• Title/Summary/Keyword: Precision prosthesis

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Hybrid Prosthesis Supported by Osseointegrated Implants in Maxilla (골유착성 임프란트에 의해 지지되는 새로운 설계의 Hybrid Prosthesis)

  • Lee, J.S.;Shin, S.W.
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.8 no.1
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    • pp.46-59
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    • 1999
  • A fixed bridge is preferred as a prosthetic option supported by oral implants. However, it is very difficult to re tore edentulous maxilla with fixed prosthesis in cases with improper position and angulation of fixtures, abnormal jaw relation, and need for proper lip support. Six Br${\aa}$nemark implants were installed in edentulous maxilla opposing mandible with natural dentition. A removable hybrid prosthesis attached to a bar milled by 6 degrees was therefore designed to overcome such disadvantages of fixed prosthesis. Lateral stabilization of removable prosthesis was obtained by framework closely fitting the milled bar. Support for the prosthesis was ensured by three elevated areas on the bar. Two precision attachments(CEKA REVAX) provided appropriate direct and indirect retention without influencing support. A clinical and laboratory procedure was presented.

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AN EVALUATION OF PRECISION FIT OF IMPLANT-SUPPORTED PROSTHESIS USING THE PERIOTEST ($Periotest^{(R)}$를 이용한 임프란트지지 보철물의 적합도 평가에 관한 연구)

  • Kim, Young-Min;Bae, Jeong-Sik
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.4
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    • pp.587-597
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    • 1998
  • In this study, the Periotest value was measured with Periotest to evaluate precision fit of the 2-unit and 3-unit implant-supported prosthesis by modifying the size and location of ill-fitted conditions. The 2-unit prosthesis was fabricated with the right implant fitted incorrectly and the 3-unit prosthesis with the right and center implant fitted incorrectly. To evaluate the effects of the ill-fitted sizes, 4 groups were divided.:The control group being the accurately fabricated sample group fitted properly. Group 1 was constructed with $40{\mu}m$ ill-fitted conditions, group 2 with $70{\mu}m$ and group 3 with $100{\mu}m$ ill-fitted conditions. The Periotest value was measured at each implant site after tightening 10Ncm. The result was follows : 1. The PTV on the ill-fitted area in the 2-unit implant-supported prosthesis increased as the ill-fitted conditions increased. There was a statistically significant difference among groups(p<0.05). In the same ill-fitted sample, the PTV depending on the measured location demonstrated a statistically significant difference (p<0.05) 2. The PTV on the ill-fitted area of the 3-unit implant-supported with an ill-fitted condition in the right implant increased as the ill-fitted conditions increased. There was a significant difference among groups (p<0.05). In the same ill-fitted sample, the PTV depending on the measured location demonstrated a statistically significant difference (p<0.05). 3. In the 3-unit implant-supported prosthesis with ill fitting conditions in the center implant, the PTV on the ill-fitted area demonstrated a statistically significant difference between the control group, group 1 and group 2 (p<0.05). In the same ill-fitted sample, the PTV depending on the measured location demonstrated significant difference between the gap side and the adjacent side with over $70{\mu}m$ ill-fitted conditions (p<0.05). The results suggest that Periotest is a valuable objective method for evaluating the precision fit of an implant superstructure.

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Adaptive Postural Control for Trans-Femoral Prostheses Based on Neural Networks and EMG Signals

  • Lee Ju-Won;Lee Gun-Ki
    • International Journal of Precision Engineering and Manufacturing
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    • v.6 no.3
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    • pp.37-44
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    • 2005
  • Gait control capacity for most trans-femoral prostheses is significantly different from that of a normal person, and training is required for a long period of time in order for a patient to walk properly. People become easily tired when wearing a prosthesis or orthosis for a long period typically because the gait angle cannot be smoothly adjusted during wearing. Therefore, to improve the gait control problems of a trans-femoral prosthesis, the proper gait angle is estimated through surface EMG(electromyogram) signals on a normal leg, then the gait posture which the trans-femoral prosthesis should take is calculated in the neural network, which learns the gait kinetics on the basis of the normal leg's gait angle. Based on this predicted angle, a postural control method is proposed and tested adaptively following the patient's gait habit based on the predicted angle. In this study, the gait angle prediction showed accuracy of over $97\%$, and the posture control capacity of over $90\%$.

Determination of Total Knee Replacement Parameter by Simulation (시뮬레이션을 이용한 슬관절 수술 변수 결정)

  • Yoon Y.S.;Park S.H.;Lee S.H.;Choi K.W.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.881-887
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    • 2005
  • A total knee replacement is an extremely 'position-sensitive' operation; a malposition or a malalignment of the components will lead to a breakage of the component, a fracture around the knee prosthesis, and the limitation of range of the motion, etc. In a conventional total knee replacement, surgeons have to select an appropriate prosthesis according to the shape of the surgical region. A wrong selection may give rise to side effects or to need re-operation. Nevertheless, it is so difficult to choose the most proper prosthesis out of various kinds of prosthesis. This paper presents a surgical planning system for the total knee replacement with an operation simulating method in order to determine the parameters for the total knee replacement operation. We select an alignment axis and a resection angle as major operation parameters in the total knee replacement operation, and introduce the method to determine the major operation parameters with the operation simulator we developed. The simulator is used to determine operation parameters for optimized operations, to select the most appropriate prosthesis, and to analyze the prospective problems of the operation.

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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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    • v.7 no.3
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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.

A Wearable Interface for Tendon-driven Robotic Hand Prosthesis (건구동식 로봇 의수용 착용형 인터페이스)

  • Jung, Sung-Yoon;Park, Chan-Young;Bae, Ju-Hawn;Moon, In-Hyuk
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.4
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    • pp.374-380
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    • 2010
  • This paper proposes a wearable interface for a tendon-driven robotic hand prosthesis. The proposed interface is composed of a dataglove to measure finger and wrist joint angle, and a micro-control board with a wireless RF module. The interface is used for posture control of the robotic hand prosthesis. The measured joint angles by the dataglove are transferred to the main controller via the wireless module. The controller works for directly controlling the joint angle of the hand or for recognizing hand postures using a pattern recognition method such as LDA and k-NN. The recognized hand postures in this study are the paper, the rock, the scissors, the precision grasp, and the tip grasp. In experiments, we show the performances of the wearable interface including the pattern recognition method.