구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제36권2호
  • /
  • Pages.121-127
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  • 2020
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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상악의 임플란트 고정성 보철물과 후방연장 국소의치를 이용하여 수복한 10년 경과 관찰 증례

Maxillary implant-supported fixed prosthesis engaged by distal-extension removable partial denture for 10 years: a case report

  • 류리 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소) ;
  • 박연희 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소) ;
  • 오원석 (미시간대학교 치과보철학교실) ;
  • 이정진 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소) ;
  • 박주미 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소)
  • Ryu, Ri (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Jeonbuk National University) ;
  • Park, Yeon-Hee (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Jeonbuk National University) ;
  • Oh, Won-suk (Department of Biologic and Materials Sciences & Prosthodontics, University of Michigan School of Dentistry) ;
  • Lee, Jung-Jin (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Jeonbuk National University) ;
  • Park, Ju-mi (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Jeonbuk National University)
  • 투고 : 2020.04.20
  • 심사 : 2020.05.25
  • 발행 : 2020.06.30
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초록

상악 무치악 환자에서 치료 방법을 결정하는데 있어 생역학적 고려사항과 함께 전치부 치아에 대한 환자의 심미적 요구도 고려될 수 있다. 이 증례 보고는 전치부의 임플란트 고정성 보철물과 구치부의 후방 연장 가철성 국소의치로 구강 기능이 회복된 상악 무치악 환자의 10년 동안 임상 결과를 기술하고 있다. 상악 전방에 임플란트 고정성 보철물로 4개의 임플란트를 연결고정 하였으며 후방에 가공선 유지장치를 가진 가철성 국소의치가 장착되었다. 하악 무치악은 임플란트 피개의치로 수복되었다. 경과 관찰 기간 동안 고정성 보철물의 인공치아와 전장 레진의 변색, 사고로 인한 보철물 파절 이외에 임플란트 및 국소의치 관련된 기계적, 기계적 생물학적 주요 합병증은 관찰되지 않았다.

Prosthodontic decision and management should be considered the patient's aesthetic need for anterior teeth in maxillary edentulism. This case report describes 10-year clinical outcome of a maxillary edentulous patient was rehabilitated by means of an implant-supported fixed dental prosthesis (ISFDP) for the anterior region and a distal-extension removable partial denture (RPD) for the posterior region. The ISFDP was designed to splint 4 endosseous implants as one unit and engaged by the RPD. The edentulous mandible was restored by means of an implant-supported overdenture. Over the course, no major adverse event occurred other than wear, discoloration, and breakage of resin veneers and artificial teeth.

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