구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제31권1호
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  • Pages.50-59
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  • 2015
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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비귀금속 주조 맞춤형 지대주를 이용한 상악 전치부 임플란트 보철수복 증례

Maxillary anterior fixed implant prosthesis using customized nonprecious metal casting abutment: a case report

  • 이재인 (원광대학교 치과대학 치과보철학교실 및 원광치의학 연구소)
  • Lee, Jae-In (Department of Prosthodontics, College of Dentistry, Wonkwang University and Institute of Wonkwang Dental Research)
  • 투고 : 2014.10.10
  • 심사 : 2015.01.08
  • 발행 : 2015.03.31
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초록

임플란트를 이용하여 심미 영역인 상악 전치부를 심미적, 기능적으로 수복하고 유지 관리하는 것은 어려운 일이다. 임플란트 주위염으로 인하여 치조골의 흡수, 치간유두의 수축 등과 같은 임플란트 주위 조직 문제와 금속 지대주의 노출로 인한 심미적 문제가 발생할 수 있기 때문이다. 본 증례에서는 기성지대주의 단점을 보완 가능한 맞춤형 지대주를 전통적인 제작 방식인 주조 방식으로 Co-Cr 합금을 이용하여 제작하고, 시멘트 유지형 보철물을 제작한 증례에 대해 보고하고자 한다.

It is hard to restore and manage anterior teeth esthetically and functionally; because of peri-implantitis, not only hard and soft tissue problem such as alveolar bone resorption and interdental papilla loss but also esthetic problem caused by metal abutment exposure can occur. This case presents patients using customized abutment made of Co-Cr alloy that can be made by conventional casting and compensate the shortcomings of prefabricated titanium abutments, and cement-retained prosthesis.

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참고문헌

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