• 대한치과보철학회지
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• 제60권4호
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• pp.362-373
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• 2022

완전 무치악 환자의 고정성 보철 수복 시 수술 전 적합한 치아 위치를 확인하고 잔존 치조골과 연조직의 평가를 통해 수술을 계획하여 정확한 임플란트를 식립하는 것이 필수적이다. 가이드 임플란트 수술과 CAD-CAM 기술은 보철 치료와 수술을 동시에 계획할 수 있고 치료에 대한 예지력을 확보할 수 있는 장점이 있다. 본 임상 증례에서는 이러한 디지털 기술을 활용하여 임시의치 제작, 고정성 수복 치료 전 심미성 평가 및 가이드 수술을 계획하였다. 수술 후에도 기존에 얻었던 정보들을 통해 고정성 임시 보철물을 제작하는데 유용하게 사용되었으며 최종적으로 임시 보철물을 반영하여 단일 구조 지르코니아 보철물을 제작하였고 기능적, 심미적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

• The Journal of Advanced Prosthodontics
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• 제14권6호
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• pp.346-359
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• 2022

PURPOSE. Four and six implant-supported fixed full-arch prostheses with various framework materials were assessed under different loading conditions. MATERIALS AND METHODS. In the edentulous maxilla, the implants were positioned in a configuration of four to six implant modalities. CoCr, Ti, ZrO₂, and PEEK materials were used to produce the prosthetic structure. Using finite element stress analysis, the first molar was subjected to a 200 N axial and 45° oblique force. Stresses were measured on the bone, implants, abutment screw, abutment, and prosthetic screw. The Von Mises, maximum, and minimum principal stress values were calculated and compared. RESULTS. The maximum and minimum principal stresses in bone were determined as CoCr < ZrO₂ < Ti < PEEK. The Von Mises stresses on the implant, implant screw, abutment, and prosthetic screws were determined as CoCr < ZrO₂ < Ti < PEEK. The highest Von Mises stress was 9584.4 Mpa in PEEK material on the prosthetic screw under 4 implant-oblique loading. The highest maximum principal stress value in bone was found to be 120.89 Mpa, for PEEK in 4 implant-oblique loading. CONCLUSION. For four and six implant-supported structures, and depending on the loading condition, the system accumulated different stresses. The distribution of stress was reduced in materials with a high elastic modulus. When choosing materials for implant-supported fixed prostheses, it is essential to consider both the number of implants and the mechanical and physical attributes of the framework material.

• 대한치과보철학회지
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• 제39권3호
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• pp.313-318
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• 2001

Masticatory function is more important than esthetics in posterior fixed restoration. The usual technique-mounting the casts on a semi-adjustable articulator, etc. -cannot make all patients satisfied with their restorations. For example, functionally generated path technique can be an easier and more satisfactory method in the restoration of group function. These clinical reports describe various approaches for occlusal restoration of relatively simple posterior fixed protheses according to patients occlusal patterns. The 3-unit bridge restoration is one of the most popular treatment options in prosthodontics. Because dentists have much experiences of it, they restore a missing span of one tooth mechanically, that is, without special consideration. While esthetics is important in making an anterior 3-unit fixed prostheses, mastication is more focused on in posterior 3-unit bridge restoration. Many dentists are concerned about various aspects in esthetics, such as morphology of the tooth, value, chroma, hue, translucency, surface texture, etc. But they do not usually consider various methods to restore occlusion. They treat one-tooth-missing area in a similar way in spite of patients having variety of occlusal patterns. Three cases are presented here in 3 or 4-unit bridge restoration. They show some methods to restore patients' occlusal patterns.

• 대한심미치과학회지
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• 제7권1호
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• pp.32-40
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• 1998

Alveolar ridge augmentation and preservation techniques designed to reconstruct deformed alveolar ridge now occupy a major role in esthetic dentistry. Previously, deformed alveolar ridges were filled with plastic materials(porcelain or resin) of prosthesis to restore ridge contours, which resulted in larger teeth and food impaction under the pontic base. So, prostheses of this type were unacceptable and really detectable when patients smiled. But nowadays, alveolar ridge augmentation procedures enable the dentists to provide patients with fixed prostheses that are esthetic. The development of guided tissue regeneration technique and materials also have made a major impact on extending the scope of therapeutic horizons in dentistry.

• 구강회복응용과학지
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• 제19권1호
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• pp.49-55
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• 2003

When treating the occlusion the dentist must ensure that patients do not develop an occlusal awareness or neurosis after therapy. This means that after treatment patients should not be conscious of the dentition at rest, in occlusion, or during function. Butactually this goal is not easy to reach in daily practice. The dental technician works with rigid casts and dies that do not move. The dentist must use fixed prostheses that have been made in a laboratory setting in a clinical environment that is significantly different. In this article relativey easy cast adjustment technique which can decrease the time necessary to clinically adjust the occlusion of newly fabricated fixed prostheses, and actual occlusal equilibration technique for natural and restored dentition will be discussed.

• 대한치과보철학회지
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• 제36권6호
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• pp.867-877
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• 1998

The purpose of this study was to investigate the ideal locations and dimensions of bristles for the patients who were installed with fixed prostheses and severely involved periodontitis. The models of 16 pts were analysed and the resullts were as follows: 1. There were no tooth brushes in the market, which were proper for the patients who were installed with fixed prostheses and had severely periodontally involved teeth. 2. The neck portion of the tooth brush should be narrow as possblly. 3. The size of tooth brush should be analyzed by the size of arch. 4. The width of tooth brush should be analyzed by the degree of bone recession. 5. The custom made tooth brush may be ideal, if possible.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권5호
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• pp.406-414
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• 2001

현재 악안면 보철 제작에 있어 재료로 실리콘이 제일 많이 사용되고 있으나 이 재료는 시간이 지남에 따라 점차 굳어져 가고 탄력성을 잃으며 원래의 색도 노랗게 변색되어 간다는 단점이 있다. 이러한 재료의 화학적 구성 단점 때문에 보철 생명력을 유지하기 위하여 환자들은 매 3년마다 새로운 보철물을 재 제작하여야 한다. 그렇다면 복잡했던 악안면 기공 과정을 다시 반복해야 하는 시간적, 물질적 손실을 감수해야 했다. 이러한 단점들을 보완하고 환자 피부색과 적합이 잘 되는 다양한 색의 실리콘 개발과 아울러 눈동자를 깜빡일 수 있는 인공 눈동자의 개발 등이 필요하며, 눈동자를 만드는데 사용되는 인공 수정체의 발전이 향후 악안면 보철 분야의 큰 과제라 할 수 있다.

• 대한치과보철학회지
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• 제34권1호
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• pp.70-84
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• 1996

This paper reports marginal bone loss around osseointegrated implants after loading in partially edentulous patients in dental hospital, Yonsei University. Two types of implants($Br{\aa}nemark^{TM},\;IMZ^{TM}$) were used. Through the digital measurement on periapical radiograph around 37 implants in human subjects, marginal bone loss was observed for 24 months after delivery of prostheses. The results were as follows; 1. According to experimental periods marginal bone loss in total implants was 1.775 mm at 12 months, 1.921 mm at 24 months after delivery of prostheses(p<0.05). 2. Marginal bone loss in the $Br{\aa}nemark$ implants was 1.831 mm at 12 months, 1.833 mm at 24 months after delivery of prostheses(p<0.05). 3. Marginal bone loss in the IMZ implants was 1.578 mm at 12 months, 2.907 mm at 23 months after delivery of prostheses(p<0.05). 4. During the first year after loading, the IMZ implants showed less marginal bone loss than the $Br{\aa}nemark$ implants but, during the next the $Br{\aa}nemark$ implants showed less than the IMZ implants(p>0.05). These results indicate that marginal bone loss around osseointegrated implants occurs within the first 12 months after delivery of prostheses and stabilizes thereafter, so it is necessary to be careful of using dental implants for the first year after delivery of prostheses.

• Journal of Oral Medicine and Pain
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• 제43권4호
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• pp.131-135
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• 2018

Purpose: To investigate the correlation between the amount of salivary metal ions released from fixed prostheses and the period of restoration insertion, and to evaluate the correlation between the type and amount of metal ions in saliva and oral lesions (OL). Methods: Based on the oldest prosthesis, we divided patients into two groups: more than 5 years (n=19) and less than 5 years (n=10). Patients were also divided into two groups by another criteria: the one with the presence (n=15), and the one with absence (n=14) of OL, and the amounts of metal ions were examined. Metal ions-gold (Au), copper, cobalt (Co), chromium (Cr), nickel, zinc, aluminum, palladium (Pd), tin, and platinum (Pt)-were measured using laser ablation microprobe inductively coupled plasma mass spectrometry. Results: Significantly higher quantities of Co, Pt, and Pd ions were released in patients with fixed prosthesis of more than 5 years (p<0.05). Measurement of the average amount of salivary metal ions was performed on patients with and without OL - Significantly higher amounts of Cr, Pd and Au ions were released in patients with OL (p<0.05). Conclusions: Old prostheses (${\geq}5years$) released metal ions, and among them were Co, Pt and Pd ions more than others. Patients with OL showed significantly higher levels of ion release, especially Cr, Pd and Au. There was a positive correlation between the amount of a certain kind of released metal ions, especially Pd, and the development of OL. Salivary Pd ion released from old prostheses could affect the pathogenesis of OL; therefore, long-term follow-up is important.

• The Journal of Advanced Prosthodontics
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• 제3권1호
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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.