• Title/Summary/Keyword: Implant Denture

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Treatment plan for missing mandibular 4 incisors (하악 4전치 상실시 치료 계획)

  • Hahn, Kwang Jin
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.1
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    • pp.25-34
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    • 2016
  • Treatment of missing mandibular 4 incisors is often thought to be easier then other place during surgical and prothetic procedure. But clinicians encounter unexpected difficulties such as restricted implant site due to mesio-distal width of mandibular incisors, limited space as a result of crowing and mesial drift, esthetic problem after severe alveolar bone resorption, and difficulties of provisionalization Through cases, possible treatment options for missing mandibular incisors would be discussed. Treatment options for missing mandibular 4 incisors Place narrow type implant or one body mini implant on exact tooth position when there is no bone resorption Regular size implant on interseptal bone area when there is severe bone resorption Consider using resin bonded bridge(resin retained bridge/resin bonded fixed partial denture) as a tentative prosthesis when patient resists extracting remaining incisors with poor prognosis.

Implant-retained overdentures with pre-fabricated bar attachment system in edentulous patients (무치악 환자에서 기성 조립식 bar를 이용한 임플란트 피개의치 증례)

  • So, Na-Young;Hong, Young-Gi;Ha, Seung-Ryong
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.1
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    • pp.41-48
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    • 2016
  • Edentulous patients with severe alveolar bone resorption have trouble with using traditional complete denture. In order to overcome these problems, implant-retained overdenture was developed. SFI-bar$^{(R)}$ system can save time and cost compared to other existing bar systems which need complicated laboratory procedures because it can be adjusted directly in a patient's mouth. A 55-year-old male, who had experienced a fractured lower old implant-retained overdenture, wanted a durable and painless denture. The fractured Locator$^{(R)}$ attachments were removed and edentulous mandible was restored with SFI-bar$^{(R)}$. A 77-year-old female with a medical history of the Parkinson's disease and severely absorbed alveolar bone of mandible, wanted to wear a retentive mandibular denture without pain. After placing two implants in front of mental foramen, two adaptors were connected to two implants and a tube bar was connected to the adaptors. A female part fitted to the bar was attached to the new denture. These clinical reports describe two-implant-retained overdenture using the SFI-bar$^{(R)}$ system in mandibular edentulous patients. Since the patients were satisfied esthetically and functionally during 2 years' observation, we would like to report cases.

Resin bonded fixed prosthesis for single tooth restoration: A case report (단일치 상실을 레진 접착 고정성 보철물로 수복한 증례)

  • Kim, Eunkyung;Lee, Jonghyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.325-330
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    • 2017
  • In the case of single tooth replacement, a fixed prosthesis or a dental implant is the treatment option commonly selected as first choice. However, any amount of sound tooth structure should be removed to prepare the abutment teeth for full coverage retainer. The adjacent tooth damage can be avoided placing a dental implant. However, depending on the patient's oral condition and any other circumstances, it may be impossible or delayed. In this case resin bonded fixed partial denture was selected as an alternative that can restore single tooth loss without much tooth structure removal to the young patients and the patients with gingival recession. We report these patients were satisfied with esthetic and function.

A novel method of complete denture fabrication with CAD/CAM (DENTCA 시스템을 이용한 총의치 제작법)

  • Lee, Ju Hyoung;Sohn, Dong Seok;Kim, Tae Hyung
    • The Journal of the Korean dental association
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    • v.51 no.6
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    • pp.337-345
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    • 2013
  • Currently CAD/CAM technology has been used widely in dentistry. But it has mainly been focused on fabrication of fixed partial dentures and implant-supported prosthesis. DENTCA company uses new cutting edge of CAD/CAM technology to revolutionize denture production. With developing a CAD/CAM technology of DENTCA company, it is possible to make complete dentures with minimum visits to the clinic. The aim of this article is to introduce a new denture-making method by CAD/CAM.

A Telescopic System and Its Clinical Application for the Restoration of the Partially Edentulous Arch (부분 무치악 환자에서 텔레스코프 시스템을 적용한 전악 수복 증례)

  • Shin, Mee-Ran
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.139-144
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    • 2007
  • Prosthodontic treatment planning for various edentulous arches is not an easy issue for dentists. Especially, in case of removable partial denture, we must have a knowledge of overall treatment procedures, and a careful approach is needed. Recently, interest of dental implant and case reports are increasing, the decrease of the removable partial denture is true, but dental implantation takes longer treatment period and it is more expensive. Also, there are still some limitations like lack of available alveolar bone, patient's general condition, and chronic periodontitis. Therefore, sometimes implantation is impossible. Finally, implantation cannot be adapted to every single patient. Currently, the clasp type removable partial dentures are used routinely, giving patients many unesthetic and functional difficulties. With better laboratory technique, removable partial denture with attachment and removable partial denture in rigid type increase patient's happiness level much more than predicted. The case presented in this article, clinically demonstrate the efficiency of using a telescopic system to improve esthetic and functional recovery for patients who lose multiple teeth.

Application and consideration of digital technology for removable complete denture (총의치 제작에 적용 가능한 디지털 기술과 임상적 고찰)

  • Lee, Jung-Jin;Song, Kwang-Yeob;Park, Ju-Mi
    • The Journal of the Korean dental association
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    • v.57 no.9
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    • pp.534-543
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    • 2019
  • Digital technology has changed various aspects of the clinical dentistry. The intraoral scanner and Computer-aided design / Computer-aided manufacturing (CAD-CAM) technology are widely used in fabricating fixed prostheses and in implant surgery. These technologies greatly improved the efficiency of clinical and laboratory procedures. With all newly introduced software, devices, and clinical studies, digital technology has been actively applied in removable prostheses. It is now possible to fabricate the removable prostheses more quickly and easily through subtractive and additive manufacturing. Various clinical and laboratory protocols were introduced by many manufacturers. The purpose of this review is to summarize the literature on digital technology for fabricating complete denture with current status and future perspectives.

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PHOTOELASTIC STRESS ANALYSIS ON THE MANDIBLE CAUSED BY IMPLANT OVERDENTURE (임플랜트 Overdenture의 Bar설계에 따른 하악지지조직의 광탄성학적 응력분석)

  • Kang Jeong-Min;Vang Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.2
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    • pp.327-353
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    • 1994
  • This study was performed to evaluate the effects of number and alignment of implant fixture and various bar designs on the retention of denture and the stress distribution. Six kinds of photoelastic mandibular models and nine kinds of overdenture specimens were designed. A unilateral vertical load was gradually applied on the right first molar to calculate the maximal dislodgement load of each specimen. A unilateral vertical load of 17 Kgf was applied on the right first molar and a vertical load of 10 Kgf was applied on the interincisal edge region. The stress pattern which developed in each photoelastic model was analyzed by the reflection polariscope. The results obtained were as follows: 1. The maximal dislodgement load reversely increased with the distance from the loading point to the implant fixture, while it linearly increased with that from the most posterior implant fixture to the mesial clip. The maximal dislodgement load also increased with the use of a cantilever bar. 2. Under the posterior vertical load, the stress to the supporting tissue of the denture base increased with the distance from the loading point to the implant future. The stress concentration on the apical area of the implant future reversely increased with the distance from the loading point to the implant future. 3. In the overdentures supported by two implant fixtures under the posterior vertical load. the specimen implanted on lateral incisor areas with a cantilever bar exhibited more favorable stress distribution than that without a cantilever bar. The specimen implanted on the canine areas without a cantilever bar, however, exhibited more favorable stress distribution. 4. In the overdentures supported by three implant fixtures. the specimen implanted ell the midline and canine areas exhibited more favorable stress distribution than that implanted oil the midline and the first premolar areas. 5. In the overdentures supported by four implant fixtures. the specimen implanted with two adjacent implant fixtures exhibited more favorable stress distribution than that implanted at equal distance under the posterior vertical load. 6. Under the anterior vertical load, the overdentures supported by three implant fixtures exhibited stress concentration on the supporting structure of the middle implant future. In overdentures supported by two or four implant futures, no significant difference was noted in stress distribution between the types of bars. These results indicate that the greater the number of implant fixtures, the better the stress distribution is. A favorable stress distribution may be obtained in the overdentures supported by two or three implant fixtures, if the location and the design of the bar are appropriate.

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Performance of attachments used in implant-supported overdentures: review of trends in the literature

  • Lee, Damian J.
    • Journal of Periodontal and Implant Science
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    • v.43 no.1
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    • pp.12-17
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    • 2013
  • The purpose of this review is to examine the performance of attachments used in implant-supported overdenture (IOD) in both clinical and in vitro settings and report the compiled findings, comparisons, and trends in the research literature. Articles published in PubMed on IOD attachment systems and performance were reviewed. Non-original articles were excluded. For each article included, the type of study, number of implants, number of attachment systems, and study outcome were recorded. Of the 283 articles found, 158 met the inclusion criteria. Ninety-four articles were clinical studies and 64 articles were in vitro studies. Studies on retention were the most common for in vitro studies, and four or more attachment systems were compared in most articles with significant differences in outcome. A clinical outcome of one attachment system was most common for clinical studies, while most studies had neutral outcomes overall. Ball attachment was the most commonly tested IOD attachment system. The trend in the literature showed that there is a large discrepancy between the study designs and outcomes between the clinical and the in vitro studies for IOD. Further clinical studies that can validate in vitro research should be encouraged to address this discrepancy between the two areas.

Implant-assisted full denture using digital guide: a case report (무치악 환자에서 디지털 가이드를 이용한 임플란트 수복증례)

  • Kim, Wook Tae
    • Journal of Technologic Dentistry
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    • v.43 no.4
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    • pp.202-209
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    • 2021
  • By classifying temporary denture production for surgical guides, digital guide-based surgery, and final prosthesis production, the problems of each process were assessed in advance and the factors that could be improved were confirmed in this study. The manufacturing process of fusion dental prosthesis uses virtual programs and computed tomography images to manufacture devices using the latest technologies of computer-aided design/computer-aided manufacturing and three-dimensional printing, which enables implants to be placed in the desired location in advance. Moreover, implant placement is not dependent on the skill and condition of the dentist, and because it uses a computer system, it can always be performed at a constant and optimal position. This can reduce the remanufacturing rate compared with the general method, shorten the treatment period, and eliminate patient discomfort. Unlike the traditional method of using impression materials and plaster models, digital fusion dental prostheses would be evaluated as a technology for producing prosthesis through professional design technology and communication.

A study on the recognition about national health insurance coverage of implant, denture of dental workers (치과의료종사자들의 임플란트, 노인 틀니 건강보험에 대한 인식도 연구)

  • Kim, Min-Young;Kim, Kyung-Mi;Ahn, Se-Youn
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.5
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    • pp.401-410
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    • 2022
  • Objectives: This study aims to provide data that will improve the scope of national health insurance coverage by surveying the awareness of health insurance benefits, specifically for implants and dentures, among dental workers. Methods: Information was collected through questionnaires completed by 194 dental workers at dental hospitals and clinics. The multiple logistic regression analysis was conducted to confirm influential factors in recognizing the health insurance benefits application for dentures and implants. Results: Regarding the awareness about the validity of health insurance benefits, satisfaction with the appropriateness on the subjects of the denture application and implant application are appeared to be high with each 3.369 and 3.673. Regarding satisfaction with the appropriateness of free post-maintenance for implants, the awareness level regarding the validity of health insurance benefits was indicated as high at 3.673. Conclusions: The categories and levels of appropriate insurance benefits must be restructured continuously.