전악 무치악 환자에서 골이식술을 선행한 임플란트 고정성 보철 수복 증례
Full mouth rehabilitation of fully edentulous patient with implant-supported fixed prosthesis preceding bone graft: A case report
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완전 무치악 환자에서 임플란트를 이용한 보철 치료는 임플란트 고정성 보철수복, hybrid 고정성 보철수복, 임플란트 유지 혹은 지지 피개의치 등이 있으며 임플란트 고정성 보철 수복은 환자의 심리적 안정감, 발음 등의 측면에서 장점을 보인다. 전악 임플란트 고정성 보철 수복을 계획한 경우 발음, 심미, 구강 위생 등을 고려한 임플란트 식립이 필요하며 이를 위해서는 임상적 및 방사선학적 진단이 필수적이다. 진단 과정을 통해 파악된, 보철물이 필요한 곳에 임플란트를 식립(prosthetic-driven)하기 위해서는 충분한 양의 치조골과 연조직 지지 등이 필요하며 이를 충족시키지 못할 경우 광범위한 골이식술이 선행되어야 한다. 본 증례는 치주질환으로 인한 치아 상실로 인해 치조골 흡수가 심하게 진행된 완전 무치악 환자에서 상악동 골이식술 및 치조골 증대술을 선행하고 임플란트 식립 후 전악 임플란트 고정성 보철로 수복하여 기능 및 심미적으로 만족할만한 결과를 얻었기에 이를 보고하고자 한다.
Abstract
Prosthetic treatment using implants in fully edentulous patients includes implant-supported fixed prosthesis, implant hybrid prosthesis, implant retained- or supported-overdenture and implant supported fixed prosthesis has advantages such as psychological stability, pronunciation. If an implant supported fixed prosthesis is planned, the implants should be placed in consideration of pronunciation, esthetics, and oral hygiene. For this, clinical and radiological diagnosis is indispensable. When placing the prosthetic driven implant at the site determined from the diagnosis, a sufficient amount of alveolar bone and soft tissue support are required. If these requirements found to be insufficient, a wide range of bone grafting should be performed in advance. In this case, a fully edentulous patient with severe alveolar bone resorption due to periodontal disease was treatedwith a full mouth rehabilitation using implant-supported fixed prosthesis preceding maxillary sinus graft and alveolar bone augmentation. We report this patient were satisfied with esthetic and function.
참고문헌 (15)
- Misch CE, "Dental implant prosthetics", pp.43~52 (2004), Mosby
- Pozidi G, "Implant rehabilitation of the edentulous maxilla. A case series of different treatment options", Clin Oral Impl Res, 27, pp.389~ (2016)[DOI]
- Gallucci GO, "Treatment of completely edentulous patients with fixed implant-supported restorations: three consecutive cases of simultaneous immediate loading in both maxilla and mandible", Int J Periodontics Restorative Dent, 25, pp.27~37 (2005)
- Beretta M, "A retrospective evaluation of 192 implants placed in augmented bone: Long-term follow-up study", J Oral Implantol, 41, pp.669~674 (2015)[DOI]
- Lekovic V, "A bone regenerative approach to alveolar ridge maintenance following tooth extraction. Report of 10 cases", J Periodontol, 68, pp.563~570 (1997)[DOI]
- Albrektsson T, "The long-term efficacy of currently used dental implants: a review and proposed criteria of success", Int J Oral Maxillofac Implants, 1, pp.11~25 (1986)
- Hurzeler MB, "Reconstruction of the severely resorbed maxilla with dental implants in the augmented maxillary sinus: a 5-year clinical investigation", Int J Oral Maxillofac Implants, 11, pp.466~475 (1996)
- Misch CE, "Contemporary Implant Dentistry. 3rd ed", pp.367~388 (2009), CV Mosby
- 서치원, "A technique for fabricating abutment replica with hot melt adhesive material to minimize residual cement in implant restoration: a case report", 구강회복응용과학지, 32(3), pp.240~245 (2016), 대한턱관절교합학회[DOI]
- Sadowsky SJ, "The implant-supported prosthesis for the edentulous arch: design considerations", J Prosthet Dent, 78, pp.28~33 (1997)[DOI]
- Henry PJ, "An alternative method for the production of accurate casts and occlusal records in osseointegrated implant rehabilitation", J Prosthet Dent, 58, pp.694~697 (1987)[DOI]
- Assif D, "Accuracy of implant impression techniques", Int J Oral Maxillofac Implants, 11, pp.216~222 (1996)
- Vigolo P, "An evaluation of impression techniques for multiple internal connection implant prostheses", J Prosthet Dent, 92, pp.470~476 (2004)[DOI]
- Cheng CW, "Complete-mouth implant rehabilitation with modified monolithic zirconia implant-supported fixed dental prostheses and an immediate-loading protocol: a clinical report", J Prosthet Dent, 109, pp.347~352 (2013)[DOI]
- Baldissara P, "Translucency of zirconia copings made with different CAD", CAM systems, 2010, pp.104, 6~12