• Title/Summary/Keyword: Prosthesis fitting

Search Result 25, Processing Time 0.032 seconds

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
    • /
    • v.8 no.1
    • /
    • pp.46-59
    • /
    • 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.

  • PDF

Experiences of the Use of External Breast Prosthesis among Breast Cancer Survivors in Korea (유방암 생존자의 인조유방 사용경험)

  • Jun, Eun-Young;Choi, Soon-Ran;Kang, Hee-Sun
    • Women's Health Nursing
    • /
    • v.18 no.1
    • /
    • pp.49-61
    • /
    • 2012
  • Purpose: The purpose of this study was to examine the experiences of the use of external breast prostheses among breast cancer survivors in Korea. Methods: A qualitative descriptive study was conducted, using focus groups. Data were collected from breast cancer survivors who were patients of C women's hospital in Seoul, Korea. Data were analyzed using content analysis in order to identify significant themes. Results: Participants included forty breast cancer survivors who had mastectomy as a surgical treatment. Four themes emerged from the collected data were: 1) concern over the high price of external breast prosthesis, 2) irregular use of external breast prosthesis, 3) unsatisfied with mastectomy bra, and 4) wanting to hide or not to talk about using breast prosthesis openly. Conclusion: Since most participants reported irregular use and negative experiences related to external breast prosthesis or mastectomy bra use, healthcare workers should allow more time for proper fitting and counseling and consulting with breast cancer survivors. In addition, health care providers as well as family and friends should keep in mind that cancer survivors need support that can help them cope by using positive reframing. Furthermore, improvements in the coverage of costs and services are needed for these women. This would be helpful for breast prosthesis users.

A study of the manual procedure of ocular prosthesis (의안의 제조 방법에 관한 연구)

  • Kim, Jai Min;Park, Dong Hwa;Yoo, Geun Chang;Kim, Soon Ae;Cho, Seung Kwon
    • Journal of Korean Ophthalmic Optics Society
    • /
    • v.7 no.2
    • /
    • pp.95-99
    • /
    • 2002
  • To investigate the manual procedure for custom fitting of ocular prosthesis and the cytotoxicity induced by extract solution of prosthetic eye, this study was performed. These procedures included the trial fitting of the wax model, impression molding, the an of iris color duplication, sclera mold made from the prosthetic wax model, scleral tints and vascular pattern, finishing and polishing. Inhibition of cell growth for extract solution was measured by MTT assay. Extract solution did not show the cytotoxicity. This study suggests that the manual procedure for custom fitting of ocular prosthesis is good for education of students.

  • PDF

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
    • /
    • v.7 no.3
    • /
    • pp.264-270
    • /
    • 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.

Development of Cannula-typed Silicone Voice Prosthesis(So-Mang$\circledR$) (Cannula-typed Silicone Voice Prosthesis(소망$\circledR$)의 개발)

  • 최홍식;정은주;전희선;문인석;김영호;김광문
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.12 no.2
    • /
    • pp.152-157
    • /
    • 2001
  • Background : Electrolarynx, Esophageal voice, and Silicone voice prosthesis with tracheoesophageal(T-E) fistula have been used as vocal rehabilitating methods for the post-laryngectomized patients. Prosthetic rehabilitation of voice after total laryngectomy has gained wide acceptance and has become a common practice in many clinics since the pioneering works of Singer and Blom In 1979. Since the introduction of tracheo-esophageal puncture and application of Blom Singer$\circledR$ voice prosthesis in 1980, several reliable voice prostheses have been developed and are successfully being used. Objectives : Even though quality of voice produced by Silicone voice prosthesis with T-E fistula is superior to other modalities, it still has some disadvantages. We devised a new cannulatyped silicone voice prosthesis. Methods : 1) Devising a new prototype of cannula-typed silicone voice prosthesis. 2) Application of the prototype using canine animal model(laryngectormized dog) and fitting trial on human patient whose previously inserted Silicone voice prosthesis is not functioning due to presumed fungal infection. Discussion : Final form of prototype was made after several times of major and minor modifications. Insertion of the newly developed Cannula-typed Silicone voice prosthesis on canine animal model and human trial were done without any difficulty. There were no serious leakage of saliva or food during swallowing. Conclusion : The newly developed Cannula-typed Silicone voice prosthesis(So-Mang$\circledR$) and the modified replacement method will further improve the results of post-laryngectomized prosthetic voice rehabilitation. Long-term animal study and human trial are planned in the near future.

  • PDF

스트레스 없는 인상 채득

  • Lee, Seung Kyu
    • Journal of the Korean Academy of Esthetic Dentistry
    • /
    • v.26 no.1
    • /
    • pp.24-38
    • /
    • 2017
  • Prosthetics procedures in dental clinics 1) Tooth preparation 2) Temporary restoration 3) Post and core 4) Impression 5) Cementation of final prosthesis The final step in the prosthodontic procedure is the fitting of the final prosthesis to the patient's abutment with an exact fit and occlusal relationship. By the way, this final prosthesis is not made in the clinic but is made in the dental lab and comes to the clinic with some time difference. In the clinic, the only medium to deliver the patient's oral information to the dental laboratory is the impression. However, many errors occur in this process. Dentists and dental technicians should try to identify the cause and make an accurate prosthesis to reduce this error.

Initial Placement of Removable Partial Dentures (가철성 국소의치의 장착)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.29 no.3
    • /
    • pp.299-307
    • /
    • 2013
  • The overall objective of fitting removable partial dentures at initial placement is to ensure that the patient is given the best possible start with the new prostheses. This may be achieved by checking that: (1) final inspection of the prosthesis, (2) seating of the RPD framework, (3) evaluation of denture base adaptation, (4) assessment of denture base peripheral extensions, (5) occlusal adjustment, (6) remounting the prosthesis, and (7) instructions to the patient.

Prosthetic misfit of implant-supported prosthesis obtained by an alternative section method

  • Tiossi, Rodrigo;Falcao-Filho, Hilmo Barreto Leite;De Aguiar, Fabio Afranio Junior;Rodrigues, Renata Cristina Silveira;De Mattos, Maria da Gloria Chiarello;Ribeiro, Ricardo Faria
    • The Journal of Advanced Prosthodontics
    • /
    • v.4 no.2
    • /
    • pp.89-92
    • /
    • 2012
  • PURPOSE. Adequate passive-fitting of one-piece cast 3-element implant-supported frameworks is hard to achieve. This short communication aims to present an alternative method for section of one-piece cast frameworks and for casting implant-supported frameworks. MATERIALS AND METHODS. Three-unit implant-supported nickel-chromium (Ni-Cr) frameworks were tested for vertical misfit (n = 6). The frameworks were cast as one-piece (Group A) and later transversally sectioned through a diagonal axis (Group B) and compared to frameworks that were cast diagonally separated (Group C). All separated frameworks were laser welded. Only one side of the frameworks was screwed. RESULTS. The results on the tightened side were significantly lower in Group C ($6.43{\pm}3.24{\mu}m$) when compared to Groups A ($16.50{\pm}7.55{\mu}m$) and B ($16.27{\pm}1.71{\mu}m$) ($P$ <.05). On the opposite side, the diagonal section of the one-piece castings for laser welding showed significant improvement in the levels of misfit of the frameworks (Group A, $58.66{\pm}14.30{\mu}m$; Group B, $39.48{\pm}12.03{\mu}m$; Group C, $23.13{\pm}8.24{\mu}m$) ($P$ <.05). CONCLUSION. Casting diagonally sectioned frameworks lowers the misfit levels. Lower misfit levels for the frameworks can be achieved by diagonally sectioning one-piece frameworks.

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
    • /
    • v.36 no.4
    • /
    • pp.587-597
    • /
    • 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.

  • PDF