• 제목/요약/키워드: Implant-supported overdenture

검색결과 81건 처리시간 0.031초

하악 임플란트지지 오버덴춰에서 바 어태치먼트의 유지력이 임플란트의 축력에 미치는 영향 (EFFECTS OF OVERDENTURE RETENTION ON THE AXIAL LOAD OF IMPLANT IN THE MANDIBULAR IMPLANT-SUPPORTED OVERDENTURE)

  • 조혜원
    • 대한치과보철학회지
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    • 제38권1호
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    • pp.98-107
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    • 2000
  • Three linear strain gauges (KFR-02N-120-C1-23, Kyowa, Japan) were placed around the abutment of implant future and the maximum axial loads on the mandibular implants supporting over dentures were registered in experimental model when the overdenture was removed. The overdenture attachments used in this study were Round bar Hader bar, Dolder bar with and with out spacer. The retention of bar attachment was measured using universal testing machine while being con-trolled by Activating set and Deactivator except in case of the Hader bar. Simultaneously strains were recorded with the strain smart program in strain P-6000 series (Measurement group, Raleigh, USA). The maximum axial load was calculated and compared with each other. The results were as follows: 1. The amount and the timing of the maximum axial loads were different between the right and left implant in all attachment systems. 2. The retention of bar attachment except Hader bar could be adjusted but the controllability was different among the attachment systems. 3. The more the axial load, the higher the retention with Hader bar and Dolder bar without spacer. but the tendency of increase was not shown with round bar and Dolder bar with spacer.

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하악 완전 무치악 환자에서 solitary attachment를 연결한 임시 보철물로 조기 부하를 가한 후, 조립식 바를 이용한 최종 임플란트 지지 피개의치 제작증례 (Early loading using tempo denture with solitary attachment system, implant supported overdenture with prefabricated bar attachment system on Mandibular edentulous patient: A case report)

  • 박도현;이소현;전영찬;정창모;윤미정;허중보
    • 대한치과의사협회지
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    • 제54권1호
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    • pp.39-48
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    • 2016
  • SFI-bar is prefabricated bar system and can be assembled at chairside without soldering or welding, thus reducing bone loss, costs and time. A 53-year-old male patient, who had severely absorbed mandible, hoped to wear a stable mandiblular denture. Four implants were placed in the extraction site of canine and 1st molar. Early loaded temporary denture with solitary type attachment was delivered 3 weeks after surgery. 3 month later, SFI-bar was connected and adjusted at chairside. Then, implant overdenture using SFI-bar was delivered. This case report showed that a satisfactory clinical result was achieved by 4-implant-supported overdenture using the SFI-Bar system in a mandibular edentulous patient.

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스트레인 게이지를 이용한 임플랜트 지지 오버덴춰의 응력분석 (A STRESS ANALYSIS OF THE IMPLANT - SUPPORTED OVERDENTURE USING STRAIN GAUGE)

  • 조혜원;권주홍;이화영
    • 대한치과보철학회지
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    • 제37권1호
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    • pp.93-103
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    • 1999
  • Stress distribution on mandibular implants supporting overdentures were registered in vitro experimental model by means of 4 rosette gauges which were placed around the implant. The overdenture attachments used in this study were the Resilient Dolder bar, Rigid Bolder bar, Round bar, Hader bar & Dal-Ro attachment. An occlusal jig was placed on the overdenture and the loading sites were 3 points which mimicked working, balancing, and median relations. With 5 and 10kg loading, strains were measured by strain indicator(P-3500, Measurement group, Raleigh, USA), and using these data, maximum and minimum principal stresses and Von Mises stress were calculated and evaluated. The results were as follows : There was a tendency of high stress concentration in the lingual side of the implant, and in the buccal side low stress was developed regardless of the attachment systems. The resilient Bolder bar concentrated highest stress among the attachment systems, and the Round bar and the Dal-Ro attachment provided comparatively low stresses around the implant. The rigid Bolder bar concentrated high stress in the mesial side, and the Dal-Ro attachment developed tensile stress patterns in the lingual and distal sides of the implant at the balancing relation.

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하악 임플랜트 유지형 피개의치의 안정성과 하악골 응력분포에 대한 3차원 유한요소법적 연구 (3D FINITE ELEMENT ANALYSIS OF OVERDENTURE STABILITY AND STRESS DISTRIBUTION ON MANDIBULAR IMPLANT-RETAINED OVERDENTURE)

  • 홍해룡;최대균;백진;권긍록
    • 대한치과보철학회지
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    • 제45권5호
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    • pp.633-643
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    • 2007
  • Statement of problem: Recently there are on an increasing trend of using implants-especially in edentulous mandible of severly alveolar bone recessed. Purpose: The aim of this study was to analyze the displacement and stress distribution of various mandibular implant-retained overdenture models supported by two implants in interforaminal region under the occlusion scheme load. Material and method: FEA models were made by the 3D scanning of the edentulous mandibular dentiform. The three models were named as Model M1, M2, and M3 accord ing to the position of implants: M1, Lt. incisor area, M2, Canine area, and M3, 1st Premolar area. Inter-implant angulation model was named as M4. Conventional complete denture was named M5 and used as a control group. Ball implant and Gold matrice were used as a retentive anchors. The occlusion type loads were applied horizontally over each tooth. Results: 1. In mandibular implant retained overdenture Canine Protected Occlusion type load resulted in higher levels of stress to the implants and female matrices than other types of loads. 2. The overdenture model M1, with implants in lateral incisor areas resulted in lower stress concentration to the implants and female matrices than other models. 3. In mandibular implant retained overdenture the stresses of the implant and female matrice were lower in mesially inclined implant than these of parallel installed implant. Conclusion: Lateral incisor areas could be the best site for the implants in mandibular implant-retained overdenture. The mandibular implant retained overdenture models mentioned above showed to the lowest stress to the implants and female matrices.

CAD/CAM 맞춤형 지대주를 이용한 milled-bar 피개의치 증례 (Rehabilitation of edentulous maxilla with implant-supported milled bar overdenture using CAD/CAM customized abutment: A case report)

  • 지운;장재승;권주현;김선재
    • 대한치과보철학회지
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    • 제54권2호
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    • pp.146-151
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    • 2016
  • 상악 완전 무치악에 6개 이상의 임플란트가 식립된 경우 임플란트-지지형 피개의치 제작이 가능하다. 임플란트-지지 피개의치에 사용되는 다양한 부착장치 중에 milled-bar의 경우 의치의 회전을 허용하지 않고, 안정성이 뛰어나며, 여러 개의 임플란트를 연결 고정하는 효과를 가진다는 장점이 있다. 본 증례에서는 전치부에 심한 골소실을 동반한 상악 완전 무치악 환자에서 세 가지 다른 시스템으로 구성된 7개의 임플란트 상부에 CAD/CAM 맞춤형 지대주와 시멘트 접착형의 milled bar를 이용한 피개의치를 제작하여 상실된 심미와 기능을 효과적으로 회복하였다.

상악 무치악 환자에서 가공 지르코니아 바와 PEKK 슬리브를 이용한 임플란트 피개의치 증례 (Maxillar implant-retained overdenture using CAD/CAM milled zirconia bar with PEKK sleeve: a case report)

  • 주진석;조진현;이청희
    • 구강회복응용과학지
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    • 제33권4호
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    • pp.307-313
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    • 2017
  • 본 증례에서는 상악 완전 무치악 환자에서 CAD/CAM으로 가공 지르코니아 바와 PEKK 슬리브를 제작하여, 바 어태치먼트를 활용한 임플란트 지지형 피개의치로 수복하였다. 2년간의 정기적인 경과 관찰 결과 심미적, 기능적으로 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

CAD/CAM으로 제작된 milled titanium bar와 Locator®를 이용한 상악 임플란트 유지 피개의치: 증례보고 (Maxillary implant-retained overdenture using CAD/CAM milled titanium bar with Locator® attachment: a case report)

  • 김민정;오상천;허윤혁
    • 구강회복응용과학지
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    • 제30권1호
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    • pp.64-70
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    • 2014
  • 본 증례는 상악 무치악 환자에서 임플란트 피개의치 제작시 CAD/CAM으로 제작된 milled titanium bar에 Locator$^{(R)}$를 장착한 바 어태치먼트 시스템을 사용한 증례이다. 2년 이상 경과 후, 기능과 심미적인 면에서 만족할 만한 성과를 얻었다.

Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report

  • Agustin-Panadero, Ruben;Penarrocha-Oltra, David;Gomar-Vercher, Sonia;Ferreiroa, Alberto;Penarrocha-Diago, Miguel
    • The Journal of Advanced Prosthodontics
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    • 제7권3호
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    • pp.264-270
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    • 2015
  • This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.

Implant-Supported Overdenture

  • 한의택
    • 대한치과보철학회:학술대회논문집
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    • 대한치과보철학회 1994년도 춘계학술대회
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    • pp.49.2-49.2
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    • 1994
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