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Implant-supported maxillary full-arch fixed prosthesis opposing mandibular natural dentition: A clinical report
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±èÀÎÁÖ ( Kim In-Ju ) - ÀüºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡°úº¸Ã¶Çб³½Ç
¹ÚÁ¾Èñ ( Park Jong-Hee ) - ÀüºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡°úº¸Ã¶Çб³½Ç
¹ÚÁÖ¹Ì ( Park Ju-Mi ) - ÀüºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡°úº¸Ã¶Çб³½Ç
¼Û±¤¿± ( Song Kwang-Yeob ) - ÀüºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡°úº¸Ã¶Çб³½Ç
¾È½Â±Ù ( Ahn Seung-Geun ) - ÀüºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡°úº¸Ã¶Çб³½Ç
¼Àç¹Î ( Seo Jae-Min ) - ÀüºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡°úº¸Ã¶Çб³½Ç
KMID : 0362420150530010051
Abstract
Ä¡ÁÖÁúȯ¿¡ ÀÇÇØ ¼öÆòÀû, ¼öÁ÷Àû °ñÈí¼ö¸¦ º¸À̴ ȯÀÚ¿¡°Ô Àü¾Ç ÀÓÇöõÆ® °íÁ¤¼º º¸Ã¶¼öº¹ Ä¡·á¸¦ °èȹÇÑ °æ¿ì¿¡´Â ÀúÀÛ ±â´É, ½É¹Ì, ¹ßÀ½ µîÀ» °í·ÁÇÑ ÀÓÇöõÆ® ½Ä¸³ÀÌ ÇÊ¿äÇÏ´Ù. À̸¦ À§ÇØ Ã¶ÀúÇÑ ÀÓ»óÀû, ¹æ»ç¼±ÇÐÀû Áø´ÜÀÌ ÇÊ¿äÇÏ¸ç ±¤¹üÀ§ÇÑ °ñÀ̽İú ¿¬Á¶Á÷ À̽ļúÀÌ ¿ä±¸µÇ±âµµ ÇÑ´Ù. ¾ÆÁ÷±îÁöµµ °ñÀ̽ÄÇÑ »ó¾Ç¿¡ ´ëÇÑ ÀûÀýÇÑ ÀÓÇöõÆ® ½Ä¸³ °³¼ö, ÇϺα¸Á¶¹° ºÐÇÒ ¿©ºÎ ¹× »óºÎ ±¸Á¶¹°ÀÇ À¯Áö ¹æ¹ý µî¿¡ ´ëÇÑ ¸íÈ®ÇÑ ÁöħÀÌ ¸¶·ÃµÇ¾îÀÖÁö ¾Ê±â ¶§¹®¿¡ Áø´Ü°úÁ¤¿¡¼ À̸¦ °í·ÁÇÑ °Ë»ç°¡ ¿ä±¸µÈ´Ù. º» Áõ·Ê¿¡¼´Â Ä¡ÁÖÁúȯ º´·ÂÀÌ Àִ ȯÀÚ¿¡¼ »ó, ÇÏ¾Ç ´Ù¼ö Ä¡¾Æ ¹ß°Å ¹× Ä¡ÁÖ Ä¡·á ÈÄ, °ñÀÌ½Ä ¹× ¿¬Á¶Á÷ À̽ÄÀ» µ¿¹ÝÇÑ ´Ù¼ö ÀÓÇöõÆ® ½Ä¸³°ú ÇÏ¾Ç ÀÚ¿¬ Ä¡¿¿¡ ´ëÇյǴ »ó¾Ç ÀÓÇöõÆ® Àü¾Ç º¸Ã¶¼öº¹À» ÅëÇÏ¿© ±â´ÉÀû, ½É¹ÌÀûÀ¸·Î ¸¸Á·ÇÒ ¸¸ÇÑ °á°ú¸¦ ¾ò¾ú±â¿¡ À̸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
When an implant-supported maxillary full-arch fixed prosthesis is planned for patients with the horizontal and vertical bone resorption induced by periodontal disease, it is necessary to consider the masticatory function, esthetics and phonetics when placing implants. For this reason, thorough clinical and radiological diagnosis is necessary. Extensive bone and soft tissue grafting may be required as well. Since there is no clear guideline for proper number of implants, segment or splinting of substructure and method of retaining prosthesis, these should be considered during diagnostic process. This clinical report describes a patient who has experienced several tooth extractions and periodontal treatment due to severe periodontitis on maxilla and mandible. With bone and soft tissue graft before dental implant placement, the patient have satisfactory result in esthetic and functional aspect with the implant-supported maxillary full-arch fixed prosthesis opposing mandibular natural dentition.
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Alveolar bone resorption; Hard tissue graft; Soft tissue graft; Implant; Zirconia
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