대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제58권4호
  • /
  • Pages.356-362
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  • 2020
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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Fiber post를 이용하여 임플란트 지대주에 보철물을 결합하는 SB-locking method: A case report

SB-locking method for keeping implant restorations mechanically in place using fiber post: A case report

  • 정민아 (경희대학교 치과대학 치과보철학교실) ;
  • 이성복 (강동경희대학교 치과병원 생체재료보철과) ;
  • 이석원 (강동경희대학교 치과병원 생체재료보철과)
  • Chung, Min Ah (Department of Dentistry, Graduate School, Kyung Hee University) ;
  • Leesungbok, Richard (Department of Biomaterials & Prosthodontics, Kyung Hee University Dental Hospital at Gangdong) ;
  • Lee, Suk Won (Department of Biomaterials & Prosthodontics, Kyung Hee University Dental Hospital at Gangdong)
  • 투고 : 2020.05.29
  • 심사 : 2020.09.18
  • 발행 : 2020.10.30
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초록

강동경희치대병원 보철과에서는 치료계획단계에서 마지막 결과를 미리 형상화하고 그것에 입각하여 치료를 진행하는 Top-Down 개념의 치료접근법을 2006년부터 실행하고 있다. 이번 증례도 그 개념에 입각하여 임플란트 수술에 앞서 미리 최종 보철치료의 방법과 결과를 형상화시켜 놓고 치료를 진행한 실례이다. 임플란트 보철의 여러 방법 중 시멘트 유지방식은 임플란트의 기울기에 구속받지 않고 간단하게 보철물 제작이 가능하나, 접착 후 치은 연하의 잉여 시멘트를 완전하게 제거하기 어렵고, 필요할 때 탈착이 불편하다는 단점이 있다. 따라서 전치부 임플란트 보철수복 시 SB-locking method의 유지방식을 이용하여 시멘트 유지방식의 문제를 해결하면서 심미적인 임플란트 보철수복이 가능했던 증례를 보고하고자 한다.

All the faculties at the prosthodontic department in Kyung Hee University Dental Hospital at Gangdong, have been implementing the Top-Down concept of treatment approach since 2006 in which the outcomes of the last prosthetic treatment are predicted in advance during the treatment planning stage of patients with dental tissue defects. Based on the Top-Down concept, this report is also an example of how the final prosthetic treatment was performed in advance before going into implant surgery for the missing teeth. Among the various methods of connecting implant fixture and restoration, the cement-retained method is relatively simple to manufacture restoration without being constrained by the angle of the implants placed, but difficult to remove remaining subgingival excess cement completely, and to detach it being when necessary. In the report, SB-locking method will be introduced which enables an aesthetic implant restoration without either a screw hole or residual excess cement.

키워드

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