만성 치주염으로 소수 잔존치를 가진 환자에서 크로스-아치 고정성 보철물과 가철성 국소의치, 임플란트를 이용한 전악 수복: 증례 보고
Full mouth rehabilitation with the Cross - Arch Fixed Dental Prosthesis, Removable Partial Denture and Implants of a patient with chronic periodontitis: a case report
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만성치주염에 의한 치아 상실로 발생한 치열의 연속성 붕괴를 상당기간 방치할 경우 인접 치열을 비롯하여 대합 치열의 이동으로 인한 교합붕괴가 발생되게 된다. 그 결과 상하악간 관계와 교합평면 변화를 가져오게 된다. 이처럼 치주지지가 감소된 치주질환 환자 치료 시 되도록이면 자연치를 유지하는 것이 바람직하다. 그러나 치주, 보철적으로 예후가 불량할 경우 발치는 불가피하다. 상하악에 소수 잔존치만 존재하는 경우, Cross arch splinting은 특정 치아에만 과부하가 걸리는 상황을 피해 교합력을 전 치아에 걸쳐 균일하게 분산시킬 수 있다. 본 증례는 심한 만성치주염으로 소수 잔존치를 갖고 있는 환자에게 크로스-아치 고정성 보철, 가철성 국소의치와 임플란트를 이용해 수복을 시행한 증례이다.
Abstract
If the discontinuity of the dentition caused by tooth loss following chronic periodontitis is neglected for a long period of time, the occlusion collapses due to movement of the opposing dentition and the adjacent dentition. As a result, the interarch relationship and the occlusal plane is altered. It is generally recommended that the natural teeth be maintained when treating patients with periodontal disease with reduced periodontal support. However, extraction is inevitable in cases which the prognosis is poor due to periodontal disease and prosthetic longevity. When there are only a few remaining teeth within the upper and lower jaws, Cross arch splinting can be applied to distribute the occlusal force evenly over the entire dentition, avoiding the situation where the overload is applied to only a specific tooth. This clinical report describes the treatment of a patient with severe chronic periodontitis having a few remaining teeth by using Cross - Arch Fixed Dental Prosthesis, Removable Partial Denture and implants.
참고문헌 (10)
- "American Academy of Periodontology Task Force Report on the Update to the 1999 Classification of Periodontal Diseases and Conditions", J Periodontol, 86, pp.835~838 (2015)
- Lindhe J, "Clinical periodontology and implant dentistry", Munksgaard, ~ (1998)
- Verrett RG, "Analyzing the etiology of an extremely worn dentition", J Prosthodont, 10, pp.224~233 (2001)
- Laurell L, "Long-term prognosis of extensive polyunit cantilevered fixed partial dentures", J Prosthet Dent, 66, pp.545~552 (1991)
- Berglundh T, "A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years", J Clin Periodontol, 29, pp.197~212 (2002)
- Ricketts RM, "Planning treatment on the basis of the facial pattern and an estimate of its growth", Angle Orthod, 31, pp.141~156 (1961)
- Kourkouta S, "Restoration of periodontally compromised dentitions using cross-arch bridges. Principles of perio-prosthetic patient management", British Dent J, 203, pp.189~195 (2007)
- Stillman PR, "The management of pyorrhea", Dent Cosmo, 59, pp.405~413 (1917)
- Nyman S, "The capacity of reduced periodontal tissues to support fixed bridgework", J Clin Periodontol, 9, pp.409~414 (1982)
- De Boever JA, "Fixed restorations of a dentition with reduced periodontal support in partially edentulous patients", Pariodontol, 1, pp.153~164 (1990)