대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제53권1호
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  • Pages.58-65
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  • 2015
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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임플란트와 레진 클래스프를 이용한 심미 가철성 국소의치 증례

Esthetic removable partial denture with implants and resin clasp: Case report

  • 김수민 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 전영찬 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실)
  • Kim, Su-Min (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Jeon, Young-Chan (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Jeong, Chang-Mo (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Yun, Mi-Jung (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Huh, Jung-Bo (Department of Prosthodontics, School of Dentistry, Pusan National University)
  • 투고 : 2014.11.06
  • 심사 : 2014.12.19
  • 발행 : 2015.01.30
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초록

완전 무치악 환자의 수복 시 총의치나 임플란트 지지 피개의치와 더불어 임플란트를 지대치로 이용하는 국소의치가 치료 방법의 하나로 고려될 수 있다. 적은 수의 임플란트를 전략적으로 중요한 위치에 식립한 후 가철성 국소의치로 수복할 경우, 임플란트를 통해 안정을 얻고 부가적으로 유지 및 지지를 확보할 수 있을 뿐만 아니라 광범위한 임플란트 식립을 통한 고정성 보철물에 비해 환자의 수술 부담을 줄여줄 수 있으며, 치료비용 절감 효과도 기대할 수 있다. 본 증례는 오랫동안 국소의치를 사용해 온 환자에서 치아 상실 후 잔존 치조골의 상태 및 환자의 요구를 고려하여 임플란트 지지 국소의치를 제작한 증례로서 전치부에 식립한 임플란트는 고정성 보철물로 수복하고 구치부의 짧은 임플란트는 지지 기능만 부여하였다. 또한 의치상과 클래스프를 열가소성 아크릴 레진으로 제작함으로써 기능적, 심미적으로 만족스러운 치료 결과를 얻었기에 이를 보고하는 바이다.

For the rehabilitation of fully edentulous patients, implant-supported removable partial dentures can be considered as one of the treatment options with complete dentures or implant-supported overdentures. If removable partial dentures are used in combination with a small number of implants placed in strategically important positions, it can offer additional stability, retention and support through implants and reduce a burden of surgical procedures compared with fixed implant-supported prostheses with extensive implant placement. Moreover, the economical benefit can be expected as well. The purpose of this case report is to present a treatment in which an implant-supported removable partial denture was fabricated considering residual alveolar bone status and demands after teeth loss in a patient who had been using a distal extension removable partial denture for a long period of time. In anterior area, fixed prostheses were fabricated with implant placement and in posterior area, short implants provide only support for the removable partial denture. In addition, denture base and clasp were made of thermoplastic acrylic resin. Finally, functionally and aesthetically satisfying treatment results can be achieved.

키워드

참고문헌

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피인용 문헌

  1. Distal-extension removable partial denture with anterior implant supported fixed prostheses in a maxillary edentulous patient: Case report vol.56, pp.4, 2018, https://doi.org/10.4047/jkap.2018.56.4.375