The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Prosthetic rehabilitation with digital implant planning for a minimally invasive surgery approach

디지털 임플란트 플래닝을 통한 최소침습 보철수복 증례

  • Jeong, Areum (Department of Prosthodontics, Kyung Hee University Dental Hospital) ;
  • Lee, Younghoo (Department of Prosthodontics, Kyung Hee University Dental Hospital) ;
  • Hong, Seoung-Jin (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Noh, Kwantae (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 정아름 (경희대학교치과병원 보철과) ;
  • 이영후 (경희대학교치과병원 보철과) ;
  • 홍성진 (경희대학교 치과대학 치과보철학교실) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실)
  • Received : 2022.06.30
  • Accepted : 2022.07.21
  • Published : 2022.07.29
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Abstract

For fixed prosthetic treatment using implants, implants must be placed in a suitable location for prosthetic treatment. During surgery, minimally invasive prosthetic restoration is possible using a flapless method using a surgical guide. The patient in this case was an 86-year-old male patient who wanted treatment due to discomfort when using conventional dentures. Due to systemic disease, the patient had difficulty using removable local dentures, so full dentures for the maxilla and fixed implants for the mandible were restored. Because there is a high risk of bleeding due to systemic disease, the implant was placed in a flapless method using a surgical guide. Finally, prostheses were fabricated with maxillary full denture and mandibular screw-retained zirconia, and this report shows satisfactory esthetic and functional recovery.

임플란트를 이용한 고정성 보철 치료를 위해서는 보철 치료에 적합한 위치에 임플란트가 식립되어야 하며 이를 위해 guided implant surgery와 CAD-CAM을 활용한 보철물 제작이 최근 널리 사용되고 있다. 수술 시에는 surgical guide를 이용해 flapless 방식으로 최소침습 보철수복이 가능 하다. 본 증례의 환자는 86세 남성 환자로 기존 의치 사용 시 불편함으로 치료를 원하였다. 환자는 전신질환으로 인해 가철성 국소의치 사용이 어려워 상악은 총의치, 하악의 경우 임플란트 고정성 보철물 수복하였다. 전신질환으로 인해 높은 출혈 위험성을 가지므로 surgical guide를 사용해 flapless 방식으로 임플란트를 식립하였다. 최종적으로 상악 총의치 및 하악 나사 유지형 지르코니아를 보철물을 제작하였으며, 만족스러운 기능 및 심미 회복을 보였기에 보고하는 바이다.

Keywords

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