대한치과의사협회지 (The Journal of the Korean dental association)

  • 제55권7호
  • /
  • Pages.457-466
  • /
  • 2017
  • /
  • 0376-4672(pISSN)
  • /
  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

나사풀림과 나사파절이 동반된 실패한 임플란트 고정성 보철물의 회복증례

Reconstruction of failed fixed implant prosthesis accompanied by abutment screw loosening and fracture : A case report

  • 배은빈 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 신영근 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 전영찬 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 이소현 (부산대학교 치의학전문대학원 치과보철학교실) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실)
  • Bae, Eun-Bin (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University) ;
  • Shin, Young-Gun (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University) ;
  • Jeon, Young-Chan (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University) ;
  • Jeong, Chang-Mo (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University) ;
  • Yun, Mi-Jung (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University) ;
  • Lee, So-Hyoun (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University) ;
  • Huh, Jung-Bo (Department of Prosthodontics, Dental Research Institute, Institute of Translational Dental Sciences, BK21 PLUS Project. School of Dentistry, Pusan National University)
  • 투고 : 2016.12.06
  • 심사 : 2017.06.01
  • 발행 : 2017.07.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

In the case of failed fixed implant prosthesis accompanied by abutment screw fracture, fractured screw fragment must be removed to use the existing implant fixtures. A 61-year-old male patient, who had a failed maxillary fixed implant prosthesis accompanied by three abutment screw fracture, hoped to reconstruct the maxillary implant prosthesis, while maintaining the existing implant fixtures. To use the existing implant fixtures, fractured screw fragments were removed. A maxillary implant overdenture using available existing implants was planned. Bar-attachment with Locator was used for implant splinting, denture stability, and retention. Final impression was taken after treatment of peri-implantitis. Jaw relation registration was taken to evaluate available interarch space for bar-attachment. After fabricating bar-attachment, centric relation was taken. Implant overdenture using bar-attachment with Locator was delivered after wax-denture evaluation. This case report showed that a satisfactory clinical result was achieved by implant overdenture using existing implant fixtures in a maxillary edentulous patient.

키워드

과제정보

연구 과제 주관 기관 : 부산대학교 치과병원

참고문헌

  1. Ekfeldt A, Carlsson GE, B?rjesson G. Clinical evaluation of single-tooth restorations supported by osseointegrated implants: a retrospective study. Int J Oral Maxillofac Implants 1994;9(2):179-183.
  2. Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent 1999;81(5):537-552. https://doi.org/10.1016/S0022-3913(99)70208-8
  3. Misch CE. Principles for screw-retained prostheses. 2nd edition. Mosby. 1999.
  4. Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res 2000;11(s1):156-158. https://doi.org/10.1034/j.1600-0501.2000.011S1156.x
  5. Cavazos E, Bell FA. Preventing loosening of implant abutment screws. J Prosthet Dent 1996;75(5):566-569. https://doi.org/10.1016/S0022-3913(96)90464-3
  6. Winkler S, Ring K, Ring JD, Boberick KG. Implant screw mechanics and the settling effect: overview. J Oral Implantol 2003;29(5):242-245. https://doi.org/10.1563/1548-1336(2003)029<0242:ISMATS>2.3.CO;2
  7. Bakaeen LG, Winkler S, Neff PA. The effect of implant diameter, restoration design, and occlusal table variations on screw loosening of posterior single-tooth implant restorations. J Oral Implantol 2001;27(2):63-72. https://doi.org/10.1563/1548-1336(2001)027<0063:TEOIDR>2.3.CO;2
  8. Nergiz I, Schmage P, Shahin R. Removal of a fractured implant abutment screw: a clinical report. J Prosthet Dent 2004;91(6):513-517. https://doi.org/10.1016/j.prosdent.2004.03.010
  9. Luterbacher S, Fourmousis I, Lang NP, Br?gger U. Fractured prosthetic abutments in osseointegrated implants: a technical complication to cope with. Clin Oral Implants Res 2000;11(2):163-170. https://doi.org/10.1034/j.1600-0501.2000.110209.x
  10. Albrektsson T, Isidor F. Consensus report of session IV. Quintessence. 1994.
  11. Jepsen S, Ruhling A, Jepsen K, Ohlenbusch B, Albers HK. Progressive peri-implantitis. Incidence and prediction of peri-implant attachment loss. Clin Oral Implants Res 1996;7(2):133-142. https://doi.org/10.1034/j.1600-0501.1996.070207.x
  12. Froum SJ, Rosen PS. A proposed classification for peri-implantitis. Int J Periodontics Restorative Dent 2012;32(5):533-540.
  13. Mombelli A, Lang NP. The diagnosis and treatment of peri-implantitis. Periodontol 2000 1998;17(1):63-76. https://doi.org/10.1111/j.1600-0757.1998.tb00124.x
  14. Zitzmann NU, Marinello CP. Treatment plan for restoring the edentulous maxilla with implantsupported restorations: removable overdenture versus fixed partial denture design. J Prosthet Dent 1999;82(2):188-196. https://doi.org/10.1016/S0022-3913(99)70155-1
  15. Trakas T, Michalakis K, Kang K, Hirayama H. Attachment systems for implant retained overdentures: a literature review. Implant Dent 2006;15(1):24-34. https://doi.org/10.1097/01.id.0000202419.21665.36
  16. Sadowsky SJ. The implant-supported prosthesis for the edentulous arch: design considerations. J Prosthet Dent 1997;78(1):28-33. https://doi.org/10.1016/S0022-3913(97)70084-2
  17. Lee CK, Agar JR. Surgical and prosthetic planning for a two-implant-retained mandibular overdenture: a clinical report. J Prosthet Dent 2006;95(2):102-105. https://doi.org/10.1016/j.prosdent.2005.11.017
  18. Adell R, Lekholm U, Rockler B, Br?nemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10(6):387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  19. Pasciuta M, Grossmann Y, Finger IM. A prosthetic solution to restoring the edentulous mandible with limited interarch space using an implant-tissuesupported overdenture: a clinical report. J Prosthet Dent 2005;93(2):116-120. https://doi.org/10.1016/j.prosdent.2004.09.024
  20. Kim AR, Jeon YC, Jeong CM, Yun MJ, Choi JW, Kwon YH, Huh JB. Effect of activation modes on the compressive strength, diametral tensile strength and microhardness of dual-cured selfadhesive resin cements. Dent Mater J 2016;35(2):298-308. https://doi.org/10.4012/dmj.2015-056
  21. Williamson RT, Robinson FG. Retrieval technique for fractured implant screws. J Prosthet Dent 2001;86(5):549-550. https://doi.org/10.1067/mpr.2001.118922
  22. Ferrigno N, Laureti M, Fanali S, Grippaudo G. A long-term follow-up study of non-submerged ITI implants in the treatment of totally edentulous jaws. Part I:Ten-year life table analysis of a prospective multicenter study with 1286 implants. Clin Oral Implants Res 2002;13(3):260-273. https://doi.org/10.1034/j.1600-0501.2002.130305.x
  23. Feine JS, Carlsson GE, Awad MA, et al. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Gerodontology 2002;19(1):3-4. https://doi.org/10.1111/j.1741-2358.2002.00003.x
  24. Martinez-Lage-Azorin JF, Segura-Andres G, Faus-Lopez J, Agustin-Panadero R. Rehabilitation with implant-supported overdentures in total edentulous patients: A review. J Clin Exp Dent 2013;5(5):267-272. https://doi.org/10.4317/jced.50817
  25. Schneider AL. The use of a self-aligning, lowmaintenance overdenture attachment. Dent Today 2000;19:24, 26.