The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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DENTAL IMPLANTS IN EDENTULOUS PATIENTS WITH COGNITIVE DISABILITIES: CASE REPORTS

정신적 장애 환자의 임플란트를 이용한 보철 치료

  • You, Eun-Kyu (Department of Pediatric Dentistry and Institute of Oral Biology, School of dentistry, Kyung Hee University) ;
  • Choi, Sung-Chul (Department of Pediatric Dentistry and Institute of Oral Biology, School of dentistry, Kyung Hee University) ;
  • Park, Jae-Hong (Department of Pediatric Dentistry and Institute of Oral Biology, School of dentistry, Kyung Hee University) ;
  • Kim, Kwang-Chul (Department of Pediatric Dentistry and Institute of Oral Biology, School of dentistry, Kyung Hee University)
  • 유은규 (경희대학교 치과대학 소아치과학교실 및 구강생물학연구소) ;
  • 최성철 (경희대학교 치과대학 소아치과학교실 및 구강생물학연구소) ;
  • 김광철 (경희대학교 치과대학 소아치과학교실 및 구강생물학연구소) ;
  • 박재홍 (경희대학교 치과대학 소아치과학교실 및 구강생물학연구소)
  • Received : 2011.05.26
  • Accepted : 2011.06.10
  • Published : 2011.06.30
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Abstract

Individuals with cognitive disabilities face many barriers to oral care, often suffering from partial or complete edentulism. While the use of implant reconstruction is becoming more common in general population, such care is still being used infrequently in individuals with intellectual impairment. Because of the patients'oral hygiene practice is poor, special need is required for prosthetic design. These two cases were restored by prostheses using implants. Prosthetic modalities were different but the implants were fully osseointegrated, presenting satisfactory functional and esthetic conditions without clinical or radiographic signs of alterations or pathologies. We report that it is good for cognitive disabilities to give prosthetic treatment using implants.

본 증례에서는 정신적 장애를 가진 환자들에게 임플란트를 이용한 보철 수복을 시행하였다. 이런 환자들에게 보철물의 형식은 고정성 보철물이나, 피개의치를 사용하였고, 임플란트의 실패나 보철물의 파절은 보이지 않았다. 이런 환자들에서 구강을 청결히 유지하기 힘들기 때문에 적극적인 정기검진 및 치태 조절이 필요할 것으로 사료된다.

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