엇갈린 교합 환자에서 임플란트 고정성 보철물을 이용한 수복증례
Full mouth rehabilitation of the patient with crossed occlusion using implant fixed prosthesis: A case report
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초록
엇갈린 교합 환자의 치료 방법은 피개의치, 이중관 의치를 사용하여 치료하거나 결손 부위에 임플란트를 식립함으로써 교합 지지를 회복해주는 방법이 있다. 잔존 치조골의 양이 양호하고 심미적, 기능적으로 임플란트 식립이 가능한 경우 임플란트 고정성 보철물 수복을 통해 환자에게 적절한 교합지지 및 기능, 편안함을 제공할 수 있다. 이 증례는 발치 후 심한 치조골 흡수가 동반되어 좌우 엇갈린 교합이 된 환자에서 상악동 골이식술 및 수직, 수평적 치조골 증대술을 실시하였다. 이후, 보철적으로 이상적 위치에 임플란트를 식립하였고 임시 보철물로 환자의 고유의 기능 및 심미를 평가한 후 이를 반영할 수 있는 double scanning technique을 사용하여 최종 보철물을 제작하였다. 이를 통해 엇갈린 교합을 성공적으로 극복하였으며, 저작 및 심미를 회복하여 만족스러운 결과를 얻었기에 이를 보고하고자 한다.
Abstract
Crossed occlusion can be treated either by overdenture and telescopic denture or by placing an implant at the edentulous area to reestablish the support on the occlusion. If alveolar bony support is sufficient and an the environment where an implant is inserted is favorable to restoring the masticatory and aesthetic function of a patient, the implant-supported fixed prosthesis can provide more definitive occlusal support and more aid for other oral functions. In this case report, a patient with a severe residual alveolar bone resorption following the extraction of teeth and who had a crossed occlusion was treated with sinus bone graft and alveolar bone augmentation in order to place the implants at prosthetically position. The definitive restoration was made to reflect the patient’s occlusal and aesthetic function using the CAD/CAM double scanning method. Finally, the treatment had the masticatory and aesthetic function adequately restored, which is reported here.
참고문헌 (22)
- Obana JI, "Prosthodontic treatment for maxillary and mandibular teeth cross each other" (1994), Ishiyaku publishers
- Chikunov I, "Implant-retained partial overdenture with resilient attachments", J Prosthodont, 17, pp.141~148 (2008)[DOI]
- Park NS, "Prosthodontic treatment for maxillary and mandibular teeth cross each other", pp.3~93 (1996), Jisung Pub.
- Kay KS, "A clinical study on rehabilitation of vertical dimension in the patient with crossed occlusion", Oral Biol Res, 25, pp.127~143 (2001)
- Zarb GA, "Prosthodontic treatment for edentulous patients: Complete dentures and implant-supported prostheses" (2003), Mosby
- Grossmann Y, "Clinical effectiveness of implant-supported removable partial dentures: a review of the literature and retrospective case evaluation", J Oral Maxillofac Surg, 67, pp.1941~1946 (2009)[DOI]
- Misch CE, "Dental implant prosthetics" (2015), Mosby
- 박정형, "한국 성인 유치악자의 교합평면 및 수직고경에 관한 연구", 대한치과보철학회지, 43(1), pp.41~51 (2005), 대한치과보철학회
- Kweon, HS, "A clinical study on using Konus telescope removable partial denture in prosthetic treatment for maxillary and mandibular teeth cross each other", Oral Biol Res, 24, pp.201~214 (2000)
- 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]
- Schliephake H, "Local ridge augmentation using bone grafts and osseointegrated implants in the rehabilitation of partial edentulism: preliminary results", Int J Oral Maxillofac Implants, 9, pp.557~564 (1994)
- Mayfield L, "Guided bone regeneration in dental implant treatment using a bioabsorbable membrane", Clin Oral Implants Res, 8, pp.10~17 (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)
- Wallace SS, "Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review", Ann Periodontol, 8, pp.328~343 (2003)[DOI]
- Del Fabbro M, "Systematic review of survival rates for implants placed in the grafted maxillary sinus", Int J Periodontic Restor Dent, 24, pp.565~577 (2004)
- Hobo S, "Osseointegration and Occlusal Rehabilitation", pp.159~ (1989), Quintessence
- Orenstein JH, "Twopiece occlusion rim for screw-retained implant prosthesis", J Prosthodont, 7, pp.200~202 (1998)[DOI]
- 양동헌, "임시치아 double scanning을 이용한 전악 임플란트 수복 증례", 대한치과보철학회지, 52(3), pp.252~257 (2014), 대한치과보철학회[DOI]
- Karl M, "Passivity of fit of CAD", CAM and copy-milled frameworks, veneered frameworks, and anatomically contoured, zirconia ceramic, implantsupported fixed prostheses, 2012, pp.107, 232~238
- Joo HS, "Complete-mouth rehabilitation using a 3D printing technique and the CAD", CAM double scanning method: A clinical report, 2016, pp.116, 3~7
- Aparicio C, "A new method for achieving passive fit of an interim restoration supported by Branemark implants: a technical note", Int J Oral Maxillofac Implants, 10, pp.614~618 (1995)