The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Gingival mask using 3D Printer for a patient with palatally installed implant in maxillary anterior area

구개측으로 식립된 상악 전치부 임플란트 환자에서 3D 프린터를 이용한 Gingival mask 수복 증례

  • Jeong, Kyong-Sik (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kim, Na-Hong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kim, Sung-Yong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Yong-Sang (Department of Prosthodontics, Veterans Health Service Medical Center)
  • 정경식 (중앙보훈병원 치과병원 치과보철과) ;
  • 김나홍 (중앙보훈병원 치과병원 치과보철과) ;
  • 김성용 (중앙보훈병원 치과병원 치과보철과) ;
  • 이용상 (중앙보훈병원 치과병원 치과보철과)
  • Received : 2020.05.30
  • Accepted : 2020.08.24
  • Published : 2020.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

The prosthesis of the implant installed in inappropriate positions presents aesthetic and functional problems. If the implants are placed in the wrong position, re-implantation is often limited. There are surgical and non-surgical methods for resolving complications without re-implantation. The surgical costs, healing time, discomfort and unpredictability make this choice unpopular. On the other hand, a gingival mask has the advantage of solving complications quickly and simply. The patient was a 80-year-old male with palatally installed implant in maxillary anterior region and dissatisfied with his unesthetic philtrum and food impaction between the upper lip and the prosthesis. It was difficult to predict the prognosis of surgical operation, and the patient wanted treatment economically and physically burdenless because of his age and financial situation. Thus, the gingival mask was planned and the results were satisfactory.

적절하지 않은 위치에 식립된 임플란트의 보철물은 심미적, 기능적 문제를 나타낼 수 있으나 이를 해결하기는 어려운 때가 많다. 이러한 경우에 재식립 혹은 연조직 및 경조직 이식을 포함하는 외과적 방법을 고려해 볼 수 있지만 결과 예측이 힘들며 긴 치유 기간 및 술 후 불편감과 추가적인 수술 비용이 동반된다. 반면, 보철적 방법으로는 치은 색상의 세라믹이 포함된 고정성 보철물을 제작하거나 가철성 보철물인 gingival mask 제작 등을 생각해볼 수있다. 본 증례에서는 80세의 남환이 과도하게 구개측으로 식립된 임플란트로 인한 상순과 보철물 사이의 음식물 저류에 대한 불편감 및 심미적인 부분에 대한 불만족을 주소로 내원하였고, gingival mask를 제작하여 단 기간 내에 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

  1. Buser D, Martin W, Belser UC. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants 2004;19:43-61.
  2. Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Survival of dental implants placed in sites of previously failed implants. Clin Oral Implants Res 2017;28:1348-53. https://doi.org/10.1111/clr.12992
  3. Nettemu K, Nettem S. Tissue replacement gingival prosthesis in the treatment of esthetic and functional deficit: an atypical case report. Int J Prosthodont Restor Dent 2011;1:174-6. https://doi.org/10.5005/jp-journals-10019-1032
  4. Alani A, Maglad A, Nohl F. The prosthetic management of gingival aesthetics. Br Dent J 2011;210:63-9. https://doi.org/10.1038/sj.bdj.2011.2
  5. Emslie RD. A case of advanced periodontitis complex. Dent Pract 1955:5:432-3.
  6. Taylor TD. Fixed implant rehabilitation for the edentulous maxilla. Int J Oral Maxillofac Implants 1991;6:329-37.
  7. Worthington P, Bolender CL, Taylor TD. The Swedish system of osseointegrated implants: problems and complications encountered during a 4-year trial period. Int J Oral Maxillofac Implants 1987;2:77-84.
  8. Barzilay I, Irene T. Gingival prostheses-a review. J Can Dent Assoc 2003;69:74-8.
  9. Dawson A, Chen S (eds). The SAC classification in implant dentistry. Chicago: Quintessence Pub, 2009.
  10. Greene PR. The flexible gingival mask: an aesthetic solution in periodontal practice. Br Dent J 1998;184:536-40. https://doi.org/10.1038/sj.bdj.4809691
  11. Mete J, Dange SP, Khalikar A. Prosthetic gingival replacement following successful treatment of aggressive periodontitis - A case report. J Indian Dent Assoc 2011;5:1148-9.
  12. Gopakumar A, Sood B. Conservative management of gingival recession: the gingival veneer. J Esthet Restor Dent 2012;24:385-93. https://doi.org/10.1111/j.1708-8240.2012.00513.x
  13. L'Estrange PR, Strahan JD. The wearing of acrylic periodontal veneers. Br Dent J 1970;128:193-4. https://doi.org/10.1038/sj.bdj.4802446
  14. Hickey B, Jauhar S. Gingival veneers. Dent Update 2009;36:422-4, 426, 428. https://doi.org/10.12968/denu.2009.36.7.422
  15. Lai YL, Lui HF, Lee SY. In vitro color stability, stain resistance, and water sorption of four removable gingival flange materials. J Prosthet Dent 2003;90:293-300. https://doi.org/10.1016/S0022-3913(03)00432-3
  16. Hannon SM, Colvin CJ, Zurek DJ. Selective use of gingivaltoned ceramics: case reports. Quintessence Int 1994;25:233-8.