대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제56권1호
  • /
  • Pages.77-87
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  • 2018
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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전악 무치악 환자에서 골이식술을 선행한 임플란트 고정성 보철 수복 증례

Full mouth rehabilitation of fully edentulous patient with implant-supported fixed prosthesis preceding bone graft: A case report

  • 안주남 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소) ;
  • 이정진 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소) ;
  • 서재민 (전북대학교 치과대학 치과보철학교실 및 구강생체과학연구소) ;
  • 김경아 (을지대학교 의과대학 치과학교실)
  • An, Ju-Nam (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Lee, Jung-Jin (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Seo, Jae-Min (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Kim, Kyoung-A (Department of Dentistry, School of Medicine, Eulji University)
  • 투고 : 2017.09.05
  • 심사 : 2017.09.25
  • 발행 : 2018.01.31
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초록

완전 무치악 환자에서 임플란트를 이용한 보철 치료는 임플란트 고정성 보철수복, hybrid 고정성 보철수복, 임플란트 유지 혹은 지지 피개의치 등이 있으며 임플란트 고정성 보철 수복은 환자의 심리적 안정감, 발음 등의 측면에서 장점을 보인다. 전악 임플란트 고정성 보철 수복을 계획한 경우 발음, 심미, 구강 위생 등을 고려한 임플란트 식립이 필요하며 이를 위해서는 임상적 및 방사선학적 진단이 필수적이다. 진단 과정을 통해 파악된, 보철물이 필요한 곳에 임플란트를 식립(prosthetic-driven)하기 위해서는 충분한 양의 치조골과 연조직 지지 등이 필요하며 이를 충족시키지 못할 경우 광범위한 골이식술이 선행되어야 한다. 본 증례는 치주질환으로 인한 치아 상실로 인해 치조골 흡수가 심하게 진행된 완전 무치악 환자에서 상악동 골이식술 및 치조골 증대술을 선행하고 임플란트 식립 후 전악 임플란트 고정성 보철로 수복하여 기능 및 심미적으로 만족할만한 결과를 얻었기에 이를 보고하고자 한다.

Prosthetic treatment using implants in fully edentulous patients includes implant-supported fixed prosthesis, implant hybrid prosthesis, implant retained- or supported-over-denture and implant supported fixed prosthesis has advantages such as psychological stability, pronunciation. If an implant supported fixed prosthesis is planned, the implants should be placed in consideration of pronunciation, esthetics, and oral hygiene. For this, clinical and radiological diagnosis is indispensable. When placing the prosthetic driven implant at the site determined from the diagnosis, a sufficient amount of alveolar bone and soft tissue support are required. If these requirements found to be insufficient, a wide range of bone grafting should be performed in advance. In this case, a fully edentulous patient with severe alveolar bone resorption due to periodontal disease was treated with a full mouth rehabilitation using implant-supported fixed prosthesis preceding maxillary sinus graft and alveolar bone augmentation. We report this patient were satisfied with esthetic and function.

키워드

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