DOI QR코드

DOI QR Code

The implant retained overdenture by Locator attachments on the edentulous mandible using Parallel guide KIT® : a case report

하악 무치악 환자에서 Parallel guide KIT®를 이용한 임플란트 식립 및 Locator 어태치먼트를 이용한 임플란트 피개의치 수복증례

  • Kim, Hyeran (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Kim, Jun-Yup (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yang, Hong-Seo (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Chan (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Shin, Jin-Ho (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 김혜란 (전남대학교 치의학전문대학원 보철학교실) ;
  • 김준엽 (전남대학교 치의학전문대학원 보철학교실) ;
  • 양홍서 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 보철학교실) ;
  • 임현필 (전남대학교 치의학전문대학원 보철학교실) ;
  • 윤귀덕 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박찬 (전남대학교 치의학전문대학원 보철학교실) ;
  • 신진호 (전남대학교 치의학전문대학원 보철학교실)
  • Received : 2016.11.09
  • Accepted : 2016.12.19
  • Published : 2017.03.31

Abstract

Overdenture using dental implants could improve the problems of conventional complete denture function which are pain during mastication, insufficient retention and stability. Locator attachment used widely for implant-retained overdenture has advantages that it needs the smallest vertical space and also its nylon male cap allows personalized retention for each case. However its retention force decreases rapidly with function rather than the bar and ball attachment. So, implant fixture should be positioned as parallel as possible.

무치악 환자를 수복할 때 임플란트 피개의치를 이용한 치료법은 전통적인 총의치의 문제점인 저작시 동통, 의치의 부족한 유지와 안정을 포함하는 기능저하 문제 등을 해결할 수 있는 방법이다. $Locator^{(R)}$ (Zest Anchors LLC, Espandido, USA) 어태치먼트는 임플란트 피개의치에 사용되는 어태치먼트 중 수직적으로 필요한 공간이 가장 적고, 나일론 부품에 따라 유지력 조절이 용이하다. 하지만 Ball이나 Bar에 비해 기능시 부품의 마모로 유지력이 빠르게 감소하는 특징이 있어 가급적 임플란트 간 각도가 최소가 되도록 식립하려는 노력이 필요하다.

Keywords

References

  1. Feine JS, Carlsson GE, Awad MA, Chehade A, Duncan WJ, Gizani S, Head T, Lund JP, MacEntee M, Mericske-Stern R, Mojon P, Morais J, Naert I, Payne AG, Penrod J, Stoker GT, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standart of care for edentulous patient. Montreal, Quebec, May 24-25, 2002. Int J Oral Maxillofac Implants 2002;17:601-2.
  2. Misch CE. Dental implant prosthetics. 2nd ed. Beijing; ELSEVIER; 2015. p. 573-97.
  3. Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systemic review. J Prosthet Dent 2007;97:340-8. https://doi.org/10.1016/S0022-3913(07)60022-5
  4. Trakas T, Michalakis K, Kang K, Hirayama H. Attachment systems for implant retained overdentures: a literature review. Implant Dent 2006;15:24-34. https://doi.org/10.1097/01.id.0000202419.21665.36
  5. Schneider AL, Kurtzman GM. Bar overdentures utilizing the Locator attachment. Gen Dent 2001; 49:210-4.
  6. Abi Nader S, de Souza RF, Fortin D, De Koninck L, Fromentin O, Albuquerque Junior RF. Effect of simulated masticatory loading on the retention of stud attachments for implant overdentures. J Oral Rehabil 2011;38:157-64. https://doi.org/10.1111/j.1365-2842.2010.02145.x
  7. Uludag B, Polat S. Retention characteristics of different attachment systems of mandibular overdentures retained by two or three implants. Int J Oral Maxillofac Implants 2012;27:1509-13.
  8. Kim SW. Implant overdenture. Seoul; Myoung Mun Publishing Company; 2007.
  9. Jabbour Z, Fromentin O, Lassauzay C, Abi Nader S, Correa JA, Feine J, de Albuquerque Junior RF. Effect of implant angulation on attachment retention in mandibular two-implant overdentures: a clinical study. Clin Implant Dent Relat Res 2014; 16:565-71. https://doi.org/10.1111/cid.12030