• 제목/요약/키워드: immediate implant loading

검색결과 91건 처리시간 0.027초

치근파절로 변위된 상악 중절치의 디지털을 이용한 즉시 임플란트 식립 및 심미 수복 증례 (Digital immediate implantation and aesthetic immediate loading on maxillary incisor displaced due to root fracture: a case report)

  • 송지은;박송이;박찬;윤귀덕;임현필;박상원
    • 구강회복응용과학지
    • /
    • 제39권4호
    • /
    • pp.267-275
    • /
    • 2023
  • 디지털 자료를 이용한 진단 및 즉시 임플란트 식립, 그리고 보철 수복 방법은 전통적인 방법에 비하여 비교적 간단한 자료 채득을 통해 치료 과정을 간소화하고 정확도를 개선하며 데이터의 다양한 활용이 가능하다는 장점이 있다. 임플란트 즉시 식립 시 더 나은 심미적 결과를 얻기 위해서는 발치와의 치유 중에 임플란트 주변 연조직을 개선해야 한다. 이를 위하여 임시 보철물의 즉시 수복을 통해 출현윤곽의 형태를 적절하게 유도할 수 있으며, 향후 최종 수복시에 좋은 임상결과를 얻을 수 있어 환자 만족도가 높다. 본 증례는 상악 좌우 중절치에 외상 후 수평 치근파절이 발생함에 따라 심미성과 치조골 상태를 고려한 발치 후 임플란트 즉시 식립 및 부하를 계획하였다. 디지털 구강 스캐너를 이용한 인상 채득을 통해 외상 치아에 외력을 가하지 않으면서 보다 심미적인 보철물의 제작을 위한 디지털 진단 왁스업을 시행하였으며, 이를 토대로 이상적인 식립 위치를 결정하고 3D 프린팅 수술용 가이드를 이용한 임플란트 즉시 식립을 시행하였다. 식립 5일 후 임시 보철물을 수복하였으며, 3개월 동안 임시 보철물의 형태를 이용한 연조직 개선 및 형태 유도 과정을 거쳐 최종 지르코니아 보철물 수복하였다.

Immediate loading on mandibular edentulous patient with SFI Bar$^{(R)}$ overdenture

  • Kim, Ha-Young;Kim, Jin-Young-Ryan;Qadeer, Sarah;Jeong, Chang-Mo;Shin, Sang-Wan;Huh, Jung-Bo
    • The Journal of Advanced Prosthodontics
    • /
    • 제3권1호
    • /
    • pp.47-50
    • /
    • 2011
  • Despite the greater retention and low maintenance of bar attachment system, the longer clinical time and increased number of visits were the assignments to overcome in bar attachment system. This case report describes SFI-Bar$^{(R)}$ (Cendres et Me$\'{e}$taux, Biel/Bienne, Switzerland) to be solve those problems. A 65-year-old female, who had severely absorbed mandible, hoped to wear a stable mandibular denture without pain. As soon as two implants were placed on mandible, a tube bar was connected to two adaptors connected to each implant. The length of the tube bar was adjusted considering inter implant distance, and reconnected to the adaptors. Finally a female part was seated beneath the denture. This case report showed that a satisfactory clinical result was achieved by delivering bar overdenture immediately after implant placement without laboratory procedure.

임플란트 임시치아 결합형 브리지의 구치부 보철물에 대한 수치해석 (Numerical Analysis on Posterior Prosthesis of Implant Temporary Teeth Combination Bridge)

  • 서경호;이치우;문병철
    • 동력기계공학회지
    • /
    • 제18권5호
    • /
    • pp.60-65
    • /
    • 2014
  • This research examined an immediate loading capable of providing a masticatory function and financial affordability while satisfying every requirement of a useful immediate loading. In this research, numerical value analysis was performed on couple-type posterior teeth implants developed by making up for the problems of extant implants. As a result of examining the effects of external impacts on extant implants and their deformation, relatively lager deformations separated from a molar were found concerning molar deformation implant with the maximum deformation level being approximately 1.657mm. In this research, the improved implant showed much improvement in terms of impact analysis in its deformation dispersion status after unloading the impulsive load from a punch. As for the case of hepf, about 1.657mm occurred but the improved model showed about 0.9217mm, exhibiting 55.6% advancement.

Immediate Loading of Narrow Diameter Implants at the Mandibular Incisor Area Using Full Digital Flow: A Case Report

  • Ahn, Ji Ho;Lim, Young-Jun;Baek, Yeon-Wha;Lee, Jungwon
    • Journal of Korean Dental Science
    • /
    • 제15권1호
    • /
    • pp.92-99
    • /
    • 2022
  • This case report describes the immediate loading of narrow diameter implants in the mandibular incisor area using full-digital flow. The 3-dimensional position of the implants was planned using digital software, and the corresponding surgical template was fabricated. The implants were inserted immediately after extraction and on the same day, the interim abutment and bridge were placed. At 8 weeks after surgery, the stability of the implants was measured and a digital impression was made using a scan body. Customized titanium abutments and a cement-type full zirconia bridge were delivered. At 36 weeks' follow-up, no clinical or radiographic complications were detected, and the patient was satisfied with the results.

발치 후 즉시 임플란트 식립시 이식된 hBMP-I의 조직학적 고찰 (THE HISTOLOGIC STUDY OF THE GRAFTED hBMP-I FOR IMMEDIATE IMPLANT FIXATION)

  • 이은영;김경원;최희원;엄인웅;정호용
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제30권4호
    • /
    • pp.316-322
    • /
    • 2004
  • A low molecular weight component named bone morphogenetic protein(BMP) chemically isolated from the organic matrix of bone, induce postfetal connective tissue cells surrounding small blood vessels to differentiate into cartilage and bone. The end product of BMP is a spherical ossicle of lamella bone filled with red bone marrow for the functional loading. This is a important point that the graft material is embedded the defect site during the implant surgery. Because present knowledge of the relationship between BMP and bone regeneration arises mainly from studies of induced bone formation in heterotopic sites, it would be helpful to determine whether BMP plays any part in the process of bone healing. The BMPs have been shown to play crucial roles in normal skeletal development as well as bone healing and are able to activate transcription of genes involved in cellular migration, proliferation, and differentiation. The delivery of BMP on matrices has been efficacious in the treatment of defect bone in implant surgery. The purpose of the histologic study was to evaluate the effect of DLB(demineralized lyophilized bone) coated with purified human BMP(hBMP-I) in immediate implant surgery with bony defect to obtain the functional structure of implant asap. The ability of a graft of hBMP-I to accelerate bony defect repair provides a rationale for its use in immediate implant surgery that have large bone defect in edentulous area.

좁은 결손부위에 One-piece narrow diameter implant를 이용한 즉시보철: 증례보고 (IMMEDIATE PROVISIONALIZATION USING ONE-PIECE NARROW DIAMETER IMPLANTS FOR RESTORATION OF EDENTULOUS NARROW SPACES: CASE REPORTS)

  • 배민수;허정욱;박준섭;예선혜;안경미;손동석
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제35권4호
    • /
    • pp.276-279
    • /
    • 2009
  • The aim of this case study was to report the clinical outcome of immediate provisionalization using one-piece narrow diameter (3.0mm) implants in missing maxillary lateral or mandibular incisors. The present study included 36 patients who were treated with 62 one-piece narrow diameter implants. After implant placement, immediate provisional restorations were delivered. All implants showed favorable osseointegration and after progressive loading from 3 months to 9 months (average of 5 months), final restorations were completed without failure in all cases. A survival rate of 100 % (62 of 62) was observed up to 23 months of observation (average of 12.6 months).