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Maxillofacial rehabilitation of adenoid cystic carcinoma patient using full mouth fixed implant and pharyngeal obturator: a clinical report.

Min Hee BAN ; Hong So YANG ; Sang Won PARK ; Hyun Pil LIM ; Kwi Dug YUN ; Chan PARK ; Jin Ho SHIN

Journal of Dental Rehabilitation and Applied Science.2016;32(4):351-357. doi:10.14368/jdras.2016.32.4.351

Rehabilitation of maxillectomy patients is challenging. The maxillary defects need to functional restoration because of mastication, speech, swallowing problems. The goal of making obturator is to restore maxillary defects and give patients comfortable, esthetic prosthesis. This case report presents acquired masticatory and esthetic results and improved retention resulting from the pharyngeal obturator prosthesis using implant.
Adenoids* ; Carcinoma, Adenoid Cystic* ; Deglutition ; Humans ; Mastication ; Mouth* ; Prostheses and Implants ; Rehabilitation*

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Application of ARCUS digma I, II systems for full mouth reconstruction: a case report.

Chan PARK

Journal of Dental Rehabilitation and Applied Science.2016;32(4):345-350. doi:10.14368/jdras.2016.32.4.345

Transferring condylar and anterior guidance on an articulator is essential to the diagnosis of a patient for full mouth reconstruction. In this clinical report, ARCUS digma I system was used to measure inherent condylar guidance of a patient requiring full mouth reconstruction in preoperate treatment, and the patients was given provisional restoration based on a functional anterior guidance. Then, ARCUS digma II system was used to mount the final casting model on an articulator, and the definitive prosthesis was placed in the patient. An esthetic and functionally proper clinical result regarding inherent condylar path of the patient was observed, and results from comparison of the two systems are given in this case.
Dental Articulators ; Diagnosis ; Humans ; Mouth* ; Prostheses and Implants

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Complication and management of implant-assisted removable partial denture with distal extension: a clinical report.

Jung Yun CHOI ; Jung Jin LEE ; Kwang Yeob SONG ; Ju Mi PARK ; Kyoung A KIM ; Jae Min SEO

Journal of Dental Rehabilitation and Applied Science.2016;32(4):338-344. doi:10.14368/jdras.2016.32.4.338

Implant supported removable partial denture (ISRPD) using the implants enables favorable rehabilitation by complementing biomechanical limitations of the conventional removable partial denture (RPD). However, continuous recall check is necessary for evaluation of the mechanical and biological complications to ensure good long-term prognosis of ISRPD. This clinical report describes the complication and management in patient of Kennedy class I edentulism with ISRPD using healing abutment. The wear and fracture of healing abutment occurred at 36 months after delivery. So, healing abutment was replaced by connecting Locator® abutment for altering into the implant retained partial overdenture.
Complement System Proteins ; Denture, Overlay ; Denture, Partial, Removable* ; Humans ; Prognosis ; Rehabilitation

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Laterally positioned flap using subepithelial connective tissue graft for iatrogenic gingival recession treatment.

Sung Jo LEE

Journal of Dental Rehabilitation and Applied Science.2016;32(4):330-337. doi:10.14368/jdras.2016.32.4.330

Gingival recession could occur after orthodontic or endodontic treatment. This could influence not only functional and aesthetic problem, but also patient's treatment satisfaction. There are a lot of techniques for preventing gingival recession, but laterally positioned flap with subepithelial connective tissue graft could get definite advantages such as increase of keratinized gingival width and harmonious color match between graft tissue and surrounding tissue. Clinician should select a right patient case and diagnosis with clinical and radiography exam. In a surgical procedure, getting enough amounts of subepithelial connective tissue and flap coverage should be taken into consideration. The clinical outcomes in this case report shows laterally positioned flap with subepithelial connective tissue graft could be a treatment with predictive outcome.
Connective Tissue* ; Diagnosis ; Gingival Recession* ; Humans ; Iatrogenic Disease ; Radiography ; Surgical Flaps ; Transplantation ; Transplants*

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Implant assisted obturator in patient after maxillectomy: a case report.

Yoon Hee SEO ; Joon Seok LEE ; Young Gyun SONG

Journal of Dental Rehabilitation and Applied Science.2016;32(4):322-329. doi:10.14368/jdras.2016.32.4.322

Reconstruction of the maxillectomy with an obturator is to restore masticatory, swallowing, phonetic and esthetic problems. Stress created by lateral forces is minimized by the proper selection of an occlusal scheme, elimination of premature occlusal contacts, and wide distribution of supporting area. It should be considered that properly designed retainers reduce the stresses transmitted to the abutment while the obturator is in function. The following clinical report presents palatal obturator treatment with implant assisted removable partial denture (IARPD) design that restores normal function and esthetics in patients who experienced maxillectomy and dental implant failure.
Deglutition ; Dental Implants ; Denture, Partial, Removable ; Esthetics ; Humans ; Palatal Obturators

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Full mouth rehabilitation of severely worn dentition using posterior implants: a clinical report.

Hyun Sun KANG ; Cheol Won LEE ; Won Sup LEE ; Su Young LEE

Journal of Dental Rehabilitation and Applied Science.2016;32(3):255-262. doi:10.14368/jdras.2016.32.3.255

This clinical report focuses on the treatment of a patient with esthetic and functional impairments due to severe worn dentition. Absence of posterior support for a prolonged period require comprehensive prosthetic restoration. Accurate clinical and radiographic examinations, diagnostic wax-up, and occlusal vertical dimension evaluation were performed and the degree of patient adaptability was evaluated using an interim restoration. After 8 weeks of stabilization with interim restoration and confirmation of absence of any abnormal findings, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes were observed after 6 months of follow-up.
Dentition* ; Follow-Up Studies ; Humans ; Mouth Rehabilitation* ; Mouth* ; Prostheses and Implants ; Tooth Wear ; Vertical Dimension

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Fixed prostheses fabricated by direct metal laser sintering system: case report.

Ju Won BAEK ; Soo Yeon SHIN

Journal of Dental Rehabilitation and Applied Science.2016;32(3):246-254. doi:10.14368/jdras.2016.32.3.246

Nowadays, 3 dimentional (3D) printing, especially Direct Metal Laser Sintering (DMLS) system is used in dentistry. DMLS system has recently been introduced for fabrication metal framework for metal ceramic crowns to overcome the disadvantages of the casting method and computer aided design/computer aided manufacturing (CAD/CAM) milling system. DMLS system uses a high-temperature laser beam to selectively heat a substructure metal powder based on the CAD data with the framework design. A thin layer of the beamed area becomes fused, and the metal framework is completed by laminating these thin layers. Utilizing DMLS system to fabricate fixed prostheses is expected to achieve free-from shaping without mold and limitations from cutting tools, fabricate prostheses with complex geometry, prevent distortion and fabrication defects that inherent to conventional fabrication methods. The purpose of this case report is to demonstrate various fixed prostheses such as long span fixed prostheses, post to achieve satisfactory results in functional and esthetic aspects.
Ceramics ; Crowns ; Dentistry ; Fungi ; Hot Temperature ; Methods ; Printing, Three-Dimensional ; Prostheses and Implants*

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A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report.

Chi Won SEO ; A Reum HAN ; Jae Min SEO ; Jung Jin LEE

Journal of Dental Rehabilitation and Applied Science.2016;32(3):240-245. doi:10.14368/jdras.2016.32.3.240

Removal of excess cement is important to prevent biological complication in cementation of implant restoration with subgingival margin. It can be difficult to completely remove excess cement. Several techniques have been introduced to minimize excess cement using abutment replica. In this case report, a simple method for making abutment replica with hot melt adhesive material in dental office was described. This technique is simple and effective because it can be used for pre-fabricated or custom abutment without additional laboratory procedure. In addition, it can minimize excess cement after cementation of implant restoration.
Adhesives* ; Cementation ; Dental Offices ; Methods

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Revisiting root resection treatment in the age of dental implants.

Ji Young JOO ; Eun Young KWON ; Ju Youn LEE

Journal of Dental Rehabilitation and Applied Science.2016;32(3):232-239. doi:10.14368/jdras.2016.32.3.232

PURPOSE: In this paper, we introduce a wide clinical application of root resection therapy and additional benefits on the next prosthetic or dental implant treatment procedures in the age of dental implants. MATERIALS AND METHODS: Additional clinical benefits of root resection were monitored by clinical and radiographic evaluation. RESULTS: No complication was reported in all the cases, and the favorable results of root resection were maintained for long period. CONCLUSION: In compromised multirooted teeth, variety clinical treatment modality should be considered for enhancing the reconstruction of alveolar ridge around root resected in preparation for next implantation.
Alveolar Process ; Amputation ; Dental Implants* ; Molar ; Periodontitis ; Tooth

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Full mouth rehabilitation on the patient with severe tooth wear and tooth fracture using reestabilishment of occlusal vertical dimension.

Ho Sun LEE ; Se Jin JOO ; Soo Yoon JIN ; Dong Wan KANG ; Gyeong Je LEE

Journal of Dental Rehabilitation and Applied Science.2016;32(3):224-231. doi:10.14368/jdras.2016.32.3.224

Severe dental attrition causes pathological changes of the tooth, imbalanced occlusion, and functional and aesthetic complications and can also result in a decrease in occlusal vertical dimension that can incur temporomandibular joint and muscular complications. Before restoring the vertical dimension with full-mouth prosthetic restorations, it is important to determine the amount of vertical lifting through complete diagnosis. In this study, a 59 year-old male patient with generalized attrition and fracture of teeth was treated with full-mouth zirconia prosthetic restoration in order to recover vertical dimension and aesthetics. Through the analysis of physiologic rest position and inter-canine distance, the treatment was planned for lifting 3 mm in vertical dimension. Interim crown were fabricated after full-mouth wax up, having the patient use for 6 months. The final monolithic and bilayered zirconia restorations were completed. The patient showed satisfaction in function and aesthetics for 18 months of follow-up since delivering the final restorations.
Crowns ; Diagnosis ; Esthetics ; Follow-Up Studies ; Humans ; Lifting ; Male ; Mouth Rehabilitation* ; Mouth* ; Temporomandibular Joint ; Tooth Attrition ; Tooth Fractures* ; Tooth Wear* ; Tooth* ; Vertical Dimension*

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