• Title/Summary/Keyword: dental prosthetic

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Clinical and radiographic assessment of narrow-diameter and regular-diameter implants in the anterior and posterior jaw: 2 to 6 years of follow-up

  • Alrabiah, Mohammed;Deeb, Modhi Al;Alsahhaf, Abdulaziz;AlFawaz, Yasser F.;Al-Aali, Khulud Abdulrahman;Vohra, Fahim;Abduljabbar, Tariq
    • Journal of Periodontal and Implant Science
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    • v.50 no.2
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    • pp.97-105
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    • 2020
  • Purpose: The present retrospective clinical study aimed to evaluate and compare the clinical and radiographic parameters, complications, and satisfaction in patients who received fixed prostheses supported by narrow-diameter implants (NDIs) in the anterior and posterior jaw. Methods: Patients aged ≥30 years who had NDI-supported fixed prostheses in the anterior or posterior region of either jaw for at least 2 years were included. Complications such as chipping of the crown; loosening or fracture of the screw, crown abutment, or implant; and loss of retention were recorded. Clinical peri-implant outcomes and crestal bone loss (CBL) were measured. A questionnaire was used to record responses regarding the aesthetics and function of the fixed restorations. Analysis of variance was used to assess the significance of between-group mean comparisons. The log-rank test was performed to analyze the influence of location and prosthesis type on technical complications. Results: Seventy-one patients (mean age: 39.6 years) provided informed consent with a mean follow-up duration of 53 months. Only bleeding on probing showed a statistically significant difference between NDIs in the anterior and posterior regions. The complication rate for NDIs in the posterior region was significantly higher than that for NDIs in the anterior region (P=0.041). For NDIs, CBL was significantly higher around splinted crowns than single crowns (P=0.022). Overall mean patient satisfaction was 10.34±3.65 on a visual analogue scale. Conclusions: NDIs in the anterior and posterior jaws functioned equally well in terms of periimplant soft and hard tissue health and offered acceptable patient satisfaction and reasonable complication rates.

Full mouth prosthetic rehabilitation base on making plan: a case report (체계적 계획을 통한 전악고정성 보철물 제작 증례)

  • Kim, Wook Tae
    • Journal of Technologic Dentistry
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    • v.40 no.3
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    • pp.183-190
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    • 2018
  • Purpose: The purpose of this study was to evaluated the process of model analysis, design, and production for a full mouth prosthetic rehabilitation of function, esthetics, and pronunciation. Methods: This is a case report of class III malocclusion with a severe anterior incisor occlusion and a prosthetic treatment of patient with poor occlusion of posterior teeth. A provisional restoration based on the diagnostic wax-up was applied to the patient. And then functions, esthetics, and occlusal stability were observed during 4 week tracking period. Final restorations were delivered and evaluated based on a systematic analysis, diagnosis and treatment plan. Results: We confirms that this case study obtained the satisfactory results in terms of functions and esthetics. Conclusion : If we can give the patient the continuous evaluation and progress monitoring, we expect the dentist and the dental technician to design the prosthesis successfully.

Attachment systems for mandibular implant overdentures: a systematic review

  • Kim, Ha-Young;Lee, Jeong-Yol;Shin, Sang-Wan;Bryant, S. Ross
    • The Journal of Advanced Prosthodontics
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    • v.4 no.4
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    • pp.197-203
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    • 2012
  • PURPOSE. The aim of this systematic review was to address treatment outcome according to attachment systems for mandibular implant overdentures in terms of implant survival rate, prosthetic maintenance and complications, and patient satisfaction. MATERIALS AND METHODS. A systematic literature search was conducted using PubMed and hand searching of relevant journals considering inclusion and exclusion criteria. Clinical trial studies on mandibular implant overdentures until August, 2010 were selected if more than one type of overdenture attachment was reported. Twenty four studies from 1098 studies were finally included and the data on implant survival rate, prosthetic maintenance and complications, patient satisfaction were analyzed relative to attachment systems. RESULTS. Four studies presented implant survival rates (95.8 - 97.5% for bar, 96.2 - 100% for ball, 91.7% for magnet) according to attachment system. Ten other studies presented an implant survival rate ranging from 93.3% to 100% without respect to the attachment groups. Common prosthetic maintenance and complications were replacement of an assay for magnet attachments, and activation of a matrix or clip for ball or bar attachments. Prosthetic maintenance and complications most commonly occurred in the magnet groups. Conflicting findings were found on the rate of prosthetic maintenance and complications comparing ball and bar attachments. Most studies showed no significant differences in patient satisfaction depending upon attachment systems. CONCLUSION. The implant survival rate of mandibular overdentures seemed to be high regardless attachment systems. The prosthetic maintenance and complications may be influenced by attachment systems. However patient satisfaction may be independent of the attachment system.

Suggestions on the Model of Exporting Strategy for the Overseas Dental Prosthetic Restoration Service (해외 치과기공물 서비스 수출 전략모형 제안)

  • Kim, Ki-Baek;Kim, Joo-Hwan;Kim, Jae-Hong
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.333-338
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    • 2013
  • The purpose of this study is to research how to effectively export the dental prosthetic restoration and the service to the overseas. The study showed the present status of dental prosthetic restoration service in South Korea and some suggested ways to improve the export of the dental prosthetic restoration service to the overseas. The size of the medical service market has been gradually increased because of the globalization and the development of the information-oriented tendency. The medical industry is being perceived as a highly valuable service industry that emphasizes the importance of quality. Through the efforts of the nations attempting to develop the market and create new employment, the medical field is becoming a prospective field of trade. In order to develop the medical industry, the strategies; firstly, medical institutions need to explore overseas markets and strengthen globalization; secondly, medical service should be upgraded through specialization; and finally, specialized management system has to be established and medical management system has to be innovated.

The Present State and Prospect of Geriatric Denture Prosthetic Dentistry Affairs among Community Dental Hygienists (전국보건소 치과위생사의 노인의치보철사업 현황 및 전망)

  • Yoon, Young-Suk;Kwon, Yang-Ok
    • Journal of dental hygiene science
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    • v.6 no.4
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    • pp.255-261
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    • 2006
  • The purpose of This study was to survey the present state and prospect of geriatric denture prosthetic dentistry among community dental hygienists in Korea. Questionnaires about the present state and prospect of geriatric denture prosthetic dentistry were distributed to the community dental hygienists in Korea, July 2006. Collected questionnaires from 89 cases were analyzed. All collected data were analyzed using the SPSS program. The significance of differences among groups were assessed using chi-square test or Fisher's exact test. The results of this study were summarized as follows: The public relations of the geriatric denture prosthetic dentistry were enforced good, mainly by village offices. Appointed dental clinics made a production of full dentures connecting in Korean Dental Association. Above findings suggest that further study about the present state and prospect of geriatric denture prosthetic dentistry is necessary in improving the oral health related quality of life in elders.

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Occlusion and articulation in digital dentistry: A review (디지털 치의학 시대의 교합)

  • Lee, Jae-Hyun
    • The Journal of the Korean dental association
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    • v.58 no.8
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    • pp.505-512
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    • 2020
  • With the fourth industrial revolution, digitization is accelerating in all healthcare areas. In the field of dentistry, active discussions on digital dental technologies are ongoing, with increasing interest from clinicians daily. Thus far, accuracy and efficiency have primarily been emphasized in digital dentistry, and interest in occlusion has been relatively low. This is because digital dentistry has been predominantly used to restore small numbers of teeth rather than extensive prosthetic reconstruction. However, in the future, most dental treatments will undergo a digital transformation that will require the application of digital technology to more extensive prosthetic rehabilitation, for which discussion of occlusion is essential. In extensive prosthetic reconstruction, occlusion and articulation involve determining the position of the dental arch in relation to the reference plane of the skull or the long axis of the face and the position of the transverse horizontal axis. It also includes determining an occlusal surface with a shape that allows the mandible to move in an eccentric path and masticate most efficiently without any occlusal interference. To better understand how digitization will impact dentistry, this review article summarizes and discusses occlusion and articulation using digital dental technologies. This discussion is divided into several aspects, including facial scan, virtual articulation, augmented reality, and virtual reality.

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Post traumatic malocclusion and its prosthetic treatment

  • Park, In-Phill;Heo, Seong-Joo;Koak, Jai-Young;Kim, Seong-Kyun
    • The Journal of Advanced Prosthodontics
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    • v.2 no.3
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    • pp.88-91
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    • 2010
  • Mandible fractures belong to the most common fractures encountered in maxillofacial trauma. Because mandible is such a unique structure with hinge joint and masticatory muscles attached to the body of mandible, attention must be paid to avoid displacement during treatment. Displacement during fracture reduction leads to malocclusion. Many TMJs function with complete comfort and apparent normalcy in adapted centric posture, even though they have undergone deformation caused by trauma. This clinical report describes the patient with post traumatic malocclusion and its prosthetic treatment. His fractured mandible was openly reduced in changed position, as a result his occlusion has been changed. He was treated by prosthetic method in so-called adapted centric posture.

The Study on Patterns of Prosthetic Restoration, by Age and Sex - Centering the medium and small city around Chollabuk-do - (성별과 연령에 따른 치과보철물 양상에 대한 조사연구 - 전자북도의 중소도시를 중심으로-)

  • Kim, Yun-Su;Chun, Ju-Yean
    • Journal of Technologic Dentistry
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    • v.12 no.1
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    • pp.5-14
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    • 1990
  • The purpose of this study were to investigate the patterns of prosthetic restorations according to sex and age. We had surveyed the out-patents of dental clinics it Jeon-Ju, Iri and Gun roan area. The abtained result were as follow ; 1. The patterns of prosthetic restoration in female was higher than male and 20$\sim$30 age groups was higher than others. 2. The crown was higher in prosthetic restoration. 3. The procelain appliance area was high in male and female on 20$\sim$29 age. 4. The partial denture was higher than full denture in both sex. 5. The crown appliance area was not different in both sex. 6. The 3 unit bridge was higher than other bridge in both sex. 7. The porcelain appliance area was high in male and female on upper anterior. 8. The inlay appliance area of lower posterior was higher than upper posterior. 9. The upper posterior was high in male, and the lower posterior was high in female in partial denture. 10. The full dentur was high in old age group.

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A Study on The Dental field of Present Health Insurance for custom-made Prosthetic implant by Dental technicians (건강보험 급여화 관련 치과임플란트보철물 제작실태 연구)

  • Lee, Heekyung;Cho, Mihyang
    • Journal of Technologic Dentistry
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    • v.38 no.1
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    • pp.9-22
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    • 2016
  • Purpose: The Purpose of this study are to describe the Dental field of present health insurance for custom-made prosthetic implant by dental technicians' work. Results: A total of 300 dental technicians working at dental laboratories in Korea were randomly selected and surveyed, 206(68.7%) of them were used for the statistical analysis. Conclusion: Average daily working time was 10 hours 66%. The average cumulative credit of the clinic for dental prosthesis fabrication rates was Less than 10 million won(21.8%), 10~80 million won(11.7%), more than one hundred million won(1.5%). Remake dental prosthesis was one more than the monthly average of 98.5%. Causes of remake dental prosthesis was dentist impression 83% but did not pay 62.5%. Dental technicians Implant production period was 7 days(48.5%), 10 days(35%) was commissioned by dentists production time is 5 days(46.1%), 7 days(36.5%). President of dental laboratories 3.86 points and dental technicians 3.06 points knew differently about starting of implant health insurance coverage(p<.001). They alike were in favor of insurance coverage for the implant. Dental technicians were lower by 2.36 points for work do you know whether your health insurance application of dental prostheses. Dental technicians are 2.16 points on whether confidence in the pores payment of insurance coverage dental prosthesis, dental laboratory president was lower by 1.85 points. They are very low with 1.97 points on whether confidence in the rate payment of health insurance coverage dental prosthesis(p<.01). The implant prosthesis abutment selected, the abutments designed, design of the implant upper prosthetic, the upper prosthetic fitting dental technicians participate of dental laboratory president showed higher score (p <.05). Conclusion: Hours of dental technicians were making this short period of remake dental prosthesis-related dental prosthesis. Dental clinic and a detailed representation of the dental prosthodontic fabrication request is required for communication between the laboratory in order to reduce the remake of a dental prosthesis, dental insurance coverage written dental prosthodontic fabrication request should be legislated. Implant classification standard medical practice 1-3 Step conduct a thorough costing a total of no. 73 of the correct classification standard medical practice in addition to eight times defined by the act of dental technicians should be defined.