• Title/Summary/Keyword: Full arch

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Implant-supported fixed prosthesis restoration of fully edentulous patient using computer-guided implant surgery and immediate loading: A case report (Computer guided implant surgery와 immediate loading을 활용한 무치악 환자의 전악 임플란트 고정성 보철물 수복 증례)

  • Hyeon-Me Sung;Kyoung-Hee Sul;Sun-Woo Kang;Jung-Han Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.131-139
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    • 2024
  • In a edentulous patient, various methods can be employed for prosthetic treatment using implants, such as implant-supported fixed prostheses, overdentures, hybrid prostheses, and implant assisted removable partial denture. In this case, in a patient with moderate to severe chronic periodontitis requiring full arch extractions, implants were strategically placed using computer-guided surgery. In the maxilla, due to inadequate bone quality and quantity leading to insufficient initial stability, delayed loading was implemented, and interim prosthesis was used during the osseointegration period. In the mandible, stable initial stability was achieved, allowing for immediate loading to reduce patient discomfort. Primary stability is considered the most crucial factor for obtaining immediate loading, so a thorough clinical and radiological evaluation of the remaining alveolar bone quantity and quality must be conducted before surgery.

Restoration of Mandibular Edentulous Patient By Dental Implant: Case Report

  • Kwon, Ji-Yung;Kim, Yung-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.360-365
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    • 2000
  • The completely edentulous patient has few treatment options in conventional dentistry. When implants are considered, treatment plans range from a 2-implant overdenture to a completely implant-supported prosthesis. Fixed prosthesis is often the preferred selection of the edentulous patient. fixed full-arch cert amo-metal restorations can be a predictable implant treatment modality for the edentulous patient. Implant-supported fixed prosthesis has several advantages: predictability, fixedness, retrievability, improved function, lower maintenance of prosthesis, long-term published success. Edentulous patients with a severely resorbed mandible often experience problems with their dentures. Treatment concepts involving two to four implants for the support of an overdenture have been proposed. There seems to be no need to insert more than two endosteal implants to support an overdenture, however, long-term prospective studies are needed to support this notion. Using short endosseous implants and an overdenture in the extremely resorbed mandible is a justified treatment option because of the relative simplicity and low morbidity of this treatment strategy. Implant-supported overdenture has several advantages: Cost, retrievability, hygiene access, profile and contour control, increased retention and stability, implant installed in a predicted region(ant. mandible).

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DIMENSIONAL STABILITY AND WETTABILITY OF RUBBER IMPRESSION MATERIALS (고무 인상재의 크기 안정성 및 친수성에 관한 연구)

  • Kang Choong-Hee;Vang Mong-Sook
    • The Journal of Korean Academy of Prosthodontics
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    • v.30 no.2
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    • pp.233-245
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    • 1992
  • The purpose of this study was to evaluate the demensioal stability and wettability of several rubber impression materials. Impressions were made from a metal master die machined to stimulate five full veneer crown preparations symmetrically placed in an arch form. Cast from impressions were measured about ; 1) intrapreparation distance 2) lower base diameter 3) length. For comparing materials were formed against a smooth surface. The advancing contact angle of a saturated aqueous solution of $CaSO_4$ on the impression materials was measured after 1 minute. Mean contact angle were calculated and results were analyzed. Results were as follows : 1. As the intrapreparation distance, hydrophilic addition-cured silicone had the smallest change and condensation-cured silicone had the largest one. 2. As the lower base diameter, traditional addition-cured silicone had the smallest change and polyether had the largest one. 3. As the height, traditional addition-cured silicone had the smallest change and polyether had the largest one. 4. As the contact angle, polyether had the smallest change and condensation-cured silicone had the largest one.

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Relationship of TMJ sound and mandibular positions recorded by a newly developed intra oral tracer (새로 개발된 구내묘기장치에 의해 채득된 하악위와 측두하악관절잡음과의 관계)

  • Yu, Kang-Suk;Choi, Min-Ho;Kim, Chang-Hyun;Park, Young-Rok;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.97-104
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    • 2003
  • It is clinically important to determine the physiologic mandibular position as the therapeutic position of the patients who needs the oral rehabilitation and occlusal treatment. Several methods have been employed for the recording the mandibular position. The gothic arch tracer is one of methods to record the mandibular position. The purpose of this study is to record the border position, chewing position, and myocentric position using the newly developed intra oral tracer in 10 subjects with TMJ clicking sound and 10 subjects without TMJ clinking sound.. This study showed that newly developed intra oral tracer allowed clinician the determination of the treatment position on the same horizontal plate which can be used in the full mouth rehabilitation and occlusal treatments. There was no statistically significant difference between clicking group and nonclicking group in the distance of border position-chewing position and the distance of border position-myocentric centric position.

THE MANAGEMENT OF A COMPLEX IMPLANT CASE USING CAD-CAM TECHNOLOGY: A CLINICAL REPORT

  • Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.6
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    • pp.634-638
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    • 2008
  • PURPOSE: The application of computer-aided technology to implant dentistry has created new opportunities for treatment planning, surgery and prosthodontic treatment, but the correct selection and combination of available methods may be challenging in times. Hence, the purpose of this case report is to present a combination of several computer-aided tools as approaches to manage complicated implant case. MATERIAL AND METHODS: A 47 year-old female patient with severe dental anxiety, high expectations, financial restrictions and poor compliance presented for a fixed rehabilitation. A CT scan with a radiographic template obtained with software (SimPlant, Materialize, Leuven, Belgium) was used for treatment planning. The surgical plan was created and converted into a stereolithographic model of the maxilla with bone-supported surgical templates (SurgiGuide, Materialise, Leuven, Belgium), that allowed for the precise placement of 7 implants in a severely resorbed edentulous maxilla. After successful osseointegration, an accurate scan model served as the basis for the fabrication of a one-piece milled titanium framework using the Procera (Nobel Biocare, Gothenburg, Sweden) technology. The final rehabilitation of the edentulous maxilla was rendered in the form of a screw-retained maxillary metal-reinforced resin-based complete prosthesis. RESULTS: Despite challenging circumstances, 7 implants could be placed without bone augmentation in a severely resorbed maxilla using the SimPlant software for pre-implant analysis and the SurgiGuide-system as the surgical template. The patient was successfully restored with a fixed full arch restoration, utilizing the Procera system for the fabrication of a milled titanium framework.

Analysis of force system developed by continuous straight archwire (Continuous straight archwire에 의하여 발생하는 force system의 분석)

  • Choy, Kwanchul;Sohn, Hwa Byung
    • The korean journal of orthodontics
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    • v.26 no.3
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    • pp.281-290
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    • 1996
  • Determination of force system and prediction of side effects from unbent straight wire engaged in edgewise bracket is clinically very difficult because it is statically indeterminate system. This study is to develop a linear beam theory that explains the force system for straight wire engaged in edgewise bracket regardless of geometry(a/b), material, cross section of wire, and interbracket distance. 1. Formula for force system of bilateral fixed end beam was derived. 2. It is possible to calculate force system of each tooth engaged in continuous straight wire. 3. The possibility and location of permanent deformation can be predicted.

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Ruptured Posterior Tibialis and Flexor Digitorum Longus Tendon in Closed Ankle Fracture (폐쇄성 족관절 골절에 동반된 후경골건 및 장족지 굴건 파열)

  • Park, In-Heon;Lee, Kee-Byoung;Song, Kyung-Won;Lee, Jin-Young;Choi, Min
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.2
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    • pp.93-96
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    • 1998
  • A tibialis posterior and flexor digitorum longus tendon rupture associated with a closed bimalleolar ankle fracture occured in a 30 years old man due to traffic accident. The tendon injury was not recognized before surgery but was diagnosed at the time of operation. The treatment was open reduction and internal fixation of the ankle fracture with primary repair of the ruptured tendons. one year postoperatively, he had a nearly full range of ankle and toes motion without pain and a radiologic normal longitudinal arch. This associated tendon injury, although rare, maybe first time in reviewed similar reports, should be considered in the management of ankle fracture because the tendon rupture could easily have been overlooked.

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Study of the standardization of toothbrush and analysis of some university students using a toothbrush (일부 대학생의 사용잇솔 분석과 잇솔규격에 관한 연구)

  • Kim, Seol-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5109-5115
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    • 2014
  • The aim of this study was to develop a standard toothbrush to determine the changes the dental arch form. Toothbrushes were collected from university students Items, such as the toothbrush head size, shape of head, numbers of tuft, neck size, neck angle, and handle size, were measured. the full mouth study models from the participants were In conclusion, the size of the head of the toothbrush for adults needs to be less than the 25mm and less than 11mm in the longitudinal and transverse directions, respectively. The choice of toothbrush is important for controlling oral hygiene and professional education on the selection of the appropriate toothbrush is needed.

Successful management of absent sternum in an infant using porcine acellular dermal matrix

  • Semlacher, Roy Alfred;Nuri, Muhammand A.K.
    • Archives of Plastic Surgery
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    • v.46 no.5
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    • pp.470-474
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    • 2019
  • Congenital absent sternum is a rare birth defect that requires early intervention for optimal long-term outcomes. Descriptions of the repair of absent sternum are limited to case reports, and no preferred method for management has been described. Herein, we describe the use of porcine acellular dermal matrix to reconstruct the sternum of an infant with sternal infection following attempted repair using synthetic mesh. The patient was a full-term male with trisomy 21, agenesis of corpus callosum, ventricular septal defect, patent ductus arteriosus, right-sided aortic arch, and congenital absence of sternum with no sternal bars. Following removal of the infected synthetic mesh, negative pressure wound therapy with instillation was used to manage the open wound and provide direct antibiotic therapy. When blood C-reactive protein levels declined to ${\leq}2mg/L$, the sternum was reconstructed using porcine acellular dermal matrix. At 21 months postoperative, the patient demonstrated no respiratory issues. Physical examination and computed tomography imaging identified good approximation of the clavicular heads and sternal cleft and forward curvature of the ribs. This case illustrates the benefits of negative pressure wound therapy and acellular dermal matrix for the reconstruction of absent sternum in the context of infected sternal surgical site previously repaired with synthetic mesh.

A novel reference model for dental scanning system evaluation: analysis of five intraoral scanners

  • Karakas-Stupar, Irina;Zitzmann, Nicola Ursula;Joda, Tim
    • The Journal of Advanced Prosthodontics
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    • v.14 no.2
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    • pp.63-69
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    • 2022
  • PURPOSE. The aim of this in vitro study was to investigate the accuracy (trueness and precision) of five intraoral scanners (IOS) using a novel reference model for standardized performance evaluation. MATERIALS AND METHODS. Five IOSs (Medit i500, Omnicam, Primescan, Trios 3, Trios 4) were used to digitize the reference model, which represented a simplified full-arch situation with four abutment teeth. Each IOS was used five times by an experienced operator, resulting in 25 STL (Standard Tessellation Language) files. STL data were imported into 3D software (Final Surface®) and examined for inter- and intra-group analyses. Deviations in the parameter matching error were calculated. ANOVA F-test and Kruskal-Wallis test were applied for inter-group comparisons (α = .05); and the coefficient of variation (CV) was calculated for intra-group comparisons (in % ± SD). RESULTS. Primescan (matching error value: 0.015), Trios 3 (0.016), and Trios 4 (0.018) revealed comparable results with significantly higher accuracy compared to Medit i500 (0.035) and Omnicam (0.028) (P < .001). For intra-group comparison, Trios 4 demonstrated the most homogenous results (CV 15.8%). CONCLUSION. The novel reference model investigated in this study can be used to assess the performance of dental scanning technologies in the daily routine setting and in research settings.