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Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report

Identifieur interne : 001D29 ( Pmc/Curation ); précédent : 001D28; suivant : 001D30

Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report

Auteurs : Min-Su Kim [Corée du Sud] ; Mi-Jung Yoon [Corée du Sud] ; Jung-Bo Huh [Corée du Sud] ; Young-Chan Jeon [Corée du Sud] ; Chang-Mo Jeong [Corée du Sud]

Source :

RBID : PMC:3381203

Abstract

Various options have been introduced for the selection of implant overdenture attachments. Attachment wear due to the repeated insertion and removal of dentures has caused problems such as decreased retention and the requirement for suprastructure remanufacturing. In these cases, a Locator bar system was applied using the drill and tapping technique to achieve total retrievability. In a 55-year-old female patient who showed three degrees of mobility in most of her teeth due to severe alveolar bone loss, a complete denture in the maxilla and an implant supported type overdenture in the mandible were planned after extracting all the remaining teeth. Six implants were placed from canine region to the distal molar region, and the locator was connected to the milled bar using the drill and tapping technique. For a 61-year-old female edentulous patient who complained of poor retention with old denture, a complete denture in the maxilla and an implant-tissue supported type overdenture in the mandible were planned. Four implants were placed in front of mental foramen, and the Locator was also connected to the Hader bar using the drill and tapping technique. With this technique, female parts can be easily replaced, and retention can be continuously maintained.


Url:
DOI: 10.4047/jap.2012.4.2.116
PubMed: 22737318
PubMed Central: 3381203

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<name sortKey="Kim, Min Su" sort="Kim, Min Su" uniqKey="Kim M" first="Min-Su" last="Kim">Min-Su Kim</name>
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<nlm:aff id="A1">Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, Korea.</nlm:aff>
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<name sortKey="Yoon, Mi Jung" sort="Yoon, Mi Jung" uniqKey="Yoon M" first="Mi-Jung" last="Yoon">Mi-Jung Yoon</name>
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<name sortKey="Jeon, Young Chan" sort="Jeon, Young Chan" uniqKey="Jeon Y" first="Young-Chan" last="Jeon">Young-Chan Jeon</name>
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<name sortKey="Kim, Min Su" sort="Kim, Min Su" uniqKey="Kim M" first="Min-Su" last="Kim">Min-Su Kim</name>
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<name sortKey="Yoon, Mi Jung" sort="Yoon, Mi Jung" uniqKey="Yoon M" first="Mi-Jung" last="Yoon">Mi-Jung Yoon</name>
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<name sortKey="Jeon, Young Chan" sort="Jeon, Young Chan" uniqKey="Jeon Y" first="Young-Chan" last="Jeon">Young-Chan Jeon</name>
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<wicri:regionArea>Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan</wicri:regionArea>
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<name sortKey="Jeong, Chang Mo" sort="Jeong, Chang Mo" uniqKey="Jeong C" first="Chang-Mo" last="Jeong">Chang-Mo Jeong</name>
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<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
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<title level="j">The Journal of Advanced Prosthodontics</title>
<idno type="ISSN">2005-7806</idno>
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<p>Various options have been introduced for the selection of implant overdenture attachments. Attachment wear due to the repeated insertion and removal of dentures has caused problems such as decreased retention and the requirement for suprastructure remanufacturing. In these cases, a Locator bar system was applied using the drill and tapping technique to achieve total retrievability. In a 55-year-old female patient who showed three degrees of mobility in most of her teeth due to severe alveolar bone loss, a complete denture in the maxilla and an implant supported type overdenture in the mandible were planned after extracting all the remaining teeth. Six implants were placed from canine region to the distal molar region, and the locator was connected to the milled bar using the drill and tapping technique. For a 61-year-old female edentulous patient who complained of poor retention with old denture, a complete denture in the maxilla and an implant-tissue supported type overdenture in the mandible were planned. Four implants were placed in front of mental foramen, and the Locator was also connected to the Hader bar using the drill and tapping technique. With this technique, female parts can be easily replaced, and retention can be continuously maintained.</p>
</div>
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<name sortKey="Deboer, J" uniqKey="Deboer J">J DeBoer</name>
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<name sortKey="Sadowsky, Sj" uniqKey="Sadowsky S">SJ Sadowsky</name>
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<name sortKey="Adell, R" uniqKey="Adell R">R Adell</name>
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<author>
<name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name>
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<name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name>
</author>
<author>
<name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name>
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<author>
<name sortKey="Trakas, T" uniqKey="Trakas T">T Trakas</name>
</author>
<author>
<name sortKey="Michalakis, K" uniqKey="Michalakis K">K Michalakis</name>
</author>
<author>
<name sortKey="Kang, K" uniqKey="Kang K">K Kang</name>
</author>
<author>
<name sortKey="Hirayama, H" uniqKey="Hirayama H">H Hirayama</name>
</author>
</analytic>
</biblStruct>
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<name sortKey="Kurtzman, Gm" uniqKey="Kurtzman G">GM Kurtzman</name>
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<name sortKey="Schneider, Al" uniqKey="Schneider A">AL Schneider</name>
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<author>
<name sortKey="Kurtzman, Gm" uniqKey="Kurtzman G">GM Kurtzman</name>
</author>
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<author>
<name sortKey="Naert, I" uniqKey="Naert I">I Naert</name>
</author>
<author>
<name sortKey="De Clercq, M" uniqKey="De Clercq M">M De Clercq</name>
</author>
<author>
<name sortKey="Theuniers, G" uniqKey="Theuniers G">G Theuniers</name>
</author>
<author>
<name sortKey="Schepers, E" uniqKey="Schepers E">E Schepers</name>
</author>
</analytic>
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<author>
<name sortKey="Celik, G" uniqKey="Celik G">G Celik</name>
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<name sortKey="Uludag, B" uniqKey="Uludag B">B Uludag</name>
</author>
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<name sortKey="Pasciuta, M" uniqKey="Pasciuta M">M Pasciuta</name>
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<author>
<name sortKey="Grossmann, Y" uniqKey="Grossmann Y">Y Grossmann</name>
</author>
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<name sortKey="Finger, Im" uniqKey="Finger I">IM Finger</name>
</author>
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<author>
<name sortKey="Lee, Ck" uniqKey="Lee C">CK Lee</name>
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<author>
<name sortKey="Agar, Jr" uniqKey="Agar J">JR Agar</name>
</author>
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<name sortKey="Chung, Kh" uniqKey="Chung K">KH Chung</name>
</author>
<author>
<name sortKey="Chung, Cy" uniqKey="Chung C">CY Chung</name>
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<name sortKey="Cagna, Dr" uniqKey="Cagna D">DR Cagna</name>
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<name sortKey="Cronin, Rj" uniqKey="Cronin R">RJ Cronin</name>
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<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>
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<article-id pub-id-type="pmid">22737318</article-id>
<article-id pub-id-type="pmc">3381203</article-id>
<article-id pub-id-type="doi">10.4047/jap.2012.4.2.116</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Min-Su</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yoon</surname>
<given-names>Mi-Jung</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huh</surname>
<given-names>Jung-Bo</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jeon</surname>
<given-names>Young-Chan</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jeong</surname>
<given-names>Chang-Mo</given-names>
</name>
<degrees>DDS</degrees>
<degrees>MSD</degrees>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, Korea.</aff>
<author-notes>
<corresp>Corresponding author: Chang-Mo Jeong. Department of Prosthodontics, School of Dentistry, Pusan National University, Beom-eo li, Mul-geum eup, Yangsan, 626-770, Korea. Tel. 82 55 360 5130:
<email>cmjeong@pusan.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>5</month>
<year>2012</year>
</pub-date>
<volume>4</volume>
<issue>2</issue>
<fpage>116</fpage>
<lpage>120</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>8</month>
<year>2011</year>
</date>
<date date-type="rev-recd">
<day>18</day>
<month>11</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>11</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>© 2012 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2012</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>Various options have been introduced for the selection of implant overdenture attachments. Attachment wear due to the repeated insertion and removal of dentures has caused problems such as decreased retention and the requirement for suprastructure remanufacturing. In these cases, a Locator bar system was applied using the drill and tapping technique to achieve total retrievability. In a 55-year-old female patient who showed three degrees of mobility in most of her teeth due to severe alveolar bone loss, a complete denture in the maxilla and an implant supported type overdenture in the mandible were planned after extracting all the remaining teeth. Six implants were placed from canine region to the distal molar region, and the locator was connected to the milled bar using the drill and tapping technique. For a 61-year-old female edentulous patient who complained of poor retention with old denture, a complete denture in the maxilla and an implant-tissue supported type overdenture in the mandible were planned. Four implants were placed in front of mental foramen, and the Locator was also connected to the Hader bar using the drill and tapping technique. With this technique, female parts can be easily replaced, and retention can be continuously maintained.</p>
</abstract>
<kwd-group>
<kwd>Implant overdenture</kwd>
<kwd>Locator bar system</kwd>
<kwd>Drill & tapping technique</kwd>
<kwd>Total retrievability</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="F1" position="float">
<label>Fig. 1</label>
<caption>
<p>Post-operative panoramic radiograph.</p>
</caption>
<graphic xlink:href="jap-4-116-g001"></graphic>
</fig>
<fig id="F2" position="float">
<label>Fig. 2</label>
<caption>
<p>Schematic diagram of 'drill and tapping'.</p>
</caption>
<graphic xlink:href="jap-4-116-g002"></graphic>
</fig>
<fig id="F3" position="float">
<label>Fig. 3</label>
<caption>
<p>Location of the plastic sleeve for the drill and tap.</p>
</caption>
<graphic xlink:href="jap-4-116-g003"></graphic>
</fig>
<fig id="F4" position="float">
<label>Fig. 4</label>
<caption>
<p>Tightening of the female part by 20 Ncm torque.</p>
</caption>
<graphic xlink:href="jap-4-116-g004"></graphic>
</fig>
<fig id="F5" position="float">
<label>Fig. 5</label>
<caption>
<p>Connecting metal framework and metal housing by autopolymerized acrylic resin (ADFA, Shofu, Inc., Kyoto, Japan).</p>
</caption>
<graphic xlink:href="jap-4-116-g005"></graphic>
</fig>
<fig id="F6" position="float">
<label>Fig. 6</label>
<caption>
<p>A: Final prosthesis (Milled bar and Locator), B: Final prosthesis (tissue aspect, milled bar).</p>
</caption>
<graphic xlink:href="jap-4-116-g006"></graphic>
</fig>
<fig id="F7" position="float">
<label>Fig. 7</label>
<caption>
<p>Post-operative panoramic radiograph.</p>
</caption>
<graphic xlink:href="jap-4-116-g007"></graphic>
</fig>
<fig id="F8" position="float">
<label>Fig. 8</label>
<caption>
<p>A: Final prosthesis (Hader bar and Locator), B: Final prosthesis (Denture, tissue aspect).</p>
</caption>
<graphic xlink:href="jap-4-116-g008"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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