• Title/Summary/Keyword: 치과보철물

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Burnishing effect on marginal misfit of implant-supported screw-and-cement retained prostheses: A case report (임플란트 지지 나사-시멘트 유지형 보철물에서 보철물-지대주 제거 후 변연부 연마의 효과: 증례보고)

  • Kim, Mijoo;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.239-243
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    • 2020
  • When the marginal fit of fixed dental prosthesis decreases, biological and technical complications, such as plaque accumulation, periodontal disease, hypersensitivity, components fracture, cement loss, can happen. The complications affect the long-term success and survival of prostheses. This case report describes a clinical procedure to minimize the marginal gap of implant-supported screw-and-cement retained prosthesis by removing prosthesis-abutment complex and burnishing the interface area. The marginal gap was measured before and after the burnishing using a stereomicroscope and compared. This technique improves the marginal fit, thereby contributing the longevity of the prosthesis.

The fabrication of abutment crowns for existing removable partial denture using CAD/CAM: A clinical report (CAD/CAM을 이용하여 기존 국소의치에 맞는 지대치 보철물 제작 증례)

  • Chae, Min-Jeong;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.490-494
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    • 2019
  • Abutment teeth supporting removable partial denture could be faced a number of problems including development of dental caries. If the existing removable partial denture is in clinically acceptable state and the patient does not want to replace the existing removable partial denture, then a new prosthesis for abutment teeth need to be made. The procedure of fabricating a new prosthesis of abutment teeth for existing removable partial denture is complicate and technically challenging. To fabricate the abutment crown, the original cast of patient obtained before any complication to the abutment teeth is required. The original cast should also contain teeth other than the abutment teeth as a reference point. Once the cast is prepared, CAD/CAM could be used to produce retrofitting prosthesis effortlessly and efficiently. This clinical report presents fabricating a crown to fit existing removable partial denture using CAD/CAM for a patient with post and core failure and dislodged prosthesis. The prosthesis had high stability with minimum adjustment yielding satisfying result.

A prospective clinical of lithium disilicate pressed zirconia and monolithic zirconia in posterior implant-supported prostheses: A 24-month follow-up (리튬 디실리케이트-지르코니아 이중도재관과 단일구조 지르코니아로 제작된 구치부 고정성 임플란트 지지 보철물의 전향적 임상연구: 24개월 추적관찰)

  • Roh, Kyoung-Woo;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun;Yang, Dong-Seok;Bae, Eun-Bin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.134-141
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    • 2019
  • Purpose: The purpose of this study was to compare the clinical outcomes of lithium disilicate ceramic pressed zirconia prostheses and monolithic zirconia prostheses and to investigate the complications after two years of follow-up in posterior edentulous site. Materials and methods: A total 17 patients (male: 12, female: 5) were treated with 60 posterior fixed implant-supported prostheses (LP. lithium disilicate ceramic pressed zirconia prostheses: n = 30, MZ. monolithic zirconia prostheses: n = 30). After 24-month, clinical examination of Implant survival rate, marginal bone resorption, probing depth, plaque index, bleeding index, calculus and complications were evaluated. Results: There were no failed implants and all implants were normal in function without mobility. Marginal bone resorption was lower in LP group than MZ group at 12-month (P < .05), and 12-month probing depth and calculus deposit in LP group were significantly higher than MZ group (P < .05). Most common complications in MZ were marginal bone resorptions more than 1.5.mm and 2 chipping occurred in LP group. Conclusion: Within the limitations of the present study, lithium disilicate ceramic pressed zirconia is considered as a predictable treatment option as much as monolithic zirconia in posterior fixed implant-supported prostheses.

Full-mouth rehabilitation in a patient with inclined occlusal plane and reduced vertical dimension by an attrition: A case report (마모로 인해 수직고경이 감소되고 교합평면이 기울어진 환자의 전악보철수복 증례)

  • Lee, Ha-Rim;Kim, Jae-Hoon;Jang, Eun-Sun;Lee, Gyeong-Je
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.182-188
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    • 2019
  • A proper vertical dimension and a harmonious occlusal plane are essential to satisfy a patient esthetically and functionally. A maxillomandibular occlusal vertical dimension is determined by the elevators which repeatedly contracts to a certain length, and a tooth location is determined by a maxillomandibular vertical dimension. The patient of this case came in with the incongruity of the lips and the occlusal plane. The result of clinical test showed the lack of length of the lower anterior due to the reduction of vertical dimension, the deep overbite of anterior, the excessive attrition of anterior, and the incongruity of occlusal plane. After the diagnostic wax-up, the temporary restoration was installed, and final prosthesis was installed after 6 months. As a result, the patient obtained a functionally and esthetically satisfying result.

Full-mouth rehabilitation with implant-supported fixed dental prostheses for the edentulous maxilla and partially edentulous mandible: A case report (상악 완전 무치악 및 하악 부분 무치악 환자에서 임플란트 지지형 고정성 보철물을 이용한 전악 수복 증례 보고)

  • Kim, Tae-Hyung;Oh, Kyung-Chul;Moon, Hong-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.374-381
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    • 2019
  • A conventional approach for the treatment of long-span edentulous areas is the use of removable dentures. However, placing implants in these areas results in superior functional outcomes by increasing the stability, support, and resistance of the prostheses and improving the masticatory efficiency. Treatment modalities utilizing implants can be further classified into either removable or fixed-type prostheses. Several factors such as the amount of alveolar bone resorption, inter-arch relationship, patient preferences, and socioeconomic status should be considered when determining the appropriate treatment approach. Monolithic zirconia has been considered a suitable material for implant-supported fixed dental prosthesis, because of the drastic improvement in its mechanical properties. It exhibits fewer incidences of fracture and chipping of the prostheses, and has greater bulk of material than metal-ceramic crowns and zirconia-veneered ceramics. Moreover, highly translucent monolithic zirconia is also available in the market, and its application is gradually increasing for anterior tooth rehabilitation. The present report describes a patient who underwent full-mouth rehabilitation with fixed dental prostheses (eight upper and three lower implant placements). All teeth, except bilateral mandibular canines and left mandibular first and second premolars, were extracted after the diagnosis of generalized chronic moderate-to-advanced periodontitis of the remaining teeth. The patient reported satisfactory esthetic and functional outcomes during the one-year follow-up visit.

Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition (심한 치아 마모를 보이는 환자에서 수직 고경 증가를 동반한 전악 구강 회복 증례)

  • Kim, Sung-Yong;Kim, Na-Hong;Yeom, Kyeong-Yeon
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.1
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    • pp.49-56
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    • 2019
  • Generalized severely worn dentition causes occlusal disharmony, esthetic problems, and temporomandibular joint disorders. In order to solve these problems, it is necessary to make a precise analysis of vertical dimension and treatment plans considering it. This case report demonstrates the complete mouth rehabilitation of a 58-year-old male patient with a lot of worn teeth by increasing vertical dimension. Provisional restorations were cemented and after 4 months of evaluation for patient's compliance, permanent prostheses were fabricated. With these treatments, functionally and esthetically satisfactory results were obtained.

Full mouth rehabilitation of edentulous patient with fixed implant prosthesis (고정성 임플란트 보철물을 이용한 완전 무치악 환자의 구강회복 증례)

  • Shi, Hee-Hyun;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.3
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    • pp.147-156
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    • 2021
  • There are various treatment options such as conventional complete denture, hybrid prosthesis and implant-supported fixed prosthesis for fully edentulous patients. In case of implant-supported fixed prosthesis, compared to removable prosthesis, it is difficult to place the implant in the correct position considering the anatomical contours of the final prosthesis. In this case, a full mouth rehabilitation with implant-supported fixed prosthesis was performed for a patient who required extraction of all remaining teeth due to dental caries and chronic periodontitis. In the implant placement stage, the implant was placed in the desired position using a surgical guide fabricated considering the anatomical contours of the final prosthesis, and the function and esthetics were evaluated through correction and re-fabrication of the fixed provisional restoration. A final restoration of porcelain fused to gold prosthesis was delivered to the patient based on the provisional restoration. To cope with complications such as loosening of screws and fracture of porcelain, a screw-retained type prosthesis was fabricated for the posterior part and a screw-cement-retained type prosthesis for the anterior part. As a result, the patient showed an improved prognosis in terms of functional and esthetics after the final prosthesis was delivered.