심하게 흡수된 하악골에서 fixed detachable prosthesis를 이용한 임플란트 지지 보철 수복증례 = Implant supported prosthetic rehabilitation of severely atrophic mandible with fixed detachable prosthesis

국문 초록 (Abstract)

완전 무치악 환자에서 임플란트를 이용한 치료 방법은 환자의 삶의 질 개선에 크게 기여하였으나, 잔존골 상태나 경제력 등에 의해 임플란트의 식립 개수에 제한을 받는 상황이 종종 나타난다. 이러한 경우 일반적으로 임플란트 피개의치나 임플란트 융합 국소의치 형태로 치료계획을 세울 수 있지만, 정확한 설계를 바탕으로 양측성 캔틸레버 형태의 고정성 보철물 역시 고려해 볼 수 있다. 본 증례에서는 심한 치조골 흡수를 보이는 완전 무치악 환자에서 상악 총의치 및 하악 임플란트 지지 고정성 캔틸레버 보철물 제작을 통해 기능적, 심미적으로 양호한 결과를 얻었기에 보고하고자 한다.

다국어 초록 (Multilingual Abstract)

Implant supported prostheses have improved the quality of lives of totally edentulous patients. However, there are some limitations on the number of implants related to the residual bone level or the economic concern and so on. In this situation, applying fixed detachable prosthesis with bilateral cantilevers can be considered. This clinical report describes implant supported prosthetic rehabilitation of a patient with severe bone resorption. The patient was satisfied and felt comfortable with upper complete denture and lower fixed detachable prosthesis.

참고문헌 (Reference)

1 Heydecke G, "Within-subject comparisons of maxillary fixed and removable implant prostheses: Patient satisfaction and choice of prosthesis" 14 : 125-130, 2003

2 Zitzmann NU, "Treatment plan for restoring the edentulous maxilla with implant-supported restorations: removable overdenture versus fixed partial denture design" 82 : 188-196, 1999

3 Jemt T, "Three-dimensional distortion of gold alloy castings and welded titanium frameworks. Measurements of the precision of fit between completed implant prostheses and the master casts in routine edentulous situations" 22 : 557-564, 1995

4 Salvi GE, "The effects of anti-infective preventive measures on the occurrence of biologic implant complications and implant loss: a systematic review" 29 : 292-307, 2014

5 Kwon T, "Systematic review of short- (5-10 years)and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants" 42 : 1228-1241, 2014

6 Shackleton JL, "Survival of fixed implant-supported prostheses related to cantilever lengths" 71 : 23-26, 1994

7 Ekelund JA, "Implant treatment in the edentulous mandible: a prospective study on Brånemark system implants over more than 20 years" 16 : 602-608, 2003

8 White SN, "Framework design for bone-anchored fixed prostheses" 67 : 264-268, 1992

9 Rangert B, "Forces and moments on Branemark implants" 4 : 241-247, 1989

10 Jemt T, "Fixed implant-supported prostheses with welded titanium frameworks" 12 : 177-184, 1992

11 Gallucci GO, "Five-year results of fixed implant-supported rehabilitations with distal cantilevers for the edentulous mandible" 20 : 601-607, 2009

12 Abduo J, "Fit of CAD/CAM implant frameworks: a comprehensive review" 40 : 758-766, 2014

13 English CE, "Critical A-P spread" 1 : 2-3, 1990

14 Ortorp A, "CNC-milled titanium frameworks supported by implants in the edentulous jaw: a 10-year comparative clinical study" 14 : 88-99, 2012

15 Zitzmann NU, "A review of clinical and technical considerations for fixed and removable implant prostheses in the edentulous mandible" 15 : 65-72, 2002

16 Allen PF, "A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures" 14 : 173-179, 2003