Full mouth rehabilitation in a patient with peri-implantitis: A case report

국문 초록 (Abstract)

임플란트 주위염(peri-implantitis)은 임플란트 치료를 받은 환자의 20%가량에서 발병하며, 시간이 지날수록 유병률이 증가한다. 경도 또는 중등도의 임플란트 주위염은 비수술적 또는 수술적 방법을 통해 치료될 수 있으나 심한 치조골 흡수를 동반한 경우 임플란트 제거(explanation)를 동반한 재건이 요구된다. 임플란트 주위염은 재발 가능성이 높아 치료계획 단계에서부터 임플란트 주위염의 재발을 방지하기 위한 고려가 필요하다. 본 증례는 임플란트 주위염과 만성치주염으로 진단된 환자의 증례로, 다수의 임플란트 제거 및 다수 치아 발치 후 상악은 임플란트 유지 피개의치, 하악은 임플란트 고정성 보철로 전악 수복하였다. 임플란트 주위염의 재발을 예방하기 위한 수술적, 보철적 방법을 통해 성공적으로 수복하였기에 이를 보고하고자 한다.

다국어 초록 (Multilingual Abstract)

Peri-implantitis appears in almost 20% of patients who received implant treatment, and increase in its number is inevitable as time goes by. Although it can be treated by both non-surgical and surgical procedures, in cases which include severe bone loss, explantation and rehabilitation may be necessary. Careful treatment planning and considerations to prevent recurrent peri-implantitis should be taken into account. In the following case presented, a patient with chronic periodontitis and peri-implantitis was successfully rehabilitated after removal of several implants. Extraction and explantation of multiple teeth and implants were followed by full mouth reconstruction with fixed implant prostheses on the mandible and implant retained overdenture on the maxilla. Surgical and prosthetic measures to prevent recurrent peri-implantitis were taken into consideration.

참고문헌 (Reference)

1 Kotsovilis S, "Therapy of peri-implantitis : a systematic review" 35 : 621-629, 2008

2 Mombelli A, "The epidemiology of periimplantitis" 23 : 67-76, 2012

3 Mombelli A, "The diagnosis and treatment of periimplantitis evidence for a microbial cause of peri-implant infections" 17 : 63-76, 2000

4 Schou S, "Surgical treatment of periimplantitis" 19 : 140-149, 2004

5 Katafuchi M, "Restoration contour is a risk indicator for peri-implantitis : A cross-sectional radiographic analysis" 45 : 225-232, 2018

6 Jepsen S, "Primary prevention of peri-implantitis : managing peri-implant mucositis" 42 : S152-7, 2015

7 Lee CT, "Prevalences of periimplantitis and peri-implant mucositis : systematic review and meta-analysis" 62 : 1-12, 2017

8 Lindhe J, "Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology" 35 : 282-285, 2008

9 Heitz-Mayfield LJ, "Peri-implant diseases : diagnosis and risk indicators" 35 : 292-304, 2008

10 Naert I, "Occlusal overload and bone/implant loss" 23 : 95-107, 2012

11 Roos-Jansåker AM, "Nineto fourteen-year follow-up of implant treatment. Part III: factors associated with peri-implant lesions" 33 : 296-301, 2006

12 Karoussis IK, "Long-term implant prognosis in patients with and without a history of chronic periodontitis : a 10-year prospective cohort study of the ITI Dental Implant System" 14 : 329-339, 2003

13 Salvi GE, "Long-term biological complications of dental implants placed either in pristine or in augmented sites : A systematic review and meta-analysis" 29 : 294-310, 2018

14 Bremer F, "In vivo biofilm formation on different dental ceramics" 42 : 565-574, 2011

15 Becker W, "Clinical and microbiologic findings that may contribute to dental implant failure" 5 : 31-38, 1990

16 Tallarico M, "Classification systems for peri-implantitis : A narrative review with a proposal of a new evidence-based etiology codification" 33 : 871-879, 2018

17 Ozeki K, "Bone response to titanium implants coated with thin sputtered HA film subject to hydrothermal treatment and implanted in the canine mandible" 16 : 243-251, 2006

18 Lang NP, "Biological complications with dental implants : their prevention, diagnosis and treatment" 11 : 146-155, 2000

19 Ding L, "A doxycycline-treated hydroxyapatite implant surface attenuates the progression of peri-implantitis : A radiographic and histological study in mice" 21 : 154-159, 2019