The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Clinical study on the food impaction between implant prostheses and adjacent teeth

임플란트 보철물과 인접치 사이의 식편압입에 관한 임상적 연구

  • Shin, Dong-Wook (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Lee, Jin-Han (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Kim, Se-Yeon (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Dong, Jin-Keun (Department of Prosthodontics, College of Dentistry, Wonkwang University)
  • 신동욱 (원광대학교 치과대학 보철학교실) ;
  • 이진한 (원광대학교 치과대학 보철학교실) ;
  • 김세연 (원광대학교 치과대학 보철학교실) ;
  • 동진근 (원광대학교 치과대학 보철학교실)
  • Received : 2013.12.09
  • Accepted : 2014.01.13
  • Published : 2014.01.29
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Abstract

Purpose: The purpose of this study was to investigate the food impaction between implant prostheses and adjacent natural teeth. Materials and methods: For this study, 51 patients with food impaction were selected and investigated mobility, tightness of contact area, gingival index, plaque index, attachment loss, alveolar bone level, proximal caries, marginal ridge distance and occlusal relationships. Results: Food impaction was found in the upper teeth (60.7%) more than the lower teeth (39.2%). Food impaction was occurred on mesial side of implant prostheses (86.2%) more than distal side (13.7%). Food impaction was mostly found in loose or open contact area (94.2%). Food impaction was frequent on stepped relationship between implant and adjacent teeth. Conclusion: Treatment plan should include proper adjacent and antagonistic occlusal plane and occlusal surface, to prevent food impaction, and the plan should include less adjacent tooth mobility with proper tightness between implant prostheses and adjacent teeth.

연구 목적: 본 연구는 임플란트 보철물과 인접치 사이의 식편압입을 호소하는 환자를 대상으로 각종 임상 자료를 분석하여 식편압입의 임상적 발현 양상을 알아보고자 하였다. 연구 재료 및 방법: 식편압입을 주소로 내원한 보철물 장착이 완료된 임플란트 환자 51명을 대상으로 설문조사와 구강검사를 시행하고 방사선 사진과 모형을 채득하여 식편압입과 관련이 있는 요소를 분석한 결과 다음과 같은 결과를 얻었다. 결과: 1. 식편압입은 하악(39.2%)보다 상악(60.7%)에서 많이 나타났다. 2. 식편압입은 자연치아가 임플란트 보철물의 원심 부위(13.7%)에 있는 경우보다 근심 부위(86.2%)에 있는 경우에 많이 나타났다. 3. 식편압입이 나타난 임플란트 보철물과 그 인접치 사이의 접촉점은 긴밀하지 않은 경우(94.2%)가 대부분이었다. 결론: 임플란트 보철물과 인접치 사이에 식편압입이 일어나지 않기 위해서는 임플란트 보철물과 인접치아가 적절한 긴밀도를 가지고 있어야 하겠다.

Keywords

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