심한 결손부의 단계적 골증대술을 통한 임플란트 지지 고정성 보철 수복 증례 보고
Implant-supported fixed prosthesis in patient with severe defects using staged GBR via 2-step augmentations: A case report
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초록
심한 치주염을 가진 환자의 치료는 환자의 개개 치아의 정확한 진단과 전략적인 치료 계획을 통해 단계적으로 진행되어야 한다. 임플란트 지지 고정성 보철 수복은 국소의치에 비해 환자의 만족도가 높고, 안정적인 수직 고경을 유지할 수 있는 장점이 있지만, 경조직이 부족한 다수 치아 결손 부위에서는 심미적인 측면의 실패와 치료 기간이 길어진다는 점의 단점이 있을 수 있다. 또한 통상의 고정성 보철물을 제작하고 장착하는 데에는 일정 기간이 소요되는데, 이 기간 동안 임시 보철물은 치아의 기계적, 생물학적, 심미적 요구 조건을 만족시켜야 한다. 이번 증례 보고에서는 상악과 하악의 부분 무치악 환자에서 단계적인 접근을 통한 임플란트 고정성 보철물을 수복한 증례를 보고하고자 한다.
Abstract
The treatment of patients with severe periodontitis should be proceeded step-bystep through an accurate diagnosis of each patients’ individual tooth and with a strategic treatment plan. Implant-supported fixed prosthetic restoration has the advantage of high patient satisfaction and stable vertical dimension compared to the removable partial denture. However, multiple teeth defect areas lacking hard tissue may be disadvantageous in aesthetic failure and longer treatment time. In addition, it takes a certain period of time to manufacture and install a conventional fixed prosthesis, and during this process, the provisional prosthesis must satisfy the mechanical, biological, and aesthetic requirements of teeth. The purpose of this article is to describe the fabrication of implant-supported fixed prosthesis through a step-by-step approach in a partially edentulous patient.
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