• Title/Summary/Keyword: long implant

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New Application of Endosseous Implants - Implant Mediated Drug Delivery System(IMDDS) (임상가를 위한 특집 3 - 임플란트의 새로운 응용 - 임플란트 매개 약물 전달 시스템)

  • Park, Young-Seok;Lee, Shin-Jae;Hwang, Chee Il
    • The Journal of the Korean dental association
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    • v.52 no.9
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    • pp.550-557
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    • 2014
  • The restorative treatment with dental implants in edentulous patients has been a well documented treatment modality proven in experimental studies and long-term clinical investigations. The aim of this paper is to introduce the implant mediated drug delivery system as a novel application of endosseous implants. The system is composed of hollow cylindric implants which has multiple microholes for drug delivery. For this purpose, the general outlines of drug delivery system and drug delivery route is discussed briefly. In addition, this paper deals with the results of experiments done up to now and the future perspective of the system.

Current trends in dental implants

  • Gaviria, Laura;Salcido, John Paul;Guda, Teja;Ong, Joo L.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.2
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    • pp.50-60
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    • 2014
  • Tooth loss is very a very common problem; therefore, the use of dental implants is also a common practice. Although research on dental implant designs, materials and techniques has increased in the past few years and is expected to expand in the future, there is still a lot of work involved in the use of better biomaterials, implant design, surface modification and functionalization of surfaces to improve the long-term outcomes of the treatment. This paper provides a brief history and evolution of dental implants. It also describes the types of implants that have been developed, and the parameters that are presently used in the design of dental implants. Finally, it describes the trends that are employed to improve dental implant surfaces, and current technologies used for the analysis and design of the implants.

Breast implant-associated anaplastic large cell lymphoma in an Asian patient: The first case report from Thailand

  • Thienpaitoon, Peera;Disphanurat, Wareeporn;Warnnissorn, Naree
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.478-482
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    • 2020
  • Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has received increasing interest among plastic surgeons as a long-term complication of breast augmentation. Although the prognosis is usually good, mortality is a possible outcome. Most of the cases reported in the past two decades have been from the United States, Europe, and Australia, whereas cases of BIA-ALCL in Asia remain rare. Herein, we describe the first known case of BIA-ALCL in Thailand, in which a 32-year-old woman developed BIA-ALCL 3 years after breast augmentation using textured implants. The patient underwent bilateral removal of the implants and ipsilateral total capsulectomy. This case report-the first of its kind from Thailand-should increase awareness of BIA-ALCL among plastic surgeons in Asia. The true incidence of BIA-ALCL in Asia may be underreported.

How Can We Improve Crown-Implant Ratio in Reconstructed Mandible with Fibular Free Flap?: A New Surgical Technique Using 3D RP Model and Reconstruction Titanium Plates

  • Kim, Dong-Young;Ahn, Kang-Min
    • Journal of International Society for Simulation Surgery
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    • v.4 no.1
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    • pp.13-16
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    • 2017
  • Fibular free flap reconstruction is the flap of the choice in long-span mandibular bone reconstruction. The most common disadvantage of the fibular flap is short bone height to install dental implant. Double barrel fibular flap has been tried, however, bulky flap in the oral cavity hinder its use. Titanium reconstruction plate has been used simultaneously with the free fibular flap to stabilize occlusion and to fix the fibular flap. In this study, titanium reconstruction plate was fixed in the lower border of the mandible and the fibular free flap was fixed in the superior border of the titanium plate to improve implant-crown ratio. This new technique improved the longevity of the dental prosthodontics with dental implants.

Implant Placement in Growing Adolescents : a Literature Review (성장기 소아 청소년 환자에서의 치과 임플란트 식립)

  • Shin, Hyun-Seung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.42 no.3
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    • pp.270-274
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    • 2015
  • Although there are a number of studies on the treatment planning and the prognosis of dental implants, limited studies provide the information on the implant placement on growing adolescents. The aim of this review is to discuss the use of dental implants in growing patients and the impact of skeletal and dentoalveolar growth on the long-term stability of implants. The general information regarding skeletal growth of maxilla and mandible would be briefly reviewed and the general treatment options would be discussed.

Food impaction related with trauma from occlusion (임플란트 보철물의 식편압입: 교합적 원인분석과 대처)

  • Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.52 no.8
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    • pp.491-505
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    • 2014
  • Food impaction between the implant prostheses and adjacent teeth is the most frequently observed problem. It may be caused by the migration of the adjacent teeth. This symptom may be observed at the mesial aspect of implant prostheses especially, and related with the multiple contributing factors including teeth vitality and antagonist. Idal proximal contact with optimal strength and shape should be made for preventing the food impaction. Shape of customized abutment and prosthesis should have optimal emergence profile. Long duration from the extraction to the delivery of implant prostheses, the adjacent teeth and antagonist teeth may have possibility of occlusal interferences. Remained teeth mobility can induce the food impaction regardless of interproximal contact strength. Occlusal adjustment to remove occlusal interferences can be a method for enhancing the stability of interproximal contact.

A Digitally Designed All-on-4 Restoration with Screwmentable Concept

  • Park, Koungjin;Han, Jung-Suk;Lee, Jae-Hyun
    • Journal of Korean Dental Science
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    • v.15 no.1
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    • pp.84-91
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    • 2022
  • An all-on-4 restoration allows edentulous patients to use a fixed prosthesis with a minimum number of implants. These implant-supported fixed complete dentures have traditionally been fabricated as screw-retained or cement-retained prostheses. However, it is difficult to passively fit the long-span full-arch prosthesis using the screw-retained type restoration, and predictable retrievability is not obtained with the cement-retained type. This case report describes a prosthesis fabricated using a combination of the two retention types. The screwmentable method allows the implant-supported fixed complete denture to achieve a passive fit at the connection with retrievability. In addition, a framework with an optimized size was designed by using digital dental technology.

Influence of internal connection length on screw loosening in internal connection implants (내측 연결 임플란트에서 지대주 내부길이가 나사 풀림에 미치는 영향)

  • Kim, Ji-Sun;Park, Young-Bum;Choi, Hynmin;Kim, Sungtae;Kim, Hyeon Cheol;Kim, Sun Jai;Moon, Hong-Seok;Lee, Jae-Hoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.251-257
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    • 2017
  • Purpose: The purpose of this study was to evaluate whether the internal abutment length affected screw stability in an internal connection implant. Materials and methods: Twenty long internal connection implants (Replus system, $4.7{\times}11.5mm$) were selected for this investigation. Abutments were assigned to four groups depending on the length of the internal connection (abutments with internal lengths of 1, 2, 3, and 4 mm, respectively). Each implant fixture specimen was embedded in resin medium and connected to an abutment with an abutment screw. A load of 100 N, applied at an angle of $30^{\circ}$ to the long axis of the implant, was repeated for $1.0{\times}10^6$ cycles. Reverse torque values (RTV) were recorded before and after loading, and the change in RTV was calculated. Data were analyzed with the Kruskal-Wallis test. Results: The change in RTV was not significantly different among the groups (P>.05). Screw loosening and fractures were not observed in any groups, and joint stability was maintained. Conclusion: The internal length of the abutment may not significantly affect the degree of screw loosening.

THREE DIMENSIONAL FINITE ELEMENT ANALYSIS OF $BR{\AA}NEMARK\;NOVUM^{(R)}$ IMMEDIATE IMPLANT PROSTHODONTIC PROTOCOL ($Br{\aa}nemark\;Novum^{(R)}$ 즉시 임플랜트 보철 수복 방법에 관한 삼차원 유한요소 분석적 연구)

  • Kim Woo-Young;Kim Yung-Soo;Jang Kyung-Soo;Kim Chang-Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.5
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    • pp.463-476
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    • 2001
  • Since the treatment of edentulous patients with osseointegrated implant was first introduced more than 30 years ago, implant therapy has become one of the most important dental treatment modalities today. Based on the previous experience and knowledge, $Br{\aa}nemark\;Novum^{(R)}$ protocol was introduced with the concept of simplifying surgical and prosthetic technique and reducing healing time recently. This protocol recommends the installation of three 5mm wide diameter futures in anterior mandible and the prefabricated titanium bars for superstructure fabrication. This study was designed to analyze the stress distribution at fixture and superstructure area according to changes of fixture number, diameter and superstructure materials. Four 3-dimensional finite element models were fabricated. Model 1 - 5 standard fixtures (13mm long and 3.75mm in diameter) & superstructure consisted of type IV gold alloy and resin Model 2- 3 wide diameter fixtures (13mm long and 5.0mm in diameter) & superstructure consisted of type IV gold alloy and resin Model 3-3 wide diameter fixtures (13mm long and 5.0mm in diameter) & superstructure consisted of titanium and resin Model 4-3 wide diameter fixtures (13mm long and 5.0mm in diameter) & superstructure consisted of titanium and porcelain A 150N occlusal force was applied on the 1st molar of each model in 3 directions - vertical($90^{\circ}$), horizontal($0^{\circ}$) and oblique($120^{\circ}$). After analyzing the stresses and displacements, following results were obtained. 1. There were no significant difference in stress distribution among experimental models. 2. Model 2, 3, 4 showed less amount of compressive stress than that of model 1. However, tensile stress was similar. 3. Veneer material with a high modulus of elasticity demonstrated less stress accumulation in the superstructure. Within the limites of this study, $Br{\aa}nemark\;Novum^{(R)}$ protocol demonstrated comparable biomechanical properties to conventional protocol.

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CLINICAL STUDY OF ENDOSSEOUS HYDROXYAPATITE COATED IMPLANTS (수종의 Hydroxyapatite coated 골유착성 임프란트의 임상적 연구)

  • Han, Chong-Hyun;Kim, Sung-Hyun;Chul, Jong-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.5
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    • pp.631-639
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    • 2000
  • Root-form endosseous implants which are in use today have a variety of materials, designs and surface characteristics. Among them, pure titanium surface implants and titanium matrix coated with HA are popular as well as are available in many studies. Rate of clinical success is obviously lower in jaw with cancellous bone than dense bone. In order to increase the rate of success in poor bone quality. More advanced techniques of implant surgery and surface treatment of implant fixture body have been developed. As a successful result, the installation of HA coated implant in bone quality type III or IV became highly successful. Since most clinical studies were performed without knowing the characteristics of HA coated implants, it has been impossible to come up with proper clinical data. Therefore the characterization of HA coated implants is essential to understand long term clinical performance and the predictability of HA coated implant system Our results showed that HA coated implants had the success rate at 93.7% in bone quality type III, IV for 3.8 years, and the fixture of Steri-Oss showed more stability with time.

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