Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

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

DOI QR Code

Full mouth rehabilitation utilizing implant-assisted removable partial denture with a canted occlusal plane: a case report

경사진 교합평면을 갖는 환자에서 임플란트 보조 국소의치를 이용한 전악 수복 증례

  • Han, A-Reum (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Kwon, Tae-Min (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Kim, Kyoung-A (Department of Dentistry, School of Medicine, Eulji University) ;
  • Seo, Jae-Min (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
  • 한아름 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 권태민 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 김경아 (을지대학교 의과대학 치과학교실) ;
  • 서재민 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소)
  • Received : 2016.07.11
  • Accepted : 2016.08.03
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Implant-assisted removable partial denture (Implant-assisted RPD, IARPD), posterior edentulous extension areas of which obtains additional support and retention from implants, is attracting increasing interest. This case report presents a successful treatment on a partially edentulous patient with a severely canted occlusal plane resulted from a long-term use of posterior extended RPD. The full mouth was rehabilitated through a fixed prosthesis on maxilla and IARPD with zirconia occlusal surface on mandible, which allowed to achieve an esthetic occlusal plane with long-term stability and, ultimately, functionally satisfying outcome.

임플란트를 보조적으로 이용함으로써 후방 연장 국소의치에 부가적으로 유지와 지지를 얻는 임플란트 보조 국소의치(implant-assisted RPD, IARPD)에 대한 관심이 증가하고 있다. 본 증례는 장기간 후방연장 국소의치의 사용으로 인하여 심하게 기울어진 교합평면을 가진 부분 무치악 환자에서 상악의 고정성 보철 수복과 하악의 지르코니아 교합면을 가지는 임플란트 보조 국소의치를 이용하여 심미적이며 장기적으로 안정적인 교합평면을 가지도록 전악 수복하였으며, 기능적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

  1. 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
  2. Shahmiri RA, Atieh MA. Mandibular Kennedy Class I implant tooth borne removable partial denture: a systematic review. J Oral Rehabil 2010;37:225-34. https://doi.org/10.1111/j.1365-2842.2009.02044.x
  3. Ohkubo C, Kurihara D, Shimpo H, Suzuki Y, Kokubo Y, Hosoi T. Effect of implant support on distal extension removable partial dentures: in vitro assessment. J Oral Rehabil 2007;34:52-6. https://doi.org/10.1111/j.1365-2842.2006.01641.x
  4. Keltjens HM, Kayser AF, Hertel R, Battistuzzi PG. Distal extension removable partial dentures supported by implants and residual teeth: considerations and case reports. Int J Oral Maxillofac Implants 1993;8:208-13.
  5. Giffin KM. Solving the distal extension removable partial denture base movement dilemma: a clinical report. J Prosthet Dent 1996;76:347-9. https://doi.org/10.1016/S0022-3913(96)90536-3
  6. Sato M, Suzuki Y, Kurihara D, Shimpo H, Ohkubo C. Effect of implant support on mandibular distal extension removable partial dentures: relationship between denture supporting area and stress distribution. J Prosthodont Res 2013;57:109-12. https://doi.org/10.1016/j.jpor.2013.01.002
  7. Grossmann Y, Levin L, Sadan A. A retrospective case series of implants used to restore partially edentulous patients with implant-supported removable partial dentures: 31-month mean follow-up results. Quintessence Int 2008;39:665-71.
  8. Mitrani R, Brudvik JS, Philips KM. Posterior implants for distal extension removable prostheses: a retrospective study. Int J Periodontics Restorative Dent 2003;23:353-9.
  9. Mijiritsky E, Ormianer Z, Klinger A, Mardinger O. Use of dental implants to improve unfavorable removable partial denture design. Compend Contin Educ Dent 2005;26:744-6, 748, 750 passim.
  10. Bortolini S, Natali A, Franchi M, Coggiola A, Consolo U. Implant retained removable partial dentures: an 8 year retrospective study. J Prosthodont 2011;20:168-72. https://doi.org/10.1111/j.1532-849X.2011.00700.x
  11. 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
  12. Kim JH, Cho JH, Lee CH. Influence of the length and location of implants on distal extension removable partial dentures: finite element analysis. J Dent Rehabil Appl Sci 2015;31:186-94. https://doi.org/10.14368/jdras.2015.31.3.186
  13. 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.
  14. 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
  15. Ghazal M, Yang B, Ludwig K, Kern M. Two-body wear of resin and ceramic denture teeth in comparison to human enamel. Dent Mater 2008;24:502-7. https://doi.org/10.1016/j.dental.2007.04.012