심미적 영역에서 단계적 접근을 통한 다수 치아 임플란트 수복: 증례보고
A staged approach for rehabilitation of multiple missing teeth in the esthetic zone: Case report
손주연, 한현진, 박정철, 김지환, 윤정호, 김성태, 박영범, 정의원, 김창성, 심준성, 문홍석, 최성호,
소속 상세정보
손주연 ( Sohn Joo-Yeon ) - 연세대학교 치과대학 치주과학교실
한현진 ( Han Hyun-Jin ) - 연세대학교 치과대학 보철과학교실
박정철 ( Park Jung-Chul ) - 연세대학교 치과대학 치주과학교실
김지환 ( Kim Jee-Hwan ) - 연세대학교 치과대학 보철과학교실
윤정호 ( Yun Jeong-Ho ) - 연세대학교 치과대학 치주과학교실
김성태 ( Kim Sung-Tae ) - 연세대학교 치과대학 보철과학교실
박영범 ( Park Young-Bum ) - 연세대학교 치과대학 보철과학교실
정의원 ( Jung Ui-Won ) - 연세대학교 치과대학 치주과학교실
김창성 ( Kim Chang-Sung ) - 연세대학교 치과대학 치주과학교실
심준성 ( Shim June-Sung ) - 연세대학교 치과대학 보철과학교실
문홍석 ( Moon Hong-Seok ) - 연세대학교 치과대학 보철과학교실
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학 치주과학교실
KMID : 0362820100290020040
Abstract
Replacement of missing teeth in the esthetic zone is often a challenge for the clinician. Especially, in the area with soft tissue and hard tissue deficiencies, a step by step approach accompanying bone augmentation procedure and soft tissue graft is necessary. In the present case, severe gingival recession and horizontal bone deficiency were noted in maxillary anterior region. Prior to the implant placement, vascularized interpositional periosteal connective tissue (VIP-CT) graft was performed at the time of extraction of anterior teeth to increase keratinized tissue and soft tissue dimension. After 2 months, implants were installed and guided bone regeneration (GBR) was performed on the horizontal alveolar defect. Additional soft tissue graft was done for improvement of horizontal contour at the time of the healing abutment connection. To obtain the proper gingival contour and papilla, temporary restoration was used for 3 months prior to the delivery of final restoration. Relatively enough bone and soft tissue were acquired using staged soft tissue and hard tissue augmentation procedures with implant installation, and the patient was satisfied with the restoration and gingival architcture. Implantation restorations to replace multiple missing teeth in esthetic zone with the soft tissue and hard tissue deficiencies require
presurgical planning, proper implant positioning, skillful practitioner and teamwork of the entire implant team.
키워드
dental implant; bone grafting; soft tissue; esthetics
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