The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Implant assisted removable partial denture with implant surveyed prostheses: A 9-year follow-up

임플란트 서베이드 보철물을 이용한 임플란트 보조 국소의치의 9년 경과 관찰 증례

  • Lee, Jae-Rim (Department of Prosthodontics, Seoul Metropolitan Government-Seoul National University Boramae Medical Center (SMG-SNU BMC)) ;
  • Yoon, Hyung-In (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Kim, Hee-Sun (Department of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center (SMG-SNU BMC)) ;
  • Sim, Hye-Young (Department of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center (SMG-SNU BMC)) ;
  • Han, Yoon-Sic (Department of Dentistry, Seoul Metropolitan Government-Seoul National University Boramae Medical Center (SMG-SNU BMC))
  • 이재림 (서울특별시 보라매병원 치과보철과) ;
  • 윤형인 (서울대학교 치의학대학원 치과보철학교실) ;
  • 김희선 (서울특별시 보라매병원 치과) ;
  • 심혜영 (서울특별시 보라매병원 치과) ;
  • 한윤식 (서울특별시 보라매병원 치과)
  • Received : 2022.01.17
  • Accepted : 2022.03.15
  • Published : 2022.04.30
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Abstract

Implant placement may be restricted by anatomical and/or financial limitations in restoring a completely edentulous arch, or the patients' unwillingness to have extensive surgical procedures. Implant assisted removable partial dentures (IARPD) in combination with anterior fixed implant prostheses can be proposed as an alternative treatment option for the restoration of a completely edentulous arch. In this case, a 56-year-old female patient who has a fully edentulous maxilla opposed by partially edentulous mandible was treated. The treatment option for the maxilla consisted of an implant-assisted removable partial denture supported by four anterior fixed implant prostheses. The mandible was restored with 8 anterior fixed partial dentures and posterior fixed implant-supported prostheses. Long-term follow-up and supportive periodontal treatment were performed for 9 years, and the patient was satisfied with the overall appearance as well as masticatory function.

완전 무치악 악궁을 수복함에 있어 해부학적인 한계 또는 경제적인 제한이 있거나 환자가 광범위한 수술을 원하지 않을 경우에 임플란트 식립이 제한될 수 있다. 이러한 경우 전악 임플란트 고정성 보철물의 대안으로 임플란트 보조 국소의치를 이용할 수 있다. 본 증례는 치주질환으로 다수 치아를 발거하여 상악 완전 무치악과 하악 부분 무치악이 된 56세 여성 환자에서 상악 전방부에 4개의 임플란트를 식립하여 8본 서베이드 보철물과 임플란트 보조 국소의치로 수복하였고, 하악은 전치부 8본 고정성 가공 의치 및 구치부 임플란트 고정성 보철물로 수복하였다. 9년 간의 경과 관찰 시 심미적, 기능적으로 적절한 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

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