임프란트 수술 전 free gingival graft를 이용한 연조직 처치 증례
Soft tissue management for implant site preparation with freegingival graft (Case Report)
강두화, 김태원, 김지환, 박정철, 김성태, 정의원, 박영범, 김창성, 심준성, 최성호, 문홍석,
소속 상세정보
강두화 ( Kang Du-Hwa ) - 연세대학교 치과대학 보철과학교실
김태원 ( Kim Tae-Won ) - 연세대학교 치과대학 보철과학교실
김지환 ( Kim Jee-Hwan ) - 연세대학교 치과대학 보철과학교실
박정철 ( Park Jung-Chul ) - 연세대학교 치과대학 치주과학교실
김성태 ( Kim Sung-Tae ) - 연세대학교 치과대학 보철과학교실
정의원 ( Jung Ui-Won ) - 연세대학교 치과대학 치주과학교실
박영범 ( Park Young-Bum ) - 연세대학교 치과대학 보철과학교실
김창성 ( Kim Chang-Sung ) - 연세대학교 치과대학 치주과학교실
심준성 ( Shim June-Sung ) - 연세대학교 치과대학 보철과학교실
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학 치주과학교실
문홍석 ( Moon Hong-Seok ) - 연세대학교 치과대학 보철과학교실
KMID : 0362820110300010059
Abstract
The purpose of dental implant therapy is to restore functions of mastication or speech, facial appearance, and health. Esthetics must also be considered a critical factor for implantation on anterior region. In patients with severe periodontitis or periimplantitis, there is often insufficient keratinized mucosa. In that case, the“ pink esthetics”of the implant restoration is expected to be poor as well as the maintenance of the oral hygiene. In this case report, free gingival graft (FGG) was conducted in order to increase the keratinized mucosa after removal of failed implant in anterior mandible. Although insufficient keratinized mucosa may not always lead to poor oral hygiene, gingival recession or crestal bone loss, adequate amount of keratinized mucosa may be needed for better plague control and esthetics. After soft tissue management with FGG, implantation and guided bone regeneration (GBR) was conducted simultaneously. The final
restoration was delivered after osseointegration. Simultaneous approach of implantation and GBR was chosen for hard tissue augmentation, considering the low lip line and bone level of adjacent teeth and implants. The patient was satisfied with the final restoration. For good long term outcome, the periodic follow-up recalls will be continuously maintained.
키워드
FGG; Keratinized mucosa; GBR; Simultaneous approach; Lip line; Bone level
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