• Title/Summary/Keyword: Single prosthesis

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A comparison of marginal fitness by dental alloys (치관 보철물 제작에 사용되는 치과용 금속의 변연 적합도 비교)

  • Kim, Nam-Joong;Hwang, Kyung-Sook;Park, Yong-Duk
    • Journal of Technologic Dentistry
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    • v.25 no.1
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    • pp.29-40
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    • 2003
  • This study was aimed to verify a comparison by dental alloys upon the marginal fitness of dental prosthesis. Firstly, we waxed up on 45 epoxy resin dies, pressed the margin with hands, and identified the marginal fitness with microscope. And we made a single direct spruing system type of sprue by 3 dental alloys - metal crown alloys, PFM crown alloys, and gold crown alloys - each 15, total 45 waxing up, adjusting W/P ratio and invested the cast ring. Then, we made the dental prosthesis using the electric casting machine. In these processes we followed the manufacturer's instructions, in order to maintain the other conditions from the inner and outer, which included investment and burning out. After we tried on the dental prosthesis on epoxy resin dies, we have got the means of marginal gap at 9 points with same distances, around the cervical line which was checked already, using microscope($\times$300). The results of this study were as follows : 1. Metal crown alloys showed 2.9% better in marginal fitness than PFM crown alloys, and the difference was not statistically significant(P=0.497). 2. Gold crown alloys showed 31.3% better in marginal fitness than Metal crown alloys, and the difference was statistically significant(P=0.004). 3. Gold crown alloys showed 32.4% better in marginal fitness than PFM crown alloys, and the difference was statistically significant(P=0.002). 4. We saw that Gold crown alloys was the best dental alloys in the marginal fitness among the three.(P=0.049).

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Behavior Analysis of the Treated Femur and Design of Composite Hip Prosthesis (대퇴부 거동 해석 및 복합재료 보철물 설계)

  • 임종완;하성규
    • Journal of Biomedical Engineering Research
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    • v.23 no.2
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    • pp.119-130
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    • 2002
  • The nonlinear finite element program has been developed to analyze the design performance of an artificial hip prosthesis and long term behavior of a treated femur with stems made of composite material after cementless total hip arthroplasty(THA). The authors developed the three dimentional FEM models of femoral bone with designed composite stem which was taken with elliptic cross section of 816 brick elements under hip contact load and muscle farce in simulating single leg stand. Using the program, density changes, stress distributions and micromotions of the material femoral bone were evaluated by changing fiber orientation of stems for selected manufacturing method such as plate cut and bend mold. The results showed that the composite materials such as AS4/PEEK and T300/976 gave less bone resorption than the metallic material such as cobalt chrome alloy, titanium alloy and stainless steal. It was found that increasing the long term stability of the prosthesis in the femur could be obtained by selecting the appropriate ply orientation and stacking sequence of composite.

Cases of screw-retained implant prosthesis in the anterior maxilla through multidisciplinary approach, including orthodontic teeth alignment (교정적 치아 재배열을 포함한 다학제적 접근(multidisciplinary approach)을 통한 상악 전치부의 나사 유지형 임플란트 보철 수복 증례)

  • Kim, Hyo-Seon;Lee, Won-Sup;Lee, Su-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.244-250
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    • 2020
  • The labio-palatal location of the implant in the maxillary anterior region is one of the important factors affecting the aesthetics of the implant prosthesis. However, the thin labial bone of maxilla could be absorbed in significant amounts after extraction of the teeth, which makes the implant be placed on the palatal side rather than the ideal location. In fact, in the cases of maxillary central incisor loss, UCLA was used for prosthetic restoration of palatally placed implant. In addition, with multidisciplinary treatment, GBR (Guided Bone Regeneration) was performed for compensating the absorbed alveolar bone and adjacent anterior tooth were aligned. Definitive restoration was performed after confirming aesthetic recovery of the gingiva with sufficient provisional restoration period. There were satisfactory results of functional and esthetic recovery of tooth loss through implant prosthesis.

Single-tooth implant restoration with alveolar bone augmentation in the maxillary anterior tooth region: a case report

  • Lee, Seon-Ki
    • International Journal of Oral Biology
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    • v.46 no.4
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    • pp.200-207
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    • 2021
  • In case of gingival recession and alveolar bone defects due to tooth loss for a long period of time in a single tooth in the maxillary anterior region, it is not easy to obtain aesthetic results with a single implant prosthesis. For aesthetic restoration, it is important to preserve hard and soft tissues through alveolar bone augmentation as well as restore harmony with adjacent teeth and soft tissues by placing the implant in an ideal location. In this case, an implant was placed using guided bone regeneration and a connective tissue graft simultaneously with immediate implantation after extraction from the maxillary anterior region where only residual root was left for a long period of time.

Outcome of Tumor Prosthetic Reconstruction in Osteosarcoma Patient (골육종 환자에서 종양 대치물을 이용한 재건술의 치료결과)

  • Kim, Jae-Do;Kim, Cheung-Kue;Chung, So-Hak
    • The Journal of the Korean bone and joint tumor society
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    • v.17 no.2
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    • pp.79-86
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    • 2011
  • Purpose: Modular tumor prosthesis is the most popular recontructive modality after resection of malignat tumor in extremity. Complications and survival of tumor prosthesis reconstruction are well-known. however, reports on the long-term outcome of tumor prosthesis in osteosarcoma patientss are scarece. Materials and Methods: In 158 cases as diagnosed as osteosarcoma from feburary 1989 to December 2006 in a single cancer center. We retrospectively reviewd 48 osteosarcoma patients who under went tumor prosthetic reconstruction. Mean follow up preiod was 75.6 months (range; 60 to 179 months). There were 28 males, 20 females and mean age was 22.4 years (range; 11-71). Pathologic subtypes were conventional central osteosarcoma in 46 cases and periosteal in 2 cases. The location of the tumor was proximal tibia (26 cases), distal femor (20 cases), femor diaphysis (1 case), and tibia diaphysis (1 case). In 41 cases built-up-type tumor prosthesis have been used and 7 cases expansion-type tumor prosthesis have been used. We used Musculoskeletal tumor society (MSTS) grading system to asses post operation function, and we analyzed survival rate of patient and tumor prosthesis and complication. Results: The overall survival rate was 77.7% and disease free survival rate was 68.9%. The survival rate of tumor prosthesis was 73%, in last follow up tumor prosthesis has been removed in 12 cases. All of them, 17 complications occurred, which included infection in 16 cases, Periprosthetic Fracture and Loosening of tumor prosthesis in 4 cases, articular instability in 4 cases. MSTS functional score was 74.1% in post operation. Conclusion: In long term follow up result, Primary tumor prosthesis -a reconstruction method after a wide extensional resecion of a bone tumor- can be a effective treatment method in asepect of survival rate, functional assesment and complication.

Subjective Symptoms of Peri-Implantitis and Satisfaction according to Prosthesis Methods (임플란트 보철방식에 따른 임플란트 주위염 자각증상 및 만족도)

  • Cha, Ji-Ae;Han, Gyeong-Soon
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.175-182
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    • 2017
  • From March 1, 2016 to August 31, 2016, 375 dental implant patients between the ages of 30 and 70 years to evaluate their subjective symptoms and satisfaction according to prosthesis methods. The collected data were analyzed using the chi-square distribution test, t-test, one-way analysis of variance, and multiple logistic regression. Of the patients with subjective symptoms of peri-implantitis, 40.5% reported food impaction, 49.1% reported bleeding, 61.1% reported pain, 61.9% reported halitosis, and the overall satisfaction level with the implants was 3.95 points. In the prosthesis methods, implant-teeth connective group showed the lowest level of the food impaction (21.3%), the pain (35.5%), and the halitosis (36.6%) (p<0.001), and the lowest bleeding was the implant single (33.8%) (p<0.05). Patient satisfaction was higher in the implant-teeth connective group (4.06 points) and the group without bone grafting (4.03 points) (p<0.01). Factor analysis showed that implant satisfaction was 0.43 times lower in the single implant group and 0.44 times lower in the implant-implant connective group than in the implant-teeth connective group. As a result of the study, it is expected that the method of extending the life of adjacent teeth and restoring the function of the tooth defect region is an implant-teeth connection method, so that it can be utilized positively through various clinical studies.

Immediate loading of mandibular single implant by using surgical guide and modeless digital prosthesis: a case report (수술용 가이드와 modeless 디지털 보철물을 이용한 하악 구치부 단일 임플란트 즉시 하중 증례)

  • Lim, Hyun-jeong;Kim, Myung-Joo;Kwon, Ho-Beom;Lim, Young-Jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.299-306
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    • 2017
  • In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.

Time Serial Change of Proximal Contact Tightness Between the Implant Prothesis and Natural Tooth (임플란트 보철물과 자연치 사이의 인접접촉강도의 경시적 변화)

  • Kim, Jin-A;Oh, Sang-Ho;Kim, Hee-Jung;Min, Jeong-Bum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.233-243
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    • 2012
  • The aim of this study was to evaluate time serial change of the TPTC(Tightness of Proximal Tooth Contact) between the implant prosthesis and natural tooth at rest state. Thirty-one patients(19 males and 12 females; mean age, 48.2 years) restored with a total 31 single-implant crowns in the left maxillary for 13 single-implant and left mandibular second molars for 18 single-implant crowns, respectively were selected. The TPTC was checked directly after delivery, 1 month after delivery and 6 months after delivery of prothesis at rest state. The TPTC decreased significantly as time goes by both maxilla(p<.01) and mandible(p<.05). The TPTC between the implant prosthesis and natural tooth decreased as time goes by after fixed implant prothesis placement.

Multiple consecutive-biphasic pulse stimulation improves spatially localized firing of retinal ganglion cells in the degenerate retina

  • Jungryul Ahn;Yongseok Yoo;Yong Sook Goo
    • The Korean Journal of Physiology and Pharmacology
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    • v.27 no.6
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    • pp.541-553
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    • 2023
  • Retinal prostheses have shown some clinical success in restoring vision in patients with retinitis pigmentosa. However, the post-implantation visual acuity does not exceed that of legal blindness. The reason for the poor visual acuity might be that (1) degenerate retinal ganglion cells (RGCs) are less responsive to electrical stimulation than normal RGCs, and (2) electrically-evoked RGC spikes show a more widespread not focal response. The single-biphasic pulse electrical stimulation, commonly used in artificial vision, has limitations in addressing these issues. In this study, we propose the benefit of multiple consecutive-biphasic pulse stimulation. We used C57BL/6J mice and C3H/HeJ (rd1) mice for the normal retina and retinal degeneration model. An 8 × 8 multi-electrode array was used to record electrically-evoked RGC spikes. We compared RGC responses when increasing the amplitude of a single biphasic pulse versus increasing the number of consecutive biphasic pulses at the same stimulus charge. Increasing the amplitude of a single biphasic pulse induced more RGC spike firing while the spatial resolution of RGC populations decreased. For multiple consecutive-biphasic pulse stimulation, RGC firing increased as the number of pulses increased, and the spatial resolution of RGC populations was well preserved even up to 5 pulses. Multiple consecutive-biphasic pulse stimulation using two or three pulses in degenerate retinas induced as much RGC spike firing as in normal retinas. These findings suggest that the newly proposed multiple consecutive-biphasic pulse stimulation can improve the visual acuity in prosthesis-implanted patients.

MINI ONGOING IMPLANT TO REPLACE ANTERIOR SINGLE MISSING TOOTH WITH LIMITED SPACE: A CLINICAL REPORT

  • Kim, Ji-Won;Bae, Hanna Eun-Kyong;Hwang, Sun-Hong
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.3
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    • pp.331-337
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    • 2005
  • For a missing teeth, orthodontic treatment may be a better choice of treatment in comparison to a conventional prosthetic replacement such as FPD, resin bonded prosthesis in view of aesthetics, periodontal health and function. Occasionally after an orthodontic treatment, an insufficient space may occur. The mini-implant could be an alternative in situations of narrow ridge dimension, where conventional root form implant could be compromised. The aim of this clinical report is to describe how a space that could not be restored with a traditional root form endosteal implant was managed and to present a technique to achieve optimal anterior esthetics in single implant restoration.