타과와의 협진을 통한 다수치 결손을 동반한 성장기 환자의 보철 수복 증례
Interdisciplinary approach on oral rehabilitation of an adolescent patient with multiple missing teeth: a clinical report
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초록
외상이나 선천적 결손에 의한 영구치아의 결손은 치료 방법과 적용 시기의 결정이 치료의 예후에 중요한 영향을 미친다. 본 증례는 성장기 환자로서 치아와 두 개안면골 상태에 대한 정확한 진단 및 적절한 치료방법을 선택하고 성장 양식을 고려해서 일정기간 임시수복물과 임시 가철성 보철물을 사용하였으며, 성장 완료 후 임플란트 등을 이용한 고정성 보철수복 치료를 시행한 경우로써 교정과와 보철과의 협진 진료, 붕괴된 교합고경의 재확립 과정, 임플란트 보철치료 시 고려해야할 사항들에 대해 발표하고자 한다.
Abstract
In case of missing of permanent teeth by trauma or innate defect, the decision of treatment modalities and application timing have an important effect on the prognosis of oral rehabilitation. In this case report, interdisciplinary approach between the orthodontic and prosthodontic treatment, the way to re-establish the collapsed occlusal vertical dimension, and implant prosthetic considerations will be discussed. Proper diagnosis on teeth and craniofacial skeleton was made prior to treatment and provisional restorations were used in regard of growth patterns of the patient. Finally, the edentulous areas were restored with fixed implant prostheses. Diagnosis, treatment rationale and prognosis will be discussed thoroughly.
참고문헌 (13)
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