• Title/Summary/Keyword: 완전 무치악

Search Result 132, Processing Time 0.022 seconds

Full mouth rehabilitation of mandibular edentulous patient using implant hybrid prosthesis (하악 무치악 환자에서 임플란트 하이브리드형 보철물을 이용한 전악 수복 증례)

  • Kim, Hyun-Suk;Kim, So-Hyun;Oh, Namsik
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.56 no.1
    • /
    • pp.25-30
    • /
    • 2018
  • In edentulous patients, the advantages of prosthodontic therapy using oral implants include both stability and comfort. Advantages suggested for this approach include the prevention of mandibular bone resorption and increased masticatory function. Implant hybrid prostheses place 4 to 6 implants between the mental foramens, and cantilevers are used to replace the posterior teeth at both ends. The 85 - year - old female patient visited our clinic with complete edentulism in the maxilla and mandible. This article reports a satisfactory clinical and esthetic outcome of full mouth rehabilitation using removable complete denture in the maxilla and implant hybrid prosthesis in the mandible.

Full mouth rehabilitation of fully edentulous patient with implant-supported fixed prosthesis preceding bone graft: A case report (전악 무치악 환자에서 골이식술을 선행한 임플란트 고정성 보철 수복 증례)

  • An, Ju-Nam;Lee, Jung-Jin;Seo, Jae-Min;Kim, Kyoung-A
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.56 no.1
    • /
    • pp.77-87
    • /
    • 2018
  • Prosthetic treatment using implants in fully edentulous patients includes implant-supported fixed prosthesis, implant hybrid prosthesis, implant retained- or supported-over-denture and implant supported fixed prosthesis has advantages such as psychological stability, pronunciation. If an implant supported fixed prosthesis is planned, the implants should be placed in consideration of pronunciation, esthetics, and oral hygiene. For this, clinical and radiological diagnosis is indispensable. When placing the prosthetic driven implant at the site determined from the diagnosis, a sufficient amount of alveolar bone and soft tissue support are required. If these requirements found to be insufficient, a wide range of bone grafting should be performed in advance. In this case, a fully edentulous patient with severe alveolar bone resorption due to periodontal disease was treated with a full mouth rehabilitation using implant-supported fixed prosthesis preceding maxillary sinus graft and alveolar bone augmentation. We report this patient were satisfied with esthetic and function.

Maxillary complete denture with posterior zirconia occlusion and mandibular implant support fixed prostheses in completely edentulous patients with orofacial dystonia (구강안면 근긴장이상을 가진 완전 무치악 환자에서 구치부 지르코니아 교합면을 갖는 상악 총의치와 하악 임플란트 지지 고정성 보철물의 수복)

  • Jong-Min Seo;Chang-Mo Jeong;So-Hyoun Lee
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.39 no.4
    • /
    • pp.237-249
    • /
    • 2023
  • Orofacial dystonia is a neuromotor disorder that causes irregular or repetitive movements of the face, lips, tongue, and jaw involuntarily, also called tic disorder. Edentulous patients with these symptoms experience functional and aesthetic problems, including difficulty using complete dentures, speech and swallowing difficulties, and orofacial pain. In this case, for a patient with orofacial dystonia who experienced complete edentulism at a relatively young age, restorative treatment was performed with a maxillary complete denture with bilateral posterior zirconia occlusal surfaces and a mandibular implant-supported fixed prosthesis, and continuous smile training was performed. The aim was to improve the aesthetics of facial muscles. As a result of the treatment, the patient was very satisfied with not only improved chewing function and aesthetics, but also regained psychological stability and was able to lead a normal daily life, so we would like to report this.

Complete denture fabricated by Jiro Abe's method for edentulous patient with severe alveolar ridge resorption: a case report (심한 치조제 흡수를 보이는 무치악 환자에서 Jiro Abe법에 의한 완전틀니 제작 증례)

  • Jun, Daejeon;Yang, Dong-Hun;Vang, Mongsook;Yang, Hongso;Park, Sangwon;Yun, Kwidug
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.52 no.4
    • /
    • pp.338-345
    • /
    • 2014
  • Fabrication of complete denture by Jiro Abe's method was introduced that enhance the retention and stability of denture by sealing around the denture border with mucous membrane to make negative pressure at the inner surface of denture base when swallowing or occlusion. In this case, taking impression and fabricating complete denture by the Jiro Abe's method for an edentulous patient with severe mandibular alveolar bone resorption allowed us to obtain clinically enhance stability of denture and improve satisfaction of patient.

Implant supported prosthetic rehabilitation of severely atrophic mandible with fixed detachable prosthesis (심하게 흡수된 하악골에서 fixed detachable prosthesis를 이용한 임플란트 지지 보철 수복증례)

  • Lee, Hak-Joo;Lim, Young-Jun;Kwon, Ho-Beom;Kim, Myung-Joo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.55 no.2
    • /
    • pp.180-186
    • /
    • 2017
  • Implant supported prostheses have improved the quality of lives of totally edentulous patients. However, there are some limitations on the number of implants related to the residual bone level or the economic concern and so on. In this situation, applying fixed detachable prosthesis with bilateral cantilevers can be considered. This clinical report describes implant supported prosthetic rehabilitation of a patient with severe bone resorption. The patient was satisfied and felt comfortable with upper complete denture and lower fixed detachable prosthesis.

Complete denture rehabilitation of edentulous patient using mandibular suction denture: a clinical report (완전 무치악 환자에서 하악 흡착 의치를 통한 총의치 수복 증례)

  • Lim, Seo-Ryeon;Seo, Yoon-Hee;Kim, Hyun-Young;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.52 no.4
    • /
    • pp.346-351
    • /
    • 2014
  • Suction dentures enhance retention and support by forming negative pressure temporarily at the internal surface of denture base at times of swallowing and chewing because the areas surrounding the denture flanges are sealed by mobile mucosa. In this case, an 81-year-old male visited for new dentures. Considering the high expectations for retention and masticatory efficiency of dentures, fabricating complete dentures with suction dentures was planned. Preliminary impression was taken without applying pressure on retromolar pad area and diagnostic cast was fabricated. Afterwards, individual tray was made and final impression was taken, at the same time, gothic arch tracing was done to acquire centric relation and vertical dimension. Then, anatomic teeth were placed on maxilla and non-anatomic teeth were placed on mandible forming lingualized occlusion. Consequently, restoring a complete edentulous patient with complete dentures using mandibular suction denture resulted in recovering satisfying retention and function.

Full mouth implant-supported fixed prosthesis restoration of an edentulous maxillary patient using computer-guided implant surgery (Computer-guided implant surgery를 활용한 상악 무치악 환자의 전악 임플란트고정성 보철물 수복 증례)

  • Min-tae Lee;Sung Yong Kim;Sun-Young Yim;Yong-Sang Lee;Keun-Woo Lee;Seong-A Kim
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.61 no.1
    • /
    • pp.63-72
    • /
    • 2023
  • When oral restoration is performed with a full mouth implant-supported fixed restoration in an edentulous patient, it is very important to determine the shape and position of the definitive prosthesis in consideration of the anatomical state and the relationship with the antagonist, and the process of placing multiple implants in the planned direction and angle is very important. In this case, implants were ideally planned based on an upper prosthesis through a computer-guided surgical procedure for an edentulous maxillary patient who visited due to discomfort in the existing denture. Through this, we would like to report this because we obtained satisfactory functional and esthetic results for both the patient and the operator with the treatment of oral restoration by manufacturing a fixed prosthesis for maxillary and full jaw implants.

A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report (상악 고정성 임플란트 보철물 실패 환자에서 임플란트 피개의치로 전환한 치료 증례)

  • Kim, Joon-Soo;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.54 no.4
    • /
    • pp.393-400
    • /
    • 2016
  • Fixed implant prosthesis and removable implant overdenture are the main treatment options for treating edentulous maxilla with implants. If clinicians select one of the treatment options without accurate diagnosis and evaluation, this may lead to unfavorable treatment result and one would not be able to guarantee successful long term prognosis. In this case, 69 year-old female presented with failed fixed implant prosthesis that was treated in private dental clinic. Since the patient did not want additional insertion of implants and considering factors such as oral hygiene maintenance, splinting effect, and esthetics, the patient was treated with removable implant bar type overdenture using pre-existing implants. The clinical results were satisfactory in the aspect of esthetics and masticatory function, oral hygiene maintenance.

Prosthetic rehabilitation using an obturator in a fully edentulous patient who had partial maxillectomy (상악골 부분 절제술을 받은 무치악 환자에서의 구강폐쇄장치 수복)

  • Chung, Yoo-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.34 no.4
    • /
    • pp.331-337
    • /
    • 2018
  • Prosthetic rehabilitation of an edentulous patient who has a maxillary defect is difficult to achieve for many clinicians. The maxillary defect causes leakage of air during pronunciation and compromises denture stability, support and retention by reducing denture-bearing area and breaking peripheral seal. In these patients, the sizes and shapes of defects are very important factors which attribute to prognosis of maxillary obturators. This case report shows the prosthetic rehabilitation of the patient who had maxillectomy on the right maxillary sinus because of squamous cell carcinoma. The patient had a stepwise treatment protocol which started with pre-operative dental examination and followed by surgical, interim and definitive obturation phase. In this case, an acceptable level of retention could be obtained due to well-defined static defects and the preserved premaxillae and the patient was satisfied with the result of the treatment in the aspect of function and esthetics.

A case of maxilla implant overdenture using Pekkton telescopic attachment with severe alveolar bone resorption (심한 치조골 소실이 있는 상악 무치악 환자에서 Pekkton telescopic attachment를 이용한 임플란트 피개의치 증례)

  • Park, Ha Eun;Lee, Won Sup;Lee, Cheol Won;Lee, Su Young
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.57 no.2
    • /
    • pp.189-194
    • /
    • 2019
  • It is necessary to set the correct occlusal plane and to distribute the occlusal force uniformly considering the state of the opposing dentition during the prosthetic of the single edentulous patient with severe alveolar bone resorption. Implant supported overdenture is superior to complete denture in terms of maintenance and stability, and limited implants are used in fully edentulous patients with high alveolar bone resorption. Telescopic attachments using a newly introduced material based on poly-aryl-ether-ketone (PAEK) have the advantages of typical telescopic copping, excellent abrasion resistance, and are lighter and more economical than conventional implant overdentures. In this case, we restored maxillary arch with a implant retained overdenture using the telescopic attachment made of Pekktonand the mandible was restored with fixed implant prosthesis. Through these procedures esthetic aspects and functional outcomes were satisfactorily achieved.