• Title/Summary/Keyword: Implant restoration

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SB-locking method for keeping implant restorations mechanically in place using fiber post: A case report (Fiber post를 이용하여 임플란트 지대주에 보철물을 결합하는 SB-locking method: A case report)

  • Chung, Min Ah;Leesungbok, Richard;Lee, Suk Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.356-362
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    • 2020
  • All the faculties at the prosthodontic department in Kyung Hee University Dental Hospital at Gangdong, have been implementing the Top-Down concept of treatment approach since 2006 in which the outcomes of the last prosthetic treatment are predicted in advance during the treatment planning stage of patients with dental tissue defects. Based on the Top-Down concept, this report is also an example of how the final prosthetic treatment was performed in advance before going into implant surgery for the missing teeth. Among the various methods of connecting implant fixture and restoration, the cement-retained method is relatively simple to manufacture restoration without being constrained by the angle of the implants placed, but difficult to remove remaining subgingival excess cement completely, and to detach it being when necessary. In the report, SB-locking method will be introduced which enables an aesthetic implant restoration without either a screw hole or residual excess cement.

A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report (임플란트 보철 합착 시 잔여 시멘트 최소화를 위해 열가소성 접착제를 이용한 복제 지대주 제작 방법: 증례보고)

  • Seo, Chi-Won;Han, A-Reum;Seo, Jae-Min;Lee, Jung-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.240-245
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    • 2016
  • Removal of excess cement is important to prevent biological complication in cementation of implant restoration with subgingival margin. It can be difficult to completely remove excess cement. Several techniques have been introduced to minimize excess cement using abutment replica. In this case report, a simple method for making abutment replica with hot melt adhesive material in dental office was described. This technique is simple and effective because it can be used for pre-fabricated or custom abutment without additional laboratory procedure. In addition, it can minimize excess cement after cementation of implant restoration.

Selection of Implants in Unilateral Prosthetic Breast Reconstruction and Contralateral Augmentation

  • Kim, Soo Jung;Song, Seung Yong;Lew, Dae Hyun;Lee, Dong Won
    • Archives of Plastic Surgery
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    • v.44 no.5
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    • pp.413-419
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    • 2017
  • Background In breast reconstruction using implants after unilateral mastectomy, it is challenging to create a natural, ptotic contour, and asymmetry is a potential drawback. To achieve breast symmetry and an ideal shape for both breasts, we performed contralateral augmentation in patients undergoing breast reconstruction with implants. Methods Patients underwent unilateral mastectomy and 2-stage reconstruction. During the second stage of the procedure, contralateral augmentation mammoplasty was performed. Preoperatively, we obtained the patients' demographic information, and we then assessed breast volume, the volume and dimensions of the inserted implants, and complications. Breast symmetry was observed by the surgeon and was assessed by measuring the disparity between the final volume of each breast. Results Contralateral augmentation was performed in 52 cases. When compared to patients who did not undergo a contralateral balancing procedure, patients who received contralateral augmentation were younger, thinner, and had smaller breasts. During implant selection for contralateral augmentation, we chose implants that were approximately 1 cm shorter in width, 1 level lower in height, and 1 or 2 levels lower in projection than the implants used for reconstruction. The postoperative breast contours were symmetric and the final volume discrepancy between each breast, which was measured by 3-dimensional scanning, was acceptable. Conclusions We demonstrate that contralateral augmentation can be recommended for patients who perceive their breasts to be small and not beautiful in order to achieve an ideal and beautiful shape for both breasts. Furthermore, this study offers guidelines for selecting the implant that will lead to the optimal aesthetic outcome.