuge Model Experiments for Lateral Soil Movements of Piled Bridge Abutments. (교대말뚝기초의 측방유동에 관한 원심모형실험)

  • Choi, Dong-Hyurk;Jeong, Gil-Soo;Park, Byung-Soo;Yoo, Nam-Jae
    • Journal of Industrial Technology
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    • v.25 no.B
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    • pp.63-71
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    • 2005
  • This paper is an experimental result of investigating lateral soil movements at piled bridge abutments by using the centrifuge model facility. Three different centrifuge model experiments, changing the methods of ground improvement at bridge abutment on the soft clayey soil (no improvement, preconsolidation and plastic board drains (PBD), sand compaction pile (SCP) + PBD), were carried out to figure out which method is the most appropriate for resisting against the lateral soil movements. In the centrifuge modelling, construction process in field was reconstructed as close as possible. Displacements of abutment model, ground movement, vertical earth pressure, cone resistance after soil improvement and distribution of water content were monitored during and after centrifuge model tests. As results of centrifuge model experiments, preconsolidation method with PBD was found to be the most effective against the lateral soil movement by analyzing results about displacements of abutment model, ground movement and cone resistance. Increase of shear strength by preconsolidation method resulted in increasing the resistance against lateral soil movement effectively although SCP could mobilize the resistance against lateral soil movement. It was also found that installment with PBD beneath the backfill of bridge abutment induced effective drainage of excess pore water pressure during the consolidation by embanking at the back of the abutment and resulted in increasing the shear strength of clay soil foundation and eventually increasing the resistance of lateral soil movement against piles of bridge abutment.

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Effect of cleansing methods on the bone resorption due to repeated dis/re-connection of implant abutment (지대주 풀림과 조임시 지대주 세척방법에 따른 임플란트 주변 골소실의 양에 대한 평가)

  • Yang, Seung-Min;Shin, Seung-Yun;Kye, Seung-Beom
    • Journal of Periodontal and Implant Science
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    • v.37 no.3
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    • pp.535-542
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    • 2007
  • Background : Repeated dis/re-connection of implant abutment caused bone loss around implant fixtures due to the new formation of biologic width of the mucosal-implant barrier. The aim of this clinical study was to evaluate whether the repeated dis/re-connection of implant abutment cause bone loss clinically and the effect of cleansing methods on a bone loss during the early healing period. Methods : A total 50 implants were installed in 20 patients and repeated dis/re-connection of abutment was performed at the time of surgery and once per week for 12 weeks. 0.9% normal saline solution as group1 and 0.1% chlorhexidine solution as group 2 was used to clean abutments. All patients had radiographs taken at the placement of implant and 4, 8, and 12 weeks postoperatively. The data for bone loss around implant were analyzed. Results: The marginal bone loss at 12 weeks were $1.28{\pm}0.51mm$, $1,32{\pm}0,57mm$ in the mesial and distal sides in group1, $1.94{\pm}0.75mm$, $1.81{\pm}0.84mm$ in group 2, respectively. In view of marginal bone loss, there was not a significant statistical difference between groups. Conclusions : Repeated dis/re-connection of implant abutment may not cause marginal bone loss around implant fixture although limited samples and short-term observation period. In spite of more bone loss in group 2, there was no statistical significant difference between groups. In context of those results, the clinical significance of the repeated dis/re-connection of implant abutment and the cleansing method of abutments is debatable when it comes to marginal bone loss during early healing period.

EFFECTS OF ABUTMENT SPLINTING ON STRESS DISTRIBUTION IN UNILATERAL DISTAL EXTENSION RPD (지대치 연결고정에 따른 편측성 후방연장 국소의치에서의 응력분포)

  • Ahn Hee-Young;Jin Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.2
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    • pp.154-166
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    • 2004
  • Statement of problem: In distal extension removable partial denture, the preservation of health of abutment teeth are very important, but they are always subjected to unfavorable stress. Purpose: The purpose of this study was performed to investigate the effects of abutment splinting and design of direct retainer on the stress distribution of abutments in unilateral distal extension removable partial dentures. Material and method: Abutments were splinted by different method. In group 1, autment teeth were not splinted, in group 2, canine and 1st premolar were splinted, and in group 3, canine, 1st and 2nd premolars were all splinted. Three different types of direct retainer such as Akers clasp, RPI clasp, and wrought wire clasp were designed. Strain was measured with Switch & Balance Unit(SB-10, Measurement Group Instruments Division, Raleigh USA) and Strain Indicator(P-3500, Measurement Group Instruments Division, Raleigh, USA) 15kg of vertical and oblique loads was applied at central fossa of missing 2nd molar area. Results : The strain on lingual side of 2nd premolar was the greatest, and abutment splinting induced decrease of strain on buccolingual side of 2nd premolar. The strain of loaded area was decreased by abutment splinting and there was no statistical difference of strain between Group2 and Group 3, and strain on 2nd premolar in wrought wire clasp was the least. Conclusion: Within the limitations of this study, splinting of two distal abutment teeth is enough for stress distribution widely, and wrought wire clasp was more benefitable than others.

A TWO DIMENSIONAL STRESS ANALYSIS OF FIXED PROSTHESIS WITH OSSEOINTEGRATED IMPLANT AS AN INTERMEDIATE ABUTMENT (골유착성 임플란트를 중간 지대치로 사용한 고정성 보철물의 응력분석)

  • Park Sang-Soo;Vang Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.31 no.4
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    • pp.611-624
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    • 1993
  • The purpose of this study was to analyze the stress distribution of the natural teeth, the implant, the prosthesis and the supporting tissue according to the types of implant and connection modality in the five-unit fixed partial denture with a implant pier abutment. A Two dimensional stress analysis model was constructed to represent a mandible missing the first and second premolars and first molar. The model contained a canine and second molar as abutment teeth and implant pier abutments with and without stress-absorbing element. Finite element models were created and analyzed using software ANSYS 4.4A for IBM 32bit personal computer. The results obtained were as follows. 1. Implant group, compared to the natural teeth group, showed a maximum principal stress at the superior portion of implants and a stress concentration at :he neck and end portion. 2. Maximum principal stress and maximum Von Mises stress were always lower in the case of rigid connection than nonrigid connection. 3. A cylinder type implant with stress absorbing element and screw type implant were generally similar in the stress distribution pattern. 4. A screw type implant, compared to the cylinder type implant, showed a relatively higher stress concentration at both neck and end portion of it. 5. Load B cases showed higher stress concentration on the posterior abutments in the case of nonrigid connector than rigid connector. 6. A maximum displacement was always lower in the case of rigid connection than nonrigid connection. These results suggest that osseointegrated implant can be used as an intermediate abutment.

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THREE-DIMENSIONAL STRESS ANALYSIS OF IMPLANT SYSTEMS IN THE MANDIBULAR BONE WITH VARIOUS ABUTMENT TYPES AND LOADING CONDITIONS (임프란트의 상부구조물 형상과 하중조건에 따른 3차원 유한요소해석을 이용한 하악골의 응력분포에 관한 연구)

  • Shin Ha-Shik;Chun Heoung-Jae;Han Chong-Hyun;Lee Soo-Hong
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.5
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    • pp.617-625
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    • 2003
  • Statement of problem : There are many studies focused on the effect of shape of futures on stress distribution in the mandibular bone. However, there are no studies focused on the effect of the abutment types on stress distribution in mandibular bone. Purpose : The purpose of this study is to investigate the effect of three different abutment types on the stress distributions in the mandibular bone due to various loads by performing finite element analysis. Material and method : Three different implant systems produced by Warantec (Seoul, Korea), were modeled to study the effect of abutment types on the stress distribution in the mandibular bone. The three implant systems are classified into oneplant (Oneplant, OP-TH-S11.5). internal implant (Inplant, IO-S11.5) and external implant (Hexplant, EH-S11.5). All abutments were made of titanium grade ELI. and all fixtures were made of titanium grade IV. The mandibular bone used in this study is constituted of compact and spongeous bone assumed to be homogeneous, isotropic and linearly elastic. A comparative study of stress distributions in the mandibular bone with three different types of abutment was conducted. Results : It was found that the types of abutments have significant influence on the stress distribution in the mandibular bone. It was due to difference in the load transfer mechanism and the size of contact area between abutment and fixture. Also the maximum effective stress in the mandibular bone was increased with the increase of inclination angle of load. Conclusion : It was concluded that the maximum effective stress in the bone by the internal implant was the lowest among the maximum effective stresses by other two types.

The selection criteria of temporary or permanent luting agents in implant-supported prostheses: in vitro study

  • Alvarez-Arenal, Angel;Gonzalez-Gonzalez, Ignacio;deLlanos-Lanchares, Hector;Brizuela-Velasco, Aritza;Ellacuria-Echebarria, Joseba
    • The Journal of Advanced Prosthodontics
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    • v.8 no.2
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    • pp.144-149
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    • 2016
  • PURPOSE. The use of temporary or permanent cements in fixed implant-supported prostheses is under discussion. The objective was to compare the retentiveness of one temporary and two permanent cements after cyclic compressive loading. MATERIALS AND METHODS. The working model was five solid abutments screwed to five implant analogs. Thirty Cr-Ni alloy copings were randomized and cemented to the abutments with one temporary (resin urethane-based) or two permanent (resin-modified glass ionomer, resin-composite) cements. The retention strength was measured twice: once after the copings were cemented and again after a compressive cyclic loading of 100 N at 0.72 Hz (100,000 cycles). RESULTS. Before loading, the retention strength of resin composite was 75% higher than the resin-modified glass ionomer and 2.5 times higher than resin urethane-based cement. After loading, the retentiveness of the three cements decreased in a non-uniform manner. The greatest percentage of retention loss was shown by the temporary cement and the lowest by the permanent resin composite. However, the two permanent cements consistently show high retention values. CONCLUSION. The higher the initial retention of each cement, the lower the percentage of retention loss after compressive cyclic loading. After loading, the resin urethane-based cement was the most favourable cement for retrieving the crowns and resin composite was the most favourable cement to keep them in place.