대한심미치과학회지 (Journal of the Korean Academy of Esthetic Dentistry)

대한심미치과학회 (Korean Academy of Esthetic Dentistry)
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경조직과 연조직의 증강을 통한 상악전치부 임플란트 수복: 증례보고

Hard and soft tissue management in esthetic zone: A Case Report

  • 김나홍 (중앙보훈병원 치과병원 보철과) ;
  • 이규원 (중앙보훈병원 치과병원 통합진료과) ;
  • 문지경 (중앙보훈병원 치과병원 통합진료과) ;
  • 박필규 (중앙보훈병원 치과병원 보철과) ;
  • 이동운 (중앙보훈병원 치과병원 치주과)
  • Kim, Na-Hong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Kyu-Won (Department of Advanced General Dentistry, Veterans Health Service Medical Center) ;
  • Moon, Ji-Kyung (Department of Advanced General Dentistry, Veterans Health Service Medical Center) ;
  • Park, Pil-Kou (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Dong-Woon (Department of Periodontology, Veterans Health Service Medical Center)
  • 투고 : 2015.05.21
  • 심사 : 2015.06.15
  • 발행 : 2015.06.24
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초록

임플란트와 주변 연조직에 대한 술식들이 발전함에 따라 임플란트를 통해 저작 기능 뿐 아니라 심미성의 회복도 가능하게 되었다. 최근에는 심미적인 면이 가장 중요한 상악 전치부에도 임플란트를 이용한 수복이 많이 이용되고 있다. 하지만 상악 전치부를 주변 조직과 조화되게끔 임플란트로 재건하는 것은 치과의사에게 여전히 어려운 일이다. 이를 위해서는 경조직의 재건, 연조직의 재건, 그리고 주변 조직과 어울리는 보철물의 제작이 이루어져야 한다. 본 증례에서는 이전의 여러 차례 수술로 인하여 상악 전치부 상실부위의 연조직, 경조직 손실이 심한 상태로 내원한 환자에서 연조직 증강술과 골이식을 시행하고 임시수복물을 통해 심미성을 개선시킨 임플란트 증례가 있어 보고하고자 한다.

With the development of treatment of hard and soft tissue around the implants, the implant restoration is increasingly used in the maxillary anterior region which is very important aesthetically. However, the aesthetic reconstruction of the maxillary anterior region is still challenged. Three following conditions should be fully satisfied for aesthetic prosthesis restoration; reconstruction of hard tissue, soft tissue and harmonic prosthesis. In this case report, hard and soft tissue augmentations were performed at atrophied maxillary incisor. Additionally, customized impression coping and provisional restoration were used to make the final restoration.

키워드

참고문헌

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