• 제목/요약/키워드: Implant

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최후방 단일치 임플란트의 생존율에 대한 후향적 연구 (A retrospective study on survival rate of the most posterior single tooth implant)

  • 정성우;이재관;엄흥식;장범석
    • Journal of Periodontal and Implant Science
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    • 제38권4호
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    • pp.611-620
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    • 2008
  • Purpose: The purpose of this study was to assess the long term survival rates of the most posterior single tooth implant and to evaluate the influence of implant characteristics on implant survival. Material and Methods: This retrospective report presents findings on 37 patients with 43 implants replacing single molars. The inclusion criteria were having implants replacing a molar of the most posterior region and follow-up data over at least 6 months. Data were recorded regarding the incidence of complications and survival rates of these implants. Results: The range of follow-up was from 9 to 66 months(mean: 40.2 months). The cumulative survival rate of total implants was 93.0% which reflects the loss of three implants: one had broken neck, one implant failed because of infection, one implant showed failed osseointegration. Abutment- screws loosening occurred in five implants(11.6%). Conclusion: Within the limits of this study, a single tooth-implant can serve as a good long-term and predictable treatment modality to replace the most posterior teeth with low complication and failure rates.

임플란트 선택동기 및 인지도 조사연구 -울산지역 성인 남, 여를 대상으로- (An Investigation of a Motive for Dental Implant Treatment in Clinical Cases)

  • 이가령
    • 한국치위생학회지
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    • 제4권2호
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    • pp.237-253
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    • 2004
  • This study was to find a patient's motive for receiving implant treatment by age and gender using a self-reporting questionnaire survey with adults(men & women) in Woolsan. The result was as follows: 1. As a result of questionnaire survey with 155 patients in total(86 men, 69 women), 24 of 86 men(27.9%) valued the natural mastication feature of dental implant most, that is as similar as natural teeth, while 18 of 69 women(26.1%) had the most priority over the longer life of implant than common dental prostheses. By age, those in their 20s and 30s had a preference to implant treatment because it does not need to pulling out teeth for prostheses, while those in their 40s and over had a priority to the natural mastication feature of implant that is similar as much as natural teeth. By dental treatment, all of respondents said that the natural mastication feature is the most important in getting dental implant. It was founded that whether one can taste food as it is or not is less important, regardless of age or gender. 2. The greatest obstacle to implant surgery was expensive medical fees, 88 of 155 respondents(56.8%), with a fear of surgery itself being the least obstacle. 3. 90.2% of the total respondents said that they will want to receive dental implant treatment if their economy allow.

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The relationship between initial implant stability quotient values and bone -to-implant contact ratio in the rabbit tibia

  • Park, In-Phill;Kim, Seong-Kyun;Lee, Shin-Jae;Lee, Joo-Hee
    • The Journal of Advanced Prosthodontics
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    • 제3권2호
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    • pp.76-80
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    • 2011
  • PURPOSE. Implant stability quotient (ISQ) values have been supposed to predict implant stability. However, the relationship between ISQ values and bone-to-implant contact ratio (BIC%) which is one of the predictors of implant stability is still unclear. The aim of the present study was to evaluate initial ISQ values in relation to BIC% using rabbit model. MATERIALS AND METHODS. Four New Zealand white rabbits received a total of 16 implants in their tibia. Immediately after implant placement ISQ values were assessed. The measurements were repeated at the time of sacrifice of the rabbits after 4 weeks. Peri-implant bone regeneration was assessed histomorphometrically by measuring BIC% and bone volume to total volume values (bone volume %). The relationships between ISQ values and the histomorphometric output were assessed, and then, the osseointegration prediction model via the initial ISQ values was processed. RESULTS. Initial ISQ values showed significant correlation with the BIC%. The bone volume % did not show any significant association with the ISQ values. CONCLUSION. In the limitation of this study, resonance frequency analysis is a useful clinical method to predict the BIC% values and examine the implant stability.

Stress-strain distribution at bone-implant interface of two splinted overdenture systems using 3D finite element analysis

  • Hussein, Mostafa Omran
    • The Journal of Advanced Prosthodontics
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    • 제5권3호
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    • pp.333-340
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    • 2013
  • PURPOSE. This study was accomplished to assess the biomechanical state of different retaining methods of bar implant-overdenture. MATERIALS AND METHODS. Two 3D finite element models were designed. The first model included implant overdenture retained by Hader-clip attachment, while the second model included two extracoronal resilient attachment (ERA) studs added distally to Hader splint bar. A non-linear frictional contact type was assumed between overdentures and mucosa to represent sliding and rotational movements among different attachment components. A 200 N was applied at the molar region unilaterally and perpendicular to the occlusal plane. Additionally, the mandible was restrained at their ramus ends. The maximum equivalent stress and strain (von Mises) were recorded and analyzed at the bone-implant interface level. RESULTS. The values of von Mises stress and strain of the first model at bone-implant interface were higher than their counterparts of the second model. Stress concentration and high value of strain were recognized surrounding implant of the unloaded side in both models. CONCLUSION. There were different patterns of stress-strain distribution at bone-implant interface between the studied attachment designs. Hader bar-clip attachment showed better biomechanical behavior than adding ERA studs distal to hader bar.

TG Osseotite 임플란트의 성공률에 대한 임상적 연구 (CLINICAL STUDY ON SUCCESS RATE OF TG OSSEOTITE IMPLANT)

  • 오승환;민승기;채영원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제27권1호
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    • pp.39-47
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    • 2005
  • The purpose of this study is to review the prognosis of the TG Osseotite implant(3i Co, USA) placed in partial edentulous area of oral cavity and to suspect the possible causes leading to failure. 124 TG Osseotite implants that had been inserted between 2000 - 2002 were followed up for 2 years(avg : 9.5 months) in function. Medical records, and radiographs were evaluated and analyzed by the over all success rate, gender and age factor, general disease, implant fixture length and diameter, implant site, bone density, and various surgical methods. Chi square test was used statistically. Of the 124 TG Osseotite implants, 9 implants(7.3%) were removed in early phase and 3 implants(2.4%) were in late phase. The cumulative survival rate was 90.2%. The failure of the TG Osseotite implant was closely related with the use of bone graft techniques such as sinus elevation or immediate implantation and not with the age, sex, general disease, implant site, bone density of implanted site. The failure of the TG Osseotite implant was well developed when it was the wide type of implant and it was inserted for single tooth replacement. The developement of peri-implantitis was the most important factor in the failure of the TG Osseotite implant.

J시 일부 치과 내원환자의 치과 임플랜트 인식도 조사 (A study on the recognition of dental implant of dental patient in the city of Jin-ju)

  • 박홍련
    • 한국치위생학회지
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    • 제7권3호
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    • pp.285-299
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    • 2007
  • The purpose of this study was to provide basic data of education program and consult for dental implant patient. The 210 of dental patients were selected at five dental clinic located in Jin-ju city. Data were collected by self-administrated questionnaire. A SPSS 10.10 for Windows was used for statistical analysis. The results of the study are summarized as follows: 1. The female responser was 56.2%, the rate of age was thirty years old 26.7%, education level was more than university and college 45.7%, job is company unit 15.2%, income was 100~200man won of 48.6%. 2. Recognition of dental implant was that incase of 'yes' is more than sixty years old 77.3%. 3. The information of implant was from neighborhood 29.0%, and when dental consult 24.3%. 4. The responsor who is everyone can take the dental implant operation is 39.5%, can not take is 32.9%. 5. The responsor who is everyone wants implant operation was 45.2%, 'do not' is 17.1%. 6. Using period of implant tooth is 'forever' 40.0%. In limited of twenty years' is 23.8%. 7. When everyone select to dental clinic was because of dentist medical technique is 64.3%, dental treatment cost is 15.9%. In conclusion, it is necessary for the dental implant patient to make dental consult and education program. So, try to study for make basic data with analysis recognition of dental implant patients.

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임플란트 보철 교합의 임상적 고려 사항 (Clinical considerations for appropriate occlusion of implant restorations)

  • 박영범
    • 대한치과의사협회지
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    • 제53권6호
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    • pp.418-426
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    • 2015
  • The appropriate occlusion is one of the most important factors for the long-term success of implant and its restorations. The purpose of this review is to investigate and define occlusal considerations to reduce failure of implant prostheses. The physiological movement of implants is markedly lower than that of natural teeth and they also lack in occlusal sensitivity. Proper occlusal pattern may be assigned to compensate for the biological disadvantages and occlusal contacts must be formed where the cantilever effect is minimized. Moreover, the long-term success of implants after osseointegration can be assured by reducing early occlusal loading to avoid implant overloading and selecting appropriate occlusion material. Occlusal overload was brought by the number and location of occlusal contacts, which are under the clinician's control. The concept of implant occlusion is based on the concepts derived from traditional prosthetics. Moreover, there are few evidence on the concept or design of implant occlusion. Several occlusal design was recommended for implant prosthesis. Mutually protected occlusion, group function occlusion and bilateral balance occlusion was recommended for the specific types of implant restorations. This article reviews proper design of occlusion for implant restoration and offers occlusion strategy clinically.

파절된 임프란트 고정체의 분석과 처치 (AN ANALYSIS AND MANAGEMENT OF FRACTURED IMPLANTS)

  • 한종현;김성현;허성주;구영
    • 대한치과보철학회지
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    • 제39권1호
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    • pp.25-36
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    • 2001
  • Among the numerous factors contributing to implant failure, the most common are infection, failure of proper healing and overload. These factors may occur combined. Implant fractures are one of the complications resulting from overload. Implant fracture is not a common feature, but once it occurs it causes very unpleasant circumstances for the patient as well as for the practitioner. Only few studies have been reported regarding this subject. Thus, little is known about its solutions. It is important that analyzing reasons for implant fracture and finding appropriate solutions. Factors leading to implant fracture are design, material defects, nonpassive fit of prosthetic framework and biomechanical overload. Previous studies have reported that implant fractures ares associated with marginal bone loss and occur mostly in the posterior regions and that most patients showing parafunctional habits also have implant fracture. Abutment and gold screw loosening or fracture were also observed in some of the cases previous to implant fracture. Similar observations were seen in our hospital as well. The following cases will present implant fracture cases which have been successfully treated regarding function and biomechanics. This was achieved by means of using increased number of futures, increasing fixture diameter and establishing proper occlusion.

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체계적인 임플랜트 치료 계획의 수립과 성공적인 임상을 위한 컨셉트 (A SYSTEMATIC IMPLANT TREATMENT PLANNING AND CONCEPTS FOR CLINICAL SUCCESS)

  • 정승미;김세훈;유지현
    • 대한치과보철학회지
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    • 제44권2호
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    • pp.243-249
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    • 2006
  • Statement of problem: It is important to have a correct presurgical treatment plan before any implant surgery. It must contain substantial information about the patient concerned. However, the standard classification only notifies the dentist about various structural, pathological and physiological dimensions Due to diverse structure of the jaw bone, current standard classification does not tell spatial dimensions of the available bone for implant insertion sites. Purpose of study: The purpose of this study is to report the establishment of the systematic implant treatment plan and its clinical treatment using $Implan^(R)$ program which is based on ASCIi-classification that is available for future diagnosis and scale of treatment and for systematic implant insertion. Results: By assisting the systemic measurement of the available alveolus dimension during implant surgery, it was easy to set initial implant treatment plan. Conclusion: Using $Implan^(R)$ program which is based on ASCIi-classification system that allows the establishment of systemic implant treatment plan and successful clinical performance, it was possible to establish the founding or initial implant treatment plan , the acquisition of information, and the systematization of documentation.

I.T.I. Hollow Screw IMPLANT를 이용한 부분적 치아결손환자의 치험예 : 술전평가와 외과적술식

  • 김홍기
    • 대한치과의사협회지
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    • 제29권6호통권265호
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    • pp.463-465
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    • 1991
  • I.T.I. Hollow Screw Implant는 새로운 I.T.I. Bonefit의 槪念의 일부를 이루었으며, 從來의 I.T.I. IMPLANT의 10년 以上의 臨床經驗에 기초하고 있다. I.T.I. Implant의 特徵은 몇가지 있으나, 그 중에서도 特記할 만한 것은 1回法의 外科術式이라고 할 수 있다. 本論文에서는 I.T.I. Hollow Screw Implant를 사용한 部分的齒牙欠損患者의 治療에 대한 術前評價와 外科術式에 대하여 論하고저 한다. 植立된 111개 Implant중 110개가 合倂症을 나타내지 않고 Tissue-Integration을 達成했으며, 그 밖의 1개는 失敗했다. 이러한 結果는 1回法인 I.T.I. Hollow Screw Implant가 Tissue-Integration으로서 成功率이 높은 것을 証明하고 있다.

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