• Title/Summary/Keyword: implant occlusion

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Implant supported over denture with O-ring abutment (O-ring abutment를 이용한 Implant over denture의 제작)

  • Lee, Sung-Uck;Lee, Jung-Hwan;Park, Hyo-Ryun
    • Journal of Technologic Dentistry
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    • v.26 no.1
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    • pp.209-216
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    • 2004
  • The purpose of this study is to introduce how to make implant supported over denture with Oring. Many kinds of attachments have used to dental restorations. The application of attachment has widely increased implant fixed prosthesis and implant supported over denture. In order that implant supported over denture have properly retention, generally used O-ring, magnetic, bar attachment. O-ring give us an advantage that is required more minimum vertical dimension than bar-type and easily replace with new part. When we make these prosthesis using O-ring, Bar, Ball attachment, we should following procedures. Strong occlusion force leads to fracture of over denture because part of functional mechanism as implant abutment or attachment is spaced. Clips are regularly activated. O-ring and springs are changed every year. The pattern of resorption should be carefully monitored and compensated for by relining procedures. If the over denture appears to rest on the bar or the ball attachments, relining should be performed and clips/caps should be changed.

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Analysis of Implant Prosthesis Using 2-Dimensional Finite Element Method (2차원 유한요소분석을 이용한 임플란트 보철물의 적합도 분석)

  • Kwon, Ho-Beom;Park, Chan-Je;Lee, Seok-Hyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.3
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    • pp.251-260
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    • 2006
  • Accurate fit of the implant prosthesis is important in ensuring long term success of osseointegrated implant. Inaccurate fit of the implant prosthesis may give rise to complications and mechanical failure. To evaluate fite of the implant prosthesis, the development of the methods of analyzing the degree of misfit is important in clinical practice. To analyze the degree of the misfit of implant prosthesis, modal testing was used. A 2-dimensional finite element modal testing was accomplished. Four 2-dimensional finite element models with various levels of misfit of implant prostheses were constructed. Thickness gauges were simulated to make misfit in the implant prostheses. With eigenvalue analysis, the natural frequencies of the models were found in the frequency domain representation of vibration. According to the difference of degree of misfit, natural frequencies of the models were changed.

Full mouth rehabilitation using 3D printed crowns and implant assisted removable partial denture for a crossed occlusion: a case report (3D 프린팅 금관과 임플란트 보조 국소의치를 이용한 엇갈린 교합의 전악 수복 증례)

  • Sung-Hoon Lee;Seong-Kyun Kim;Seong-Joo Heo;Jai-Young Koak;Ji-Man Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.367-378
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    • 2023
  • With the recent development of computer-aided design-computer-aided manufacturing technology and 3D printing technology, and the introduction of various digital techniques, the accuracy and efficiency of top-down definitive prosthetic restoration are increasing. In this clinical case, stable occlusion support was obtained through the placement of a total of 9 maxillary and mandibular posterior implants in patient with anterior-posterior crossed occlusion. The edentulous area of the maxillary anterior teeth, which showed a tendency of high resorption of the residual alveolar bone, was restored with a Kennedy Class IV implant assisted removable partial denture to restore soft tissue esthetics. Computed tomography guided surgery was used to place implants in the planned position, double scan technique was used to reflect the stabilized occlusion in the interim restoration stage to the definitive prostheses, and metal 3D printing was used to manufacture the coping and framework. This clinical case reports that efficient and predictable top-down full mouth rehabilitation was achieved using various digital technologies and techniques.

Finite Element Stress Analysis of Implant Prosthesis According to Friction Fit or Slip Fit of Internal Connection System between Implant and Abutment (임플랜트와 지대주 간 내측연결 시스템에서 Friction Fit와 Slip Fit에 따른 유한요소 응력분석)

  • Jang, Doo-Ik;Jeong, Seung-Mi;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.21 no.2
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    • pp.113-132
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    • 2005
  • The purpose of this study was to assess the stress-induced pattern at the supporting bone, the implant fixture, the abutment and the abutment screw according to a friction-fit joint (Astra; Model 1) or slip- fit joint (Frialit-2; Model 2) in the internal connection system under vertical and inclined loading using finite element analysis. In conclusion, in the internal connection system of the implant and the abutment connection methods, the stress-induced pattern at the supporting bone, the implant fixture, the abutment and the abutment screw according to the abutment connection form had difference among them, and the stress distribution pattern usually had a widely distributed tendency along the inner surface of the implant fixture contacting the abutment post. The magnitude of the stress distributed in the supporting bone, the implant fixture, the abutment and the abutment screw was higher in the friction-fit joint than in the slip-fit joint. But it is considered that the further study is necessary about how this difference in the magnitude of the stress have an effect on the practical clinic.

Atrophic Alveolar Ridge Augmentation using Autogenous Block Bone Graft for Implant Placement (임플란트 식립을 위해 블록형 자가골이식을 이용한 퇴축된 치조골의 재건)

  • Chee, Young-Deok;Cho, Jin-Hyoung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.2
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    • pp.161-171
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    • 2006
  • Endosseous implants have restored normal function and dental health to many patients. When implants were introduced as an effective treatment modality, their efficacy was limited by the amount of available bone. Today, various grafting procedures can surgically create bone width and volume. Implants can be placed in more ideal locations for successful prosthetic reconstruction. The use of autogenous bone grafts represents the "gold standard" for bone augmentation procedures. Either intraoral or extraoral sites may be considered for donor sites. Alveolar ridge augmentation using autogenous bone block, can be done during implant placement or staged with implant placement, after bone graft healing. In the staged technique, a better implant positioning and the use of wide diameter implants are possible. Alveolar ridge augmentation using autogenous block graft is a predictable way of treatment, for the atrophic alveolar ridge before implant placement. The cases presented in this article clinically demonstrate the efficacy of using a autogenous block graft in generating effective new bone fill for dental implant placement.

Maxillary Anterior Implant Placement with Various Bone Agumentation on Atrophic Thin Ridge : Case Reports (다양한 골증대술을 동반한 상악전치부 임플란트 식립 증례)

  • Chee, Young-Deok;Jo, I-Su
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.145-155
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    • 2007
  • The advent of osseointegration and advances in biomaterials and techniques have contributed to increased application of dental implants in the restoration of maxillary partial edentulous patients. Often, in these patients, soft and hard tissue defects result from a variety of causes, such as infection, trauma, and tooth loss. These create an anatomically less favorable foundation for ideal implant placement. Reconstruction of the atrophic maxillary alveolar bone through a variety of regenerative surgical procedures has become predictable; it may be necessary prior to implant placement or simultaneously at the time of implant surgery to provide a restoration with a good long-term prognosis. Regenerative procedures are used for horizontal and vertical ridge augmentation. Many different techniques exist for effective bone augmentation. The approach is largely dependent on the extent of the defect and specific procedures to be performed for the implant reconstruction. It is most appropriate to use an evidenced-based approach when a treatment plan is being developed for bone augmentation cases. The cases presented in this article clinically demonstrate the efficacy of using a autogenous block graft, guided bone regeneration, ridge split, immediated implant placement technique on the atrophic maxillary area.

Evaluation of Stability of Double Threaded Implant - Clinical Assessment During Osseointegration; Part II (이중나사산 임플란트의 안정성에 대한 평가 - 골유착 기간 중의 임상적 평가; PART II)

  • Heo, Jin-Ho;Kim, Si-Yeob;Lee, Ju-Youn;Jeong, Chang-Mo;Kim, Yong-Deok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.4
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    • pp.337-358
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    • 2007
  • Purpose This study was performed to evaluate the stability of dual thread implant using resonance frequency analysis in human. Materials and methods Fifty-five patients(32 males and 23 females) with a mean age of 50 years and 1 month who were treated during March, 2005 to July, 2007 in Pusan National University hospital. Totally 145 dual thread Implants were installed and initial stability was measured by Osstell $Mentor^{TM}$. After 3-6 Months, secondary stability was measured at the time of second surgery or before prosthetic treatment. Results At the time of 1st surgery, average ISQ value was $75.12{\pm}12.06$. Only 1 implant was failed during the healing period. Before prosthetic treatment, ISQ values were measured and its mean value was $80.94{\pm}6.12$. Conclusion These results suggest that the increased stability of the implant verifies the clinical relevance of double thread implant.

3D-printed titanium implant with pre-mounted dental implants for mandible reconstruction: a case report

  • Park, Jung-Hyun;Odkhuu, Michidgerel;Cho, Sura;Li, Jingwen;Park, Bo-Young;Kim, Jin-Woo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.28.1-28.4
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    • 2020
  • Background: This clinical case presented a novel method of segmental mandible reconstruction using 3D-printed titanium implant with pre-mounted dental implants that was planned to rehabilitate occlusion. Case presentation: A 53-year-old male who suffered osteoradionecrosis due to the radiation after squamous cell carcinoma resection. The 3D-printed titanium implant with pre-mounted dental implant fixtures was simulated and fabricated with selective laser melting method. The implant was successfully inserted, and the discontinuous mandible defect was rehabilitated without postoperative infection or foreign body reaction during follow-ups, until a year. Conclusions: The 3D-printed titanium implant would be the one of the suitable treatment modalities for mandible reconstruction considering all the aspect of mandibular functions.

Pharmacologic management for the patient with paresthesia after implant surgery or extraction (임프란트 수술이나 발치 후 지각이상 환자에서의 약물치료)

  • Kim, Seong-Taek;Kim, Il-Young;Gang, Hee-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.109-113
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    • 2003
  • The inferior alveolar nerve provides unilateral innervation to the dentition, labial mucosa and skin from about commissure to the mental protuberance. Injury to this nerve resulting in sensory impairment can be a distressing problem to some patients. The causes of this problem include trauma, extraction, implant surgery and any maxillofacial surgery and generally the altered sensation is temporary. The surgical procedure has been the most common treatment for this condition but it has some complications. The antidepressants and anticonvulsants have been effective to the treatment of trigeminal dysesthesia. This case report suggests that the use of antidepressants and anticonvulsants is an alternative method to treat the paresthesia after implant surgery or extraction.

A case of treatment denture and implant-assisted removable partial denture in a patient with collapsed occlusion caused by partial loss of posterior and anterior teeth (편측 구치 및 전치 상실로 인한 교합 붕괴 환자에서 치료 의치와 임플란트 보조 국소의치를 이용한 수복 증례)

  • Ahn, Hye-Bin;Lee, Keun-Woo;Lee, Yong-Sang;Yim, Sun-Young;Kim, Sung Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.110-118
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    • 2022
  • Multiple tooth loss can cause disharmonious occlusial plane, loss of vertical dimension and deflection of mandibular movement. Therefore, restoring proper vertical dimension and occlusion in the centric relation is an important treatment goal. Implant-assisted removable partial denture is a recently used clinical technique, because it increases patient satisfaction by improving retention, support, and stability of conventional denture. The objective of this article is to present a case report describing the fabrication of treatment denture and implant assisted removable partial denture using previously placed implants for a patient with partial loss of posterior support and anterior stop.