The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Immediate restoration through gingiva conditioning of maxillary anterior implant installed labially: A case report

순측으로 식립된 상악 우측 측절치 임플란트의 즉시 수복 증례

  • Sung ji Gong (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Jieun Song (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Kwidug Yun (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Chan Park (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Woohyung Jang (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 공성지 (전남대학교 치과대학 치과보철학교실) ;
  • 송지은 (전남대학교 치과대학 치과보철학교실) ;
  • 윤귀덕 (전남대학교 치과대학 치과보철학교실) ;
  • 박찬 (전남대학교 치과대학 치과보철학교실) ;
  • 장우형 (전남대학교 치과대학 치과보철학교실)
  • Received : 2024.02.25
  • Accepted : 2024.06.04
  • Published : 2024.07.31
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Abstract

Immediate implant placement and restoration have the advantage of shortening the treatment period and maintaining aesthetics until final restoration. However, single implant restoration in the maxillary anterior region may be aesthetically difficult, and surgical trauma delivered to soft and hard tissues during implant placement may affect future aesthetic results. In order to obtain predictable results during anterior implant placement and restoration, surgery and restoration plans must consider the height of the interdental bone, characteristics of the gingiva, and morphological characteristics of the patient's teeth. In this case, we attempted to reproduce the emergence profile and stabilized soft tissue through gingiva modification and digital impression of a labially placed maxillary anterior implant in a patient who desired porcelain fused-metal (PFM) restoration due to economic issues.

즉시 임플란트 식립과 수복은 치료 기간을 단축하고, 최종 수복 시까지 심미성을 유지할 수 있다는 장점이 있다. 하지만 상악 전치부에서의 단일 임플란트 수복은 심미적인 부분에서 어려움이 있을 수 있는데, 임플란트 식립 중 연조직과 경조직에 전달된 수술적 외상은 향후 심미적 결과에 영향을 미칠 수 있다. 이러한 전치부 임플란트 식립 및 수복 시 예측 가능한 결과를 얻기 위해서는 치간골의 높이, 치은의 특성, 환자 치아의 형태적 특성 등을 고려하여 수술 및 수복 계획을 세워야 한다. 본 증례에서는 경제적 문제로 PFM (Porcelain Fused-Metal) 수복을 원하는 환자의 계획보다 순측으로 식립된 상악 전치부 임플란트를 치은 형성과 디지털 인상을 통해 emergence profile 과 안정화된 연조직 형태를 재현하고자 했다.

Keywords

References

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