대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제57권4호
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  • Pages.416-424
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  • 2019
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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Peri-implantitis 환자에서의 전악 재수복 증례

Full mouth rehabilitation in a patient with peri-implantitis: A case report

  • 최낙현 (이화여자대학교 의과대학 치과보철학교실) ;
  • 조영은 (이화여자대학교 의과대학 치과보철학교실) ;
  • 박은진 (이화여자대학교 의과대학 치과보철학교실)
  • Choi, Nak-Hyun (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Cho, Young-Eun (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Park, Eun-Jin (Department of Prosthodontics, School of Medicine, Ewha Womans University)
  • 투고 : 2019.06.11
  • 심사 : 2019.08.01
  • 발행 : 2019.10.31
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초록

임플란트 주위염(peri-implantitis)은 임플란트 치료를 받은 환자의 20%가량에서 발병하며, 시간이 지날수록 유병률이 증가한다. 경도 또는 중등도의 임플란트 주위염은 비수술적 또는 수술적 방법을 통해 치료될 수 있으나 심한 치조골 흡수를 동반한 경우 임플란트 제거(explanation)를 동반한 재건이 요구된다. 임플란트 주위염은 재발 가능성이 높아 치료계획 단계에서부터 임플란트 주위염의 재발을 방지하기 위한 고려가 필요하다. 본 증례는 임플란트 주위염과 만성치주염으로 진단된 환자의 증례로, 다수의 임플란트 제거 및 다수 치아 발치 후 상악은 임플란트 유지 피개의치, 하악은 임플란트 고정성 보철로 전악 수복하였다. 임플란트 주위염의 재발을 예방하기 위한 수술적, 보철적 방법을 통해 성공적으로 수복하였기에 이를 보고하고자 한다.

Peri-implantitis appears in almost 20% of patients who received implant treatment, and increase in its number is inevitable as time goes by. Although it can be treated by both non-surgical and surgical procedures, in cases which include severe bone loss, explantation and rehabilitation may be necessary. Careful treatment planning and considerations to prevent recurrent peri-implantitis should be taken into account. In the following case presented, a patient with chronic periodontitis and peri-implantitis was successfully rehabilitated after removal of several implants. Extraction and explantation of multiple teeth and implants were followed by full mouth reconstruction with fixed implant prostheses on the mandible and implant retained overdenture on the maxilla. Surgical and prosthetic measures to prevent recurrent peri-implantitis were taken into consideration.

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참고문헌

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