• Title/Summary/Keyword: Precision prosthesis

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THE THREE-DIMENSIONAL FINITE ELEMENT ANALYSIS OF THE PARTIALLY EDENTULOUS IMPLANT PROSTHESIS WITH VARYING TYPES OF NON-RIGID CONNECTION (부분 무치악 임플랜트 보철 수복시 자연치와의 비고정성 연결형태에 따른 3차원 유한요소법적 연구)

  • Lee, Seon-A;Chung, Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.1
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    • pp.101-124
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    • 1996
  • In this study, we designed the finite element models of mandible with varying their connecting types between the prosthesis on implant fixture and 2nd premolar, which were free-standing case(Mf), precision attachment case(Mp), semiprecision attachment case(Ms) and telescopic case(Mt). The basic model of the designed finite element models, which contained a canine and the 1st & 2nd premolar, was implanted in the edentulous site of the 1st & 2nd molar by two implant fixtures. We applied the load in all models by two ways. A vertical load of 200N was applied at each central fossa of 2nd premolar and 1st implant. A tilting load of 20N with inclination of $45^{\circ}$ to lingual side was applied to buccal cusp tips of each 2nd premolar and 1st implant. And then we analyzed three-dimensional finite element models, making a comparative study of principal stress and displacement in four cases respectively. Three-dimensional finite element analysis was performed for the stress distribution and the displacement using commercial software(IDEAS program) for SUN-SPARC workstation. The results were as follows : 1 Under vertical load or tilting load, maximum displacement appeared at the 2nd premolar. Semiprecision case showed the largest maximum displacement, and maximum displacement reduced in the order of precision attachment, free-standing and telescopic case. 2. Under vertical load. the pattern of displacement of the 1st implant appeared mesio-inclined because of the 2nd implant splinted together. But displacement pattern of the 2nd premolar varied according to their connection type with prosthesis. The 2nd premolar showed a little mesio-inclined vertical displacement in case of free-standing and disto-inclined vertical displacement due to attachment in case of precision and semiprecision attachment. In telescopic case, the largest mesio-inclined vertical displacement has been shown, so, the 1st premolar leaned mesial side. 3. Under tilting load, The pattern of displacement was similar in all four cases which appeared displaced to lingual side. But, the maximum displacement of 2nd premolar appeared larger than that of the first implant. Therefore, there was large discrepancy in displacement between natural tooth and implant during tilting load. 4. Under vertical load, the maximum compressive stress appeared at the 1st implant's neck. Semiprecision attachment case showed the largest maximum compressive stress, and the maximum compressive stress reduced in the order of precision attachment, telescopic and free-standing case. 5 Under vertical load, the maximum tensile stress appeared at the 2nd implant's distal neck. Semiprecision attachment case showed the largest maximum tensile stress, and the maximum tensile stress reduced in the order of precision attachment, telescopic and free-standing case. 6. Under vertical load or tilting load, principal stress appeared little between natural tooth & implant in free-standing case, but large principal stress was distributed at upper crown and distal contact site of the 2nd premolar in telescopic case. Principal stress appeared large at keyway & around keyway of distal contact site of the 2nd premolar in precision and semiprecision attachment case, appearing more broad and homogeneous in precision attachment case than in semiprecision attachment case.

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The factors caused errors in the production process of CAD/CAM prosthesis based on experience (임상가를 위한 특집 1 - CAD/CAM 보철물의 제작 과정에서 오류가 발생할 수 있는 요소들에 대한 경험적 고찰)

  • Huh, Jung-Bo;Shim, June-Sung
    • The Journal of the Korean dental association
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    • v.52 no.6
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    • pp.332-345
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    • 2014
  • In recent years, precision machining of the dental prosthesis by computer assisted system is becoming pervasive in clinical dentistry. Prosthesis fabricating system that is designed by computer software and made by computer devices is called as a CAD/CAM (Computer-Aided Design/Computer-Aided Manufacturing) system. By the use of dental CAD/CAM system, the improvement of marginal compatibility and mechanical properties in prosthesis can be obtained more effectively, an aesthetic quality by using new materials such as zirconia can be increased. Also, the restoration process can be simple and efficient, the production time can be shortened, the process of manufacture can be standardized, and the mass production is possible. What is clear is that these benefits are theoretically possible, but the dentist or dental technician must understand the CAD/CAM basic principles and limitations for obtaining the maximum advantages of CAD/CAM system. For this reason, this article will be presented about the basic principles of CAD/CAM system and the factors of error that might occur in the CAD/CAM process based on my empirical study.

An innovative prostheses design for rehabilitation of severely mutilated dentition: a case report

  • Abduo, Jaafar
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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    • pp.37-42
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    • 2011
  • Partial edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism. The main clinical findings were unopposed remaining teeth, overeruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with crown lengthening surgery and strategic implant placement. Series of provisional prostheses were applied to facilitate the transition to the final treatment.

Maxillary cement retained implant supported fixed prosthesis using the millingable Pd-Ag alloy generated by CAD/CAM system: clinical report after two years in service (상악 전부 무치악 환자에서 CAD/CAM 시스템으로 제작되는 Pd-Ag 합금을 이용한 고정성 임플란트 전악 수복 증례)

  • Lee, Jun-Sik;Han, Se-Jin;Choi, Yu-Sung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.1
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    • pp.71-80
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    • 2014
  • Full-mouth reconstruction of a patient using dental implants is a challenge if there is vertical and horizontal bone resorption. Therefore, it is should be cautious in making the fixed prostheses that restore the function and the esthetics of the gingiva and teeth. In full mouth rehabilitation, CAD/CAM system makes it possible to fabricate restorations with high precision, regardless of span of the restoration. Recently, Palladium-silver (Pd-Ag) alloy which is highly biocompatible and millingable has been developed to compensate for the shortcomings of the titanium or zirconia. This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a Pd-Ag alloy generated by CAD/CAM system on eleven osseointegrated implants. The occluding surfaces were made of Pd-Ag alloy, to decrease the risk of chipping or fracture. The prostheses were esthetically pleasing, and no clinical complications have been reported after two years.

Prosthetic arm control using muscle signal (생체 근육 신호를 이용한 보철용 팔의 제어)

  • Yoo J.M.;Kim Y.T.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.1944-1947
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    • 2005
  • In this paper, the control of a prosthetic arm using the flex sensor signal is described. The flex sensors are attached to the biceps and triceps brchii muscle. The signals are passed a differential amplifier and noise filter. And then the signals are converted to digital data by PCI 6036E ADC. From the data, position and velocity of arm joint are obtained. Also motion of the forearm - flexion and extension, the pronation and supination are abstracted from the data by proposed algorithm. A two D.O.F arm with RC servo-motor is designed for experiment. The arm length is 200 mm, weight is 4.5 N. The rotation angle of elbow joint is $120^{\circ}$. Also the rotation angle of the wrist is $180^{\circ}$. Through the experiment, we verified the possibility of the prosthetic arm control using the flex sensor signal. We will try to improve the control accuracy of the prosthetic arm continuously.

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Flexible Modules Using MEMS Technology (MEMS 기술을 이용한 Flexible Module)

  • 김용준;황은수;김용호;이태희
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.223-227
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    • 2003
  • A new flexible electronic packaging technology and its medical applications are presented. Conventional silicon chips and electronic modules can be considered as "mechanically rigid box." which does not bend due to external forces. This mechanically rigid characteristic prohibits its applications to wearable systems or bio-implantable devices. Using current MEMS (Microelectromechanical Systems) technology. a surface micromachined flexible polysilicon sensor array and flexible electrode array fer neural interface were fabricated. A chemical thinning technique has been developed to realize flexible silicon chip. To combine these techniques will result in a realization of truly flexible sensing modules. which are suitable for many medical applications.

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Stress Redistributions due to the Shape of Sliding Core and Applied Load Core in the Artificial Intervertebral Disc (인공추간판 슬라이딩 코어의 형상과 하중모드에 따른 응력 재분포)

  • Kang Bong-Su;Kim Cheol-Woong
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2006.05a
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    • pp.515-516
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    • 2006
  • The goal of total disc replacement is to restore pain-free mobility to a diseased functional spinal unit, by replacing the degenerated disc with a mobile bearing prosthesis. SB Charite III is named commercial product as the Artificial Intervertebral Disc (AID). SB Charite III consists of sliding core and endplate made by Ultra-high Molecular Weight Polyethylene (UHMWPE) and cobalt chrome alloy, respectively. To evaluate the effect of von-Mises stress in AID, and three-dimensional finite element model of AID analysis was preformed for four different loading types of sliding core. Consequently, endplate was compared with a compressive preload at 400N and flexion moment at $3{\sim}9Nm4. Therefore, this research has obtained result that von-Mises stress of sliding core in AID disc by radius curvature.

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The 3-Dimensional Finite Element Analysis of Minimum Implant Structure for Edentulous Jaw (무치악에 대한 최소 임플란트의 구조물의 3차원 유한요소 해석)

  • Jang, In-Sik
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.2
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    • pp.148-155
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    • 2008
  • The aim of the study is to interpret the distribution of occlusal force by 3-dimensional finite element analysis of ISP(Implant Supported Prosthesis) supported by minimum number of implant to restore the edentulous patients. For this study, the Astra Tech implant system is used. Geometric modeling for 6 and 4 fixture ISP group is performed with respect to the bone, implant and one piece superstructure, respectively. Implants are arbitrarily placed according to the anatomical limit of lower jaw and for the favorable distribution of occlusal force, which is applied at the end of cantilever extension of ISP with 30mm. Element type is tetrahedral for finite element model and the typical mechanical properties, Young's modulus and Poisson's ratio of each material, cortical, cancellous bone and implant material are utilized for the finite element analysis. From this study, we can see the distribution of equivalent stress equal to real situation and speculate the difference in the stress distribution in the whole model and at each implant fixture, From the analysis, the area of maximum stress is distributed on distal contact area between bone and fixture in the crestal bone. The maximum stress is 53MPa at the 0.2mm area from the bone-implant interface in the maximum side for 300N load condition for 4 fixture case, which is slightly less than the stress calculated from allowable strain. This stress has not been deduced to directly cause the loss of crestal bone around implant fixture, but the stress can be much reduced as the old peoples may have lower chewing force. Thus, clinical trial may be performed with this treatment protocol to use 4 fixtured ISP for old patients.