대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제60권2호
  • /
  • Pages.187-194
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  • 2022
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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편측 의수 사용 환자에서 Milled Bar와 Attachment를 이용한 임플란트 피개의치 재수복 증례

Retreatment of implant overdenture using Milled Bar and Attachment in a patient using a unilateral prosthetic arm: A case report

  • 박소형 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 이소현 (부산대학교 치의학전문대학원 치과보철학교실)
  • Park, So-Hyung (Department of Prosthodontics, School of Dentistry, Busan National University) ;
  • Jeong, Chang-Mo (Department of Prosthodontics, School of Dentistry, Busan National University) ;
  • Yun, Mi-Jung (Department of Prosthodontics, School of Dentistry, Busan National University) ;
  • Huh, Jung-Bo (Department of Prosthodontics, School of Dentistry, Busan National University) ;
  • Lee, So-Hyoun (Department of Prosthodontics, School of Dentistry, Busan National University)
  • 투고 : 2021.09.06
  • 심사 : 2021.11.02
  • 발행 : 2022.04.30
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초록

완전 무치악 환자의 가철성 보철 수복 치료에서 잔존 치조제의 흡수가 심한 경우 임플란트를 이용하면 부가적인 지지, 유지 및 안정을 제공할 수 있다. 환자의 상태에 대한 정확한 진단 및 평가 없이 보철물을 제작하게 되면 생역학적, 기능적, 심미적으로 불리한 치료 결과를 야기하게 된다. 본 증례의 환자는 개인치과의원에서 상·하악 임플란트 피개의치를 제작하였으나 연조직 통증 및 기존 의치 유지력 저하로 재치료를 위해 내원하였다. 진단 결과 기존 의치의 수직고경이 다소 낮게 설정되어 있어 이를 거상하고, milled bar와 부가적인 attachment를 이용한 임플란트 피개의치를 제작하였다. 이를 통해 증진된 구강위생과 기능적, 심미적인 면에서 만족할 만한 결과를 얻었기에 보고하는 바이다.

The use of implants could improve the support, retention, and stability of removable prosthetic restoration for fully edentulous patients with severe alveolar bone resorption. When the prosthesis is manufactured without accurate diagnosis and evaluation, this may lead to unfavorable treatment result. The patient in this case had the treatment of implant overdentures at a private dental clinic, but visited the hospital for retreatment due to soft tissue pain and decreasing retention of existing dentures. The vertical dimension was raised compared to the existing dentures, and overdentures were manufactured using milled bars and additional attachments. The clinical results were satisfactory in the aspect of improved oral hygiene maintenance, function and esthetics.

키워드

과제정보

This paper was supported by the grant of clinical research funding of the Dental Hospital of Busan National University in 2020.

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