• Title/Summary/Keyword: dental implant

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An Investigation of a Motive for Dental Implant Treatment in Clinical Cases (임플란트 선택동기 및 인지도 조사연구 -울산지역 성인 남, 여를 대상으로-)

  • Lee, Gar-Yeong
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.237-253
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    • 2004
  • This study was to find a patient's motive for receiving implant treatment by age and gender using a self-reporting questionnaire survey with adults(men & women) in Woolsan. The result was as follows: 1. As a result of questionnaire survey with 155 patients in total(86 men, 69 women), 24 of 86 men(27.9%) valued the natural mastication feature of dental implant most, that is as similar as natural teeth, while 18 of 69 women(26.1%) had the most priority over the longer life of implant than common dental prostheses. By age, those in their 20s and 30s had a preference to implant treatment because it does not need to pulling out teeth for prostheses, while those in their 40s and over had a priority to the natural mastication feature of implant that is similar as much as natural teeth. By dental treatment, all of respondents said that the natural mastication feature is the most important in getting dental implant. It was founded that whether one can taste food as it is or not is less important, regardless of age or gender. 2. The greatest obstacle to implant surgery was expensive medical fees, 88 of 155 respondents(56.8%), with a fear of surgery itself being the least obstacle. 3. 90.2% of the total respondents said that they will want to receive dental implant treatment if their economy allow.

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The cumulative survival rate of sandblasted, large-grit, acid-etched dental implants: a retrospective analysis

  • Haeji Yum;Hee-seung Han;Kitae Kim;Sungtae Kim;Young-Dan Cho
    • Journal of Periodontal and Implant Science
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    • v.54 no.2
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    • pp.122-135
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    • 2024
  • Purpose: This retrospective study aimed to assess the long-term cumulative survival rate of titanium, sandblasted, large-grit, acid-etched implants over a 10-year follow-up period and investigate the factors affecting the survival rate and change in marginal bone loss (MBL). Methods: The study included 400 patients who underwent dental implant placement at the Department of Periodontology of Seoul National University Dental Hospital (SNUDH) between 2005 and 2015. Panoramic radiographic images and dental records of patients were collected and examined using Kaplan-Meier analysis, Cox proportional hazards regression analysis, and multiple regression analysis to determine the survival rates and identify any factors related to implant failure and MBL. Results: A total of 782 implants were placed with a follow-up period ranging from 0 to 16 years (mean: 8.21±3.75 years). Overall, 25 implants were lost, resulting in a cumulative survival rate of 96.8%. Comparisons of the research variables regarding cumulative survival rate mostly yielded insignificant results. The mean mesial and distal MBLs were 1.85±2.31 mm and 1.59±2.03 mm, respectively. Factors influencing these values included age, diabetes mellitus (DM), jaw location, implant diameter, bone augmentation surgery, and prosthetic unit. Conclusions: This study found that the implant survival rates at SNUDH fell within the acceptable published criteria. The patients' sex, age, DM status, implant location, implant design, implant size, surgical type, bone augmentation, and prosthetic unit had no discernible influence on long-term implant survival. Sandblasted, large-grit, acid-etched implants might offer advantages in terms of implant longevity and consistent clinical outcomes.

Continuous Quality Improvement of Medical Equipments Based on Clinical Monitoring: A Case Study of Dental Implants (의료기기에 대한 임상모니터링 기반의 지속적 품질개선: 치과용 임플란트의 사례)

  • Kim, Myung-Duk;Eom, Tae-Gwan;Kim, Young-Jin
    • Journal of Korean Society for Quality Management
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    • v.36 no.2
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    • pp.59-66
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    • 2008
  • Dental implant has recently become one of the most viable treatment options for regaining the oral function and dental aesthetics compared with conventional fixed or removable dentures. Dental implants vary in material, dimensions, geometries, surface properties, and interface geometries. It has been reported that there has been a proliferation of manufacturers who produce implants using various materials and surface treatments, and the dentist needs to select from over 2,000 different dental implants and abutments in a specific treatment situation. Unfortunately, however, no metrics have been specifically identified for the purpose of quality assessment and selection of an appropriate dental implant. This study aims to provide practical guidelines for quality assessment of dental implant based on clinical data. Like other medical devices and materials, the superiority related to specific characteristics of the dental implant needs to be verified through extensive clinical studies. The procedures of clinical monitoring for dental implants have been proposed along with a case study to exemplify the usefulness of clinical monitoring for the purpose of continuous quality improvement in medical industry.

Biomechanical stress and microgap analysis of bone-level and tissue-level implant abutment structure according to the five different directions of occlusal loads

  • Kim, Jae-Hoon;Noh, Gunwoo;Hong, Seoung-Jin;Lee, Hyeonjong
    • The Journal of Advanced Prosthodontics
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    • v.12 no.5
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    • pp.316-321
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    • 2020
  • PURPOSE. The stress distribution and microgap formation on an implant abutment structure was evaluated to determine the relationship between the direction of the load and the stress value. MATERIALS AND METHODS. Two types of three-dimensional models for the mandibular first molar were designed: bone-level implant and tissue-level implant. Each group consisted of an implant, surrounding bone, abutment, screw, and crown. Static finite element analysis was simulated through 200 N of occlusal load and preload at five different load directions: 0, 15, 30, 45, and 60°. The von Mises stress of the abutment and implant was evaluated. Microgap formation on the implant-abutment interface was also analyzed. RESULTS. The stress values in the implant were as follows: 525, 322, 561, 778, and 1150 MPa in a bone level implant, and 254, 182, 259, 364, and 436 MPa in a tissue level implant at a load direction of 0, 15, 30, 45, and 60°, respectively. For microgap formation between the implant and abutment interface, three to seven-micron gaps were observed in the bone level implant under a load at 45 and 60°. In contrast, a three-micron gap was observed in the tissue level implant under a load at only 60°. CONCLUSION. The mean stress of bone-level implant showed 2.2 times higher than that of tissue-level implant. When considering the loading point of occlusal surface and the direction of load, higher stress was noted when the vector was from the center of rotation in the implant prostheses.

Dental implant failures and complications - Retrospective study (치과 임플란트 실패와 합병증의 후향적 연구)

  • Park, Ju-Hee;Jo, Chan Woo;Woo, Jae-Man;Kahm, Se Hoon
    • The Journal of the Korean dental association
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    • v.57 no.7
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    • pp.372-378
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    • 2019
  • The dental implants in modern dentistry brought out a new era in everyday dental practice. Increasing of dental implants usage, various failures and complications has occurred. Failures and complications of dental implant treatments that can happen in implant surgery, in mechanical or prosthetic problem and in biological aspect. The aim of this study was to assess implant failures for 6 years as well as find out how to overcome implant failure. In Jeju National University hospital, 26 dental implants in 17 patients were removed by implant failure through 2013.1.1.-2018.12.31. Each implant failure case was analyzed in report form with various informations about failure retrospectively. The present study showed 26 failed dental implants of 17 patients were removed. 13 implants(50%) of 8 patients(47.06%) were failed before functional loading and 13 implants(50%) of 9 patients(52.94%) were failed after functional loading. 11 implants(42.31%) of 7 patients(41.18%) with medical disease were extracted. 6 implants(23.08%) of 5 patients(29.41%) with additive bone graft were failed. We discuss with 26 failed dental implants of 17 patients about their causes, solutions and prevention retrospectively for 6 past years. Precise diagnosis and treatment planning are needed. Medically compromised patients and patients with implants and additive bone grafts should be cautiously treated with high failing possibilities.

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Clinical study on screw loosening in dental implant prostheses: a 6-year retrospective study

  • Lee, Ki-Young;Shin, Kyung Su;Jung, Ji-Hye;Cho, Hye-Won;Kwon, Kyung-Hwan;Kim, Yu-Lee
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.2
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    • pp.133-142
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    • 2020
  • Objectives: In this study, we determined the incidence and pattern of screw loosening in patients who received dental implants. Materials and Methods: Patients who received implants between January 2008 and October 2013 and completed their prosthetic rehabilitation were evaluated for the incidence, frequency, and onset of screw loosening using dental charts and radiographs. The association between each factor and screw loosening was analyzed using the chi-square test and a multivariate analysis with binary logistic regression models (P<0.05). Results: Total 1,928 implants were placed in 837 patients (448 males, 389 females), whose follow-up period after loading varied from 0.25 to 70 months (mean period, 31.5 months). Screw loosening occurred in 7.2% of implants. Most cases occurred less than six months after loading. Among those, 22.3% experienced recurrent screw loosening. Screw loosening was most common in the molar region (8.5%) and frequently associated with an implant diameter of ≥5 mm (14.2%). External implant-abutment connections (8.9%) and screw-retained implant prostheses (10.1%) showed higher incidence of problems than internal implant-abutment connections and cement-retained implants, respectively. Screw loosening was most common in implant prostheses with single crowns (14.0%). Conclusion: Within the limits of the current study, we conclude that the incidence of screw loosening differs significantly according to the position of implant placement, the type of implant and manufacturer, implant diameter, the type of implant-abutment connection, the type of retention in the implant prosthesis, and the type of implant prosthesis.

Structural Design of a Dental Implant (I): Comparative Structural Analysis (치과용 임플란트 구조설계 (1): 구조해석 비교연구)

  • Kwon, Young-Joo
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.25 no.5
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    • pp.421-432
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    • 2012
  • This paper is the first paper among two papers which constitute the paper about the structural design of a dental implant. This paper surveyed types and characteristics of dental implants. Merits and shortcomings of clinically used dental implants were analysed through this survey. A new structural model of dental implant was proposed on the basis of survey results. Especially, a comparative structural analysis of the new dental implant and the well known dental implants has been performed using the finite element analysis method. The analysis results confirm that the newly proposed dental implant has a good structural performance. The well known dental implants used for the comparative structural analysis are 3i implant and Sargon implant. These implants are imported dental implants and we could know that most implants clinically used are endosteal implants and these two implants(3i implant and Sargon implant) are also endosteal implants.

Disappearance of a dental implant after migration into the maxillary sinus: an unusual case

  • Damlar, Ibrahim
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.5
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    • pp.278-280
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    • 2015
  • Migration of dental implants into the maxillary sinus is uncommon. However, poor bone quality and quantity in the posterior maxilla can increase the potential for this complication to arise during implant placement procedures. The aim of this report is to present a dental implant that migrated into the maxillary sinus and disappeared. A 53-year-old male patient was referred to us by his dentist after a dental implant migrated into his maxillary sinus. The displaced implant was discovered on a panoramic radiograph taken five days before his referral. Using computed tomography, we determined that the displaced dental implant was not in the antrum. There was also no sign of oroantral fistula. Because of the small size of the displaced implant, we think that the implant may have left the maxillary sinus via the ostium.

Influencing factors of satisfaction and revisiting intention of dental implant patients (치과 임플란트 환자의 만족감과 재이용 의사에 영향을 미치는 요인)

  • Lee, Jong-Hwa;Park, Chun-Man
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.6
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    • pp.983-990
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    • 2015
  • Objectives: The purpose of the study is to investigate the influencing factors of satisfaction and revisiting intention of dental implant patients. Methods: An interview and a self-reported questionnaire were completed by 190 patients in 10 dental clinics in Daegu, Gyeongbuk, and Gyeongnam from September 17 to October 31, 2015. The questionnaire consisted of the general characteristics of the subjects and satisfaction of implant. The instrument for implant interview was adapted form Pjetursson et al. by Likert 5 points scale. Cronbach's ${\alpha}$ in the study was 0.768. Data were analyzed by SPSS/AMOS version 21.0 program. Results: Cost satisfaction had direct effect on satisfaction of expectation and indirect effect on revisiting intent. Mastication satisfaction had the direct effect on satisfaction of expectation and revisiting intent, and indirect effect on revisiting intent. Satisfaction of aesthetic function had the direct effect on satisfaction of expectation, and the indirect effect on revisiting intent. Conclusions: The determining factors of successful dental implant included expenses, mastication function, and aesthetic satisfaction. The competent dental implant teamwork and appropriate expenses can satisfy the implant patients.

Satisfaction of patients with implants placed using the implant surgical guide (임플란트 수술용 가이드를 이용하여 임플란트를 식립한 환자의 만족도)

  • Jae-Ra, Lee
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.2
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    • pp.53-60
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    • 2022
  • Background: This study was aimed at improving the satisfaction of patients with implants placed using an implant surgical guide by analyzing patient satisfaction with the implant procedure carried out using the guide . Methods: We extracted convenient samples from patients with implants who had visited dental hospitals and clinics in Mokpo from March 2 to June 30, 2022. We used 228 copies of the self-report survey for analyses. Results: All items of implant satisfaction were positively correlated with the use of an implant surgical guide. Conclusions:The results of this study showed that implant satisfaction can be increased with the use of implant surgical guides.