• Title/Summary/Keyword: implant choice

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Criteria for Implant Choice of Reverse Total Shoulder Arthroplasty (역행성 인공관절 전치환술 시 임플란트 선택에 대한 기준)

  • Choi, Chang-Hyuk;Kim, Jun-Young
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.377-390
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    • 2021
  • Reverse total shoulder arthroplasty (RTSA) is a surgical method that has recently been conducted in widely irrepairable rotator cuff tears with pseudoparalysis, cuff tear arthropathy, and osteoarthritis of the shoulder joint. Several topics can be described, but this review article provides an opinion on the criteria for the choice of implant in RTSA.

Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts

  • Yuan, Judy Chia-Chun;Sukotjo, Cortino
    • Journal of Periodontal and Implant Science
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    • v.43 no.2
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    • pp.51-57
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    • 2013
  • Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.

Selection of polymer material in the design optimization of a new dynamic spinal implant

  • Monede-Hocquard, Lucie;Mesnard, Michel;Ramos, Antonio;Gille, Olivier
    • Biomaterials and Biomechanics in Bioengineering
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    • v.2 no.4
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    • pp.237-248
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    • 2015
  • "Dynamic stabilization" systems have been developed in recent years to treat degenerative disorders of the spinal column. In contrast to arthrodesis (fusion), the aim here is to conserve intervertebral mobility to maximize comfort. When developing innovative concepts, many mechanical tests need to be carried out in order to validate the different technological solutions. The present study focuses on the B Dyn$^{(R)}$ "dynamic stabilization" device (S14$^{(R)}$ Implants, Pessac, France), the aim being to optimize the choice of polymer material used for one of the implant's components. The device allows mobility but also limit the range of movement. The stiffness of the ring remains a key design factor, which has to be optimized. Phase one consisted of static tests on the implant, as a result of which a polyurethane (PU) was selected, material no.2 of the five elastomers tested. In phase two, dynamic tests were carried out. The fatigue resistance of the B Dyn$^{(R)}$ system was tested over five million cycles with the properties of the polymer elements being measured using dynamic mechanical analysis (DMA) after every million cycles. This analysis demonstrated changes in stiffness and in the damping factor which guided the choice of elastomer for the B Dyn$^{(R)}$ implant.

The Stress analysis for a sectional stem shape of cement type hip implant using the finite element method (FEM을 이용한 cement type hip implant의 Stem 단면형상에 따른 응력분석)

  • Park H.S.;Lee M.K.;Chun H.J.;Choi K.W.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.651-652
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    • 2006
  • The choice of suitable hip implant is one of important factors in total hip replacement (THR). In clinical view points, improper adaptation of hip implant might cause abnormal stress distribution to the bone, which can shorten the lifespan of replaced hip implant. Currently, interest in custom-designed hip implants has increased as studies reveals the importance of geometric shape of patient's femur in modeling and designing custom hip implants. In this study, we have developed the custom-designed hip implant models with various sizes in hip implant, and the stress distribution in the bone was analyzed using Finite Elements methods. It was found that minimizing the gap between implant stem and femoral cavity is crucial to minimize stress concentration in the bone.

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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.

Implant overdenture using milled bar and attachment in partially edentulous mandible: a case report (하악 부분 무치악 환자에서 Milled Bar와 부착장치를 이용한 임플란트 피개의치 수복 증례)

  • Kim, Min-Jung;Huh, Jung-Bo;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Jo, Yong-Bum
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.71-79
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    • 2022
  • Excessive crown height space increases can cause crestal bone loss and screw loosening after prosthesis is placed. Milled bar and implant overdenture can be used as a treatment method for partially edentulous patients who have severe alveolar bone loss and excessive crown height space. Milled bar can provide primary splinting effect and stability between implants. Also, milled bar with additional retention device such as Advanced Dental Device-Treatment Of Choice (ADD-TOC) and magnet can provide additional retention force for implant overdenture. In this case, the patient has a partially edentulous mandible that has severe alveolar bone loss and multiple number of teeth loss after excision due to leiomyosarcoma. Because of the long-term loss of mandibular molars, the opposing teeth were extruded. Maxillary left molars were corrected to the occlusal plane through molar intrusion, and mandibular left molar region were treated with implant overdenture, using milled bar with ADD-TOC and magnet after implant placement. The clinical result was satisfactory on the aspect of esthetic and masticatory function.

How to optimize aesthetic outcomes in implant-based breast reconstruction

  • Nava, Maurizio Bruno;Catanuto, Giuseppe;Rocco, Nicola
    • Archives of Plastic Surgery
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    • v.45 no.1
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    • pp.4-13
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    • 2018
  • The evolution of breast reconstructive surgery keeps pace with the evolution of breast oncologic surgery. The reconstructive choice should always balance the optimal local control of disease and the best cosmetic result, reflecting an informed decision that is shared with the patient, who is always at the center of the decision-making process. Implant-based breast reconstruction following mastectomy represents a complex choice. In order to obtain optimal results, the following considerations are mandatory: thorough preoperative planning, a complete knowledge of the devices that are used, accurately performed surgery, and appropriate follow-up.

Segmental osteotomy for mobilization of dental implant

  • Olate, Sergio;Weber, Benjamin;Marin, Alvaro
    • Journal of Periodontal and Implant Science
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    • v.43 no.5
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    • pp.243-247
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    • 2013
  • Purpose: The aim of this work is to evaluate a surgical technique for mobilization of mal posed dental implant in anterior area. Methods: A 38-year-old patient consulted our unit for esthetic dissatisfaction with the implant treatment of a central incisor. An implant was observed in 11 and 21, where 11 was 3 mm above the ideal limit, with excessive vestibular angulation. The choice was made to perform a segmental osteotomy and mobilize the bone block and the implant down and forward; a bone block extracted from the mandibular ramus was installed between the implant block and the bed to stabilize the segment. Results: After 4 months, a conventional fixed prosthesis was created and the esthetic result achieved was close to what the patient wanted, with no need for further surgery. The surgical condition was stabilized and maintained for the long-time and no complications how necrosis, infection or bone defects was present. Conclusions: It was concluded that the procedure is efficient, and the biological arguments in favor of the procedure are discussed.

The Analysis of Stress and Variation of Cement Thickness as the Variation of Design Variables for Custom-Made Hip Implant (Cement Type 맞춤형 인공고관절의 설계 변수 변화에 따른 Cement 두께 변화와 이에 대한 응력 분석)

  • Park, Heung-Seok;Chun, Heoung-Jae;Youn, In-Chan;Lee, Moon-Kyu;Seo, Duck-Chan;Choi, Kui-Won
    • Journal of Biomedical Engineering Research
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    • v.27 no.6
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    • pp.402-408
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    • 2006
  • The choice of suitable hip implant is one of important factors in the total hip arthroplasty (THA). In clinical view point, an improper adaptation of hip implant might induce abnormal stress distribution to the bone, which can shorten the lifespan of replaced hip implant. Currently, interest in the custom-designed hip implants has increased as studies reveal the significance of geometric shape of patient's femur in modeling and designing the implants. In this study, we have developed custom-designed hip implant models with various sizes, and analyzed the stress distribution in the bone and bone cement using the Finite Element Method. It was found that minimizing the gap between implant stem and femoral cavity is crucial to minimize the stress concentration in the bone.

Mandibular 4 incisors implant restoration (하악 4전치 상실 시 임플란트 수복)

  • Park, Jong hyun
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.31 no.2
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    • pp.56-63
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    • 2022
  • The mandibular 4 anterior incisor restoration has small teeth and a small space, so the choice of abutment is always a concern. The mandibular 4 anterior incisor extraction is caused by periodontal disease, interdental embrasure greatly open is advantageous of oral hygiene management. Try to make it small diameter with custom abutment, it is limited to the space for the screw. Rather than setting the post site of one body implant to a horizontal cross-section, it is advantageous to set it to a longitudinal cross-section, for interdental embrasure formation. When using an internal bone level implant, rather than using a two-piece abutment, using a one-piece abutment can more effectively secure space for interdental embrasure.