• Title/Summary/Keyword: 고정성 보철물

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Restoration of bilateral distal extension removable partial denture using a fixed implant prosthesis in unilateral partial edentulous patient: A case report (하악 편측 소수치 잔존 환자에서 임플란트 고정성 보철물을 사용하여 양측성 후방 연장 국소의치로 수복: 증례보고)

  • Kee, Wonjin;Park, Jae-Ho;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Sang-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.176-181
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    • 2019
  • Traditional removable partial denture is a successful treatment for partial edentulous patients. When the abutment is formed with unilateral minority teeth, satisfaction with the use of removable partial denture may be lowered due to patient's discomfort and damage of the abutment. Recently, it has been reported that the unilateral posterior extension partial denture is used as a bilateral posterior extension partial denture using implant fixed prostheses as abutments. In this case, by using implant surveyed crown prostheses, bilateral posterior extension partial denture is fabricated in site that is predicted to have a poor prognosis. This resulted in improved support, maintenance, and stabilization of the removable partial denture, which were economically beneficial to patient and satisfied with use.

Maxillary implant-supported fixed prosthesis engaged by distal-extension removable partial denture for 10 years: a case report (상악의 임플란트 고정성 보철물과 후방연장 국소의치를 이용하여 수복한 10년 경과 관찰 증례)

  • Ryu, Ri;Park, Yeon-Hee;Oh, Won-suk;Lee, Jung-Jin;Park, Ju-mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.121-127
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    • 2020
  • Prosthodontic decision and management should be considered the patient's aesthetic need for anterior teeth in maxillary edentulism. This case report describes 10-year clinical outcome of a maxillary edentulous patient was rehabilitated by means of an implant-supported fixed dental prosthesis (ISFDP) for the anterior region and a distal-extension removable partial denture (RPD) for the posterior region. The ISFDP was designed to splint 4 endosseous implants as one unit and engaged by the RPD. The edentulous mandible was restored by means of an implant-supported overdenture. Over the course, no major adverse event occurred other than wear, discoloration, and breakage of resin veneers and artificial teeth.

Fixed prosthesis restoration in edentulous patient fully implanted without considering definitive prosthesis: A case report (최종 보철물에 대한 고려 없이 전악 임플란트 식립된 환자의 고정성 보철 수복 증례)

  • Chun, Young-Hoon;Pae, Ahran;Kwon, Kung-Rock;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.427-435
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    • 2017
  • The most important factor in the treatment of fully edentulous patients using implants is the shape of the definitive prosthesis. After the shape of the definitive prosthesis is determined, residual bone analysis and selection of the implant type, number and position should be followed. In this case, for restoration of an edentulous patient fully implanted (except the maxillary right lateral incisor) without considering definitive prosthesis, facial esthetics and possibility of fixed type prosthesis were evaluated using complete denture. It was determined that the fixed type prosthesis was possible. Implants that could not be used for the definitive prosthesis were excluded from the treatment plan and fixed type provisional restorations were fabricated. After four months of provisional restorations, the patient showed stable occlusion and esthetic satisfaction. Definitive prosthesis was made of zirconia using CAD/CAM (computer aided design and computer aided manufacturing). The results were satisfactory during the 3 months of follow-up period after termination of treatment.

Resin bonded fixed prosthesis for single tooth restoration: A case report (단일치 상실을 레진 접착 고정성 보철물로 수복한 증례)

  • Kim, Eunkyung;Lee, Jonghyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.3
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    • pp.325-330
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    • 2017
  • In the case of single tooth replacement, a fixed prosthesis or a dental implant is the treatment option commonly selected as first choice. However, any amount of sound tooth structure should be removed to prepare the abutment teeth for full coverage retainer. The adjacent tooth damage can be avoided placing a dental implant. However, depending on the patient's oral condition and any other circumstances, it may be impossible or delayed. In this case resin bonded fixed partial denture was selected as an alternative that can restore single tooth loss without much tooth structure removal to the young patients and the patients with gingival recession. We report these patients were satisfied with esthetic and function.

Implant restoration considering maintenance for a patient with excessive crown height space (과도한 치관높이 공간을 가진 환자에서 유지관리를 고려한 임플란트 수복증례)

  • Ma, Juri;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Vang, Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.2
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    • pp.107-112
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    • 2013
  • Complications increases when crown height space is excessive and one should be careful of choosing type of fixed prosthesis in case crown height space is over 12 mm. In this condition, tooth seems to be longer, therefore, it is needed to use gingival shade in aesthetically important area for fixed prosthesis. In this case, fixed prosthesis which has inappropriate maintenance and hygiene could hold food, plaque, calculus, thus increase incidence of inflammation and infection. Moreover, it could lead to chronic inflammation and infection and in that case surgical improvement could be necessary. In present case report, gingival inflammation and swelling developed around prosthesis after having made it considering articulation and aesthetic view in patient who had excessive crown height space. Finding out that design of prosthesis is a factor to make it hard to maintain oral hygiene, a temporary prosthesis which has enough interproximal space and proper emergence profile was fabricated. After two months of observation, significant abnormal symptoms are not found and oral reconstruction is performed using fixed prosthesis with zircornia infrastructure and porcelain build-up based on convenient self hygiene design. Through serial treatment, inappropriate soft tissue response is not observed and satisfactory result in functional aspect comes out.

Zirconia ceramic fixed dental prosthesis with all-on-4 concept implants for irradiated maxilla: A case report (방사선 조사된 상악골에서 all-on-4 임플란트에 의해 지지되는 지르코니아 고정성 보철물 수복 증례)

  • Choi, Eun-Joo;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.2
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    • pp.218-224
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    • 2017
  • The implant-supported fixed dental prosthesis in irradiated maxilla needs meticulous treatment planning due to low bone healing capacity. All-on-4 concept implantation can reduce the number of implants to be placed avoiding bone grafting procedure. Conventionally, prefabricated angled abutments for tilted implants have been used. However, in this case, it was replaced with computer-aided design and computer-aided manufacturing (CAD/CAM) abutment. This case report described all-on-4 concept implantation and fabrication of CAD/CAM zirconia fixed dental prostheses using CAD/CAM titanium abutments.

Fabrication of definitive complete-arch implant-supported fixed prosthesis in upper and lower completely edentulous patient using temporary prosthesis scan: a case report (상하악 완전 무치악 환자에서 임시 보철물 스캔을 이용한 일체형 임플란트 지지 고정성 보철물 수복 증례)

  • Seung-Mi Jeong;Hyun-Lak Son;Kang-Duck Choi;Byung-Ho Choi
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.243-252
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    • 2024
  • When fabricating definitive implant-supported fixed prostheses in upper and lower completely edentulous patients, it is crucial to get information about the vertical dimension, jaw relationship, implants, abutments and gingival contour. In this case, temporary prostheses were used to take the information. The temporary prosthesis was scanned outside of the mouth so that it increased the efficiency of scanning it. During the scan of the prosthesis, a scan zig which connected both posterior parts of the prosthesis was used to minimize the scan errors. We report this case because we obtained satisfactory functional and esthetic results by using the digital technology.

Reinforcing the retention of provisional restoration using provisional implant on maxillary anterior region: clinical case report (상악 전치부 고정성 보철물 수복 시 임시 임플란트를 이용한 임시보철물의 유지력 증가 증례보고)

  • Kim, Chang-Dae;Moon, Hong-Seok;Chung, Moon-Kyu;Lee, Jae-Hoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.3
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    • pp.221-225
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    • 2013
  • Proper management of provisional prosthesis is key to success in prosthodontics. Provisional restoration on maxillary anterior missing area frequently come across a incident of falling off especially in patients with long span pontics and oval arch shape. This is because maxillary anterior teeth are more exposed to horizontal force than the posterior teeth and additional anterior cantilever effect will negatively affect to the retention of provisional prosthesis. Beside that maxillary anterior provisional prosthesis should provide proper incisal guidance during the mandibular functional movements. However occlusal contacts on the prosthesis in maximum intercuspal position are located on opposite side of fulcrum line of prosthesis which will cause removing force against the provisional prosthesis. This case report present that provisional implant prevent pre-described harmful effect on maxillary anterior fixed provisional prosthesis and provide comfort and satisfactory result during post-extraction healing period.

Interproximal contact loss between implant-supported prostheses: a clinical report (임플란트 고정성 보철물 사이에서의 인접면 접촉상실: 증례보고)

  • Yeon-Hee Park;Kyoung-A Kim;Jung-Jin Lee;Jae-Min Seo
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.47-53
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    • 2024
  • Interproximal contact loss (ICL) is the most frequent complication in partially edentulous patients treated with implant-supported prostheses. However, in most cases, ICL occurs between the implant prosthesis and the natural tooth due to the movement of the natural tooth. There are several causes of ICL that occur between an implant prosthesis and a natural tooth. There are only a few reported cases of ICL occurring between implant prostheses, and explaining the causes of ICL between implant prostheses and natural teeth is challenging. This clinical report describes cases of ICL between implant prostheses and discusses its causes and countermeasures.