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Implant hybrid prosthetic treatment in Down syndrome patient: a case report

다운증후군 환자에서 임플란트 하이브리드 보철 치료 증례

  • Kim, Mi-Gyeong (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Kim, Jae-Hoon (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Ha-Rim (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Jang, Eun-Sun (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Kim, Hee-Jung (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Gyeong-Je (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 김미경 (조선대학교 치과대학 치과보철학교실) ;
  • 김재훈 (조선대학교 치과대학 치과보철학교실) ;
  • 이하림 (조선대학교 치과대학 치과보철학교실) ;
  • 장은선 (조선대학교 치과대학 치과보철학교실) ;
  • 김희중 (조선대학교 치과대학 치과보철학교실) ;
  • 이경제 (조선대학교 치과대학 치과보철학교실)
  • Received : 2018.05.30
  • Accepted : 2018.07.23
  • Published : 2018.09.29

Abstract

Down syndrome patients generally have poor oral hygiene due to lack of awareness and ability to perform oral care, and there is a high risk of tooth loss. Also, they are characterized by small and irregular teeth and oligodontia, which makes it difficult to do prosthetic treatment. This article reports a case of implant hybrid prosthesis treatment of maxillary edentulous area in Down syndrome patient. The external shape of the final prosthesis was determined by using the mandibular artificial teeth to reflect the oligodontia of the mandible and the pontic areas were adjusted to facilitate oral hygiene care. As a result, aesthetically and functionally satisfactory results were obtained.

다운증후군 환자는 일반적으로 구강 관리에 대한 인식과 수행능력의 부족으로 구강위생상태가 불량하며, 치아 상실의 위험이 높다. 또한 작고 불규칙한 치아, 부분 무치증의 구강 내 특징으로 보철 치료에 어려움이 있다. 본 증례는 다운증후군 환자에서 상악 무치악 부위의 임플란트 하이브리드 보철 치료에 대한 케이스를 보고하고자 한다. 최종보철물의 외형은 하악 잔존치와 인공치를 조화롭게 설정하여 결정하였고, 위생관리가 용이하도록 가공치부위를 수정하였다. 결과적으로 심미적, 기능적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

  1. Faulks D, Collado V, Mazille MN, Veyrune JL, Hennequin M. Masticatory dysfunction in persons with Down's syndrome. Part 1: aetiology and incidence. J Oral Rehabil 2008;35;854-62. https://doi.org/10.1111/j.1365-2842.2008.01877.x
  2. Cheng RHW, Yiu CKY, Leung WK. Oral health in individuals with down syndrome. In: Dey S. editor. Prenatal diagnosis and screening for down syndrome. London; IntechOpen; 2011. p. 59-76.
  3. Oliveira AC, Paiva SM, Campos MR, Czeresnia D. Factors associated with malocclusions in children and adolescents with Down syndrome. Am J Orthod Dentofacial Orthop 2008;133:489.e1-8.
  4. Desai SS, Flanagan TJ. Orthodontic considerations in individuals with Down syndrome: a case report. Angle Orthod 1999;69:85-8.
  5. Rich BM, Augenbraun H. Treatment planning for the edentulous patient. J Prosthet Dent 1991;66:804-6. https://doi.org/10.1016/0022-3913(91)90421-R
  6. DeBoer J. Edentulous implants; overdenture versus fixed. J Prosthet Dent 1993;69:386-90. https://doi.org/10.1016/0022-3913(93)90186-R
  7. Misch CE. Dental Implant Prosthetics. 2nd ed. St. Louis, Elsevier; 2015. p.189-94.
  8. Tjan AH. A sanitary "arc-fixed partial denture": concept and technique of pontic design. J Prosthet Dent 1983;50:338-41. https://doi.org/10.1016/S0022-3913(83)80087-0
  9. Becker CM, Kaldahl WB. Current theories of crown contour, margin placement, and pontic design. 1981. J Prosthet Dent 2005;93:107-15. https://doi.org/10.1016/j.prosdent.2004.11.005
  10. Altarawneh S, Limmer B, Reside GJ, Cooper L. Dual jaw treatment of edentulism using implantsupported monolithic zirconia fixed prostheses. J Esthet Restor Dent 2015;27:63-70. https://doi.org/10.1111/jerd.12137