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Periodontal prosthesis on medically compromised patient with few remaining teeth: hybrid telescopic double crown with friction pin method
Çϼ®ÁØ, ÀÌûÈñ, Á¶ÁøÇö,
¼Ò¼Ó »ó¼¼Á¤º¸
Çϼ®ÁØ ( Ha Seok-Joon ) - °æºÏ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
ÀÌûÈñ ( Lee Cheong-Hee ) - °æºÏ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
Á¶ÁøÇö ( Cho Jin-Hyun ) - °æºÏ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
KMID : 0362420140520040359
Abstract
Ä¡¾Æ°¡ ¾ó¸¶ ³²Áö ¾ÊÀº ºÎºÐ ¹«Ä¡¾Ç ȯÀڵ鿡 ÀÖ¾î ÀÌÁß°ü(Double crown)À» ÀÌ¿ëÇÑ Ä¡·áÀÇ ¼º°øÀûÀÎ °á°ú¿¡ ´ëÇؼ ¿©·¯ ¹®Çå¿¡¼ º¸°í µÇ°í ÀÖ´Ù ÀÌÁß°ü °¡Ã¶¼º±¹¼ÒÀÇÄ¡(Double crown removal partial denture)´Â ÀÜÁ¸Ä¡ÀÇ Ä¡ÁÖÀûÀÎ »óÅ°¡ ÁÁÁö ¾ÊÀº ȯÀÚ¿¡°Ô Ä¡·áÀÇ ´ë¾ÈÀÌ µÉ ¼ö ÀÖ´Ù. ÀÌÁß°ü °¡Ã¶¼º ±¹¼ÒÀÇÄ¡´Â ƯÈ÷ Ä¡ÁÖ»óÅ°¡ ÁÁÁö ¾Ê°í, ÀÓÇöõÆ®¸¦ ½Ä¸³Çϱ⿡´Â ÀÇ°úÀûÀ¸·Î ¹®Á¦°¡ Àִ ȯÀÚ(Medically compromised patient)¿¡°Ô´Â ¼ö¼ú¿¡ ´ëÇÑ ºÎ´ã ¾øÀÌ Ä¡·áÇÒ ¼ö ÀÖ¾î ½É¸®ÀûÀÌ°í °æÁ¦ÀûÀÎ ÀÌÁ¡ÀÌ Á¸ÀçÇÑ´Ù. º» Áõ·Ê¿¡¼´Â »ó¾ÇÀº ´Ù¼öÀÇ Ä¡¾Æ°¡ ÀÜÁ¸ÇÏ¿© °íÁ¤¼º º¸Ã¶¹°·Î ¼öº¹ÀÌ °¡´ÉÇÑ »óÅ¿´°í, ÇϾÇÀº ¼Ò¼ö ÀÜÁ¸Ä¡¸¸ ³²¾ÆÀÖ°í Ä¡ÁÖ »óÅ°¡ ¸Å¿ì ºÒ·®ÇÏ¿© ÀÜÁ¸Ä¡¸¦ ÀÌ¿ëÇÑ Å¬¶ó½ºÇÁ °¡Ã¶¼º ±¹¼ÒÀÇÄ¡·Î´Â ¼öº¹ÇÏ´Â °ÍÀÌ °ÅÀÇ ºÒ°¡´ÉÇÏ¿´´Ù. ¶ÇÇÑ È¯ÀÚ´Â 1³â Àü¿¡ ÇÏ¾Ç ÀüÄ¡ºÎ ºÎÀ§ÀÇ °ñ¼ö¿°À¸·Î ÀÎÇÑ ¼ö¼úº´·ÂÀ¸·Î ÀÓÇöõÆ® ½Ä¸³ÀÌ ¾î·Á¿î »óȲÀ̾ú´Ù. ÀÌ·¯ÇÑ ¾ÇÁ¶°Ç¿¡¼ ÇϾÇÀÇ ¼Ò¼ö ÀÜÁ¸Ä¡¸¦ ÀÌ¿ëÇÑ ÀÌÁß°ü ÀÇÄ¡´Â 2³âÀÌ»óÀÇ ±â°£µ¿¾È ±â´ÉÀû, ½É¹ÌÀûÀÎ ¸é¿¡¼ ¸¸Á·½º·¯¿î °á°ú¸¦ ¾ò¾ú±â¿¡ À̸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
Successful results of treatments using double crown prostheses for the partially edentulous patients who have a few remaining teeth have been reported in several journals. A double crown removable partial denture can be an alternative treatment for the patients with a poor periodontal condition of remaining teeth. Since a double crown removable partial denture can be applied without the risk of surgical operation to the medically compromised patients with a poor periodontal condition which is inadequate for dental implants, it has psychological and economical advantages. In this case, there were sufficient remaining teeth to be restored with fixed prostheses in maxilla, while there were a few remaining teeth with a very poor periodontal condition so that it was almost impossible to restore with a clasp removable partial denture using these remaining teeth in mandible. In addition, the patient had the medical history of surgical operation due to osteomyelitis in the mandibular anterior areas a year ago, thus difficult to conduct an implant placement. The main objective of this report is to introduce our case because a double crown partial denture using a few mandibular remaining teeth showed satisfactory results in functional and esthetical aspects during more than two years follow-up period in this unfavorable condition.
Å°¿öµå
¼Ò¼ö ÀÜÁ¸Ä¡; ÀÌÁß°ü °¡Ã¶¼º ±¹¼ÒÀÇÄ¡; ÇÁ¸¯¼ÇÇÉ
Few remaining teeth; Double crown removable partial denture; Friction pin
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