KMID : 1004520140300010071
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Journal of Dental Rehabilitation and Applied Science 2014 Volume.30 No. 1 p.71 ~ p.80
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Maxillary cement retained implant supported fixed prosthesis using the millingable Pd-Ag alloy generated by CAD/CAM system: clinical report after two years in service
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Lee Jun-Sik
Han Se-Jin Choi Yu-Sung
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Abstract
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Full-mouth reconstruction of a patient using dental implants is a challenge if there is vertical and horizontal bone resorption. Therefore, it is should be cautious in making the fixed prostheses that restore the function and the esthetics of the gingiva and teeth. In full mouth rehabilitation, CAD/CAM system makes it possible to fabricate restorations with high precision, regardless of span of the restoration. Recently, Palladium-silver (Pd-Ag) alloy which is highly biocompatible and millingable has been developed to compensate for the shortcomings of the titanium or zirconia. This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a Pd-Ag alloy generated by CAD/CAM system on eleven osseointegrated implants. The occluding surfaces were made of Pd-Ag alloy, to decrease the risk of chipping or fracture. The prostheses were esthetically pleasing, and no clinical complications have been reported after two years.
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KEYWORD
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Pd-Ag alloy, CAD/CAM system, cement-retained prosthesis, implant supported prosthesis
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