하악골 퇴축이 심한 환자에서 임플란트 식립 후 발생한 하악골골절의 치료: 증례보고
Treatment of mandibular fractures after implant surgery in patients with a severe atrophic mandibular recession: case report
강동우, 김영균,
소속 상세정보
강동우 ( Kang Dong-Woo ) - 분당서울대학교병원 치과 구강악안면외과
김영균 ( Kim Young-Kyun ) - 서울대학교 치의학대학원 치의학과
KMID : 1025720160350020064
Abstract
Dental implant surgery may cause many complications. In particular, for patients who have a systemic disease or severe mandibular atrophy, we need to be more careful. We present a case with mandibular fracture and osteomyelitis which was occurred after implant placement in patient with severe mandibular atrophy. During 10 months, we performed three types of surgery under general anesthesia. 1. Osteomyelitis treatment and open reduction & internal fixation 2. Iliac bone graft reconstruction, 3. Vestibuloplasty with palatal mucosa graft. Although the mandibular posterior vestibular depth was deepened, the gain was still not enough. In order to prevent mandibular fracture, two short implant surgery and overdenture treatment are recommended.
키워드
Atrophic mandible; Fracture; Iliac bone graft; Open reduction; Vestibuloplasty
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