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Overdentures of the patient with Parkinson's disease: A case report

파킨슨 병을 가진 환자의 상악 마그네틱 피개의치 및 하악 임플란트 피개의치 수복 증례

  • Min, Byung-Kwee (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Shin, Eun-Jung (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Vang, Mong-Sook (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yang, Hong-So (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 민병귀 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 신은정 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 방몽숙 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 양홍서 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 윤귀덕 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 임현필 (전남대학교 치의학전문대학원 치과보철학교실)
  • Received : 2015.06.18
  • Accepted : 2015.07.20
  • Published : 2015.10.30

Abstract

The retention of complete dentures in patients with Parkinson's disease is often poor due to their constant dislodgement by involuntary movements of the tongue and lips. Furthermore, insertion of the overdenture is expected to be difficult due to their limited voluntary movements. This case is about the bimaxillary overdenture restoration where its retention and stability are improved, using magnetic attachment of remained roots of maxilla and two implant $Locator^{(R)}$ attachments of mandible in patients with Parkinson's disease. This report describes the fabrication of this functionally improved prosthesis.

파킨슨 병을 가지고 있는 환자의 총의치는 혀와 입술의 불수의적 운동으로 인해 유지와 안정이 좋지 않은 경우가 많다. 또한 제한된 수의 운동으로 인해 피개의치의 장착에 어려움이 어려울 수 있다. 본 증례는 파킨슨병을 가진 상, 하악 부분 무치악 환자에서 상악에서는 잔존치근을 이용한 magnetic attachment와 하악에서는 2개의 임플란트를 이용한 $Locator^{(R)}$ attachment를 통해 유지와 안정을 증진시킨 피개의치 수복증례로서, 기능적으로 개선된 보철물을 제작했기에 보고하는 바이다.

Keywords

References

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  1. 심한 편측 하악 치조골 흡수를 보이는 환자에서의 임플란트 피개의치 수복 증례 vol.57, pp.3, 2015, https://doi.org/10.4047/jkap.2019.57.3.271