인위적 정출술과 임플란트 치료를 통한 상악 전치부 보철치료
Prosthetic restoration of the maxillary anterior teeth using implantation and forced eruption: Case report
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임플란트 인접치아가 심한 치아우식이나 파절 등으로 인해 치관부의 잔존 치질이 손상된 경우 인위적 맹출술을 이용한 치관연장술은 임플란트와 인접한 치조골과 치간유두의 보존으로 심미적인 보철 치료를 가능하게 한다. 54세 남자 환자분이 상악 전치부 고정성 보철물의 탈락으로 새로운 보철 치료를 주소로 내원하셨다. 상악 우측 중절치는 경도의 치아우식만 보였고 상악 우측 견치는 치관부 치질이 대부분 소실되어 있었다. 상악 우측 측절치의 결손부는 골 이식을 동반한 임플란트 식립을 시행하였고, 상악 우측 견치는 1달간 인위적 맹출술을 통한 치관연장술을 시행하였다. 임플란트 식립 5개월 후 2차 수술을 시행하였고, 임시치아의 단계적 수정을 통한 치은 성형 후 상악 우측 중절치, 상악 우측 측절치, 상악 우측 견치 각각 금속-도재관으로 수복하여 만족할 만한 임상결과를 얻을 수 있었다.
Abstract
When a tooth adjacent to implant has coronal damages caused by severe dental caries or fracture, the clinical crown lengthening by forced eruption makes it possible to get esthetic restoration due to the prevention of alveolar crestal bone resorption and loss of interdental papilla. A 54-years-old male patient wanted prosthetic treatment because his anterior 3 unit bridges had fallen out. A right maxillary central incisor showed mild dental caries but a right maxillary canine lost most clinical crowns. Forced eruption combined with a gingival fiberotomy of a right maxillary canine was performed for 1 month after the dental implant had been simultaneously placed with bone grafts on a right maxillary lateral incisor. About 5 months after implant placement, 2nd surgical operation was performed. The provisional restorations were adjusted to make esthetic gingival contour for 8 weeks. The porcelain fused gold restorations were fabricated and set. The patient was satisfied with the final restorations in esthetic and functional aspect.
참고문헌 (13)
- Choquet V, "Clinical and radiographic evaluation of the papilla level adjacent to single tooth dental implants. A retrospective study in the maxillary anterior region", J Periodontol, 72, pp.1364~1371 (2001)
- Tarnow DP, "The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla", J Periodontol, 63, pp.995~996 (1992)
- Elian N, "Realities and limitations in the management of the interdental papilla between implants: three case reports", Pract Proced Aesthet Dent, 15, pp.737~744 (2003)
- Tarnow D, "Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants", J Periodontol, 74, pp.1785~1788 (2003)
- Assif D, "Restoring teeth following crown lengthening procedures", J Prosthet Dent, 65, pp.62~64 (1991)
- Ingber JS, "Forced eruption. I. A method of treating isolated one and two wall infrabony osseous defects-rationale and case report", J Periodontol, 45, pp.199~206 (1974)
- Kozlovsky A, "Forced eruption combined with gingival fiberotomy. A technique for clinical crown lengthening", J Clin Periodontol, 15, pp.534~538 (1988)
- Pontoriero R, "Rapid extrusion with fiber resection: a combined orthodontic-periodontic treatment modality", Int J Periodontics Restorative Dent, 7, pp.30~43 (1987)
- Funato A, "Timing, positioning, and sequential staging in esthetic implant therapy: a four-dimensional perspective", Int J Periodontics Restorative Dent, 27, pp.313~323 (2007)
- Edwards JG, "Soft-tissue surgery to alleviate orthodontic relapse", Dent Clin North Am, 37, pp.205~225 (1993)
- Kinsel RP, "A simplified method to develop optimal gingival contours for the single implant-supported, metalceramic crown in the aesthetic zone", Pract Proced Aesthet Dent, 20, pp.231~236 (2008)
- Soadoun AP, "Soft tissue recession around implants: is it still unavoidable?-Part II", Pract Proced Aesthet Dent, 19, pp.81~87 (2007)
- Small PN, "Gingival recession around implants: a 1- year longitudinal prospective study", Int J Oral Maxillofac Implants, 15, pp.527~532 (2000)