• Title/Summary/Keyword: Prosthesis design

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Optimal Design of Synthetic Intervertebral Disc Prosthesis Considering Nonlinear Mechanical Behavior (비선형 거동을 고려한 척추 인공추간판 보철물의 최적설계)

  • Gwon, Sang-Yeong;Kim, Hyeong-Tae;Ha, Seong-Gyu
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.26 no.2
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    • pp.234-242
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    • 2002
  • A shape optimal design of synthetic intervertebral disc prosthesis is performed using a three-dimensional finite element method. Geometric parameters are introduced to model the cross-sectional geometry of the intervertebral disc. It is assumed that the total strain energy in the intact intervertebral disc is minimized under the normal load conditions, as often cited in other references. To calculate the stain energy density, both the nonlinear material properties and the large deformations are taken into account. The design variables of the annulus fiber angle and the area ratio of the nucleus pulposus are calculated as 31°and 30%, respectively, which complies well with the intact disc. Thus, the same optimization procedure is applied to the design of the synthetic intervertebral disc prosthesis whose material properties are different from the intact disc. For the given synthetic material properties, the values of 67°and 24% for the fiber angle and the area ratio are obtained.

Full mouth rehabilitation of patient with severe dental caries with implant fixed prosthesis fabricated with milling and 3D printing method: A case report (밀링 및 3D 프린팅 방법으로 제작된 임플란트 보철물을 이용한 심한 우식 환자의 완전 구강 회복 증례)

  • Kim, Taeyoon;Lee, Jun-Suk;Hong, Seoung-Jin;Kim, Hyeong-Seob;Kwon, Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.288-295
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    • 2019
  • Passive fit of prosthesis is an essential property of implant supported prosthesis for long term success and minimization of complications. And the property is determined mostly by fabrication procedure. There were limitations of extensive implant prosthesis because conventional casting method generate contraction error of long span prosthesis. However, Computer-aided design/Computer-aided manufacturing (CAD/CAM) technology of 3D printing and milling metal framework can overcome those limitations. This case is a full mouth rehabilitation using extensive implant fixed prosthesis. Removable interim prosthesis was made for esthetic, functional evaluation and a guide for implant insertion. After the insertion, implant fixed interim prosthesis was delivered. After additional evaluation and adjustment, final prosthesis was designed with CAD, the fabricated with CAM. Milling technique was used for anterior screw type implant superstructure and 3D printing technique was used for the anterior and posterior implant copings. Fit of the final restoration was favorable. The practitioner and patient were both esthetically and functionally satisfied with the final result.

Web viewer for sharing of prosthesis design between laboratory and clinic: Case report (웹뷰어를 이용한 기공실과 진료실 측 간의 보철물 설계 형태의 공유: 증례 보고)

  • Jang, Sung Won;Lee, Ho Jin;Kim, So-Yeun;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.276-282
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    • 2022
  • Close communication between clinicians and dental technicians is an important factor in providing successful prostheses. The exchange of opinions with laboratories has mainly been in the form of written prescriptions and a photos, but it has been reported that information transmission may be limited. Currently, as digital technology-based prosthesis fabrication is common, 3D image objects can be stored on the web and can be easily viewed through a mobile web browser. In this article, we introduce cases where the design of the prosthesis was improved by designing the prosthesis using CAD software and reviewing the prosthesis designed with the clinical side through a web viewer. Through this protocol, it was possible to improve the occlusal surface and crown contour, the opposing teeth condition, the size of the gingival embrasure, and the shape of pontic. The process of sharing, discussing, and modifying the prosthesis design with the clinician and technician through a web viewer contributes to reflecting the diversity of oral conditions and individualized needs, thereby helping to make functional and esthetic prostheses.

Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report

  • Agustin-Panadero, Ruben;Penarrocha-Oltra, David;Gomar-Vercher, Sonia;Ferreiroa, Alberto;Penarrocha-Diago, Miguel
    • The Journal of Advanced Prosthodontics
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    • v.7 no.3
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    • pp.264-270
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    • 2015
  • This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.

Design and Optimization Study of Active Trasfemoral Prosthesis leg (대퇴 절단 환자를 위한 능동대퇴의지구조 설계 및 최적화 연구)

  • Lee, K.H.;Chung, J.H.;Lee, C.-H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.41-46
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    • 2013
  • IIn this paper, active trasfemoral prosthesis leg is designed for the handicapped who lost their legs upon knee. It is important to design proper knee joint to mimic walking motion of hyman. 1 degree-of-freedom active trasfemoral prosthesis leg is designed with knee joint. Operating angle and torque have been calculated using kinematics of three linkages in prosthesis leg. Finite element analysis of major components is performed to evaluate the safety under operating condition and to reduce weights. Minimum volumes of components are obtained by optimization as satisfying safety requirements. The results show that about 35% of weight of components is reduced.

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Design and Optimization of Active Transfemoral Prosthesis System (능동형 대퇴의지 시스템의 설계 및 최적화 연구)

  • Chung, J.H.;Lee, K.H.;Lee, C.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.283-289
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    • 2014
  • This paper presents a design and optimization of the fully-active transfemoral prosthesis leg system. As it has one degree of freedom in knee joint, this prosthesis leg can imitate the human's gait. The weight of system, which makes the users more comfortable due to less tiredness, and the knee joint torque to rise stability of the system are major factors of prosthesis leg system. Thus the mechanism of prosthesis changes from 3-linkage type to geared type. The sensorized foot is also designed to effectively determine human's gait by measuring deformation of the foot during gait. Topology optimization is carried out for the sensorized foot to remove its unnecessary weight. The safety of optimized foot is verified by carrying out finite element analysis.

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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.

Optimal Design of Stem Shape for Artificial Hip Prosthesis with Unbonded Cement Mantle (시멘트 비접착 인공 고관절의 주대 형상 최적 설계)

  • Choi, Don-Ok;Yoon, Yong-San
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.932-938
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    • 2001
  • This study is concerned with the shape optimization of stem for the artificial hip prosthesis with unbonded cement mantle. The artificial hip prosthesis with unbonded cement mantle allows a stem to slip on cement mantle because of polished stem surface. Unbonded cement mantle type has several advantages compared with bonded cement mantle type, for example, small micro motion, preventing stress shielding and so on. In this study, 2-dimensional axisymmetric model was developed with considering characteristics of unbonded cement mantle. Moreover, optimal shape of stem was obtained by using feasible direction method. The objective of this optimization is maximizing supported vertical loading. The slip motion and stresses of stem, cement mantle and bone is used for constraints. The optimal shape which obtained by this study has slope of 0.15 in proximal part and maintains the width about 5mm in distal part In addition, simplified 3-dimensional analysis which applying optimal shape is carried out. The result of 3-dimensional analysis showed that optimal shape has some advantages for cement mantle stress. However, more realistic 3-dimensional analysis which including bending effect, complex geometries etc. is needed in further research.

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