The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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The use of implant-assisted removable partial denture in the partially edentulous maxilla with a few unilateral remaining teeth and implant overdenture in the mandible: A case report

상악 편측 소수 잔존치에서 임플란트 융합 국소의치와 하악 임플란트 피개의치의 수복 증례

  • Yun, Yina (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Kim, Hyun-Ah (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sangwon (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Chan (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Jang, Woohyung (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 윤이나 (전남대학교 치의학전문대학원 보철학교실) ;
  • 김현아 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박찬 (전남대학교 치의학전문대학원 보철학교실) ;
  • 장우형 (전남대학교 치의학전문대학원 보철학교실)
  • Received : 2021.07.21
  • Accepted : 2021.09.03
  • Published : 2021.10.31
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Abstract

Successful cases of the implant-assisted removable partial denture and implant overdentures are reported in which a few implants are additionally placed to secure the maintenance, support, and stability of the denture when there are a few residual teeth. When the lateral force applied to the tooth abutment and implant surveyed crown is minimized, the horizontal and rotational movement of the denture is significantly reduced which is an effective method that can improve the address in patients who complain of reduced retention and stability of their dentures. In this case, a small number of implants were placed to fabricate an implant-assisted removable partial denture with implant surveyed crown in the maxilla and implant overdenture with Locator® attachment in the mandible to improve the retention, stability, and support of the dentures. The patient was satisfied with both functional and aesthetic aspects after the final dentures were delivered.

소수의 잔존치가 존재하는 경우 소수의 임플란트를 추가적으로 식립하여 의치의 유지, 지지, 안정을 확보하는 임플란트 융합 국소의치 및 피개의치의 성공적인 증례가 보고되고 있다. 임플란트 융합 국소의치는 임플란트를 포함한 지대치에 가해지는 측방력을 최소화할 경우 의치의 수평적, 회전적 움직임이 현저하게 줄어들고 의치의 탈락 및 안정의 불편감을 호소하는 환자에서 주소를 크게 개선할 수 있는 효과적인 치료법으로 제안되고 있다. 본 증례는 소수의 임플란트를 식립하여 상악에 임플란트 지지 서베이드 금관을 제작하고 하악에 Locator® attachment를 통해 의치의 유지, 안정, 지지를 개선하였다. 임상 관찰에서 환자가 최종 의치 장착 후 기능적, 심미적 면에서 모두 만족하였기에 보고하는 바이다.

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References

  1. Chronopoulos V, Sarafianou A, Kourtis S. The use of dental implants in combination with removable partial dentures: a case report. J Esthet Restor Dent 2008;20:355-64. https://doi.org/10.1111/j.1708-8240.2008.00209.x
  2. Budtz-Jorgensen E. Restoration of the partially edentulous mouth-a comparison of overdentures, removable partial dentures, fixed partial dentures and implant treatment. J Dent 1996;24:237-44. https://doi.org/10.1016/0300-5712(95)00075-5
  3. Obana J. Prosthodontic treatment for maxillary and mandibular teeth cross each other. 1st ed., Tokyo; Ishiyaku Publishers, 1994. p. 2-4.
  4. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent 1972;27:120-32. https://doi.org/10.1016/0022-3913(72)90188-6
  5. Park JM, Koak JY, Kim SK, Joo JH, Heo SJ. Consideration for the combination treatment of removable partial denture and implant. Implantol 2015;19:104-11.
  6. Kihara M, Ogino Y, Matsushita Y, Morita T, Sawae Y, Ayukawa Y, Koyano K. In vitro assessment of the effect of implant position on biomechanical behaviors of implant-supported removable partial dentures in Kennedy Class II condition. Materials (Basel) 2021;14:2145. https://doi.org/10.3390/ma14092145
  7. Ohkubo C, Kurihara D, Shimpo H, Suzuki Y, Kokubo Y, Hosoi T. Effect of implant support on distal extension removable partial dentures: in vitro assessment. J Oral Rehabil 2007;34:52-6. https://doi.org/10.1111/j.1365-2842.2006.01641.x
  8. Van Steenberghe D, Quirynen M, Calberson L, Demanet M. A prospective evaluation of the fate of 697 consecutive intraoral fixtures ad modum Branemark in the rehabilitation of edentulism. J Head Neck Pathol 1987;6:53-8.
  9. 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 Jr, Tawse-Smith A, Taylor TD, Thomason JM, Thomson WM, Wismeijer D. The McGill Consensus statement on overdentures. Montreal, Quebec, Canada. May 24-25, 2002. Int J Prosthodont 2002;15:413-4.
  10. Chikunov I, Doan P, Vahidi F. Implant-retained partial overdenture with resilient attachments. J Prosthodont 2008;17:141-8. https://doi.org/10.1111/j.1532-849X.2007.00261.x
  11. Schneid T, Mattie P. Implant-assisted removable partial dentures. Stewart's clinical removable partial prosthodontics. Chicago; Quintessence. 2008. p. 259-77.
  12. Vermeulen AH, Keltjens HM, van't Hof MA, Kayser AF. Ten-year evaluation of removable partial dentures: survival rates based on retreatment, not wearing and replacement. J Prosthet Dent 1996;76:267-72. https://doi.org/10.1016/S0022-3913(96)90170-5
  13. Bassetti RG, Bassetti MA, Kuttenberger J. Implant-assisted removable partial denture prostheses: a critical review of selected literature. Int J Prosthodont 2018;31:287-302. https://doi.org/10.11607/ijp.5227
  14. Kang SH, Kim SK, Heo SJ, Koak JY. Survival rate and clinical evaluation of the implants in implant assisted removable partial dentures: surveyed crown and overdenture. J Adv Prosthodont 2020;12:239-49. https://doi.org/10.4047/jap.2020.12.4.239
  15. Zitzmann NU, Rohner U, Weiger R, Krastl G. When to choose which retention element to use for removable dental prostheses. Int J Prosthodont 2009;22:161-7.
  16. Chronopoulos V, Sarafianou A, Kourtis S. The use of dental implants in combination with removable partial dentures: a case report. J Esthet Restor Dent 2008;20:355-64; discussion 365. https://doi.org/10.1111/j.1708-8240.2008.00209.x
  17. Geramy A, Morgano SM. Finite element analysis of three designs of an implant-supported molar crown. J Prosthet Dent 2004;92:434-40. https://doi.org/10.1016/j.prosdent.2004.08.011
  18. Kameda Y. Implant partial denture IARPD No Rinshou. Huh JB, trans. Seoul; DaehanNarae Publishing. Inc., 2019. p. 54-6.
  19. Choi JW, Yun BH, Jeong CM, Huh JB. Retentive properties of two stud attachments with polyetherketoneketone or nylon insert in mandibular implant overdentures. Int J Oral Maxillofac Implants 2018;33:1079-88. https://doi.org/10.11607/jomi.6023
  20. Walton JN, Huizinga SC, Peck CC. Implant angulation: a measurement technique, implant overdenture maintenance, and the influence of surgical experience. Int J Prosthodont 2001;14:523-30.