The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Restoration of bilateral distal extension removable partial denture using a fixed implant prosthesis in unilateral partial edentulous patient: A case report

하악 편측 소수치 잔존 환자에서 임플란트 고정성 보철물을 사용하여 양측성 후방 연장 국소의치로 수복: 증례보고

  • Kee, Wonjin (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Jae-Ho (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 기원진 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 박재호 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 임현필 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 윤귀덕 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 치과보철학교실)
  • Received : 2018.11.06
  • Accepted : 2018.12.31
  • Published : 2019.04.30
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Abstract

Traditional removable partial denture is a successful treatment for partial edentulous patients. When the abutment is formed with unilateral minority teeth, satisfaction with the use of removable partial denture may be lowered due to patient's discomfort and damage of the abutment. Recently, it has been reported that the unilateral posterior extension partial denture is used as a bilateral posterior extension partial denture using implant fixed prostheses as abutments. In this case, by using implant surveyed crown prostheses, bilateral posterior extension partial denture is fabricated in site that is predicted to have a poor prognosis. This resulted in improved support, maintenance, and stabilization of the removable partial denture, which were economically beneficial to patient and satisfied with use.

편측 부분 무치악에서 소수의 치아로 지대치를 형성하여 가철성 국소의치 제작 시 환자의 불편함 및 지대치 손상 등으로 인해 만족도가 낮아질 수 있다. 최근 편측 부분 무치악에서 임플란트 고정성 보철물을 지대치로 사용하여 양측성 후방 연장 국소의치로 제작하는 방법이 보고되고 있다. 본 증례에서 임플란트 고정성 보철물을 사용하여 환자의 수직 악간관계를 보존하고 본인의 치아와 같은 형태를 부여하여 환자에게 심리적 안정감을 주며 향상된 저작 기능의 결과를 제공하였다. 또한 임플란트 고정성 보철물을 통하여 예후가 불량할 것으로 예상되는 편측성 후방 연장 국소의치를 역학적, 기능적으로 유리한 양측성 후방 연장 국소의치를 제작하였다. 국소의치의 지지, 유지, 안정 요소의 향상을 가져왔으며 환자에게 경제적 및 사용 시 만족감을 가져왔다.

Keywords

References

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