성장기 외상으로 인한 상악전치부 결손 환자 악교정수술 및 임플란트 수복 케이스
Implant Restoration with orthodontic Surgery in maxillary anterior defect patient due trauma on development period : Case report
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초록
상악전치부의 임플란트는 심미적 요소, 기능적 요소를 고려해야한다. 상악 저성장이 있는 환자인 경우, 상악 전치부 임플란트는 심미적으로 배치할 수 없고, 교합력은 임플란트에 불리하게 작용한다. 이 경우 악교정수술을 통하여 악간관계를 개선한 후에 임플란트를 식립 해야한다. 이때 좋은 결과를 얻기 위해서는 교정의, 보철의, 구강악안면외과의 간의 협력이 중요하다. 이 증례보고에서는 상악전치부의 외상으로 인한 상실 환자에서 악교정 수술과 골이식술을 동반한 상악전치부 임플란트를 성공적으로 치료하였기에 이에 대하여 보고하고자 한다.
Abstract
Implant placement of the maxillary anterior teeth should consider all of the esthetics and functions. In patients with maxillary deficiency, maxillary anterior implants can not be placed in an aesthetic position, and the occlusal forces acting are disadvantageous. In this case, implant placement should be planned after improving the intercourse relationship by orthognathic surgery. Therefore, in order to obtain good results, orthodontist, prosthodontist, oral and maxillofacial surgeon interdisciplinary approach and co-operation is important. This case report describes a case of maxillary anterior implants that was accompanied by orthognathic surgery and block bone graft in a patient who had lost maxillary anterior teeth due to trauma.
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