대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제54권1호
  • /
  • Pages.57-64
  • /
  • 2016
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

악교정 수술을 동반한 임플란트 보철물을 이용한 완전구강회복 증례

Full-mouth rehabilitation by immediate implantation combined with orthognathic surgery: a clinical report

  • 안혜림 (동아대학교 의료원 치과보철학교실) ;
  • 허지예 (동아대학교 의료원 치과보철학교실) ;
  • 김철훈 (동아대학교 의료원 구강악안면외과학교실) ;
  • 황희성 (동아대학교 의료원 치과보철학교실) ;
  • 김복주 (동아대학교 의료원 구강악안면외과학교실)
  • Ahn, Hye-Rim (Department of Prosthodontics, Dong-a University Medical Center) ;
  • Heo, Ji-Ye (Department of Prosthodontics, Dong-a University Medical Center) ;
  • Kim, Chul-Hoon (Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University Medical Center) ;
  • Hwang, Hee-Seong (Department of Prosthodontics, Dong-a University Medical Center) ;
  • Kim, Bok-Joo (Department of Oral and Maxillofacial Surgery, Implant Clinics, Dong-a University Medical Center)
  • 투고 : 2015.07.29
  • 심사 : 2015.09.01
  • 발행 : 2016.01.29
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

악교정 수술과 임플란트 보철을 통한 전악재건술의 임상적 치료는 보철과 의사에게 도전적인 과제이다. 본 증례는 골격적 부조화를 가진 다발성 우식증 환자의 진단과 치료에 있어서 치의학의 여러 분야의 협진을 보여주었다. 그 결과로 악교정 수술을 동반한 발치 후 즉시 임플란트 식립 및 조기 하중을 가하는 임플란트 보철물에 의한 전악 재건이 예견가능하고 효과적인 치료 방법이었기에 이를 보고하고자 한다.

Clinical therapy that combines full-mouth rehabilitation with immediate implantation and orthognathic surgery poses a challenge to prosthodontists. This clinical report describes a multidisciplinary approach to the diagnosis and treatment of a patient presenting with skeletal discrepancy and rampant caries. The results thus achieved indicate that full-mouth rehabilitation by fixed immediate and early loading implantation accompanied by orthognathic surgery can be a predictable and effective treatment procedure.

키워드

참고문헌

  1. Ravindran DM, Sudhakar U, Ramakrishnan T, Ambalavanan N. The efficacy of flapless implant surgery on soft-tissue profile comparing immediate loading implants to delayed loading implants: A comparative clinical study. J Indian Soc Periodontol 2010;14:245-51. https://doi.org/10.4103/0972-124X.76930
  2. Williams AC, Shah H, Sandy JR, Travess HC. Patients' motivations for treatment and their experiences of orthodontic preparation for orthognathic surgery. J Orthod 2005;32:191-202. https://doi.org/10.1179/146531205225021096
  3. Janson M, Janson G, Sant'Ana E, Tibola D, Martins DR. Orthognathic treatment for a patient with Class III malocclusion and surgically restricted mandible. Am J Orthod Dentofacial Orthop 2009;136:290-8. https://doi.org/10.1016/j.ajodo.2007.01.039
  4. Lindeboom JA, Tjiook Y, Kroon FH. Immediate placement of implants in periapical infected sites: a prospective randomized study in 50 patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:705-10. https://doi.org/10.1016/j.tripleo.2005.08.022
  5. Degidi M, Piattelli A, Carinci F. Immediate loaded dental implants: comparison between fixtures inserted in postextractive and healed bone sites. J Craniofac Surg 2007;18:965-71. https://doi.org/10.1097/scs.0b013e3180a7724e
  6. Pieri F, Aldini NN, Fini M, Corinaldesi G. Immediate occlusal loading of immediately placed implants supporting fixed restorations in completely edentulous arches: a 1-year prospective pilot study. J Periodontol 2009;80:411-21. https://doi.org/10.1902/jop.2009.080433
  7. Raes F, Cooper LF, Tarrida LG, Vandromme H, De Bruyn H. A case-control study assessing oral-health-related quality of life after immediately loaded single implants in healed alveolar ridges or extraction sockets. Clin Oral Implants Res 2012;23:602-8. https://doi.org/10.1111/j.1600-0501.2011.02178.x
  8. Meizi E, Meir M, Laster Z. New-design dental implants: a 1-year prospective clinical study of 344 consecutively placed implants comparing immediate loading versus delayed loading and flapless versus full-thickness flap. Int J Oral Maxillofac Implants 2014;29:e14-21. https://doi.org/10.11607/jomi.te37
  9. Chrcanovic BR, Albrektsson T, Wennerberg A. Immediately loaded non-submerged versus delayed loaded submerged dental implants: a meta-analysis. Int J Oral Maxillofac Surg 2015;44:493-506. https://doi.org/10.1016/j.ijom.2014.11.011
  10. Robling AG, Turner CH. Mechanical signaling for bone modeling and remodeling. Crit Rev Eukaryot Gene Expr 2009;19:319-38. https://doi.org/10.1615/CritRevEukarGeneExpr.v19.i4.50
  11. Wang HL, Boyapati L. "PASS" principles for predictable bone regeneration. Implant Dent 2006;15:8-17. https://doi.org/10.1097/01.id.0000204762.39826.0f
  12. Vogl S, Stopper M, Hof M, Wegscheider WA, Lorenzoni M. Immediate Occlusal versus Non-Occlusal Loading of Implants: A Randomized Clinical Pilot Study. Clin Implant Dent Relat Res 2015;17:589-97. https://doi.org/10.1111/cid.12157
  13. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res 2012;23:39-66.
  14. Tomasi C, Sanz M, Cecchinato D, Pjetursson B, Ferrus J, Lang NP, Lindhe J. Bone dimensional variations at implants placed in fresh extraction sockets: a multilevel multivariate analysis. Clin Oral Implants Res 2010;21:30-6. https://doi.org/10.1111/j.1600-0501.2009.01848.x
  15. Calvo-Guirado JL, Boquete-Castro A, Negri B, Delgado Ruiz R, Go′mez-Moreno G, Iezzi G. Crestal bone reactions to immediate implants placed at different levels in relation to crestal bone. A pilot study in Foxhound dogs. Clin Oral Implants Res 2014;25:344-51.
  16. Caneva M, Salata LA, de Souza SS, Baffone G, Lang NP, Botticelli D. Influence of implant positioning in extraction sockets on osseointegration: histomorphometric analyses in dogs. Clin Oral Implants Res 2010;21:43-9. https://doi.org/10.1111/j.1600-0501.2009.01842.x
  17. De Rouck T, Collys K, Cosyn J. Single-tooth replacement in the anterior maxilla by means of immediate implantation and provisionalization: a review. Int J Oral Maxillofac Implants 2008;23:897-904.
  18. Kobayashi T, Watanabe I, Ueda K, Nakajima T. Stability of the mandible after sagittal ramus osteotomy for correction of prognathism. J Oral Maxillofac Surg 1986;44:693-7. https://doi.org/10.1016/0278-2391(86)90036-4
  19. Proffit WR, Phillips C, Dann C 4th, Turvey TA. Stability after surgical-orthodontic correction of skeletal Class III malocclusion. I. Mandibular setback. Int J Adult Orthodon Orthognath Surg 1991;6:7-18.
  20. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent 1979;41:284-9. https://doi.org/10.1016/0022-3913(79)90008-8