대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제61권1호
  • /
  • Pages.73-81
  • /
  • 2023
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

완전 무치악 환자에서 상악 총의치와 하악 임플란트 지지 고정성 보철 치료를 위한 치료법 비교: 증례 보고

Comparison of treatments for maxillary full denture and mandibular implant-supported fixed prosthesis in completely edentulous patients: A case report

  • 한진원 (강남세브란스병원 치과보철과) ;
  • 표세욱 (강남세브란스병원 치과보철과) ;
  • 장재승 (강남세브란스병원 치과보철과) ;
  • 김선재 (강남세브란스병원 치과보철과)
  • Jin-Won Han (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University) ;
  • Se-Wook Pyo (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University) ;
  • Jae-Seung Chang (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University) ;
  • Sunjai Kim (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University)
  • 투고 : 2022.09.30
  • 심사 : 2022.10.19
  • 발행 : 2023.01.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

완전 무치악 환자에서 상악은 전통적인 총의치 치료를 통해 충분한 안정, 지지 및 유지를 얻기 용이하지만, 하악은 해부학적 한계로 인하여 치료에 어려움이 있기 때문에 임플란트를 동반한 치료를 고려할 수 있다. 구치부에 임플란트 식립이 어려운 경우에는 이공 전방에 4 - 5개의 임플란트를 이용하여 하악의 의치를 고정해주는 하이브리드 형 고정성 총의치로 치료할 수 있고, 구치부에 임플란트 식립이 가능한 경우라면 다수 유닛으로 구성되는 임플란트 지지 고정성 보철물을 고려할 수 있다. 이러한 접근방식은 시대가 지남에 따라 수술방식이나 사용하는 재료 등이 다양하게 변해왔다. 본 증례에서는 상악 총의치를 사용하는 완전 무치악 환자의 하악에서 임플란트를 이용한 고정성 보철 치료의 증례를 중심으로 치료 방법을 비교해 보고자 한다.

There are various approaches to treatment for patients with fully edentulous jaw. In maxilla, it is easy to obtain sufficient stability, support, and retention with the traditional full denture method. In mandible, however, there are difficulties caused by anatomical limitations. In this case, treatment with implants can be considered. If it is difficult to place implants in posterior area, a fixed complete denture can be considered, using 4 - 5 implants anterior to mental foramen. This approach has changed in many ways, such as surgical methods and materials used, over the years. This case report compares two approaches and their changes over time, especially in the cases of mandibular fixed prostheses using implants, paired with maxillary complete denture.

키워드

참고문헌

  1. Schnitman PA, Wohrle PS, Rubenstein JE, DaSilva JD, Wang NH. Ten-year results for Branemark implants immediately loaded with fixed prostheses at implant placement. Int J Oral Maxillofac Implants 1997;12:495-503.
  2. Malo P, de Araujo Nobre M, Lopes A, Ferro A, Botto J. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res 2019;21:565-77. https://doi.org/10.1111/cid.12769
  3. Malo P, de Araujo Nobre M, Lopes A, Moss SM, Molina GJ. A longitudinal study of the survival of Allon-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc 2011;142:310-20. https://doi.org/10.14219/jada.archive.2011.0170
  4. Drago CJ, Peterson T. Treatment of an edentulous patient with CAD/CAM technology: a clinical report. J Prosthodont. 2007;16:200-8. https://doi.org/10.1111/j.1532-849X.2006.00172.x
  5. Bozini T, Petridis H, Garefis K, Garefis P. A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years. Int J Oral Maxillofac Implants 2011;26:304-18.
  6. Kwon T, Bain PA, Levin L. Systematic review of short- (5-10 years) and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants. J Dent 2014;42:1228-41. https://doi.org/10.1016/j.jdent.2014.05.016
  7. Janyavula S, Lawson N, Cakir D, Beck P, Ramp LC, Burgess JO. The wear of polished and glazed zirconia against enamel. J Prosthet Dent 2013;109:22-9. https://doi.org/10.1016/S0022-3913(13)60005-0
  8. Carr AB, Stewart RB. Full-arch implant framework casting accuracy: preliminary in vitro observation for in vivo testing. J Prosthodont 1993;2:2-8. https://doi.org/10.1111/j.1532-849X.1993.tb00373.x
  9. Bidra AS, Rungruanganunt P, Gauthier M. Clinical outcomes of full arch fixed implant-supported zirconia prostheses: A systematic review. Eur J Oral Implantol 2017;10:35-45.
  10. Laleman I, Bernard L, Vercruyssen M, Jacobs R, Bornstein MM, Quirynen M. Guided Implant Surgery in the Edentulous Maxilla: A Systematic Review. Int J Oral Maxillofac Implants 2016;31:s103-17. https://doi.org/10.11607/jomi.16suppl.g3
  11. Komiyama A, Klinge B, Hultin M. Treatment outcome of immediately loaded implants installed in edentulous jaws following computer-assisted virtual treatment planning and flapless surgery. Clin Oral Implants Res 2008;19:677-85. https://doi.org/10.1111/j.1600-0501.2008.01538.x
  12. van Steenberghe D, Glauser R, Blomback U, Andersson M, Schutyser F, Pettersson A, Wendelhag I. A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae: a prospective multicenter study. Clin Implant Dent Relat Res 2005;7:S111-20. https://doi.org/10.1111/j.1708-8208.2005.tb00083.x
  13. Marliere DAA, Demetrio MS, Picinini LS, Oliveira RG, Netto HDMC. Accuracy of computer-guided surgery for dental implant placement in fully edentulous patients: A systematic review. Eur J Dent 2018;12:153-60. https://doi.org/10.4103/ejd.ejd_249_17