국소의치와 임플란트 융합치료에서 고려할 사항
Consideration for the Combination Treatment of Removable Partial Denture and Implant
박지만, 곽재영, 김성균, 주지환, 허성주,
소속 상세정보
박지만 ( Park Ji-Man ) - 관악서울대학교치과병원 치과보철과
곽재영 ( Koak Jai-Young ) - 서울대학교 치의학대학원 치과보철학교실
김성균 ( Kim Seong-Kyun ) - 서울대학교 치의학대학원 치과보철학교실
주지환 ( Joo Ji-Hwan Alexander ) - 서울국제학교
허성주 ( Heo Seong-Joo ) - 서울대학교 치의학대학원 치과보철학교실
KMID : 0602720150190020104
Abstract
Clinicians frequently encounter cases in which the removable partial denture (RPD) should be selected as a treatment option while the number and location of remaining abutment teeth is limited. Dental implants can be utilized to increase patient comfort and denture prognosis. The indication for adding implants to treatment plan of RPD can be categorized as follows. When the number of abutment tooth is insufficient or the abutment health is poor in the Kennedy class I case, implants could be installed at the posterior end of both sides and the case can be changed to Kennedy class III resulting in greater patient comfort. When the anterior residual dentition is restored adequately, more esthetic result may be caused after the implant installation immediately after the most distal abutment tooth without the help of clasp. Apart from the design in which the stress on the mucosa is dispersed with the help of implant, implants can be installed at the anterior arch as a form of anterior surveyed bridge and act as abutment teeth for RPD. Relevant literature indicated that the adjunctively-utilized implant to RPD facilitates function and longevity of RPD. The clinical guidelines for implant-assisted RPD were summarized.
키워드
dental implant; fusion treatment; removable partial denture
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