• 제목/요약/키워드: Completely edentulous patients

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성공적인 총의치 제작을 위한 단계별 포인트 - 무치악인상채득, 이것이 핵심이다. (Clinical considerations of impression making for edentulous patients)

  • 박찬진
    • 대한치과의사협회지
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    • 제55권1호
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    • pp.72-81
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    • 2017
  • Regardless of the type of impression being made, the tray is the most important part of the impression-making procedure for completely edentulous patients. Dentists have to make use of a combination of rigid, thermoplastic, and resilient materials and control step-by-step procedure from irreversible hydrocolloid impression to definitive cast fabrication. For successful edentulous impression, some considerable clinical tips were guided.

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무치악 환자에서 하악 임플랜트 지지 피개의치에 의한 즉시 하중 부담에 관한 연구 (NOVEL TREATMENT MODALITY OF IMPLANT-RETAINED OVERDENTURE FOR IMMEDIATE FUNCTION IN COMPLETELY EDENTULOUS PATIENTS)

  • 김장욱;김형섭;백진;권긍록
    • 대한치과보철학회지
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    • 제45권1호
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    • pp.34-47
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    • 2007
  • Statement of problem: Conventional mandibular complete denture lacks in support and stability for edentulous patients to use. Purpose: To enhance support and stability of mandibular complete denture, 2 implants were inserted on the inter-mental foramina space of edentulous patients. With 2 magnetic attachments on the inner side of the overdenture, we gave immediate loads and evaluated the stability of the implants, the responses of the supporting tissues, and the satisfaction of the patients. Material & methods: 6 edentulous patients (5 male, 1 female) each recieved 2 SLA implants in the inter-mental foramina region and implants were immediately loaded with overdenture with magnet attachments. To evaluate the implants stability and the peri-implant tissues, clinical exams, RFA tests and radiographic exams were preformed at the 1 week, 2wks, 6wks, 12wks, and 24wks. post- surgery. Results: The mean surgery time was $45.7{\pm}7.7mins$., while the denture delivery time was $45.5{\pm}12.6mins$. Only 2 of 14 implants were failed. Survived implants that remained were clincally and radiographically stable. Mean ISQ values were relatively stable, showing $69.71{\pm}5.55$, $69.00{\pm}9.48$, $67.92{\pm}7.86$, $67.92{\pm}9.58$, $70.08{\pm}7.61$, $71.92{\pm}6.43$ at the 1 wk, 2 wks, 6 wks, 12 wks, 24 wks. follow up check. Crestal bone changes were $-1.18mm{\pm}0.68mm$, $-1.35{\pm}0.69mm$, $-1.47{\pm}0.68mm$ at the 6wks, 12wks, 24wks. follow up check. Bleeding on probing(BOP index) was not significant. Conclusion: Mandibular ovedentures with 2 magnetic attachments over two interforaminal implants on edentulous patients for immediate function is a recommendable novel treatment for edentulous patients which shows stability on the implants and supporting tissue.

완전 무치악에서 즉시 부하시와 표준 부하시 임플란트 생존율에 대한 비교 분석: 후향적 연구 (Comparative analysis of immediate functional loading and conventional loading about implant survival rate in the completely edentulous: Retrospective study)

  • 서현수;박준우;홍순민;이석련
    • 대한치과의사협회지
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    • 제52권12호
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    • pp.771-782
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    • 2014
  • Introduction: This study researched the clinical application of immediate functional loading technique about implant survival rate in the completely edentulous and suggested our protocol about surgical & prosthetic procedure. Materials and methods: 32 consecutive patients participated in this study. A total of 242 implants were inserted. In test group, 144 implants were inserted in 19 patients with immediate functional loading with occlusal contact. In control group, 98 implants were inserted in 13 patients and conventional loading was done after 4~6 months. Result: In the immediately loaded implants group, overall cumulative survival rate was 98.6%.

Restoration of Mandibular Edentulous Patient By Dental Implant: Case Report

  • Kwon, Ji-Yung;Kim, Yung-Soo
    • 대한치과보철학회지
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    • 제38권3호
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    • pp.360-365
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    • 2000
  • The completely edentulous patient has few treatment options in conventional dentistry. When implants are considered, treatment plans range from a 2-implant overdenture to a completely implant-supported prosthesis. Fixed prosthesis is often the preferred selection of the edentulous patient. fixed full-arch cert amo-metal restorations can be a predictable implant treatment modality for the edentulous patient. Implant-supported fixed prosthesis has several advantages: predictability, fixedness, retrievability, improved function, lower maintenance of prosthesis, long-term published success. Edentulous patients with a severely resorbed mandible often experience problems with their dentures. Treatment concepts involving two to four implants for the support of an overdenture have been proposed. There seems to be no need to insert more than two endosteal implants to support an overdenture, however, long-term prospective studies are needed to support this notion. Using short endosseous implants and an overdenture in the extremely resorbed mandible is a justified treatment option because of the relative simplicity and low morbidity of this treatment strategy. Implant-supported overdenture has several advantages: Cost, retrievability, hygiene access, profile and contour control, increased retention and stability, implant installed in a predicted region(ant. mandible).

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Management of flabby ridges using liquid supported denture: a case report

  • Keni, Nandita Nitin;Aras, Meena Ajay;Chitre, Vidya
    • The Journal of Advanced Prosthodontics
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    • 제3권1호
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    • pp.43-46
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    • 2011
  • Flabby ridges commonly occur in edentulous patients. Inadequate retention and stability of a complete denture are the often encountered problems in these patients. A liquid supported denture due to its flexible tissue surface allows better distribution of stress and hence provides an alternate treatment modality in such cases. This case report presents the use of a liquid supported denture in a patient with completely edentulous maxillary arch with flabby tissue in anterior region opposing a partially edentulous mandibular arch.

무치악 환자에서 Coe-comfort$^{(R)}$를 이용한 동적 인상 채득의 임상적 활용 (Clinical Application of Dynamic Impression Method Using Coe-Comfort$^{(R)}$ in Edentulous Patients)

  • 금은철;송영균;임종화;신수연
    • 구강회복응용과학지
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    • 제27권1호
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    • pp.117-123
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    • 2011
  • 총의치 환자의 치료 시 인상 채득 과정은 의치의 지지, 유지, 그리고 안정을 위해 매우 중요하며, 의치의 성공여부를 좌우한다. 총의치 인상 채득을 위한 여러 가지 재료와 방법들이 이용되어 왔으며, 그 중 조직 양화재 (tissue conditioner)를 이용한 동적 인상법 (dynamic impression method)은 보다 생리적이고 기능적인 방법이다. 본 증례들에서는 무치악 환자에서 조직 양화재인 Coe-comfort$^{(R)}$ (GC America, IL, USA)를 이용한 동적 인상법으로 변형된 연조직의 회복과 하께 가장 생리적인 상태로 인상을 채득하여 의치의 제작 및 첨상을 시행하였으며, 만족스런 결과를 얻었다.

임플란트 서베이드 보철물을 이용한 임플란트 보조 국소의치의 9년 경과 관찰 증례 (Implant assisted removable partial denture with implant surveyed prostheses: A 9-year follow-up)

  • 이재림;윤형인;김희선;심혜영;한윤식
    • 대한치과보철학회지
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    • 제60권2호
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    • pp.211-221
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    • 2022
  • 완전 무치악 악궁을 수복함에 있어 해부학적인 한계 또는 경제적인 제한이 있거나 환자가 광범위한 수술을 원하지 않을 경우에 임플란트 식립이 제한될 수 있다. 이러한 경우 전악 임플란트 고정성 보철물의 대안으로 임플란트 보조 국소의치를 이용할 수 있다. 본 증례는 치주질환으로 다수 치아를 발거하여 상악 완전 무치악과 하악 부분 무치악이 된 56세 여성 환자에서 상악 전방부에 4개의 임플란트를 식립하여 8본 서베이드 보철물과 임플란트 보조 국소의치로 수복하였고, 하악은 전치부 8본 고정성 가공 의치 및 구치부 임플란트 고정성 보철물로 수복하였다. 9년 간의 경과 관찰 시 심미적, 기능적으로 적절한 결과를 얻었기에 이를 보고하고자 한다.

Survival of 352 titanium implants placed in 181 patients: a 4-year multicenter field study

  • Shin, Seung-Il;Yun, Jeong-Ho;Kim, Sung-Geun;Park, Byoungkyou;Herr, Yeek;Chung, Jong-Hyuk
    • Journal of Periodontal and Implant Science
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    • 제44권1호
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    • pp.8-12
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    • 2014
  • Purpose: The aim of this retrospective chart review was to evaluate the four-year survival rate of a titanium implant system. Methods: A total of 352 sand-blasted, thermally acid-etched titanium implants were inserted into 181 partially or completely edentulous patients. Their cumulative survival rate was evaluated retrospectively. Associated factors, such as the implant distribution and treatment type were included in the evaluation. Results: The implants were equally distributed between the maxilla (52.3%) and the mandible (47.7%). 48 implants (13.6%) were placed in the anterior region and 304 implants (86.4%) in the posterior region. The majority of the implants were inserted into bone of type II and III quality (89.8%) and volume (quantity B and C, 87.2%). Most of the implants (70.7%) were restored as single crowns; 28.7% supported a bridge construction and 0.6% a full denture. Only one implant failed, resulting in a four-year cumulative survival rate of 99.7%. Conclusions: The implant system showed an excellent four-year survival rate. It proved to be a safe and predictable means for restoration of the dentition in partially or completely edentulous patients.

A COMPARISON OF THE MASTICATORY FUNCTION BETWEEN TWO DIFFERENT TYPES OF IMPLANT SUPPORTED PROSTHESES AND COMPLETE DENTURE FOR FULLY EDENTULOUS PATIENTS

  • Lee, Jae-Hoon;Kim, Woo-Hyun;Shin, Rie-Hye;Lee, Keun-Woo
    • 대한치과보철학회지
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    • 제46권6호
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    • pp.591-601
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    • 2008
  • STATEMENT OF PROBLEM: The improvement in oral function and comfort from the dental implant appears to depend on the particular type of implant support used with the denture. The number and positioning of implants have an influence on the force transfer and subsequent stress distribution around implants. Nevertheless, a quantitative comparison has not been made between the types of implant prosthesis used with different materials compared to conventional complete denture. PURPOSE: The objective of this study is to assess the masticatory performance, bite force and impact of two different type of implant supported prostheses on oral health-related quality of life compared to conventional complete denture with GOHAI, validated oral-specific health status measures, the sieving method, and the Prescale Dental System. MATERIAL AND METHODS: From the years 1999 to 2006, a total of 30 completely edentulous patients in a single arch were selected from the Yonsei University Dental Hospital, Department of Prosthodontics and Implant Clinic in Seoul, S. Korea. Patients were divided into 3 groups of 10 each. Group HR was restored with fixed-detachable hybrid prostheses with resin teeth. Group FP had fixed dentures with porcelain teeth while Group CD had a complete denture. The masticatory performance was compared between 3 groups. RESULTS: The results showed a significant improvement in oral health-related quality of life with dental implants compared to a conventional denture in GOHAI comparison. Overall, implant prostheses showed a higher masticatory performance ($S_{50}$) and maximum bite force compared with conventional dentures (P < .05) but no differences between different implant supported prostheses (P > .05). CONCLUSION: Within the limitation of this study, the numbers of implant and material of implant prostheses does not appear to impact patient satisfaction, masticatory performance or bite force.