• Title/Summary/Keyword: Single prosthesis

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A hollow definitive obturator fabrication technique for management of partial maxillectomy

  • Patil, Pravinkumar Gajanan;Patil, Smita Pravinkumar
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.248-253
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    • 2012
  • Maxillary obturator prosthesis is the most frequent treatment option for management of partial or total maxillectomy. Heavy weight of the obturators is often a dislocating factor. Hollowing the prosthesis to reduce its weight is the well established fact. The alternate technique to hollow-out the prosthesis has been described in this article which is a variation of previously described processing techniques. A pre-shaped wax-bolus was incorporated inside the flasks during packing of the heat-polymerized acrylic resin to automatically create the hollow space. The processing technique described is a single step flasking procedure to construct a closed-hollow-obturator prosthesis as a single unit. To best understand the technique, this article describes management of a patient who had undergone partial maxillectomy secondary to squamous cell carcinoma rehabilitated with a hollow-obturator prosthesis.

THE INFLUENCE OF IMPLANT FIXTURE-ABUTMENT CONNECTION DESIGN ON SCREW LOOSENING (임플랜트 지대주에 따른 나사 풀림의 연구)

  • Mun Yang-Suk;Park Sang-Won;Vang Mong-Sook;Yang Hong-So;Park Ha-Ok
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.2
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    • pp.174-184
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    • 2006
  • Purpose: Current trend in implant dentistry is changing from external connection to internal connection. To evaluate the splinting of external and internal connection implant on screw loosening, 2-units prosthesis was fabricated with BioPlant $System^(R)$ of external connection type and Lifecore STAGE-1 Single Stage Implant $System^(R)$ of internal connection type. Material and Method: Experimental group is classified into three groups. 1) $G_1-EE$: 2-units prosthesis was fabricated with two Bioplant $System^(R)$ of external connection type. 2) $G_1-EI$: 2-units prosthesis was fabricated with one BioPlant $System^(R)$ of external connection type and one Lifecore STAGE-1 Single Stage Implant $System^(R)$ of internal connection type. 3) $G_1-II$: 2-units prosthesis was fabricated with two Lifecore STAGE-1 Single Stage Implant $System^(R)$ of internal connection type. In fabricating 2-units prosthesis, two hexed abutments are recommended when two implants are installed parallel, otherwise one hexed abutment is used on major occlusal force area and one nonhexed abutment is used on the other area. Since it is rare to find two implants being parallel, it is hard to fabricate prosthesis with passive adaptation using two hexed abutments. It is much more difficult to acquire passive adaptation when using hex abutment compared to nonhex abutment. To evaluate the influence of hexed and nonhexed abutment on screw loosening, 2-units prosthesis was fabricated with hexed and nonhexed abutment. Experimental group is classified into three groups. 1) $G_2-HH$: 2-units prosthesis was fabricated with two hexed abutments. 2) $G_2-HN$: 2-units prosthesis was fabricated with one hexed abutment and one nonhexed abutment. 3) $G_2-NN$: 2-units prosthesis was fabricated with two nonhexed abutments. Result: The results of comparing the detorque value after loading on a each prosthesis periodically are as follows. 1. In splinting group of external and internal connection implant, $G_1-II$ group demonstrated the biggest detorque value, followed by $G_1-EI$ group and $G_1-EE$ group. 2. There is no notable significance between external connection implant of $G_1-EI$ group and $G_1-EE$ group and also no significance between internal connection implant of $G_1-EI$ group and $G_1-II$ group. 3. $G_2-HH$ group showed higher detorque value than $G_2-HN\;and\;G_2-NN$ group. From the results, we can concluded that using both external connection and internal connection implant together is clinically acceptable and in order to acquire a good passive adaptation in fabricating 2-units implant prosthesis we can use two nonhexed abutments.

Prosthetic restorations with cementless screw-retained implant systems: a case report (시멘트리스 나사 유지형 임플란트 시스템을 이용한 보철물 수복 증례)

  • Young-hae Jung;Im-Sun Kim
    • Journal of Technologic Dentistry
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    • v.45 no.4
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    • pp.124-130
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    • 2023
  • This study aims to describe the clinical experience of single and bridge crowns fabricated using a cementless screw-retained implant prosthesis system. In the case of single crown (#37), regular link (HDL) was used, and bridge crowns (#15~#24), (#26~#27), (#17~#14) (#24~#26) were fabricated by selecting regular link and short link considering the vertical height. One abutment was hex shaped to ensure that it could be mounted while preventing insertion and prosthesis rotation. The advantages of cementless implant prosthesis include shorter chair time and periodic care, strong retention with LINK abutment, safety from inflammation, bacterial infection, and complications due to peri-implant cement, and high patient satisfaction. Dentists should double-check the position of the implant fixture and dental technicians should continuously manage the fit of the link and prosthesis with digital equipment to reduce screw loosening and fractures.

Chair-side CAD/CAM fabrication of a single-retainer resin bonded fixed dental prosthesis: a case report

  • Jurado, Carlos Alberto;Tsujimoto, Akimasa;Watanabe, Hidehiko;Villalobos-Tinoco, Jose;Garaicoa, Jorge Luis;Markham, Mark David;Barkmeier, Wayne Walter;Latta, Mark Andrew
    • Restorative Dentistry and Endodontics
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    • v.45 no.2
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    • pp.15.1-15.7
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    • 2020
  • This clinical report describes designing and fabricating a single-retainer resin-bonded fixed dental prosthesis with a chair-side computer-aided design/computer-aided manufacturing system. The whole procedure, from tooth extraction to final placement of the prosthesis, was completed in one day, and a single clinic visit. No clinical complications were found at the 2-year follow-up after placement of the restoration, and satisfactory functional and esthetic results were achieved.

Satisfaction and demand of the New Prosthesis Treatment according to the oral health condition of the geriatric patient in Daejeon City (대전지역 노인환자의 구강보건실태에 따른 치과보철의 만족도와 요구도)

  • Jung, Jae-Kwan;Lee, Su-Ok
    • Journal of Technologic Dentistry
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    • v.31 no.3
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    • pp.59-66
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    • 2009
  • In this study 240 geriatric patients, aged 60 year and over were evaluated using a questionnaire and oral examination for their oral status, demand and satisfaction of prosthesis treatment. 1. The single main complaint was regarding from the existing removable prosthesis. When the complaints were catagorized into larger groups, complaints regarding existing prosthesis were 32% and followed by 30% in caries and endodontic problems. 2. DMFT index woman appeared the man the age when will increase more highly recording where highly and considered statistically. 3. According to the result from questionnaire, 48% of patients wearing removable prosthesis and 43% with fixed prosthesis were not satisfied with existing prosthesis. Thirty-seven percentages of patients were not satisfied with aesthetics and unable to chew food properly. 4. Thirty-nine percentage of patients were wearing removable prosthesis. More complete dentures were found on maxilla and partial dentures on mandible. 5. Seventy-seven percentage of patients requested for new prosthesis and the majority of these patients had complaints of difficulties in chewing and discomfort.

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Masticatory function following implants replacing a second molar

  • Kim, Moon-Sun;Lee, Jae-Kwan;Chang, Beom-Seok;Um, Heung-Sik
    • Journal of Periodontal and Implant Science
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    • v.41 no.2
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    • pp.79-85
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    • 2011
  • Purpose: The aim of this study was to obtain objective and standardized information on masticatory function and patient atisfaction following second molar single implant therap. Methods: Twenty adult patient, who had restored second molar single implants more than 1 month before the study, were enrolled in this stud. All patients received a chewing test using peanuts before and after insertion of the implant prosthesi, with a questionnaire and visual analogue scale (VAS) to evaluate the effect of second molar single implant therap. Results: his study obtained standardized information on the masticatory function objectively (e.g., P, R, $X_{50}$) before (Pre-insertion) and after insertion (Post-insertion) of the implant prosthesis. Masticatory performance (P) after insertion of the implant prosthesis significantly increased from $67.8{\pm}9.9$ to $84.3{\pm}8.5$% (P<0.0001). With the implant prosthesis, the P value increased by 24%. The masticatory efficiency index (R) of Post-insertion is higher than that of Pre-insertion (P<0.0001). With the implant prosthesis, the R value increased by 29%. The median particle size ($X_{50}$) of Post-insertion is lower than that of Preinsertion (P<0.0001). More than 90% of the patients were satisfied with the second molar single implant therapy from a functional point of view. Conclusions: These findings indicate that a second molar single implant can increase masticatory function.

Swing Phase Dynamic Simulation of Pneumatic Prosthesis (공압식 대퇴의지의 유각기 동역학 시뮬레이션)

  • Cho, H.S.;Ryu, J.C.;Mun, M.S.;Kim, G.S.;Kim, K.H.;Kim, S.K.;Cheon, M.S.
    • Proceedings of the KOSOMBE Conference
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    • v.1997 no.11
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    • pp.267-271
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    • 1997
  • In this study, swing phase dynamic simulation of above-knee prosthesis is performed. The prosthesis consists of a single axis knee mechanism and pneumatic cylinder. The numerical modelling of the prosthesis is analyzed in two dimensions. The governing equation of thermodynamical pneumatic cylinder model is applied to construct the control of lower limb during swing phase. Knee flexion angle with respect to the orifice diameter of the pneumatic cylinder is produced. This analysis will be very useful to the design of pneumatic cylinder in prosthesis.

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ORAL STATUS OF GERIATRIC PATIENTS, AND THEIR DEMAND AND SATISFACTION IN PROSTHODONTIC TREATMENT (노인환자의 구강상태, 치료요구도와 만족도)

  • Chung Moon-Kyu;Lee Chul-Young;Chang Hyuk-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.4
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    • pp.323-335
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    • 2001
  • In this study 240 geriatric patients, aged 60 year and over were evaluated using a questionnaire and oral examination for their oral status, demand and satisfaction of prosthodontic treatment. The followings are the findings : 1. The single main complaint was regarding from the existing removable prosthesis, When the complaints were categorized into larger groups, complaints regarding existing prosthesis were 32% and followed by 30% in caries and endodontic problems. 2. Approximately half of the geriatric patients had 21 or more remaining dentition. This number however diminished with increase in age of the surveyed patient. 3. According to the result from questionnaire, 48% of patients wearing removable prosthesis and 43% with fixed prosthesis were not satisfied with existing prosthesis. Thirty-seven percentages of patients were not satisfied with aesthetics and unable to chew food properly. 4. Seventy-seven percentages of patients requested for new prosthesis and the majority of these patients had complaints of difficulties in chewing and discomfort. 5. Thirty-nine percentages of patients were wearing removable prosthesis. More complete dentures were found on maxilla and partial dentures on mandible.

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Axial displacement in single-tooth implant restoration: Case report (임플란트 단일 치아 수복 시 수직 침하와 인접치와의 위치 변화: 증례 보고)

  • Jeong, Seung-Hoe;Kim, Sunjai;Chang, Jae-Seung
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.126-133
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    • 2021
  • Axial displacement of an implant-supported prosthesis is frequently reported in clinical and laboratory studies. However, limited information is available about the behavior of the axial displacement of implant-supported prostheses functioning in intraoral situations. The present case report evaluated the three-dimensional displacement of posterior single implant-supported prostheses in 2 different patients. Internal connection type implants were placed, and screw and cement-retained prosthesis (SCRP) type prosthesis were delivered after an appropriate healing period. Intraoral digital scans were performed using an intraoral scanner (Cerec Omnicam, Dentsply Sirona, USA) on the day of crown delivery and one week, one month, and one year after delivery. The amount of 3-dimensional displacement of the prosthesis was evaluated by using a digital inspection software (Geomagic Control X, 3D systems, USA). The axial displacement of implant-supported prosthesis occurred in both patients. Furthermore, the amount of displacement increased over time.

Intelligent Control of Cybernetic Below-Elbow Prosthesis

  • Edge C. Yeh;Wen Ping;Chan, Rai-Chi;Tseng, Chi-Ching
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 1993.06a
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    • pp.1025-1028
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    • 1993
  • In this paper, an intelligent control scheme with multi-stage fuzzy inference is developed for a myoelectric prosthesis to achieve natural control with tactile feedback based on fuzzy control strategies. Strain gauges and a potentiometer are added to the prosthesis for tactile feedback with a PWM motor driver developed to save the battery power. According to the multi-stage fuzzy inference, the prosthesis can determine the stiffness of the object and hold an object without injuring it, meanwhile, the hysteresis phenomenon is an 80196KC single-chip microcontroller to replace the original controller.

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