• Title/Summary/Keyword: Immediate restoration

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Immediate implantation for single mandibular first molar restoration: clinical case report (하악 제1대구치 단일 수복을 위한 발치 즉시 임플란트의 임상증례)

  • Park, Cheol-Woo
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.30 no.1
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    • pp.4-12
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    • 2021
  • Immediate implantation is widely applied as it is recognized as a useful implant treatment in dental clinic due to its various advantages as well as being able to shorten the treatment period. Immediate implant treatment was performed on 5 patients who needed extraction of the mandibular first molar for various reasons, shortening the overall treatment period, and obtaining satisfactory results. Immediate implantation after extraction is a high-level treatment that requires proper initial fixation at the exact location of the extraction socket and the surrounding soft tissues, but is considered to be a clinically very useful prosthetic restoration method

Case Report; Esthetic Restorations for Immediate Implantation and Delayed loading on Maxillary Anterior Region (상악전치부임플란트에서의 즉시식립 후 심미수복증례)

  • Lee, Hee-Kyong
    • The Journal of the Korean dental association
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    • v.55 no.10
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    • pp.733-737
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    • 2017
  • Successful osseo-integration of dental implants that Dr. Bronemak reported in 1965 had been ground-breaking research in the restorative dentistry for the missing dentition. Clinical application of dental implants in the restorative dentistry has begun with the role of retention and support for the complete denture, beyond the functional recovery in partially missing area, and succeeds in the cosmetic recovery for anterior missing area. Recently, immediate implantation and loading after the extraction have been preferred by many excellent clinicians especially on maxillary anterior missing area, because they want to prevent from the absorption of residual alveolar bone. But it is hard to decide immediate loading for common clinicians also, because it is difficult for them to convict proper osseo-integration. In this article, immediate implantation and delayed loading case on maxillay anterior region have been introduced and predictable prosthetic procedure for the esthetic result has suggested.

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An effect of immediate dentin sealing on the shear bond strength of resin cement to porcelain restoration

  • Choi, Yu-Sung;Cho, In-Ho
    • The Journal of Advanced Prosthodontics
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    • v.2 no.2
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    • pp.39-45
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    • 2010
  • PURPOSE. The aim of this study was to determine differences in shear bond strength to human dentin using immediate dentin sealing (IDS) technique compared to delayed dentin sealing (DDS). MATERIALS AND METHODS. Forty extracted human molars were divided into 4 groups with 10 teeth each. The control group was light-cured after application of dentin bonding agent ($Excite^{(R)}$ DSC) and cemented with $Variolink^{(R)}$. II resin cement. IDS/SE (immediate dentin sealing, $Clearfil^{TM}$ SE Bond) and IDS/SB (immediate dentin sealing, $Adapter^{TM}$ Single Bond 2) were light-cured after application of dentin bonding agent ($Clearfil^{TM}$ SE Bond and $Adapter^{TM}$ Sing Bond 2, respectively), whereas DDS specimens were not treated with any dentin bonding agent. Specimens were cemented with $Variolink^{(R)}$. II resin cement. Dentin bonding agent ($Excite^{(R)}$. DSC) was left unpolymerized until the application of porcelain restoration. Shear strength was measured using a universal testing machine at a speed of 5 mm/min and evaluated of fracture using an optical microscope. RESULTS. The mean shear bond strengths of control group and IDS/SE group were not statistically different from another at 14.86 and 11.18 MPa. Bond strength of IDS/SE group had a significantly higher mean than DDS group (3.14 MPa) (P < .05). There were no significance in the mean shear bond strength between IDS/SB (4.11 MPa) and DDS group. Evaluation of failure patterns indicates that most failures in the control group and IDS/SE groups were mixed, whereas failures in the DDS were interfacial. CONCLUSION. When preparing teeth for indirect ceramic restoration, IDS with $Clearfil^{TM}$ SE Bond results in improved shear bond strength compared with DDS.

Conventional loading, is the concept still useful? (임상가를 위한 특집 3 - Conventional loading, 여전히 임상적으로 유용한가?)

  • Yeo, In-Sung
    • The Journal of the Korean dental association
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    • v.51 no.4
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    • pp.204-209
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    • 2013
  • Implant-supported restorations were connected to commercially pure titanium endosteal implants 3 months in mandible and 6 months in maxilla after the implants were inserted into patient jaws. Modifications of titanium implant surfaces have reduced the waiting time for osseointegration, resulting in the development of the early loading concept, which is defined at present as a restoration in contact with the opposing dentition and placed at least 1 week after implant placement, but no later than 2 months afterward. Nowadays, immediate loading protocols have also been introduced, using the implants that are designed to enhance initial stability. Immediate loading eliminates the edentulous period of a patient. Although dentists widely accept these concepts of early and immediate loading, they agree the conventional loading concept is still necessary, which describes loading protocols later than 2 months after implant insertion. The timing of loading is determined mainly by the factors of a patient. This paper considers for what dental clinicians should be careful in implant-supported restoration procedures, considering the implant late failure.

Immediate restoration through gingiva conditioning of maxillary anterior implant installed labially: A case report (순측으로 식립된 상악 우측 측절치 임플란트의 즉시 수복 증례)

  • Sung ji Gong;Jieun Song;Kwidug Yun;Chan Park;Woohyung Jang
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.234-242
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    • 2024
  • Immediate implant placement and restoration have the advantage of shortening the treatment period and maintaining aesthetics until final restoration. However, single implant restoration in the maxillary anterior region may be aesthetically difficult, and surgical trauma delivered to soft and hard tissues during implant placement may affect future aesthetic results. In order to obtain predictable results during anterior implant placement and restoration, surgery and restoration plans must consider the height of the interdental bone, characteristics of the gingiva, and morphological characteristics of the patient's teeth. In this case, we attempted to reproduce the emergence profile and stabilized soft tissue through gingiva modification and digital impression of a labially placed maxillary anterior implant in a patient who desired porcelain fused-metal (PFM) restoration due to economic issues.

Ovate Pontic을 이용한 Immediate fixed restoration : Clinical report

  • Kwun, Yee-Buhm;Lee, Jong-Yeop
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.10 no.1
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    • pp.80-88
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    • 2001
  • 전치부 발치 증례에서 기존의 통상적인 보철 시술은 발치 후 발치창이 치유되기까지 최소 1 개월 이상을 심미적 결함을 안고서 기다려 한다는 불편함이 있었다. 발치 부위의 치조제는 수평, 수직적 흡수가 일어나 차후 보철물 pontic design에 악영향을 미치게 되어 심미적 결함뿐 아니라 발음, 구강 청결의 측면에서도 좋지 않은 결과를 미치게된다. 그러나, 발치 직후 ovate pontic을 이용한 immediate fixed restoration으로 수복하면, 치아 상실로 인한 환자의 기능적 심미적 불편함을 해소하고, 치료 과정은 물론 치료 후에도 보다 나은 심미 치료가 가능하며, 치료의 공백 기간 없이 치료 기간을 줄일 수 있다.

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Evaluation of the Osseointegration in Immediatedly Loaded Implants in the Premolar Socket of the Mandible in Beagles (비글견에서 아래턱 작은어금니 Implant의 즉시 부하에 대한 평가)

  • Kim, Dae-Jin;Kim, Jung-Eun;Seong, Yun-Sang;Jang, Hwan-Soo;Kwon, Young-Sam;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.27 no.1
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    • pp.55-61
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    • 2010
  • Tooth restoration with implant placement have been interested in modern veterinary dentistry. It is important to reduce the interval between the tooth extraction and the insertion of the implants, to determine the restoration time after implant placement in dogs The aim of the this study was to compare the bone mineral apposition rate of immediately loaded implants with an unloaded control during the early healing state in the artificial extraction mandible. In four Beagles, two premolar sockets (PM2 and PM3) of the both sides of the mandible were installed with a one stage titanium mini-implant with a length of 11 mm and a diameter of 3.37 mm immediately after tooth extraction. Provisional restroration was given to implants, 3 weeks after implant placement in the left side (immediate loading) and 12 weeks in the right side (delayed loading), respectively. Radiographic and histologic examinations were performed. Radiographic evaluation revealed no significant difference between two groups. Bone-implant contact was $47.1{\pm}8.9$ in immediate loading and $50.2{\pm}8.2$ in delayed loading, interthread bone density was $78.7{\pm}10.9$ in immediate loading and $73.1{\pm}15.5$ in delayed loading, and peri-implant bone density was $95.4{\pm}7.1$ in immediate loading and $95.0{\pm}5.2$ in delayed loading, respectively. Three histologic analyses showed no significant difference between delayed and immediate loading. Followed by this study, the immediate loading of implants insterted into fresh extraction sockets after tooth extraction could be considered in veterinary dentistry.

Esthetic reconstruction of upper central incisor using immediate Frialit-2 implant placement, immediate temporary crown fabrication and IPS Empress 2 crown (즉시 Frialit-2 implant 식립, 즉시 임시치관 제작 그리고 IPS Empress 2 crown을 이용한 상악중절치의 심미적 수복)

  • Kim, Yu-Lee;Oh, Sang-Chun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.1
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    • pp.43-48
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    • 2003
  • During the past several years, significant advances have occurred in the utilization of osseointegrated implants for the treatment of partially edentulous patients. One of the biggest purposes for treating of these patients is the high demand for improved esthetics, especially in the anterior region. For this esthetics, the new trend in dental implants is the immediate placement and immediate superstructure fabrication. The refined surgical technique, the skillful soft tissue management, and the proper prosthetic coordination are the main factors to achieve natural looking of implant supported prosthesis. The customized provisional restoration and the customized impression coping are recommended for the optimal peri-implant soft tissue contour. The basic concept of Frialit 2 system was the immediate replacement of a tooth with root-analog fixture after extraction. This system guarantees an ideal result in function and esthetics. The ceramic abutment system offers improved quality in the respect of esthetics, fitness, translucency, and biocompatibility. In this clinical report, the final restoration made with IPS Empress 2 crown on the CeraBase abutmen of Frialit 2 system allowed the reproduction of the natural vitality of tooth and adjacent gingiva.