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소수 잔존치를 가진 상악에 Bar와 LocatorⓇ를 이용한 임플란트 융합 국소의치 치료 증례

Implant assisted removable partial denture using a few remaining maxillary teeth and locator bar system: A case report

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Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with Parkinson°Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

Abstract

Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with Parkinson°Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.

참고문헌 (13)

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  2. Mijiritsky E, "Removable partial denture design involving teeth and implants as an alternative to unsuccessful fixed implant therapy: a case report", Implant Dent, 13, pp.218~222 (2004)
  3. Chikunov I, "Vahidi F. Implant?Retained Partial Overdenture with Resilient Attachments", J Prosthodont, 17, pp.141~148 (2008)
  4. de Carvalho WR, "Implantretained removable prosthesis with ball attachments in partially edentulous maxilla", Implant Dent, 10, pp.280~284 (2001)
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  6. Renouard F, "Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study", Clin Implant Dent Relat Res, 7, pp.104~110 (2005)
  7. Trakas T, "Attachment systems for implant retained overdentures: a literature review", Implant Dent, 15, pp.24~34 (2006)
  8. 김민수, "Implant overdenture using a locator bar system by drill and tapping technique in a mandible edentulous patient: a case report", The Journal of Advanced of Prosthodontics, 4(2), pp.116~120 (2012), 대한치과보철학회[DOI]
  9. Han KH, "Implant- and Tooth-Supported Fixed Prostheses Using a High-Performance Polymer (Pekkton) Framework", Int J Prosthodont, 29, pp.451~454 (2016)
  10. Emami E, "Impact of implant support for mandibular dentures on satisfaction, oral and general health-related quality of life: a metaanalysis of randomized-controlled trials", Clin Oral Implants Res, 20, pp.533~544 (2009)
  11. Ohkubo C, "Effect of Implant Support on Distal-Extension Removable Partial Dentures: In Vivo Assessment", Int J Oral Maxillofac Implants, 23, pp.1095~1101 (2008)
  12. Mijiritsky E, "Removable partial denture design involving teeth and implants as an alternative to unsuccessful fixed implant therapy: a case report", Implant Dent, 13, pp.218~222 (2004)
  13. Chikunov I, "Implant-Retained Partial Overdenture with Resilient Attachments", J Prosthodont, 17, pp.141~148 (2008)

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