• 제목/요약/키워드: single-tooth implant

검색결과 111건 처리시간 0.02초

IMPACT OF IMMEDIATE AND NON-IMMEDIATE PROVISIONALIZATION ON THE SOFT TISSUE ESTHETICS OF FINAL RESTORATIONS ON IMMEDIATELY PLACED IMPLANTS

  • Han, Chong-Hyun;Paik, Jeong-Won;Lee, Keun-Woo;Han, Dong-Hoo;Chung, Moon-Kyu;Kim, Sun-Jai
    • 대한치과보철학회지
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    • 제46권3호
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    • pp.238-245
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    • 2008
  • STATEMENT OF PROBLEM: Interpoximal papilla could be re-established without immeidate support with a provisional resotration following an immdiate implant placement. PURPOSE: Successful esthetic outcomes were reported utilizing immediate provisionalization following immediate implant placements. The aim of this study was to evaluate the soft tissue esthetics around immediately placed single tooth implant restorations with or without immediate provisional restorations. METHODS: A total of ten patients, who had a hopeless maxillary anterior tooth, were enrolled in this study. Screw retained provisional restorations were delivered to the randomly chosen 5 patients (immediate provisionalization group) on the day of immediate implant placement and maintained for about 5 months. For the remaining five patients (non-immediate provisionalization group), healing abutments were delivered on the day of surgery, replaced with screw retained provisional restorations approximately 3 months afterwards, and the provisional restorations were maintained for about 3 months. Digital photographs were taken at the delivery of final restorations in order to assess following variables; mesial papilla, distal papilla, soft tissue level, soft tissue contour and facial soft tissue prominence. The variables were compared to those of the contralateral natural tooth and scored by prosthodontists, periodontists, orthodontists and dental students. RESULTS: The immediate provisionalization group marked significantly higher scores on the following variables; soft tissue level and facial soft tissue prominence. In evaluating each variable, there were no notable differences in opinion between four dentist groups. CONCLUSION: Immediate provisionalization can be a treatment option to achieve superior soft tissue esthetics around immediately placed single implant restorations rather than non-immediate provisionalization approaches.

임플란트와 상부구조물 사이의 micromotion에 관한 연구 (A study on the micromotion between the dental implant and superstructure)

  • 김지혜;송광엽;장태엽;박주미
    • 구강회복응용과학지
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    • 제19권1호
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    • pp.17-25
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    • 2003
  • Treatment with implants of single tooth missing cases is both functional and esthetic. Although the success rate of single-tooth implant treatments is increasing, sometimes it makes some problems. Problems with single-tooth implant treatments include soft tissue complications, abutment screw fracture, and most commonly, abutment screw loosening, and these involve the instability of the dental implant-superstructure interface. This study investigated and compared dental implant screw joint micromotion of various implant system with external connection or internal connection when tested under simulated clinical loading, Six groups (N=5) were assessed: (1) Branemark AurAdapt (Nobel Biocare, Goteborg, Sweden), (2) Branemark EsthetiCone (Nobel Biocare, Goteborg, Sweden), (3) Neoplant Conical (Neobiotec, Korea), (4) Neoplant UCLA (Neobiotec, Korea), (5) Neoplant 5.5mm Solid (Neobiotec, Korea), and (6) ITI SynOcta (Institute Straumann, Waldenburg, Switzerland). Six identical frameworks were fabricated. Abutment screws were tightened to 32-35 Ncm and occlusal screw were tightened to 15-20 Ncm with an electronic torque controller. A mechanical testing machine applied a compressive cyclic load of 20kg at 10Hz to a contact point on each implant crown. Strain gauge recorded the micromotion of the screw joint interface once a second. Data were selected at 1, 500, 5,000, 10,000, 20,000, 30,000, 40,000 and 50,000 cycle and 2-way ANOVA test was performed to assess the statistical significance. The results of this study were as follows; The micromotion of the implant-superstructure in the interface increased gradually through 50,000 cycles for all implant systems. In the case of the micromotion according to cycle increase, Neoplant Conical and Neoplant UCLA system exhibited significantly increasing micromotion at the implant-superstructure interface (p<0.05), but others not significant. In the case of the micromotion of the implant-superstructure interface at 50,000 cycle, the largest micromotion were recorded in the Branemark EsthetiCone, sequently followed by Neoplant Conical, Neoplant UCLA, Branemark AurAdapt, ITI SynOcta and Neplant Solid. Internal connection system showed smaller micromotion than external connection system. Specially, Neoplant Solid with internal connection system exhibited significantly smaller micromotion than other implant systems except ITI SynOcta with same internal connection system (p<0.05). In the case of external connection, Branemark EsthetiCone and Neoplant Conical system with abutment showed significantly larger micromotion than Branemark AurAdapt without abutment (p<0.05).

상악 전치부 단일 임플란트의 심미 보철 수복 증례 (Single implant restoration with esthetic prosthodontic treatment in maxillary anterior tooth: A case report)

  • 강현;서누리;박상원;임현필;윤귀덕;양홍서
    • 대한치과보철학회지
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    • 제56권4호
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    • pp.354-359
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    • 2018
  • 상악 전치부의 단일 임플란트 수복 치료 시, 치은 퇴축 및 골결손 문제를 가질 경우 임플란트 보철의 심미적인 결과를 얻는 것은 쉽지 않다. 장기적으로 심미적 안정성이 유지되기 위해서는 임플란트를 이상적인 위치에 식립하는 것이 중요하며 연조직의 회복 및 보철물과의 조화가 중요하다. 이러한 심미성이 더욱 요구되는 임플란트 보철물의 제작 시 이상적인 임플란트의 위치 뿐만 아니라, 주변 연조직과의 조화 역시 중요하다. 본 증례에서는 상악 전치부에서 골결손과 치은 퇴축이 진행된 47세 남자환자에서 골유도재생술 및 치은재형성술을 통해 심미 임플란트 치료를 진행하였다.

골유착성(骨癒着性) 임플란트와 치아간(齒牙間)의 보철물(補綴物) 연결(連結) 형태(形態)에 따른 주위(周圍) 골조직(骨組織)의 응력분산(應力分散)에 관한 3차원적(次元的) 광탄성(光彈成) 분석(分析) (A Three-dimensional Photoelastic Analysis of Stress Distributions Around Osseointegrated Implants and Abutment Teeth According to Bridge Connecting Type)

  • 이무건;조성암
    • 대한치과보철학회지
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    • 제32권1호
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    • pp.120-147
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    • 1994
  • 저자는 가공의치에서 임플란트와 치아간의 보철물 연결형태와 나사형 및 원통형 임플란트에서 그 형태의 차이가 주위 골조직의 응력분산에 어떤 영향을 미치는지 알아보기 위해 임플란트와 지대치를 고정성 및 반고정 성 가공의 치로 연결하고 수평면에 대해 수직 및 25도 측방하중을 가하여 주위 골조직의 응력분산 양상을 3차원적 광탄성 실험을 통해 비교 분석한 바 다음과 같은 결론을 얻었다. 1) 나사형 임플란트에서는 수직 및 측방력에 대해 경부에 응력집중이 나타났다. 2) 나사형 임플란트와 치아를 가공의치로 연결했을 경우에는 임플란트의 경부와 지대치의 치경부 및 근단부에 응력집중이 나타났으며, 고정성 가공의치로 연결했을 때에는 지대치의 치경부에 반고정성 가공의치로 연결했을 때에는 임플란트 경부에 더 큰 응력집중이 나타났다. 3) 원통형 임플란트와 치아를 가공의치로 연결했을 경우에는 임플란트와 지대치의 근단부에 응력집중이 나타났으며, 고정성 가공의치로 연결했을 때에는 지대치의 근단부에 반고정성 가공의치로 연결했을 때에는 임플란트와 지대치의 경부에 더 큰 응력집중이 나타났다. 4) 임플란트와 치아를 가공의치로 연결했을 경우에는 고정성 및 반고정성 가공의치 양쪽 모두에서 원통형 임플란트보다 나사형 임플란트에서 지대치 주위의 응력분산이 더 균등하게 나타났다. 5) 나사형 임플란트 주위의 응력분산은 임플란트 두 개를 고정성 가공의치로 연결했을 때, 가장 균등한 것으로 나타났으며, 그 다음이 치아와 고정성 가공의치로 연결했을 때, 그 다음이 치아와 반고정성 가공의치로 연결했을 때, 그리고 임플란트 단독으로 사용했을 때 가장 불리한 것으로 나타났다.TEX>$45.4{\pm}16.6m$, Panavia는 $41.3{\pm}22.9m$, 그리고 All-Bond는 $151{\pm}82m$로 나타났다. 4. 인산 아연 세멘트와 Panavia는 All-Bond에 대해 통계학적 유의성 있는 차이를 나타내었으며(p<0.05)인산 아연 세멘트와 Panavia-EX사이에는 유의성 있는 차이가 없었다(p>0.05). 비교시 All-Bond & composite resin cement 군이 Z.P.C. 군보다 높게 나타났으나 통계학적 유의성은 없었다(P>0.05).않거나 더 적게 쓰고도 농사를 지을 수 있는 영농법 및 농약을 좀 더 안전하게 살포할 수 있는 방법의 개발, 고온에서도 착용하기 좋고 보호 성능이 좋은 보호구의 개발이 시급히 요구되며, 농약살포시 환기요령과 보호구 착용방법에 대한 교육 등의 강화도 고려되어야 할 것으로 생각된다. 둘째, 농부증 증상 중 흔한 증상들은 농작업 자세 및 과도한 노동에 기인되었을 가능성이 있으므로 신체에 부담을 줄일 수 있는 농기구를 개발하고, 주기적인 휴식 및 운동을 권장해 볼 만하다. 세째, 고혈압 유소견율이 15% 전후로 높으므로 고혈압 관리사업의 강화가 요구된다.는 의료분쟁을 줄일 수 있는 방안이 마련되어야 하고, 의료보험수가의 조정도 필요할 것이다.보호차원에서 정부의 중립적 의지가 있어야 할 것으로 생각된다.의 비율이 감소하였으나 본태성고혈압, 당뇨병, 폐결핵, 협심증 둥의 비율이 증가하였다. 일반외과의 경우에는 치핵, 항문열상, 종기 등의 비율이 감소하였고, 위암, 대장암, 담낭암 등의 비율은 증가하였다.

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Masticatory function following implants replacing a second molar

  • Kim, Moon-Sun;Lee, Jae-Kwan;Chang, Beom-Seok;Um, Heung-Sik
    • Journal of Periodontal and Implant Science
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    • 제41권2호
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    • pp.79-85
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    • 2011
  • Purpose: The aim of this study was to obtain objective and standardized information on masticatory function and patient atisfaction following second molar single implant therap. Methods: Twenty adult patient, who had restored second molar single implants more than 1 month before the study, were enrolled in this stud. All patients received a chewing test using peanuts before and after insertion of the implant prosthesi, with a questionnaire and visual analogue scale (VAS) to evaluate the effect of second molar single implant therap. Results: his study obtained standardized information on the masticatory function objectively (e.g., P, R, $X_{50}$) before (Pre-insertion) and after insertion (Post-insertion) of the implant prosthesis. Masticatory performance (P) after insertion of the implant prosthesis significantly increased from $67.8{\pm}9.9$ to $84.3{\pm}8.5$% (P<0.0001). With the implant prosthesis, the P value increased by 24%. The masticatory efficiency index (R) of Post-insertion is higher than that of Pre-insertion (P<0.0001). With the implant prosthesis, the R value increased by 29%. The median particle size ($X_{50}$) of Post-insertion is lower than that of Preinsertion (P<0.0001). More than 90% of the patients were satisfied with the second molar single implant therapy from a functional point of view. Conclusions: These findings indicate that a second molar single implant can increase masticatory function.

하악 구치부에서 $Br{\aa}nemark$$TiUnite^{(R)}$ implant를 이용한 단일 치아수복의 후향적 연구 (A Retrospective study on $Br{\aa}nemark$ $TiUnite^{(R)}$ implant for mandibular posterior single tooth replacement)

  • 오경춘;채경준;정의원;김창성;조규성;최성호;김종관;채중규
    • Journal of Periodontal and Implant Science
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    • 제37권4호
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    • pp.705-718
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    • 2007
  • The purpose of this study was to evaluate 6 years cumulative survival rate (CSR, %) of mandibular posterior single tooth implants replaced with $Br{\aa}nemark$ $TiUnite^{(R)}$ implant system. The findings from this study were as followed ; 1. The 112 (111 persons) single implants that were placed in the mandibular posterior region were successful except 4 cases and showed 96.42% CSR. 2. The 55 (55 persons) single implants that were placed in the mandibular first molar region were successful except 2 cases and showed 96.36% survival rate. And, among the 57 (56 persons) single implants replacing the mandibular second molar. 2. failed showing 96.49% survival rate. There was no significant statistical difference. 3. Among the total 112 implants, 5.0mm wide diameter implants were placed in 96 cases(85.7%) showing 96.9% survival rate. 4.0mm standard diameter implants were placed in 16 cases showing 93.8% survival rate. There was no significant statistical difference. 4. Long implants above 10.0mm length were placed 103 cases(91.0%) and showed 96.1% survival rate. Short implants within 8.5mm length were placed 9 cases and showed 100% survival rate. There was no significant statistical difference. 5. 37 implants placed in type I, II bone quality were showed higher survival rate(100%) than that of 52 implants placed in type III, IV bone quality(92.3%). But, there was no significant statistical difference. In conclusion, $Br{\aa}nemark$ $TiUnite^{(R)}$ implant showed successful results when replacing manbibular single molar.

하악구치 임플란트 지지 단일수복에서 근심 캔틸레버가 임플란트 합병증에 미치는 영향 (COMPLICATIONS OF THE IMPLANT-SUPPORTED POSTERIOR MANDIBULAR SINGLE RESTORATIONS WITH MESIAL CANTILEVER)

  • 신혜승;김명래;김선종
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권4호
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    • pp.248-252
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    • 2009
  • Purpose: This retrospective study was performed to analyze the relationship between complications of the posterior mandibular single crowns and distance from the adjacent teeth to the implant. Subjects and Methods: Of the patients who presented Ewha Womans University Mokdong Hospital & Yonsei University Dental Hospital with missing of the posterior mandibular molar and restored with implant-supported 18 Single crowns between 1996 thru 2007, 115 patients had been followed after crown delivery. The subjects were divided into complication-followed group and a control without any problems. The distance from the most distal tooth to the implant were measured. The prosthetic & biologic complications were reviewed by the cantilever distance and analyzed by abutment type, age & gender statistically using SAS version 9.1 (SAS Inc., USA). Results and Conclusion The results were as follows; 1) The posterior mandibular single crown with cantilever showed higher incidence of follow-up complications upon logistic analysis (p<0.05). 2) The prosthetic and biologic complications are related with the cantilever distance with 2.1 odds ratio and 3.39 cut-off value of specificity & sensitivity by SPSS 12.0. 3) The complications are neither significant in abutment types nor age & gender.

교정적 치아 재배열을 포함한 다학제적 접근(multidisciplinary approach)을 통한 상악 전치부의 나사 유지형 임플란트 보철 수복 증례 (Cases of screw-retained implant prosthesis in the anterior maxilla through multidisciplinary approach, including orthodontic teeth alignment)

  • 김효선;이원섭;이수영
    • 대한치과보철학회지
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    • 제58권3호
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    • pp.244-250
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    • 2020
  • 상악 전치부에서 임플란트의 순구개측 식립 위치는 보철물의 심미성을 결정하는 중요한 요소이다. 그러나 상악 전치부의 얇은 순측골은 발치 후에 상당한 양이 흡수되어, 임플란트가 이상적 식립 위치보다 구개측에 식립될 수 있다. 본 상악 중절치 상실 증례들에서 다소 구개측에 식립된 임플란트의 보철 수복을 위하여 UCLA 지대주를 이용하였다. 또한 타과와 협진으로 발치 후 흡수된 치조골 외형과 치은의 형태 회복을 위하여 골유도재생술을 시행하였고, 인접전치를 재배열 하였다. 충분한 임시 보철물 수복 기간으로 치은 형태의 심미적 회복을 확인한 뒤에 최종 보철 시행하였으며, 임플란트 보철을 통한 치아 상실 부위의 기능, 심미 회복이 만족할 만한 결과를 보였다.