Implant overdenture impressions using a dynamic impression concept
Identifieur interne : 000173 ( Pmc/Corpus ); précédent : 000172; suivant : 000174Implant overdenture impressions using a dynamic impression concept
Auteurs : Byung-Kil Lee ; Sang-Hun Park ; Cheong-Hee Lee ; Jin-Hyun ChoSource :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2014.
Abstract
A dynamic impression is a functional impression that records the functional movement of the patient's own muscle and muscle attachment. This process reduces the number of random factors. This article describes a method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing. The individual tray is used to make a wash-impression to record the features of the mucosa in detail. The main advantage of this technique is that it provides a functional relationship of the implant components to the supporting tissues without overextension because provisional denture had been used for 2 months and the border length of individual tray was nearly the same as that of provisional denture. The delivery of the prosthesis constructed using this impression technique is time-saving because there is no need for border molding and there are fewer post-insertion appliance adjustments.
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DOI: 10.4047/jap.2014.6.1.66
PubMed: 24605209
PubMed Central: 3942530
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implant overdenture impressions using a dynamic impression concept</title><author><name sortKey="Lee, Byung Kil" sort="Lee, Byung Kil" uniqKey="Lee B" first="Byung-Kil" last="Lee">Byung-Kil Lee</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author><author><name sortKey="Park, Sang Hun" sort="Park, Sang Hun" uniqKey="Park S" first="Sang-Hun" last="Park">Sang-Hun Park</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author><author><name sortKey="Lee, Cheong Hee" sort="Lee, Cheong Hee" uniqKey="Lee C" first="Cheong-Hee" last="Lee">Cheong-Hee Lee</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author><author><name sortKey="Cho, Jin Hyun" sort="Cho, Jin Hyun" uniqKey="Cho J" first="Jin-Hyun" last="Cho">Jin-Hyun Cho</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24605209</idno><idno type="pmc">3942530</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942530</idno><idno type="RBID">PMC:3942530</idno><idno type="doi">10.4047/jap.2014.6.1.66</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000173</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000173</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Implant overdenture impressions using a dynamic impression concept</title><author><name sortKey="Lee, Byung Kil" sort="Lee, Byung Kil" uniqKey="Lee B" first="Byung-Kil" last="Lee">Byung-Kil Lee</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author><author><name sortKey="Park, Sang Hun" sort="Park, Sang Hun" uniqKey="Park S" first="Sang-Hun" last="Park">Sang-Hun Park</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author><author><name sortKey="Lee, Cheong Hee" sort="Lee, Cheong Hee" uniqKey="Lee C" first="Cheong-Hee" last="Lee">Cheong-Hee Lee</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author><author><name sortKey="Cho, Jin Hyun" sort="Cho, Jin Hyun" uniqKey="Cho J" first="Jin-Hyun" last="Cho">Jin-Hyun Cho</name><affiliation><nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A dynamic impression is a functional impression that records the functional movement of the patient's own muscle and muscle attachment. This process reduces the number of random factors. This article describes a method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing. The individual tray is used to make a wash-impression to record the features of the mucosa in detail. The main advantage of this technique is that it provides a functional relationship of the implant components to the supporting tissues without overextension because provisional denture had been used for 2 months and the border length of individual tray was nearly the same as that of provisional denture. The delivery of the prosthesis constructed using this impression technique is time-saving because there is no need for border molding and there are fewer post-insertion appliance adjustments.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Chen, Ic" uniqKey="Chen I">IC Chen</name></author><author><name sortKey="Brudvik, Js" uniqKey="Brudvik J">JS Brudvik</name></author><author><name sortKey="Mancl, La" uniqKey="Mancl L">LA Mancl</name></author><author><name sortKey="Rubenstein, Je" uniqKey="Rubenstein J">JE Rubenstein</name></author><author><name sortKey="Chitswe, K" uniqKey="Chitswe K">K Chitswe</name></author><author><name sortKey="Raigrodski, Aj" uniqKey="Raigrodski A">AJ Raigrodski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uludag, B" uniqKey="Uludag B">B Uludag</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uludag, B" uniqKey="Uludag B">B Uludag</name></author><author><name sortKey="Ozturk, O" uniqKey="Ozturk O">O Ozturk</name></author><author><name sortKey="Celik, G" uniqKey="Celik G">G Celik</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uludag, B" uniqKey="Uludag B">B Uludag</name></author><author><name sortKey="Cogalan, K" uniqKey="Cogalan K">K Cogalan</name></author><author><name sortKey="Polat, S" uniqKey="Polat S">S Polat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jannesar, S" uniqKey="Jannesar S">S Jannesar</name></author><author><name sortKey="Siadat, H" uniqKey="Siadat H">H Siadat</name></author><author><name sortKey="Alikhasi, M" uniqKey="Alikhasi M">M Alikhasi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cho, Gc" uniqKey="Cho G">GC Cho</name></author><author><name sortKey="Landesman, M" uniqKey="Landesman M">M Landesman</name></author><author><name sortKey="Adomian, Jg" uniqKey="Adomian J">JG Adomian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Razek, Mk" uniqKey="Razek M">MK Razek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccarthy, Ja" uniqKey="Mccarthy J">JA McCarthy</name></author><author><name sortKey="Moser, Jb" uniqKey="Moser J">JB Moser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilson, Hj" uniqKey="Wilson H">HJ Wilson</name></author><author><name sortKey="Tomlin, Hr" uniqKey="Tomlin H">HR Tomlin</name></author><author><name sortKey="Osborne, J" uniqKey="Osborne J">J Osborne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Elsyad, Ma" uniqKey="Elsyad M">MA Elsyad</name></author><author><name sortKey="El Waseef, Fa" uniqKey="El Waseef F">FA El-Waseef</name></author><author><name sortKey="Al Mahdy, Yf" uniqKey="Al Mahdy Y">YF Al-Mahdy</name></author><author><name sortKey="Fouad, Mm" uniqKey="Fouad M">MM Fouad</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id><journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id><journal-id journal-id-type="publisher-id">JAP</journal-id><journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title></journal-title-group><issn pub-type="ppub">2005-7806</issn><issn pub-type="epub">2005-7814</issn><publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24605209</article-id><article-id pub-id-type="pmc">3942530</article-id><article-id pub-id-type="doi">10.4047/jap.2014.6.1.66</article-id><article-categories><subj-group><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Implant overdenture impressions using a dynamic impression concept</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Byung-Kil</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Park</surname><given-names>Sang-Hun</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Cheong-Hee</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Cho</surname><given-names>Jin-Hyun</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib></contrib-group><aff id="A1">Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.</aff><author-notes><corresp>Corresponding author: Jin-Hyun Cho. Department of Prosthodontics, School of Dentistry, Kyoungpook National University, 2175, Dalgubeoldae-ro, Jung-Gu, Daegu, Republic of Korea. Tel. 82536007675: <email>prosth95@knu.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>14</day><month>2</month><year>2014</year></pub-date><volume>6</volume><issue>1</issue><fpage>66</fpage><lpage>69</lpage><history><date date-type="received"><day>07</day><month>5</month><year>2013</year></date><date date-type="rev-recd"><day>01</day><month>11</month><year>2013</year></date><date date-type="accepted"><day>05</day><month>11</month><year>2013</year></date></history><permissions><copyright-statement>© 2014 The Korean Academy of Prosthodontics</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>A dynamic impression is a functional impression that records the functional movement of the patient's own muscle and muscle attachment. This process reduces the number of random factors. This article describes a method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing. The individual tray is used to make a wash-impression to record the features of the mucosa in detail. The main advantage of this technique is that it provides a functional relationship of the implant components to the supporting tissues without overextension because provisional denture had been used for 2 months and the border length of individual tray was nearly the same as that of provisional denture. The delivery of the prosthesis constructed using this impression technique is time-saving because there is no need for border molding and there are fewer post-insertion appliance adjustments.</p></abstract><kwd-group><kwd>Implant overdenture</kwd><kwd>Dynamic impression</kwd><kwd>Tissue conditioner</kwd><kwd>Functional impression</kwd></kwd-group><funding-group><award-group><funding-source country="KR">Biomedical Research Institute Grant, Kyungpook National University Hospital</funding-source></award-group><award-group><funding-source country="KR">Kyungpook National University Research Fund</funding-source></award-group></funding-group></article-meta></front><body><sec><title>INTRODUCTION</title><p>Bilateral distal extension removable partial denture (RPDs) (Kennedy Class I) and implant-retained overdentures have some similarities, such as force direction and distribution.<xref rid="B1" ref-type="bibr">1</xref> The occlusal forces on RPDs must be distributed uniformly to the supporting teeth and residual ridges. Similarly, in implant overdentures, equitable load sharing between the implants and mucosa might be related to the selected impression technique because of the difference in resilience.<xref rid="B2" ref-type="bibr">2</xref>,<xref rid="B3" ref-type="bibr">3</xref> A range of functional impression techniques have been attempted to record the functional form of the edentulous ridge.<xref rid="B2" ref-type="bibr">2</xref>,<xref rid="B4" ref-type="bibr">4</xref>,<xref rid="B5" ref-type="bibr">5</xref> The functional impression techniques can be divided into two categories: (a) physiological techniques and (b) selective pressure technique. Physiological impression techniques record the edentulous ridge in its functional form by placing a load on the impression tray during the impression procedure (McLean-Hindels method, functional reline impression technique, and fluid wax method). The selective pressure impression attempts to direct more force to those portions of the ridge able to absorb stress and to protect the areas of the ridge least able to absorb stress. This is accomplished by relieving the tray in some areas with wax while allowing the impression tray to contact the ridge in other areas. Greater soft tissue displacement will occur in areas where relief is not provided.<xref rid="B6" ref-type="bibr">6</xref> One of the functional impression methods is a dynamic impression with a tissue conditioner. These have been used principally for the conditioning of abused soft tissues underlying ill-fitting full dentures because of the introduction of tissue conditioners. In addition, these tissue conditioners have been reported to be suitable as functional impression materials.<xref rid="B7" ref-type="bibr">7</xref> Their efficacy as reconditioners of abused tissues has been well established.<xref rid="B8" ref-type="bibr">8</xref> The dynamic impression is a method that determines the size and form of movable oral tissue using a plastic impression material.<xref rid="B9" ref-type="bibr">9</xref> The difference between dynamic impression and other impression methods are as follows. The other methods impress to record the oral tissues in the static, partial active, and pressed states according to impression concepts (e.g. mucostatic, definitive pressure, selective pressure impression technique) and are one-step pick-up impression technique that uses border molding and tray holes.</p><p>In contrast, a dynamic impression is a functional impression that records the functional movement of the patient's own muscle and muscle attachment. This method reduces the number of random factors. This article describes a method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing. The individual tray is used to make a wash-impression to record the features of the mucosa in detail.</p></sec><sec><title>CASE REPORT</title><p>A male patient aged 57 years visited a clinic with the chief complaint of a common consultation on dentures. He showed a combination syndrome-like appearance with overall caries and a serious periodontal status of the remaining teeth at initial examination (<xref ref-type="fig" rid="F1">Fig. 1</xref>). The panoramic view revealed severe bone resorption on the mandibular molar area and a combination syndrome-like appearance on the mandibular anterior area (<xref ref-type="fig" rid="F2">Fig. 2</xref>). First, the teeth with a poor prognosis (#11, 14, 24, 31, 32, 41, 42) were extracted while a periodontal flap surgery was conducted on the maxilla. Subsequently, the Kennedy Class II RPD was planned for the maxilla, and a four-implant-tissue supported bar overdenture was planned for the mandible. Four implants (Osstem, Seoul, Korea) were placed in the interforamenal area (<xref ref-type="fig" rid="F3">Fig. 3B</xref>), in which alveoloplasty was performed first (<xref ref-type="fig" rid="F3">Fig. 3A</xref>). All implants were 4.1 mm in diameter and had an anodized surface. A non-submerged, single-stage placement technique was performed according to the standard surgical procedure. Three temporary implants (Osstem, Seoul, Korea) were placed between the primary implants and the areas onto which the temporary fixed partial prosthesis was placed for aesthetic problems and no loading on the primary implants (<xref ref-type="fig" rid="F3">Fig. 3B</xref>). One month later, a provisional denture was fabricated. Three months later, a tissue conditioner (Coe-Comfort; Coe Laboratories Inc., Chicago, USA) was used to take a dynamic impression with the provisional denture on the mandible (<xref ref-type="fig" rid="F4">Fig. 4A</xref>). The following day, the tissue surface of the provisional denture was poured with yellow stone (Hi-Koseton, Maruishi, Japan) and the stone cast was removed. The stone cast was in accordance with the dynamic impression surface of the provisional denture (<xref ref-type="fig" rid="F4">Fig. 4B</xref>). Multiple layers of baseplate wax (Modeling wax; Kim's International Inc, Seoul, Korea) were adapted on the abutments to maintain space for the elastomeric impression material (<xref ref-type="fig" rid="F5">Fig. 5A</xref>). The individual tray (Ostron 100; GC Corporation, Tokyo, Japan) was manufactured based on the cast to the full length of the border and trimmed with a denture bur to make the denture border 0.5 mm shorter and smooth the border. An individual tray adhesive was pasted with tray adhesive (Adhesive; GC Corporation, Tokyo, Japan) (<xref ref-type="fig" rid="F5">Fig. 5B</xref>). An implant impression was taken without border molding - wash impressions with polyvinyl siloxane impression material (Aquasil Ultra LF; Dentsply Caulk, Milford, USA) (<xref ref-type="fig" rid="F6">Fig. 6</xref>). The bar overdenture was fabricated with a Haderbar (Sterngold, Attleboro, USA) and ERA attachment system (Sterngold, Attleboro, USA) (<xref ref-type="fig" rid="F7">Fig. 7</xref>). The overdenture was delivered (<xref ref-type="fig" rid="F8">Fig. 8</xref>) and the 5 years follow up result was favorable (<xref ref-type="fig" rid="F8">Fig. 8B</xref>).</p></sec><sec sec-type="discussion"><title>DISCUSSION</title><p>Recently functional impression technique is advocated in implant overdenture impression. Elsyad et al. reported that a definite pressure impression technique for an implant-retained mandibular overdenture is associated with minimal denture deformation during function when compared with the mucostatic and selective pressure techniques.<xref rid="B10" ref-type="bibr">10</xref> Another form of functional impression is a dynamic impression technique. The advantages of dynamic impressions are: (1) avoidance of the dislocating effect of the muscles on improperly-formed denture borders, and (2) complete utilization of the potential active and passive tissue fixation of the denture. To take a dynamic impression, the patient is asked to perform swallowing, sucking and protruding the lips while the impression material has plasticity. At this time, the qualifications that the impression material must have are follows: (1) dimensional stability after removing from the mouth, (2) reproduction in detail, and (3) harmony with gypsum products. Otherwise, the micro surface roughness of tissue conditioner can be the disadvantage of dynamic impression with tissue conditioner. When the existing provisional denture and tissue conditioner are used to take a dynamic impression and the dynamic impression surface of denture is applied to the fabrication of an individual tray. After that, pick-up impression (wash impression concept in edentulous ridge) is taken by without border molding that removes micro surface roughness. This impression method is not technique sensitive for providing a perfect border without border molding, only using polyvinyl siloxane impression materials for wash impression. In addition, when border molding is performed, it takes a long time to record a precise border extension because the patients who are planned to receive an implant overdenture on the mandible often show severe alveolar bone loss. Nevertheless, the use of such a dynamic impression will enable making an impression that is extended precisely. Consequently, such a method will allow decreased chair time in border molding procedure and impression taking procedure without overextension.</p></sec><sec sec-type="conclusions"><title>CONCLUSION</title><p>A method for making a special tray using a dynamic impression concept that was made from provisional dentures used for implant healing was useful method because there was no need for border molding and it was also time-saving in impression taking procedure without overextension.</p></sec></body><back><fn-group><fn fn-type="supported-by"><p>This work was supported by Biomedical Research Institute Grant, Kyungpook National University Hospital (2012).</p><p>This research was supported by Kyungpook National University Research Fund (2012).</p></fn></fn-group><ref-list><ref id="B1"><label>1</label><element-citation publication-type="journal"><person-group 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techniques for implant overdentures</article-title><source>Clin Oral Implants Res</source><year>2013</year><volume>24</volume><fpage>127</fpage><lpage>133</lpage><pub-id pub-id-type="pmid">22250917</pub-id></element-citation></ref></ref-list></back><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><p>Initial photo - combination syndrome like appearance; mandibular anterior region was elevated because of no opposing dentition.</p></caption><graphic xlink:href="jap-6-66-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><p>Initial Panoramic view; severe periodontitis and severe bone resorption on the mandibular molar area.</p></caption><graphic xlink:href="jap-6-66-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><p>(A) Mandibular alveoloplasty, (B) Four implants were placed on interforamenal area and 3 temporary implants were placed for provisional fixed prosthesis.</p></caption><graphic xlink:href="jap-6-66-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><p>(A) Tissue conditioning for provisional dentures, (B) The cast was made by pouring improved stone on the tissue conditioner of the impression surface.</p></caption><graphic xlink:href="jap-6-66-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><p>(A) Block out for implant impression coping and undercut area, (B) Individual tray fabrication and adhesive was pasted.</p></caption><graphic xlink:href="jap-6-66-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Fig. 6</label><caption><p>Pick up impression (wash impression concept).</p></caption><graphic xlink:href="jap-6-66-g006"></graphic></fig><fig id="F7" orientation="portrait" position="float"><label>Fig. 7</label><caption><p>Intaglio surface of the cured denture.</p></caption><graphic xlink:href="jap-6-66-g007"></graphic></fig><fig id="F8" orientation="portrait" position="float"><label>Fig. 8</label><caption><p>(A) Denture delivery, (B) Follow up photo (5 years).</p></caption><graphic xlink:href="jap-6-66-g008"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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