Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지
DOI QR코드

DOI QR Code

Complication and management of implant-assisted removable partial denture with distal extension: a clinical report

양측성 후방연장 임플란트 보조 국소의치의 합병증과 관리: 증례보고

  • Choi, Jung-Yun (Department of Prosthodontics, Institute of Oral Bio-Science, School of Dentistry, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Lee, Jung-Jin (Department of Prosthodontics, Institute of Oral Bio-Science, School of Dentistry, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Song, Kwang-Yeob (Department of Prosthodontics, Institute of Oral Bio-Science, School of Dentistry, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Park, Ju-Mi (Department of Prosthodontics, Institute of Oral Bio-Science, School of Dentistry, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Kim, Kyoung-A (Department of Dentistry, School of Medicine, Eulji University) ;
  • Seo, Jae-Min (Department of Prosthodontics, Institute of Oral Bio-Science, School of Dentistry, Chonbuk National University and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital)
  • 최정윤 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 이정진 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 송광엽 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 박주미 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 김경아 (을지대학교 의과대학 치과학교실) ;
  • 서재민 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소)
  • Received : 2016.09.07
  • Accepted : 2016.12.17
  • Published : 2016.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Implant supported removable partial denture (ISRPD) using the implants enables favorable rehabilitation by complementing biomechanical limitations of the conventional removable partial denture (RPD). However, continuous recall check is necessary for evaluation of the mechanical and biological complications to ensure good long-term prognosis of ISRPD. This clinical report describes the complication and management in patient of Kennedy class I edentulism with ISRPD using healing abutment. The wear and fracture of healing abutment occurred at 36 months after delivery. So, healing abutment was replaced by connecting $Locator^{(R)}$ abutment for altering into the implant retained partial overdenture.

임플란트를 이용한 임플란트 지지 국소의치(Implant supported removable partial denture)는 기존 가철성 국소의치의 생체역학적 한계를 보완할 수 있어 무치악 환자의 유용한 치료로 활용된다. 기계적, 생물학적 합병증을 예방하고 장기간 적절한 예후를 위해서는 정기적인 내원을 통한 관리가 매우 중요하다. 본 증례보고에서 치유 지대주를 이용한 양측성 후방연장 임플란트 지지 국소의치에서 발생한 기계적 합병증 및 관리에 대해 기술하고자 한다. 임플란트 국소의치 장착 36개월 후 치유 지대주의 마모 및 파절이 발생하였고, 이에 임플란트 유지 국소의치로 전환하기 위하여 임플란트의 치유 지대주를 $Locator^{(R)}$로 교체하였다. 환자는 기능 및 심미적으로 만족할 만한 결과를 얻었기에 이를 보고하는 바이다.

Keywords

References

  1. Kratochvil FJ, Caputo AA. Photoelastic analysis of pressure on teeth and bone supporting removable partial dentures. J Prosthet Dent 1974;32:52-61. https://doi.org/10.1016/0022-3913(74)90098-5
  2. Shahmiri R, Aarts JM, Bennani V, Das R, Swain MV. Strain distribution in a Kennedy Class I implant assisted removable partial denture under various loading conditions. Int J Dent 2013;2013:351279.
  3. Kuzmanovic DV, Payne AG, Purton DG. Distal implants to modify the Kennedy classification of a removable partial denture: a clinical report. J Prosthet Dent 2004;92:8-11. https://doi.org/10.1016/j.prosdent.2004.04.010
  4. Wismeijer D, Tawse-Smith A, Payne AG. Multicentre prospective evaluation of implant-assisted mandibular bilateral distal extension removable partial dentures: patient satisfaction. Clin Oral Implants Res 2013;24:20-7.
  5. Chikunov I, Doan P, Vahidi F. Implant-retained partial overdenture with resilient attachments. J Prosthodont 2008;17:141-8. https://doi.org/10.1111/j.1532-849X.2007.00261.x
  6. Ohkubo C, Kobayashi M, Suzuki Y, Hosoi T. Effect of implant support on distal-extension removable partial dentures: in vivo assessment. Int J Oral Maxillofac Implants 2008;23:1095-101.
  7. de Freitas RF, de Carvalho Dias K, da Fonte Porto Carreiro A, Barbosa GA, Ferreira MA. Mandibular implant-supported removable partial denture with distal extension: a systematic review. J Oral Rehabil 2012;39:791-8. https://doi.org/10.1111/j.1365-2842.2012.02326.x
  8. McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH, Arbree NS. Classification system for partial edentulism. J Prosthodont 2002;11:181-93. https://doi.org/10.1053/jopr.2002.126094
  9. Cunha LD, Pellizzer EP, Verri FR, Pereira JA. Evaluation of the influence of location of osseointegrated implants associated with mandibular removable partial dentures. Implant Dent 2008;17:278-87. https://doi.org/10.1097/ID.0b013e31818363b2
  10. Verri FR, Pellizzer EP, Rocha EP, Pereira JA. Influence of length and diameter of implants associated with distal extension removable partial dentures. Implant Dent 2007;16:270-80. https://doi.org/10.1097/ID.0b013e31805007aa
  11. Mitrani R, Brudvik JS, Phillips KM. Posterior implants for distal extension removable prostheses: a retrospective study. Int J Periodontics Restorative Dent 2003;23:353-9.
  12. Pellizzer EP, Verri FR, Falcon-Antenucci RM, Goiato MC, Gennari Filho H. Evaluation of different retention systems on a distal extension removable partial denture associated with an osseointegrated implant. J Craniofac Surg 2010;21:727-34. https://doi.org/10.1097/SCS.0b013e3181d8098a
  13. Grossmann Y, Nissan J, Levin L. Clinical effectiveness of implant-supported removable partial dentures: a review of the literature and retrospective case evaluation. J Oral Maxillofac Surg 2009;67:1941-6. https://doi.org/10.1016/j.joms.2009.04.081
  14. ELsyad MA, Omran AO, Fouad MM. Strains around abutment teeth with different attachments used for implant-assisted distal extension partial overdentures: an in vitro study. J Prosthodont 2015 Sep 29. doi: 10.1111/jopr.12370. [Epub ahead of print]
  15. el Charkawi HG, Zekry KA, el Wakad MT. Stress analysis of different osseointegrated implants supporting a distal extension prosthesis. J Prosthet Dent 1994;72:614-22. https://doi.org/10.1016/0022-3913(94)90294-1
  16. Mahrous AI, Aldawash HA, Soliman TA, Banasr FH, Abdelwahed A. Implant supported distal extension over denture retained by two types of attachments. A comparative radiographic study by cone beam computed tomography. J Int Oral Health 2015;7:5-10.