완전 무치악 환자에서 Locator attachment를 이용한 하악 임프란트 유지형 피개의치 수복 증례

유지성; 김지환; 엄유정; 김성태; 정의원; 박영범; 김창성; 이재훈; 심준성; 최성호; 문홍석

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완전 무치악 환자에서 Locator attachment를 이용한 하악 임프란트 유지형 피개의치 수복 증례
The Implant Retained Overdenture Using Locator Attachments on the Mandible in fully Edentulous Patient ; Case Report

대한구강악안면임플란트학회지 2009년 13권 4호 p.222 ~ 228

유지성, 김지환, 엄유정, 김성태, 정의원, 박영범, 김창성, 이재훈, 심준성, 최성호, 문홍석,

소속 상세정보

유지성 ( Yuh Chi-Sung ) - 연세대학교 치과대학 보철과학교실
김지환 ( Kim Jee-Hwan ) - 연세대학교 치과대학 보철과학교실
엄유정 ( Um Yoo-Jung ) - 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
이재훈 ( Lee Jae-Hoon ) - 연세대학교 치과대학 보철과학교실
심준성 ( Shim June-Sung ) - 연세대학교 치과대학 보철과학교실
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학 치주과학교실
문홍석 ( Moon Hong-Seok ) - 연세대학교 치과대학 보철과학교실

KMID : 0602720090130040222

Abstract

The primary objectives in treating fully edentulous patients are: recovery of function, such as mastication or pronunciation, esthetics, including facial profile, and the maintenance of health. In this case, a fully edentulous patient was treated with an conventional complete denture for the maxilla and implant retained overdenture using Locator attachments in the mandible, following recommendations from the 2002 McGill Consensus. Clinical factors to consider before implant retained overdenture restorations are as follows: vertical space, economic factors, ease of cleaning, retention and lifespan of the attachments. The interocclusal space in this case was about 8 ~ 9mm and the soft tissue was analyzed using the patients’ temporary dentures. Because of the insufficient interocclusal space, Locator attachments, which require the least amount of interocclusal space, were chosen. Locator attachments are also advantageous in patients who are shifting from wearing fixed type prosthesis to removable prosthesis, because of the easily adjustable retention strengths. For esthetics and function, correct understanding of the patient’s chief complaint and the proper evaluation of existing restorations is crucial. In addition, when treatment planning, one must take into consideration the expectations of the patient and also the cost of treatment. For a better prognosis, periodic follow up must take place following treatment.