• Title/Summary/Keyword: Removable prosthodontics

Search Result 314, Processing Time 0.023 seconds

A case of oral rehabilitation in a patient with severe tooth wear and occlusal plane collapse, utilizing maxillary fixed prosthesis and mandibular implant-assisted removable partial denture (과도한 치아 마모와 교합평면 붕괴를 보이는 환자에서 상악 고정성 보철 및 하악 임플란트 보조 국소의치를 통한 구강회복 증례)

  • Jae-Hyung Ahn;Sung-Yong Kim;Seong-A Kim;Yong-Sang Lee;Keun-Woo Lee;Hee-Won Jang
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.62 no.2
    • /
    • pp.174-182
    • /
    • 2024
  • In patients with multiple missing molars, wear patterns or displacement of anterior teeth, collapsed occlusal plane, and reduction in vertical dimension may occur. Particularly, in case of a few remaining teeth on one side, a removable partial denture has biomechanical disadvantage. For this reason, an implant-assisted removable partial denture with a few implant surveyed crowns can be an alternative. In this case, due to the right mandibular posterior teeth loss, the anterior teeth were severely worn and the occlusal plane was collapsed. With minimal increasing vertical dimension, oral rehabilitation was performed using a maxillary fixed prosthesis and mandibular implant-assisted removable partial denture. As a result, functional and aesthetic clinical outcomes were obtained.

A PHOTOELASTIC STRESS ANALYSIS ON TOOTH SUPPORTING STRUCTURE AND RESIDUAL RIDGE ACCORDING TO DENTURE DESIGN FOR REMAINING MANDIBULAR CANINES (하악 견치 잔존시 의치 설계에 따른 치아 지지조직 및 잔존치조제의 광탄성 응력분석)

  • Kim, Il-Pyung;Koh, Joon-Won;Jin, Tai-Ho
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.35 no.3
    • /
    • pp.486-503
    • /
    • 1997
  • The purpose of this study was to evaluate the stress patterns developed in abutment and residual ridge according to removable denture design in case of remaining mandibular canines. The removable denture designs in this study were as foolows : 1. Removable partial denture with non-splinted abutment 2. Removable partial denture with splinted abutment 3. Overdenture with telescopic crown 4. Overdenture with O-Ring attachment 5. Overdenture with combination bar attachment Photoelastic stress analysis was used to record the isochromatic fringe patterns and to calculate principal stress components at measuring points. The results were as follows : 1. In case of removable partial denture with non-splinted abutment, stress of root area at the loaded side was the largest. No significant differences in stress of root area were observed between loaded side and unloaded side. 2. No significant differences in stress of residual ridge at the loaded side were observed between removable partial denture with splinted abutment and removable partial denture with non-splinted abutment. 3. In case of combination bar attachment retained overdenture, stress of root area was the largest and in case of telescopic crown retained overdenture, stress of root area was the lowest. 4. In case of attachment retained overdenture, stress of residual ridge was lower but stress of root area was larger than in case of removable partial denture.

  • PDF

Implant assisted removable partial denture with implant surveyed crown: A 20-month follow-up case report (단일 임플란트 서베이드 크라운을 이용한 하악 임플란트 융합 국소의치: 20 개월 경과 관찰 증례 보고)

  • Roh, Kyoung-Woo;Jeon, Young-Chan;Jeong, Chang-Mo;Yoon, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.56 no.4
    • /
    • pp.323-329
    • /
    • 2018
  • Traditional options for posterior edentulous treatment include removable partial dentures and implant fixed prostheses. Recently, the concept of implant assisted removable partial denture, in which two treatments are fused, has been introduced in consideration of systemic health and patient's needs, costs, residual alveolar bone status and so on. Implant assisted removable partial denture has the advantage of increasing the retention and stability of the denture and improving its esthetics in cases of large bone defects or biomechanical disadvantages. In addition, it is possible to strategically place the implants in a site where the alveolar bone is relatively sufficient, thereby overcome the limit of the conventional removable partial denture design as well as reducing the burden on a wide range of implant surgery. Cost reduction is also expected. In this case, the patient was treated by placing the implant in both premolar sites of the mandible and fabricating the distal extension removable partial denture with the implant fixed prosthesis as an abutment. After delivering the definitive prosthesis, the patient showed satisfaction with the masticatory function and esthetics. and has been regularly followed-up for more than one year. The following 20-months follow-up case report describes the design of an implant-assisted-removable partial denture (IARPD) in which two cementretained implant crowns used to provide support and stability.

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
    • /
    • v.57 no.9
    • /
    • pp.534-543
    • /
    • 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.

  • PDF

Restoration of bilateral distal extension removable partial denture using a fixed implant prosthesis in unilateral partial edentulous patient: A case report (하악 편측 소수치 잔존 환자에서 임플란트 고정성 보철물을 사용하여 양측성 후방 연장 국소의치로 수복: 증례보고)

  • Kee, Wonjin;Park, Jae-Ho;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Sang-Won
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.57 no.2
    • /
    • pp.176-181
    • /
    • 2019
  • Traditional removable partial denture is a successful treatment for partial edentulous patients. When the abutment is formed with unilateral minority teeth, satisfaction with the use of removable partial denture may be lowered due to patient's discomfort and damage of the abutment. Recently, it has been reported that the unilateral posterior extension partial denture is used as a bilateral posterior extension partial denture using implant fixed prostheses as abutments. In this case, by using implant surveyed crown prostheses, bilateral posterior extension partial denture is fabricated in site that is predicted to have a poor prognosis. This resulted in improved support, maintenance, and stabilization of the removable partial denture, which were economically beneficial to patient and satisfied with use.

Implant-assisted Removable Prosthetic Rehabilitation of a Patient with Crossed Occlusion

  • Oh, Hyun-Su;Lim, Young-Jun;Kim, Myung-Joo;Kwon, Ho-Beom
    • Journal of Korean Dental Science
    • /
    • v.14 no.1
    • /
    • pp.32-39
    • /
    • 2021
  • 'Crossed occlusion' is the condition in which occlusal intercuspation is lost when several teeth on upper and lower jaw remain. This report describes a clinical case in which a patient had two upper-left posterior teeth and two lower-right posterior teeth; typically known as left-right crossed occlusion. Considering the patient's general condition and financial situation, the treatment plan included placement of two implants on each jaw against the remaining teeth using surgical guide. To find out the ideal position of implants, digital diagnostic wax-up was preceded by superimposing the cast and cone beam computed tomography image, which was aided with radiographic stents. The consequent surveyed implant bridge provided stable vertical stop for fabrication of the implant assisted removable partial dentures. The patient was satisfied with the functionality and esthetics of definitive prosthesis.

Rehabilitation of Partial Edentulism with a Crown-type Implant-assisted Removable Partial Denture through Guided Implant Surgery: A Case Report with a 12-month Follow-up

  • Jun, Ji Hoon;Oh, Kyung Chul;Li, Jiayi;Moon, Hong Seok
    • Journal of Korean Dental Science
    • /
    • v.15 no.1
    • /
    • pp.75-83
    • /
    • 2022
  • Crown-type implant-assisted removable partial dentures (CIRPDs) can be a feasible treatment option for partially edentulous patients. Here we report a case with remaining unilateral mandibular teeth. Two implants were placed in the posterior portion of the mandible using a surgical guide, and a distal-extension removable partial denture with implant-supported surveyed crowns was fabricated. After 12 months, both the abutment teeth and implants were in good condition. The treatment outcomes were satisfactory in terms of masticatory function and esthetics. The advantages of CIRPDs and considerations for obtaining successful clinical outcomes with these dentures are also discussed.

Implant-assisted removable partial denture using freely removable abutment in a fully edentulous patient: A case report (완전 무치악 환자에서 자유 착탈가능 임플란트 지대주를 이용한 임플란트 융합 국소의치 수복증례)

  • Oh, You-Kyoung;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeon-Jong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.58 no.1
    • /
    • pp.58-66
    • /
    • 2020
  • Implant-Assisted Removable Partial Dentures (IARPDs) treatment is being performed in a fully edentulous patient using implant surveyed prosthesis as an abutment. Implant-supported prosthesis as an abutment of IARPDs is classified into screw-retained and cement-retained type according to the retention type, and each has advantages and disadvantages. The EZ crown system (Samwon DMP, Yangsan, Korea) has a cylinder combined with abutment, and the nickel-titanium spring in this cylinder provides a constant force on the zirconia ball to obtain retention in EZ crown system. In this patient, the natural abutment teeth of the mandibular overdenture was hopeless. We planned implant assisted removable partial denture using anterior implant surveyed prosthesis considering functional and esthetical rehabilitation, cost and patient's needs. When fabricating IARPDs using implant as abutment, we could compensate for the shortcomings of existing implant-supported prosthesis retention type and made the design of removable partial denture easy due to using EZ crown system.

Implant-assisted removable partial denture using digital guide surgery in partially edentulous mandible: A case report (하악 부분 무치악 환자에서 디지털 가이드 수술을 이용한 임플란트 융합 가철성 국소의치 수복 증례)

  • Kim, Taehoon;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeonjong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.59 no.1
    • /
    • pp.88-96
    • /
    • 2021
  • Fixed implant prostheses or removable partial dentures are common treatment for partially dentulous patients. Recently, an implant-assisted removable partial denture (IARPD) has been introduced and is widely used. In the case of removable partial dentures using implant attachment and surveyed fixed prostheses, the consideration about parallelism of insertion path between implants and surveyed fixed prostheses is an important factor for success of IARPDs. In this case, she complained of discomfort while using the mandibular removable partial denture. Thus, an IARPD using implant surveyed fixed prostheses was fabricated. Thereafter, more implants were placed by a digital guide surgery to have the same insertion path as the existing surveyed fixed prostheses. Locator attachments were installed to the left and right premolar implants, and the left molar was able to obtain support of the removable partial denture with healing abutment. The clinical results were satisfactory on the aspect of aesthetic and masticatory function.

A STUDY ON PLAQUE ACCUMULATION FOLLOWING THE WEARING OF REMOVABLE PARTIAL DENTURE (국소의치 장착시 잔존치아의 치태침착에 관한 연구)

  • Joo, Dae-Won;Chang, Ik-Tae;Kim, Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.26 no.1
    • /
    • pp.197-206
    • /
    • 1988
  • The purpose of this study was to investigate the effect of wearing the removable partial denture on plaque accumulation. Twelve removable partial denture cases were examined. Patients were recalled three consecutive 3 day periods. Plaque index was measured after each 3 day period. (1) not wearing the denture, (2) wearing the denture, (3) wearing the denture after intensive tooth brushing instruction. The results were as follows: 1. Plaque indices of all the remaining teeth were higher following the wearing of removable partial denture than those of teeth not wearing the denture and those of teeth after intensive tooth brushing instruction. 2. Plaque indices showed statistical difference between all the tooth surfaces which were in contact with the denture and those which were not. 3. Plaque indices showed no statistical difference between buccal and lingual surfaces which were in contact with the denture and those which were not. 4. Plaque indices showed statistical difference between proximal surfaces which were in contact with the denture and those which were not.

  • PDF