• Title/Summary/Keyword: Single-tooth

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A Retrospective clinical study of survival rate of single implant in maxillary anterior teeth (상악 전치부 단일 임플란트의 생존율에 대한 후향적 연구)

  • Im, Ji-Soon;Chae, Gyung-Joon;Jung, Ui-Won;Kim, Chang-Sung;Cho, Kyoo-Sung;Choi, Seong-Ho;Chai, Jung-Kyu;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.36 no.3
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    • pp.639-651
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    • 2006
  • This study was performed to investigate the survival rate of single implant used in maxillary anterior region during follow up periods. 231 patients whose single missing tooth in maxillary region had been replaced with 237 implant at the periodontal dept. of Yonsei University Hospital between February 1993 and December 2004. The following results are compiled from 231 patients who received single implant surgery. 1. The major cause of single tooth loss in maxillary anterior region is trauma, followed by periodontal disease and congenital missing. 2. The total survival rate of single implant placed in maxillary anterior region is 94.5%. 3. The survival rate of single implant placed in type II and type IV was 100% and in type III was 92.7%. As for the bone quantity, the survival rate in type A(100%) was most, followed by type B(97.3%) and type C, D (93.5%). 4. The survival rate of implant placement combined with advanced surgery was 94.4%. The results showed that the placement of single implant is considered as a reliable treatment option for a single missing tooth in maxillary anterior region except in certain extreme conditions especially with poor bone quality and quantity.

Long-term cumulative survival and mechanical complications of single-tooth Ankylos Implants: focus on the abutment neck fractures

  • Shim, Hye Won;Yang, Byoung-Eun
    • The Journal of Advanced Prosthodontics
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    • v.7 no.6
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    • pp.423-430
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    • 2015
  • PURPOSE. To evaluate the cumulative survival rate (CSR) and mechanical complications of single-tooth $Ankylos^{(R)}$ implants. MATERIALS AND METHODS. This was a retrospective clinical study that analyzed 450 single $Ankylos^{(R)}$ implants installed in 275 patients between December 2005 and December 2012. The main outcomes were survival results CSR and implant failure) and mechanical complications (screw loosening, fracture, and cumulative fracture rate [CFR]). The main outcomes were analyzed according to age, sex, implant length or diameter, bone graft, arch, and position. RESULTS. The 8-year CSR was 96.9%. Thirteen (2.9%) implants failed because of early osseointegration failure in 3, marginal bone loss in 6, and abutment fracture in 4. Screw loosening occurred in 10 implants (2.2%), and 10 abutment fractures occurred. All abutment fractures were located in the neck, and concurrent screw fractures were observed. The CSR and rate of screw loosening did not differ significantly according to factors. The CFR was higher in middle-aged patients (5.3% vs 0.0% in younger and older patients); for teeth in a molar position (5.8% vs 0.0% for premolar or 1.1% for anterior position); and for larger-diameter implants (4.5% for 4.5 mm and 6.7% for 5.5 mm diameter vs 0.5% for 3.5 mm diameter) (all P<.05). CONCLUSION. The $Ankylos^{(R)}$ implant is suitable for single-tooth restoration in Koreans. However, relatively frequent abutment fractures (2.2%) were observed and some fractures resulted in implant failures. Middle-aged patients, the molar position, and a large implant diameter were associated with a high incidence of abutment fracture.

Autogenous tooth transplantation for replacing a lost tooth: case reports

  • Kang, Ji-Youn;Chang, Hoon-Sang;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann;Lee, Bin-Na
    • Restorative Dentistry and Endodontics
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    • v.38 no.1
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    • pp.48-51
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    • 2013
  • The autogenous tooth transplantation is an alternative treatment replacing a missing tooth when a suitable donor tooth is available. It is also a successful treatment option to save significant amount of time and cost comparing implants or conventional prosthetics. These cases, which required single tooth extraction due to deep caries and severe periodontal disease, could have good results by transplanting non-functional but sound donor tooth to the extraction site.

Use of separate single-tooth implant restorations to replace two or more consecutive posterior teeth: a prospective cohort study for up to 1 year

  • Kwon, Min-Jung;Yeo, In-Sung;Kim, Young-Kyun;Yi, Yang-Jin;Yang, Jae-Ho
    • The Journal of Advanced Prosthodontics
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    • v.2 no.2
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    • pp.54-57
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    • 2010
  • PURPOSE. The aim of this study was to evaluate the periodontal and prosthodontic complications of multiple freestanding implants in the posterior jaws for up to 1 year of function. MATERIALS AND METHODS. Eight patients received 20 implants posterior to canines. Two or more implants were consecutively inserted to each patient. Single crowns were delivered onto the implants. Marginal bone loss, implant mobility, probing depth, and screw loosening were examined to evaluate the clinical success of such restorations for maximum 1 year of functional loading. RESULTS. All the implants performed well during the observation period. Neither periodontal nor prosthodontic complications were found except a slight porcelain chipping. While the marginal bone level was on average 0.09 mm lower around the implant after 6 months of loading, it was 0.15 mm higher after 1 year. CONCLUSION. Within the limits of this investigation, separate single-tooth implant restorations to replace consecutive missing teeth may clinically function well in the posterior jaw.

Nonlinear Dynamic Analysis of Helical Gears with Backlash by Torque Fluctuation (토크 변동에 의한 백래시를 가진 헬리컬 기어의 비선형 동적 해석)

  • Park, Chan-IL
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.20 no.7
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    • pp.677-684
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    • 2010
  • Backlashes of gears provide gears for good lubrication and for removal of the interference between teeth by the wear and manufacturing errors. The backlash is the strong nonlinear factor to gears. This study deals with nonlinear modeling of helical gears with backlash. Excitation of helical gears comes from torque variation, the tooth surface error, and the periodical change of mesh stiffness. To study the effect of torque fluctuation, equation of motion for the single degree of freedom torsional model of helical gears with the periodical change of mesh stiffness and the backlash was derived. The Newmark beta method and the Newton-Raphson method were used to obtain the nonlinear behaviors of mesh forces of helical gears. All excitation frequencies initially caused the tooth separation and single-sided impacts of the gear pair and eventually led to the normal tooth contact. However, some special excitation frequencies caused the single-sided impacts in the entire time as well as the initial time. Damping increase reduced the duration of single-sided impacts, and the backlash increase caused those in the entire time domain.

Orthodontic treatment of an ankylosed tooth; application of single tooth osteotomy and alveolar bone distraction osteogenesis (유착치의 교정치료; 골절단술과 치조골 신장술의 적용)

  • Kim, Yong-Il;Kim, Seong-Sik;Son, Woo-Sung;Park, Soo-Byung
    • The korean journal of orthodontics
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    • v.39 no.3
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    • pp.185-198
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    • 2009
  • Tooth anklylosis is defined as the adhesion state of alveolar bone to dentin or cementum. Trauma, disturbed metabolic disease, and congenital disease have been given as etiologic factors. Complications of tooth ankylosis are tipping of the neighboring teeth, space loss, and supraeruption of the opposing teeth. Particularly if dental ankylosis occurs in maxillary incisors of a growing child, the ankylosed tooth can not move vertically with subsequent disturbance in vertical growth of the alveolar process. With an appropriate treatment approach, an esthetic condition must be achieved especially in the maxillary anterior region. In this report, two cases are presented which were treated by the surgical repositioning method. One is treated by alveolar bone distraction osteogenesis which used a tooth-borne type distraction device and the other by single tooth osteotomy.

Time Serial Change of Proximal Contact Tightness Between the Implant Prothesis and Natural Tooth (임플란트 보철물과 자연치 사이의 인접접촉강도의 경시적 변화)

  • Kim, Jin-A;Oh, Sang-Ho;Kim, Hee-Jung;Min, Jeong-Bum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.3
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    • pp.233-243
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    • 2012
  • The aim of this study was to evaluate time serial change of the TPTC(Tightness of Proximal Tooth Contact) between the implant prosthesis and natural tooth at rest state. Thirty-one patients(19 males and 12 females; mean age, 48.2 years) restored with a total 31 single-implant crowns in the left maxillary for 13 single-implant and left mandibular second molars for 18 single-implant crowns, respectively were selected. The TPTC was checked directly after delivery, 1 month after delivery and 6 months after delivery of prothesis at rest state. The TPTC decreased significantly as time goes by both maxilla(p<.01) and mandible(p<.05). The TPTC between the implant prosthesis and natural tooth decreased as time goes by after fixed implant prothesis placement.

Diagnostic keys of the overcoming risk factors and achieving predictable esthetics in anterior single implant

  • Choi, Geun-Bae;Yang, Jong-Sook
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.16 no.2
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    • pp.7-18
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    • 2007
  • There is now an increased demand for harmony between the peri-implant gingiva and adjacent dentition. In the event of a pending loss of a single tooth in the aesthetic zone with healthy periodontium, expectation for optimal gingival and prosthodontic aesthetics are often very high. Unfortunately, bone resorption is common following the removal of an anterior tooth, compromising the gingival tissue levels for the eventual implant restoration. Also, improper implant placement and inadequate osseous-gingival support potentially deleterious aesthetic result. The creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentitionis formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient's own presenting anatomy rather than the clinician's ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, a considering of diagnostic keys is essential. This presentation addresses the useful diagnostic keys that affect the predictability of peri-implant gingival aesthetics and the overcoming of the risk factors in anterior single-tooth replacement; it also describes a surgical and prosthodontic technique in achieving a long term successful esthetic outcome. Proper diagnosis and understanding of the biological and periodontal variables of failing dentition and their response to surgical and prosthodontic procedures are the essence of predictability. Using a smart protocol that alters the periodontium toward less risk and more favorable assessment of the diagnostic keys before implant placement will provide the most predictable esthetic outcome. Simple diagnostic keys suggested this presentation are useful method to evaluate the overcoming of the risk factors in anterior single implant restoration.

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