뇌손상으로 인한 이갈이와 이악물기를 가진 환자에서 수개월째 혀를 관통한 채 유지되던 임플란트 지대주의 제거 후 혀의 치유
The healing of tongue after the removal of implant abutments penetrating the tongue of comatous patient with bruxism and clenching for several months
진영재, 윤구호, 박관수, 신재명,
소속 상세정보
진영재 ( Chin Young-Jai ) - 인제대학교 의과대학 상계백병원 구강악안면외과학교실
윤구호 ( Yoon Kyu-Ho ) - 인제대학교 의과대학 상계백병원 구강악안면외과학교실
박관수 ( Park Kwan-Soo ) - 인제대학교 의과대학 상계백병원 구강악안면외과학교실
신재명 ( Sin Jae-Myung ) - 인제대학교 의과대학 일산백병원 구강악안면외과학교실
KMID : 1025720140330010023
Abstract
The patients with systemic diseases are increasing in aging society at dental clinic of general hospital or university hospital. There are many patients who have difficulty of maintaining and managing of dental implant because patients get new systemic diseases or existing diseases get worse. We experienced the case that a 66 year-old female patient with bruxism and clenching who is under coma due to brain damage removed the dental implant prosthesis under general anesthesia. So we considered the maintenance and management of implant in patients with severe systemic diseases. Cement-retained implants have high retention and fracture resistance of implant prosthesis but low retrievability. Screw-retained implants have low retention and fracture resistance of implant prosthesis but high retrievability. We should select the method of maintenance carefully because the patients with systemic diseases increase in aging society.
키워드
Systemic disease; Implant; Cement-retained implant; Screw-retained implant; Maintenance and management
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