The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical case of implant restoration using customized healing abutment

맞춤형 치유 지대주를 이용한 임플란트 수복 증례

  • Park, Jung-Wan (Department of Prosthodontics, College of Dentistry and Advanced Dental Device Development Institute, Kyungpook National University) ;
  • Hong, Min-Ho (Department of Prosthodontics, College of Dentistry and Advanced Dental Device Development Institute, Kyungpook National University) ;
  • Lee, Kyu-Bok (Department of Prosthodontics, College of Dentistry and Advanced Dental Device Development Institute, Kyungpook National University)
  • 박정완 (경북대학교 치과대학 치과보철학교실, 첨단치과의료기기개발연구소) ;
  • 홍민호 (경북대학교 치과대학 치과보철학교실, 첨단치과의료기기개발연구소) ;
  • 이규복 (경북대학교 치과대학 치과보철학교실, 첨단치과의료기기개발연구소)
  • Received : 2015.05.18
  • Accepted : 2015.07.08
  • Published : 2015.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Aesthetic impression is emphasized in the recent field of implant restoration. However, there is limitation of creating proper shape of soft tissue as well as cervical emergence profile due to the use of pre-existing healing abutment in the process of initial post-operative soft tissue healing period. Designing the shape of abutment into the final customized abutment instead of its original shape helped to achieve more aesthetic implant restoration by applying healing abutment which could minimize the malposition and recession of soft tissue. In this study, soft tissue healing was promoted using the post-operative customized healing abutment and thereby obtained the result of more aesthetic and functional restoration by minimizing displacement of soft tissue in the process of applying final customized abutment.

최근 임플란트 수복 영역에서 심미성이 강조되고 있다. 그러나 수술 후 초기 연조직 회복 과정에서 기성 치유 지대주를 사용하는 것은 연조직 형태 및 치경부 출현각을 형성하기 어려운 문제점들을 가지고 있다. 이러한 한계점을 극복하기 위하여 본 증례에서는 맞춤형 치유 지대주를 제작하여 사용하였으며, 맞춤형 치유 지대주의 형태는 원형이 아닌 최종 맞춤형 지대주 형태로 제작하여 임플란트 수복 시 심미성의 향상을 관찰 하였다. 본 증례는 임플란트 수술 후 맞춤형 치유 지대주를 이용하여 연조직의 치유를 도모함으로써 이후, 최종 맞춤형 지대주 장착 시 연조직의 변위를 줄여보다 심미적이고 기능적으로 좋은 결과를 얻었기에 보고하고자 한다.

Keywords

References

  1. Phillips K, Kois JC. Aesthetic peri-implant site development. The restorative connection. Dent Clin North Am 1998;42:57-70.
  2. Davarpanah M, Martinez H, Tecucianu JF. Apical-coronal implant position: recent surgical proposals. Technical note. Int J Oral Maxillofac Implants 2000;15:865-72.
  3. Funato A, Salama MA, Ishikawa T, Garber DA, Salama H. Timing, positioning, and sequential staging in esthetic implant therapy: a four-dimensional perspective. Int J Periodontics Restorative Dent 2007;27:313-23.
  4. Garber DA, Belser UC. Restoration-driven implant placement with restoration-generated site development. Compend Contin Educ Dent 1995;16:796, 798-802, 804.
  5. Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent 2005;25:113-9.
  6. Kois JC. Predictable single tooth peri-implant esthetics: five diagnostic keys. Compend Contin Educ Dent 2001;22:199-206.
  7. Smukler H, Castellucci F, Capri D. The role of the implant housing in obtaining aesthetics: Part 2. Customizing the peri-implant soft tissue. Pract Proced Aesthet Dent 2003;15:487-90.
  8. Weisgold AS, Arnoux JP, Lu J. Single-tooth anterior implant: a world of caution. Part I. J Esthet Dent 1997;9:225-33. https://doi.org/10.1111/j.1708-8240.1997.tb00946.x
  9. Smukler H, Castellucci F, Capri D. The role of the implant housing in obtaining aesthetics: generation of peri-implant gingivae and papillae-Part 1. Pract Proced Aesthet Dent 2003;15:141-9.
  10. Bichacho N, Landsberg CJ. Single implant restorations: prosthetically induced soft tissue topography. Pract Periodontics Aesthet Dent 1997;9:745-52.
  11. Cooper LF. Objective criteria: guiding and evaluating dental implant esthetics. J Esthet Restor Dent 2008;20:195-205. https://doi.org/10.1111/j.1708-8240.2008.00178.x
  12. Su H, Gonzalez-Martin O, Weisgold A, Lee E. Considerations of implant abutment and crown contour: critical contour and subcriticala contour. Int J Periodontics Restorative Dent 2010;30:335-43.