The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Esthetic restoration in continuous maxillary anterior area using immediate implant placement: A case report

임플란트 즉시 식립에 의한 연속된 상악 전치부의 심미적 수복 증례

  • Lee, Ye Chan (Department of Prosthodontics, School of Dentistry, Yonsei University) ;
  • Shim, Jun Sung (Department of Prosthodontics, School of Dentistry, Yonsei University) ;
  • Lee, Jae Hoon (Department of Prosthodontics, School of Dentistry, Yonsei University) ;
  • Lee, Keun Woo (Department of Prosthodontics, School of Dentistry, Yonsei University)
  • 이예찬 (연세대학교 치과대학 치과보철학교실) ;
  • 심준성 (연세대학교 치과대학 치과보철학교실) ;
  • 이재훈 (연세대학교 치과대학 치과보철학교실) ;
  • 이근우 (연세대학교 치과대학 치과보철학교실)
  • Received : 2017.05.15
  • Accepted : 2017.08.31
  • Published : 2017.10.31
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Abstract

In the case of an extraction in the maxillary anterior region, immediate placement of implant-supported fixed prosthesis can be considered as a treatment option. Fewer surgical operations, reduced treatment time, and optimal availability of existing bone are obvious advantages of the method; however, when applied in the continuous maxillary anterior region, inter-implant distance must be carefully considered, as well as accurate diagnosis and treatment planning for predictable outcome. In this case report, immediate placement of two implants in the continuous maxillary anterior along with bone graft following the extraction of root rests, and the restoration of provisional and implant-supported fixed prosthesis on a 63-year-old patient had resulted in both esthetically and functionally satisfactory clinical outcomes.

상악 전치부를 발치 해야 하는 경우, 즉시 식립을 통한 임플란트 고정성 보철물의 수복을 고려할 수 있다. 이 경우, 수술 횟수 및 치료기간의 감소, 흡수가 일어나지 않은 잔존 골상에 식립이 가능하다는 장점이 있으나, 연속된 상악 전치부인 경우 임플란트와 임플란트간 거리에 대한 고려 및 예지성 있는 치료를 위한 정확한 진단 및 치료계획의 수립이 추가적으로 고려되어야 한다. 본 증례에서는 63세 남환의 잔존치근을 발거 후 연장된 상악 전치부에 골이식을 동반한 2개의 임플란트 즉시 식립 및 임시 보철물을 장착 후, 임플란트 고정성 보철물로 수복하여 심미적, 기능적으로 만족할만한 임상 결과를 보였기에 이를 보고하는 바이다.

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References

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