완전 무치악 환자에서 Locator® system을 이용한 임플란트 피개의치 수복 증례
Implant Supported Overdenture using Locator® System on Edentulous Patient
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초록
임플란트의 도입으로 악골이 흡수된 무치악 환자의 보철 치료에 획기적인 변화가 가능해졌다. 특히 하악 무치악 환자의 경우 2개의 임플란트에 의해 유지를 얻는 피개의치가 일반적인 총의치의 대안으로 자리잡았으며 첫 번째로 고려되어야 할 치료 방법으로 받아들여지고 있다. 본 증례는 상하악 완전 무치악 환자로서 상악에는 일반적인 총의치, 하악에는 2개의 임플란트를 식립하고 Locator® Attachment를 사용하여 수복한 임상과정 및 결과에 관하여 보고하고자 한다.
Abstract
It is difficult to provide prosthodontic treatment to fully edentulous patients with severe alveolar bone resorption, because this makes patents hard to endure functional load, and to adapt to the dentures, which result in emotional stress to patients. Implant supported overdenture can be chosen to solve these problems. Among several types of them, the implant retained and tissue supported overdenture, is available to the patients of low masticatory force with the reduced cost. Attachments also can be used for increasing retention and esthetics in dentures. Especially, Locator® system needs a small vertical interarch space for restoration and is able to compensate the difference of angle between fixtures. In this study, we restored maxilla with conventional complete denture, and mandible with implant and tissue supported overdenture and Locator® system.
참고문헌 (11)
- Sadowsky SJ, "Mandibular implant-retained overden-tures: A literature review", J Prosthet Dent, 86, pp.468~473 (2001)
- Carlsson GE, "Long-term marginal periimplant bone loss in edentulous patients", Int J Prosthodont, 13, pp.295~302 (2000)
- Manal A. Awad, "Comparing the efficacy of mandibular implant-retained overdentures and conventional dentures among middle-aged edentulous patients: Satisfaction and functionalassessment", Int J Prosthodont, 16, pp.117~122 (2003)
- Park HS, "Implant overdenture & fixed complete prosthesis", pp.69~ (2005), Well Publishing Inc
- Naert I, "Overdentures supported by osseointegrated fixtures for the edentulous mandible: A 2.5 year report", J Oral Maxillofac Implants, 3, pp.191~196 (1988)
- Petropoulos VC, "Comparison of retention and release periods for implant overdenture attachments", Int J Oral Maxillofac Implants, 12(2), pp.176~185 (1997)
- Gotfredsen K, "Implant-supported mandibular overdentures retained with ball or bar attachments: a randomized prospective 5-year study", Int J Prosthodont, 13(2), pp.125~130 (2000)
- Bakke M, "Masticatory function and patient satisfaction with implant- supported mandibular overdentures: a prospective 5-year study", Int J Prosthodont, 15(6), pp.575~581 (2002)
- Skalak R, "Biomechanical considerations in osseointe-grated prostheses", J Prosthet Dent, 49, pp.843~850 (1983)
- Anne-Sophie Bonnet, "Influence of implant position on the behavior of a mandibular implant-retained overdenture", J Biomec, 41, pp.S218~ (2008)
- Geckili O, "Locator® attachments as an alternative to ball attachments in 2-implant retained mandibular overdentures", J Can Dent Assoc, 73, pp.691~694 (2007)