경조직 및 연조직 증강술을 동반한 임프란트 식립술
Implantation in conjunction with hard tissue and soft tissue augmentation technique
정지희, 엄유정, 김지환, 정의원, 김성태, 박영범, 김창성, 이재훈, 심준성, 문홍석, 최성호,
소속 상세정보
정지희 ( Jung Jee-Hee ) - 연세대학교 치과대학 치주과학교실
엄유정 ( Um Yoo-Jung ) - 연세대학교 치과대학 치주과학교실
김지환 ( Kim Jee-Hwan ) - 연세대학교 치과대학 보철과학교실
정의원 ( Jung Ui-Won ) - 연세대학교 치과대학 치주과학교실
김성태 ( Kim Sung-Tae ) - 연세대학교 치과대학 보철과학교실
박영범 ( Park Young-Bum ) - 연세대학교 치과대학 보철과학교실
김창성 ( Kim Chang-Sung ) - 연세대학교 치과대학 치주과학교실
이재훈 ( Lee Jae-Hoon ) - 연세대학교 치과대학 보철과학교실
심준성 ( Shim June-Sung ) - 연세대학교 치과대학 보철과학교실
문홍석 ( Moon Hong-Seok ) - 연세대학교 치과대학 보철과학교실
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학 치주과학교실
KMID : 0362820090280020067
Abstract
Establishment of hard tissue and soft tissue with proper quantity and quality around the implants is essential for long-term stability of the implants. Most frequent complications accompanied with tooth extraction are vertical or horizontal bone loss and recession of the soft tissue, and it is needed to augment the deficient hard and soft tissue. Various surgical procedures, such as onlay bone graft, guided bone regeneration, block type bone substitutes grafting, distraction osteogenesis, and tissue engineering technique can be considered in treating the vertical and horizontal bony defects, and free gingival graft, subepithelial connective tissue graft, and apically positioned flap can be considered to overcome the reduced soft tissue. This report presents the case with implant placements performed in mandibular posterior region with the guided bone regeneration technique using autogenous bone to fill the defect and compensate future ridge alterations, and free autogenous gingival graft to augment the reduced attached gingiva. The implants were successfully installed and showed clinically successful results. Guided bone regeneration technique is the procedure applied with a barrier membrane to induce the specific cells and stabilize the blood clot for regeneration of the bone. The peri-implant attached gingiva is required to maintain the stability of peri-implant tissue.
키워드
attached gingival;bone graft;endosseous dental implant;free autogenous gingival graft;guided bone regeneration
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