• Title/Summary/Keyword: fixed prosthesis

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Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report

  • Agustin-Panadero, Ruben;Penarrocha-Oltra, David;Gomar-Vercher, Sonia;Ferreiroa, Alberto;Penarrocha-Diago, Miguel
    • The Journal of Advanced Prosthodontics
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    • v.7 no.3
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    • pp.264-270
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    • 2015
  • This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.

A Study on the Dental Prosthesis status and needs of Elderly in Korea (From the 2010 Korean National Examination Health and Nutrition survey) (한국노인의 치과보철물 상태 및 필요도에 관한 연구 - 5기 1차년도(2010년) 국민건강영양조사를 이용하여 -)

  • Jung, Hyo-Kyung;Lee, Jong-Do
    • Journal of Technologic Dentistry
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    • v.34 no.3
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    • pp.315-324
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    • 2012
  • Purpose: The purpose of this study was to survey dental prosthesis and dental prosthesis needs of elderly for improving oral health status. Methods: The data collected from 'The fifth Korean national health and nutrition examination survey 2010' was analyzed in this study. Statistical analysis was done using the Statistical Package for Social Sciences version 19.0 for Windows. We determined frequencies and percentage, calculating means, and standard deviations, and determined statistical significance using cross-tabulation analysis, logistic regression analysis. Results: General characteristics showed differences in mandible fixed crown bridge needs associated with periodontal disease. General characteristics showed differences in maxillar partial and full denture with gender, age, education, perceived oral health. General characteristics showed differences in mandible partial and full denture with age, residence, education, perceived oral health. Conclusion: In order to improve oral health of the elderly, Dental prosthesis support policy and oral health policy are necessary.

3-DIMENSIONAL FINITE ELEMENT ANALYSIS ON THE INFRAOCCLUSION OF FIXED IMPLANT PROSTHESIS FOR PARTIAL EDENTULISM (부분 무치악의 고정성 임플랜트 보철의 저위교합에 관한 3차원 유한요소법적 연구)

  • Kim, In-Seob;Choi, Choong-Kug;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.3
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    • pp.632-649
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    • 1996
  • The purpose of this study was to examine, by the method of 3-dimentional finite element analysis. how infraocclusion affected the stress distribution in surrounding bone and osseointegrated prosthesis. The 3-dimentional finite element mandibular models were made, in which the first and second molars were removed and the two osseointegrated implants were placed in the first and second molar sites and implant supported fixed prostheses were constructed. Analysis of equivalent stress and displacement induced by strong occlusion or infraocclusion was performed under vertical or inclined distributed loads. The results were as follows; 1. Under vertical load of 50N or 500N, the model in which infraocclusion had not been allowed showed greater stress on implants and the supporting bone than on natural teeth. 2. In the model in which infraocclusion of $30{\mu}m$ had been allowed, implant-prosthesis on the molars had no contact with opposing teeth under vertical load of 50N, However with the same allowed infraocclusion and the model under vertical load of 500N, implant prosthesis on the second molar had contact with opposing teeth, and stress distribution occured properly on natural teeth and implants. 3. Under $45^{\circ}$ inclined load, the model in which infraocclusion had not been allowed showed greater stress on implants and the supporting bone than on natural teeth. There was greater stress in the case of $45^{\circ}$ inclined load than in the case of vertical load. 4. Under $45^{\circ}$ inclined load of 50N or 500N, the model in which infraocclusion of $30{\mu}m$, had been allowed showed no occlusal contact on the implants and occlusal contact on the natural teeth. 5. In partially edentulous cases with implant supported prosthesis, we can prevent excessive load on implants by allowing infraocclusion.

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Analysis of longevity and success rate of fixed, removable, and implant prostheses treated in Korea (국내에서 치료된 고정성, 가철성, 그리고 임플란트 보철물의 수명 및 성공률 분석)

  • Yoon, Joon-Ho;Park, Young-Bum;Oh, Nam-Sik
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.2
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    • pp.95-104
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    • 2018
  • Purpose: The purpose of this study is to analyze the factors affecting the longevity of failed prosthesis and the success rate of the prosthesis based on the data evaluated with the newly developed Korean Academy of Prosthodontics (KAP) criteria. Materials and methods: Evaluation was performed in the restored prosthesis for patients who visited the prosthodontics department of the 13 dental university hospitals and general hospitals. The status of the prosthesis was classified into four categories: Good, Fair, Bad, Worst. The success was recorded if only the category was classified in 'good'. The mean duration of failed prostheses and the success rate through Kaplan-Meier method were analyzed. Results: A total of 1,804 cases of prosthesis were evaluated: 810 cases of fixed dental prostheses (FDP), 519 cases of Removable Dental Prostheses (RDP), and 475 cases of implant prosthesis. The mean duration of failed FDP was $11.41{\pm}0.30years$ and the median was 10 years. The mean duration of failed RDP was $8.18{\pm}0.29years$ and the median was 7 years. The mean duration of failed implant prosthesis was $7.99{\pm}0.30years$ and the median was 7 years. The factors related to the failure were as follows: number of units, abutments, abutments treated with root canal, and plaque index in FDPs; treated and opposing dentition in RDPs; the number of implants, duration of use, and plaque index in implant prostheses. Conclusion: The average duration of failed prosthesis was 11.41 years for FDPs, 8.18 years for RDPs, and 7.99 years for implant prosthesis, according to the evaluation with newly developed KAP criteria.

A STRAIN GAUGE ANALYSIS OF IMPLANT-SUPPORTED CANTILEVERED FIXED PROSTHESIS UNDER DISTAL STATIC LOAD

  • Sohn, Byoung-Sup;Heo, Seong-Joo;Chang, Ik-Tae;Koak, Jai-Young;Kim, Seong-Kyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.45 no.6
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    • pp.717-723
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    • 2007
  • Statement of problem. Unreasonable distal cantilevered implant-supported prosthesis can mask functional problems of reconstruction temporarily, but it can cause serious strain and stress around its supported implant and surrounding alveolar bone. Purpose. The purpose of this study was to evaluate strain of implants supporting distal cantilevered fixed prosthesis with two different cantilevered length under distal cantilevered static load. Material and methods. A partially edentulous mandibular test model was fabricated with auto-polymerizing resin (POLYUROCK; Metalor technologies, Stuttgart, Swiss) and artificial denture teeth (Endura; Shofu inc., Kyoto, Japan). Two implants-supported 5-unit screw-retained cantilevered fixed prosthesis was made using standard methods with Type III gold alloy (Harmony C&B55; Ivoclar-vivadent, Liechtenstein, Germany) for superstructure and reinforced hard resin (Tescera; Ivoclar-vivadent, Liechtenstein, Germany) for occlusal material. Two strain gauges (KFG-1-120-C1-11L1M2R; KYOWA electronic instruments, Tokyo, Japan) were then attached to the mesial and the distal surface of each standard abutment with adhesive (M-bond 200; Tokuyama, Tokyo, Japan). Total four strain gauges were attached to test model and connected to dynamic signal conditioning strain amplifier (CTA1000; Curiotech inc., Paju, Korea). The stepped $20{\sim}100$ N in 25 N increments, cantilevered static load 8mm apart (Group I) or 16mm apart (Group II), were applied using digital push-pull gauge (Push-Pull Scale & Digital Force Gauge, Axis inc., Seoul, Korea). Each step was performed ten times and every strain signal was monitored and recorded. Results. In case of Group I, the strain values were surveyed by $80.7{\sim}353.8{\mu}m$ in Ch1, $7.5{\sim}47.9{\mu}m/m$ in Ch2, $45.7{\sim}278.6{\mu}m/m$ in Ch3 and $-212.2{\sim}718.7{\mu}m/m$ in Ch4 depending on increasing cantilevered static load. On the other hand, the strain values of Group II were surveyed by $149.9{\sim}612.8{\mu}m/m$ in Ch1, $26.0{\sim}168.5{\mu}m/m$ in Ch2, $114.3{\sim}632.3{\mu}m/m$ in Ch3, and $-323.2{\sim}-894.7{\mu}m/m$ in Ch4. Conclusion. A comparative statistical analysis using paired sample t-test about Group I Vs Group II under distal cantilevered load shows that there are statistical significant differences for all 4 channels (P<0.05).