Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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A clinical case of hybrid telescopic double crown using friction pin with an isolated few remaining teeth

고립된 소수 잔존치 환자에서 프릭션핀을 이용한 하이브리드 텔레스코픽 이중관 국소의치의 임상증례

  • Sohn, Sang-Hyuk (Department of Prosthodontics, School of Dentistry, Kyoungpook National University) ;
  • Cho, Jin-Hyun (Department of Prosthodontics, School of Dentistry, Kyoungpook National University) ;
  • Cho, Sung-Am (Department of Prosthodontics, School of Dentistry, Kyoungpook National University)
  • 손상혁 (경북대학교 치의학전문대학원 치과보철학교실) ;
  • 조진현 (경북대학교 치의학전문대학원 치과보철학교실) ;
  • 조성암 (경북대학교 치의학전문대학원 치과보철학교실)
  • Received : 2015.10.08
  • Accepted : 2016.03.17
  • Published : 2016.03.31
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Abstract

A few authors have reported good clinical results using double crown removable partial denture (RPD) with a few remaining teeth. Hybrid telescopic double crown is a good indication for a patient with poor periodontal condition and/or few remaining teeth after extraction, especially located in cross-arch position. In this case, there was a poor periodontal condition with teeth mobility. Several teeth with poor prognosis were extracted. Remaining anterior teeth was restored with fixed prostheses and edentulism was restored with Kennedy class I removable partial denture in maxilla. In mandible, it was hard to restore with clasp removable partial prostheses because of bilaterally isolated remaining teeth so that hybrid double crown removable partial denture with friction pin was suitable for this case. The objective of this report is to discuss the characteristics and the utility of hybrid double crown prostheses using a few remaining teeth in mandible.

잔존 지대치의 수가 적은 경우 이중관 가철성 국소의치를 사용한 여러 보고에서 우수한 결과가 나타남을 확인할 수 있다. 특히 치주 상태가 양호하지 않고 고립된 소수 잔존치를 지대치로 이용하여 국소의치로 수복해야 하는 경우에 프릭션핀을 이용한 하이브리드 텔레스코픽 이중관은 적절한 적응증이 될 수 있다. 본 증례는 심한 치주염으로 다수 치아 발치 후 상악은 전치부 고정성 보철 수복과 Kennedy class I 가철성 국소의치로 수복하고 하악은 양측성 고립 지대치만 남아있어 클래스프 국소의치로 수복하기에 예후가 불분명하여 프릭션핀을 이용한 하이브리드 텔레스코픽 이중관 국소의치를 이용하였다. 이중관 가철성 국소의치의 특성과 효용성을 고찰해 보고자 본 증례를 보고한다.

Keywords

References

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