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(1)ISSN 1229-5418 Implantology 2015; 19(4): 210~216. 상악 완전 무치악 환자의 임플란트 고정성 보철을 통한 구 강회복 증례: Restoration Driven Concept 윤나리, 안수진, 이석원, 이성복, 박수정 경희대학교 치의학전문대학원 강동경희대학교병원 생체재료보철학교실. Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept Na Ree Yoon, Su Jin Ahn, Suk Won Lee, Richard Leesungbok, Su Jung Park Department of Biomaterials and Prosthodontics, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Dentistry, Seoul, Korea. Abstract The three available options for prosthesis in patients with an edentulous state due to periodontal disease and other reasons include full denture, implant supported overdenture, and implant supported maxillary full arch fixed prosthesis. We reported a case of implant supported maxillary fixed prosthesis for relatively young female patients with sudden edentulous state. For maxillary fixed prosthesis, esthetics features such as lip support, lip line, facial profile, and mechanical aspect such as residual bone level, bone quality and financial status of patients, required consideration. In this case, we adapted restoration driven concept, and through clinical and radiographic diagnosis we assumed final prosthesis. Subsequently, implant supported fixed prosthesis was delivered to the patient. The patient was satisfied with the results of esthetic as well as functional aspect. Key Words: alveolar bone resorption, bone graft, implant fixed prosthesis. Reprint requests: Su Jung Park Department of Biomaterials and Prosthodontics, Kyung Hee University Hospital at Gangdong, 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea Tel: 82-2-440-7518, Fax: 82-2-440-7549 E-mail: romeoni@hanmail.net Received for publication: December 15, 2015 Revised for publication: December 16, 2015 Accepted for publication: December 18, 2015. 교신저자: 박수정 (05278) 서울시 강동구 동남로 892 강동경희대학교병원 보철과 Tel: 82-2-440-7518, Fax: 82-2-440-7549 E-mail: romeoni@hanmail.net 원고접수일: 2015년 12월 15일 원고수정일: 2015년 12월 16일 게재확정일: 2015년 12월 18일. Copyright © 2015. The Korean Academy of Oral & Maxillofacial Implantology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.. 210 Implantology Vol. 19 No. 4, 2015.

(2) ᯕჩ᷾ಡᨱᕽ۵⦹ᦦᨱᯝᇡ᯵᳕⊹aᯩᮥĞᬑᔢ. * 서론. ᦦŝ⦹ᦦ༉ࢱᯥ⥭௡✙Łᱶ᜾ᅕ℁ྜྷᮥᯕᬊ⦹ᩍᙹ ᅖ⦽Ğᬑಽ⊹ഭ᜽᯲ᱥ↽᳦ᅕ℁ྜྷᮥŁಅ⦽⊹ഭĥ ⫮ᮥ☖⧕ᝍၙᱢ ʑ‫܆‬ᱢᯙอ᳒qᮥᵥᙹᯩᨩ݅. ᝍ. ⦽⊹ᵝḩ⪹ᯕӹ݅ᙹ᮹ᇩపᅕ℁ྜྷಽ᯵᳕ ⊹ᦥ᮹ၽÑaᇩa⦝⦹ᩍྕ⊹ᦦᯕࡹ۵Ğ ᬑⅾ᮹⊹ ᯥ⥭௡✙ḡḡPWFSEFOUVSF ᯥ⥭. ** 증례보고. ௡✙ḡḡŁᱶᖒᅕ℁ྜྷ᮹ႊჶᵲ⦹ӹ᮹Ğᬑෝ┾⧕ ⊹ഭෝḥ⧪⧁ᙹᯩ݅ੱ⦽r᯲ᜅ్ᬕྕ⊹ᦦᔢ┽ᨱ ‫⧕ݡ‬ⓑᔢᝅqᮥw۵݅ᗭӹᯕaᱫᮡᩍᯱ⪹ᯱ᮹Ğ. ᖙ᮹ᩍᯱ⪹ᯱaᱥၹᱢᯙǍvᔢ┽᮹}ᖁᮥᬱ⦹. ᬑⅾ᮹⊹ಽ⊹ഭෝḥ⧪⦹۵äᅕ݅۵݅ᙹ᮹ᯥ⥭௡✙. ŁŁᱶᖒᅕ℁ྜྷᮥᬱ⦽݅۵ᵝᗭಽԕᬱ⦹ᩡŁ ᱥၹ. ෝᯕᬊ⦽Łᱶᖒᅕ℁ᙹᅖ᮹Ğᬑᝍญᱢ ʑ‫܆‬ᱢอ᳒. ᱢᯙBMWFPMBSCPOFSFTPSQUJPOᮥᅕᯕŁᯩᨩ݅ᔢᦦ᮹. . qᮥ‫׳‬ᯝᙹᯩ݅ . Ğᬑ᯵᳕⊹᮹ᱥᦦၽ⊹ ⦹ᦦ᮹Ğᬑ᳭⊂č⊹ᇡ░ᬑ. ə్ӹ᯵᳕ʼnᯕᇡ᳒⧁Ğᬑᯥ⥭௡✙ෝᯕᬊ⦽Łᱶ ᖒᅕ℁ᙹᅖᯕᝍၙᱢᯙᝅ➉ෝ᧝ʑ⧁ᙹᯩ۵ߑᯕ۵ ↽᳦ᱢᯙᅕ℁ᙹᅖྜྷŝ᯵᳕ʼne᮹šĥ᮹⠪aaᔍ. ⊂ᱽᗭǍ⊹ෝᱽ᫙⦽Ǎ⊹ᇡ᮹⊹ᦥၽ⊹ෝĥ⫮⦹ᩡ ݅ 'JH  4UVEZNPEFMᮥᇥᕾ⦽đŝᅙ᷾ಡ᮹ĞᬑᦦeŖe. ᱥᨱᯕ൉ᨕḡḡᦫᦹʑভྙᯕ݅ə్အಽ⊹ഭ᜽᯲. ᮡNNᯕԕಽᕽŁᱶᖒᮝಽᙹᅖa‫⧉܆‬ᮥ᦭ᙹᯩ. ᱥᅕ℁ĥ⫮ᯕᖙᬭᲙ᧝⦹໑݅᧲⦽ḥ݉ᇥᕾᮥ☖⧕. ᨩ݅ᔢᦦྕ⊹ᦦᇡ᭥⊹ᦥ႑ᩕ⬥Ǎᙽḡḡࠥෝ⪶ᯙ. ᦭฿ᮡ⊹ഭ᧲᜾ᮥᱢᬊ⧕᧝⦽݅ . ⧕ᅙđŝGBDJBMQSPGJMFᯕᱢᱩ⦹ᩡᮝ໑ MJQMJOFᯕԏᦥ. ੱ⦽ᯥ⥭௡✙᜾พᮥ᭥⦽ᙹᚁᱥ݉ĥᨱᕽᨕਁ⦽ ⊹ഭႊ᜾ᮥđᱶ⧁äᯙa۵ᙹᅖ⦹Łᯱ⦹۵Ŗe᮹᧲ ŝࠥšಉᯕᯩ݅঑௝ᕽ᪥ᱥྕ⊹ᦦᨱᯥ⥭௡✙ෝ᜾. ᔢ⦹ᦦ༉ࢱᯥ⥭௡✙Łᱶᖒᅕ℁ྜྷಽḥ⧪⦹ʑಽ⦹ᩡ ݅ 'JH  ⊹ᵝḩ⪹ᮝಽᱥၹᱢᮝಽ⊹᳑ʼn᮹⯂ᙹෝᅕᯕ໑✚. พ⦹ᩍᙹᅖ⦹Łᯱ⦽݅໕ᗭᝅࡽ⊹ᦥၰᵝ᭥᳑Ḣ᮹. ⯩᳭⊂⦹ᦦǍ⊹ᇡᇡ᭥⊹᳑ʼn᮹ᝍb⦽⯂ᙹaᅕᩡ. ᧲ᮥᨕ۱ᱶࠥၙญʼnᯕ᜾ᮥ☖⦹ᩍ⫭ᅖ⧁äᯙḡᦥ. ݅. ‫ܩ‬໕ᅕ℁ᙹᅖྜྷಽᗭᝅࡽᇡ᭥ෝ‫ݡ‬ℕ⧁äᯙḡෝᔍᱥ. ᅙ᷾ಡᨱᕽ۵PWPJE⩶┽᮹ᦦǢŝ‫⊹⧊ݡ‬aŁᱶᖒ. ᨱá☁⧕᧝⦽݅ᯕ᫙ᨱࠥ‫ᦦ⧊ݡ‬Ǣᔢ┽ ᜾พ⧁ᇡ᭥. ᅕ℁ྜྷᯙᱱ əญŁQSFNBYJMMB᮹BOUFSJPSQPTUFSJPS. ᮹ʼnḩ əญŁ⪹ᯱ᮹Ğᱽᱢᔢ┽ࠥŁಅ⧕᧝⦽݅. TQSFBEෝŁಅ⦹ᩍᔢᦦᨱ}᮹ᯥ⥭௡✙ෝ᜾พ⦹ʑ. Fig. 1. (A) Panorama view shows generalized alveolar bone loss. (B) Intraoral photo shows deep caries. A. B. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. 대한구강악안면임프란트학회지 19권 4호, 2015 211.

(3) Case Report. ಽ⦹ᩡ݅ 'JH . JODMJOBUJPO⦹ᩍ᜾พ⦹ࠥಾ⦹ᩡŁᯥ⥭௡✙᜾พŝ࠺. ၽ⊹⬥ᷪ᜽ᯥ᜽᮹⊹ෝEFMJFWFSZ⦽⬥⦹ᦦǍ⊹ᇡ CPOFEFGFDUᇡ᭥۵ᯕ᳦ʼnᯕ᜾ᰍCJPPTT (FJTUMJDI. ᜽ᨱ⩲⊂ŝ⊹᳑ᱶᇡ᭥ᨱ(#3ᮥ࠺ᯝႊჶᮝಽ᜽ᚁ ⦹ᩡ݅ 'JH  . 1IBSNB"( 8PMIVTFO 4XJU[FSMBOE ᪡⯂ᙹᖒNFN. ᔢᦦᱥ⊹ᇡ᮹ᯥ⥭௡✙۵TVCNFSHFEUZQFᯙ"TUSB. CSBOFCJPHJEF (FJTUMJDI1IBSNB"( ෝᯕᬊ⦽ʼnᮁࠥ. %FOUTQMZ .öMOEBM 4XFEFO ⰜNN ᔢᦦŝ⦹ᦦ. ᰍᔾᚁ HVJEFECPOFSFHFOFSBUJPO (#3 ⬥ TUBHFE. Ǎ⊹ᇡ۵ OPO TVCNFSHFE UZQF 4USBVNBOO 5&. BQQSPBDIෝᱢᬊ⦹ᩍ}ᬵe᮹IFBMJOHTUBHFෝÑℱ. 4USBVNBOO #BTFM 4XJU[FSMBOE ಽ᜾พ⦹ᩡ݅ 'JH . ݉ĥಽᯥ⥭௡✙ෝ᜾พ⦹ʑಽ⦹ᩡŁ ᔢᦦ᮹Ğᬑ (#3ŝ࠺᜽ᨱᯥ⥭௡✙ෝ᜾พ⦹ࠥಾ⦹ᩡ݅ 'JH  ᔢᦦ᮹ʼn⯂ᙹಽᇡ░ᮁၽࡽᬑ⊂Ǎ⊹ᇡ⊹᳑ᱶ᮹ၹ. ᜾พ⬥QJDLVQJNQSFTTJPOᮥ☖⦹ᩍᵝ༉⩶ᱽ᯲⬥ KBXSFMBUJPOSFDPSEෝℕा⦹ᩍQSPWJTJPOBMSFTUPSBUJPO ᮥᰆ₊⦹ᩡ݅ 'JH . ‫ݡ‬Ʊ⧊ᮝಽᔢᦦᬑ⊂ᯥ⥭௡✙۵⩲⊂ᮝಽ᧞ࠥ Anterior cantilever Ovoid arch shape. 3 implant on premaxilla. A. B. Fig. 2. (A) Intermaxillary distance was estimated by. Fig. 3. Seven implant for maxillary edentulous and 3. diagnostic cast. (B) Diagnostic anterior wax up.. implant for premaxilla determined considering anteriorposterior spread.. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. Extraction on 7654321 76. 123456 567. 5 months. Mx, Mn immediate denture 3 months. Mx: Implant placement with GBR. Mn: GBR on left posterior area. 5 months. 4 months Mn implant placement. 2nd surgery. 3 months. 1 month Provisional prosthesis 2 months Final prosthesis. 212 Implantology Vol. 19 No. 4, 2015. Fig. 4. Treatment plan. Mx: maxilla, Mn: mandible, GBR: guided bone regeneration. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015.

(4) A. Fig. 5. Right posterior cross bite due to bone resorption. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. A. C. B. C. Fig. 7. (A) Panorama after implant insertion. (B, C) Intraoral photography. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. ⦹Łᯩᮭᮥ᦭ᙹᯩᨩ݅ 'JH . B. *** 총괄 및 고찰. ྕ⊹ᦦ⪹ᯱ᮹ᙹᅖᮡᔢᝅࡽǍvĞⰒᩑ᳑Ḣ ⊹ᦥ ᮹ⅾℕᱢ⫭ᅖŝᦩ໕⩶┽᮹⫭ᅖᮥ⡍⧉⦽݅ᯕෝ᭥. Fig. 6. (A~C) Buccal alveolar bone loss and maxillay sinus pneumatization. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. ⧕đᱶ⧁ᔍ⧎ᮡŁᱶᖒᮝಽ⧁äᯙḡa℁ᖒᮝಽᙹ ᅖ⧁äᯙḡ᪡᜾พ⧁ᯥ⥭௡✙᮹}ᙹ ʼnᯕ᜾᮹⦥᫵ ᖒၰჵ᭥॒ᯕᯩ݅⊹ഭĥ⫮ᮥᖙᬑ۵ߑᯩᨕᕽ۵ ⪹ᯱ᮹᫵Ǎ ᩑಚ ᮹⊹ᰆ₊Ğಆ ᱥᝁÕv Ğᱽᱢᩍ. ‫ݍ‬e᮹QSPWJTJPOBMSFTUPSBUJPOᰆ₊⬥ᯕෝᯕᬊ⦹ ᩍKBXSFMBUJPOSFDPSEෝ₥ा⦹Ł↽᳦JNQSFTTJPOᮥḥ ⧪⬥↽᳦ᅕ℁ྜྷᮥᰆ₊⦹ᩡ݅ 'JH  -BUFSBMHVJEBODF۵ᔢᦦJ J J J ⦹ᦦ    ᨱᕽᯕ൉ᨕḡࠥಾ⦹ᩡ݅ 'JOBMSFTUPSBUJPOᰆ₊⬥֥अGPMMPXVQQBOPSBNB ᔍḥᮥ☖⧕Łᱶᖒᯥ⥭௡✙ᅕ℁ྜྷᯕᖒŖᱢᮝಽʑ‫܆‬. ÕəญŁ‫⊹⧊ݡ‬᮹ᔢ┽ෝᝍᔍᙺŁ⦹ᩍᖁ┾⦽݅ ᪥ᱥྕ⊹ᦦᮡ᪥ᱥⅾ᮹⊹ ᯥ⥭௡✙ḡḡPWFSEFO UVSF ᯥ⥭௡✙ḡḡŁᱶᖒᅕ℁ྜྷ॒ᮝಽ⊹ഭ⧕ᵥᙹ ᯩ݅⊹ഭႊჶᮥđᱶ⧁ভᨱ۵⪹ᯱ᮹᯦ᰆᨱᕽ݅᧲ ⦽ႊ໕ᮝಽ⠪a⦹ᩍ᧝⦹ŁəđŝᨱʑⅩ⦽ĥ⫮ᮥ ᖙᬭ᧝⦽݅ ᔢᦦ᮹Ğᬑᔢᙽḡḡaᇡ᳒⦽Ğᬑӹ᯵᳕ʼn᮹⯂ᙹ 대한구강악안면임프란트학회지 19권 4호, 2015 213.

(5) Case Report. A. B. C. Fig. 8. (A) Jaw relation record. (B, C) Provisional restoration. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. A. C. B. D. E. Fig. 9. (A, B) Jaw relation record using provisional restoration. (C~E) Final prosthesis. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. aŝࠥ⧁ĞᬑŁᱶᖒᮝಽᅕᔢ⦹۵äᮡๅᬑᨕಅᬑ ໑PWFSEFOUVSFಽᙹᅖ⦹۵äᯕʑ‫܆‬ᱢ ᝍၙᱢ ᭥ᔾᱢ ᮝಽ޵᧲⪙⦽đŝෝ᨜ᮥᙹᯩ۵᷾ಡॅᯕฯ݅ ੱ⦽ᙹᅖྜྷᨱa⧕ḡ۵Ʊ⧊ಆᮡ‫⊹⧊ݡ‬᮹ᔢ┽ᨱᩢ ⨆ᮥၼ۵ߑ‫⊹⧊ݡ‬aᯱᩑ⊹ÑӹŁᱶᖒᙹᅖྜྷᯙĞᬑ. ಆᮝಽᔢᦦ᮹ʼn⯂ᙹ᮹ḥ⧪ᮥaᗮ⪵᜽┍ᙹᯩ݅ ᅙ᷾ಡ᮹Ğᬑᖙ᮹ᩍᯱ⪹ᯱᯕŁŁᱶᖒᅕ℁ྜྷ ಽḥ⧪⦹ʑෝᬱ⦹໑⦹ᦦᱥ⊹ᇡ᮹Łᱶᖒᅕ℁ྜྷಽ ᯙ⦹ᩍᔢᦦྕ⊹ᦦŝ⦹ᦦǍ⊹ᇡᯥ⥭௡✙ᅕ℁ಽᖁ ┾⦹ᩡ݅. ۵Ʊ⧊ಆᯕⓍí᯲ᬊ⧁ᙹᯩ݅ə్အಽ⦹ᦦᨱ݅ᙹ. ᅙ᷾ಡ᪡zᯕʼn⯂ᙹaⓕĞᬑᱢᱩ⦽ᇡ᭥ᨱᯥ⥭. ᮹ᯥ⥭௡✙ෝᯕᬊ⦽ŁᱶᖒCSJEHFಽᙹᅖ⦹۵Ğᬑᔢ. ௡✙᮹᜾พᯕᨕಅᬕĞᬑaฯʑভྙᨱ⊹ഭ᜽᯲ᱥ. ᦦᮥⅾ᮹⊹ಽ⊹ഭ⧁Ğᬑ⦹ᦦᨱᕽၽ⭹ࡹ۵ᖝƱ⧊. ᅕ℁ĥ⫮ᯕᖙᬭᲙ᧝⦹໑݅᧲⦽ḥ݉ᇥᕾᮥ☖⧕᦭. 214 Implantology Vol. 19 No. 4, 2015.

(6) ᜽᯲⦽Ğᬑᅕ℁⊹ഭ᜽Ņ௡⦽ĞᬑᨱḢ໕⧁ᙹᯩ ݅ḥ݉༉⩶᮹NPVOUJOHŝXBYVQᮡʼn⯂ᙹ᮹ᱶࠥ  ᅕ℁ྜྷᮥ᭥⦽Ŗe ᦦešĥ ᙹḢŁĞॅᮥᇥᕾ⧁ᙹ ᯩ݅ྕ⊹ᦦ᮹ĞᬑᯙŖ⊹႑ᩕᯕ޵ᮁᬊ⦹݅ᯕ౑ ŝᱶᨱ᮹⧕ᙹᅖྜྷ᮹ᝍၙᱢ ʑ‫܆‬ᱢđŝෝၙญᩩ⊂ ⧁ᙹᯩŁ ⨆⬥ᙹᅖྜྷ᮹Ʊ⧊šĥ᪡⊹ᦥ᮹ʙᯕ॒ᮥ ᦭ᙹᯩ݅. Fig. 10. Five-year follow-up panorama.. ᅙ᷾ಡᨱᕽ۵ḥ݉༉⩶ŝႊᔍᖁᱢᇥᕾŝ⪹ᯱ᮹ᖁ. Na Ree Yoon et al. : Oral Rehabilitation with Fixed Implant Restoration in Maxillary Edentulous Patient: Restoration Driven Concept. Implantology 2015. ⪙ࠥ ‫ࡹ⧊ݡ‬۵⊹ᦥ᮹ᔢ┽॒ᮥŁಅ⦹ᩍᔢᦦྕ⊹ᦦ. ฿ᮡ⊹ഭ᧲᜾ᮥᱢᬊ⧕᧝⦽݅ᨕਁ⦽⊹ഭႊ᜾ᮥđ. đᱶ⦹۵ŝᱶᨱᕽḥ݉༉⩶ᮥᯕᬊ⦹ᩍᱥ⨆ᱢᯙ⊹ഭ. ᱶ⧁äᯙa۵ᙹᅖ⦹Łᯱ⦹۵Ŗe᮹᧲ŝၡᱲ⦽š. ĥ⫮ᨱᇡ⧊⦹۵ᯥ⥭௡✙ᙹᅖĥ⫮ᮥᙹพ⦹ᩡᮝ໑ ᱢ. ಉᯕᯩ݅঑௝ᕽ᪥ᱥྕ⊹ᦦᨱᯥ⥭௡✙ෝ᜾พ⦹ᩍ. ⧊⦽ᙹ᮹ᯥ⥭௡✙᪡ʼnᯕ᜾⦥᫵ᩍᇡෝ⠪a⦹ᩍ⪹. ᙹᅖ⦹Łᯱ⦽݅໕ᗭᝅࡽ⊹ᦥၰᵝ᭥᳑Ḣ᮹᧲ᮥᨕ. ᯱ᮹ᝍၙᱢ ʑ‫܆‬ᱢ༊ᱢᨱᇡ⧊⦹۵ᅕ℁ྜྷᮥᱽ᯲⧁. ۱ᱶࠥၙญʼnᯕ᜾ᮥ☖⦹ᩍ⫭ᅖ⧁äᯙḡᦥ‫ܩ‬໕ᅕ. ᙹᯩᨩ݅. ᮹⊹ഭĥ⫮ᮥŁᱶᖒᯥ⥭௡✙ಽᱶ⦹ᩡ݅⊹ഭႊჶᮥ. ℁ᙹᅖྜྷಽᗭᝅࡽᇡ᭥ෝ‫ݡ‬ℕ⧁äᯙḡෝᔍᱥᨱá ☁⧕᧝⦽݅  ੱ⦽ᔢᦦྕ⊹ᦦ᮹ĞᬑŁᱶᖒᅕ℁ྜྷಽᙹᅖ⦹ʑ. *7 결론. ᭥⧕ᱶᔢᱢᯙᦦešĥ ⊹᳑ᱽ᮹ᔢ┽ ၙᗭᖁŝᩑ᳑ Ḣ⩶┽॒ᮥ༉ࢱŁಅ⧕᧝⦹໑Łᱶᖒᅕ℁ྜྷᮥ⦹ʑ ᭥⧕ᕽ۵ᦦeŖeᯕ_NNᯕԕᩍ᧝⦽݅ᦦeŖ. ʼnᯕ❭ƕࡹᨕ⊹ᦥaᔢᝅࡹᨩÑӹ⊹ᦥෝᔢᝅ⦽ḡ. ɚᯕNNᯕᔢᯝĞᬑ⊹ᦥaթྕʙᨕḡŁ⩲ḡḡ. ᪅௹ࡹᨕʼn᮹᧲ᯕᇡ᳒⦽Ğᬑᨱࠥ∊ᇥ⦽ʑeᮥࢱ. aᇡ᳒⧕ᲙᕽPWFSEFOUVSF᮹ᱢ᮲᷾ᯕࡽ݅ษ₍aḡ. Łᱢᱩ⦽ႊჶᮝಽʼnᯕ᜾ᮥ᜽⧪⦽݅໕ ᝍ⦽⊹ᵝḩ. ಽ⩲⊂⯂ᙹaฯᯕࡹᨕɪ᮹ᦦešĥࠥŁᱶᖒᅕ℁. ⪹⪹ᯱᨱíࠥʑ‫܆‬ᱢ ᝍၙᱢᮝಽᖒŖᱢᯙŁᱶᖒᯥ. ྜྷᅕ݅۵a℁ᖒᅕ℁ྜྷ᮹ᱢ᮲᷾ᯕࡽ݅. ⥭௡✙ᅕ℁ྜྷᮥᙹᅖ⧁ᙹᯩ݅. ੱ⦽aḡŁಅ⧁ᱱᮡᔢᦦᨱᯩᨕᕽŁᱶᖒ⪚ᮡa ℁ᖒ᮹đᱶᨱᯩᨕᕽᵲ᫵⦽᫵ᗭ۵ᩑ᳑Ḣḡḡ᪡ᝍ ၙᱢྙᱽ᮹⠪aᯕ݅ᔢᙽḡḡaᇡ᳒⦽ĞᬑŁᱶᖒ. References. ᮝಽ⧕đ⦹۵äᮡๅᬑᨕಖ݅ੱ⦽⮕ḡᔢ┽᪡ᬤᮥ ভ⊹ᦥaᅕᯕ۵ᱶࠥෝšₑ⧕᧝⦽݅ ษḡสᮝಽᔢᦦ᪥ᱥྕ⊹ᦦᨱᕽᯥ⥭௡✙ෝ᜾พ⧁ อⓝ᮹ʼnᯕ᯵᳕⦹޵௝ࠥᱶ⪶⦽ḥ݉ၰᅕ℁ᱢ⊹ഭ ĥ⫮ᨧᯕ᯵᳕⦹۵ʼnᨱᯥ⥭௡✙ෝ᜾พ⦹ᩍ⊹ഭෝ. 1. Brånemark PI, Svensson B, van Steenberghe D. Ten-year survival rates of fixed prostheses on four or six implants ad modum Brånemark in full edentulism. Clin Oral Implants Res. 1995; 6: 227-231. 2. Buser D, Ingimarsson S, Dula K, et al. Long-term stability of. 대한구강악안면임프란트학회지 19권 4호, 2015 215.

(7) Case Report. osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent. 2002; 22: 109-117. 3. Brånemark PI, Hansson BO, Adell R, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977; 16: 1-132. 4. Stanford CM. Application of oral implants to the general dental practice. J Am Dent Assoc. 2005; 136: 1092-1100. 5. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res. 2006; 17(Suppl 2): 136-159. 6. Hämmerle CH, Jung RE, Feloutzis A. A systematic review of the. 9. Taylor TD. Prosthodontic problems and limitations associated with osseointegration. J Prosthet Dent. 1998; 79: 74-78. 10. Bachhav VC, Aras MA. Zirconia-based fixed partial dentures: a clinical review. Quintessence Int. 2011; 42: 173-182. 11. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III: problems and complications encountered. J Prosthet Dent. 1990; 64: 185-194. 12. Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent. 1999; 81: 537-552. 13. Pauletto N, Lahiffe BJ, Walton JN. Complications associated with excess cement around crowns on osseointegrated implants: a clinical report. Int J Oral Maxillofac Implants. 1999; 14: 865-868.. survival of implants in bone sites augmented with barrier membranes. 14. Aparicio C. A new method for achieving passive fit of an interim. (guided bone regeneration) in partially edentulous patients. J Clin. restoration supported by Brånemark implants: a technical note. Int J Oral. Periodontol. 2002; 29(Suppl 3): 226-231.. Maxillofac Implants. 1995; 10: 614-618.. 7. Schroeder A, van der Zypen E, Stich H, et al. The reactions of bone,. 15. Salvi GE, Zitzmann NU. The effects of anti-infective preventive. connective tissue, and epithelium to endosteal implants with titanium-. measures on the occurrence of biologic implant complications and. sprayed surfaces. J Maxillofac Surg. 1981; 9: 15-25.. implant loss: a systematic review. Int J Oral Maxillofac Implants. 2014;. 8. Koo S, Dibart S, Weber HP. Ridge-splitting technique with simultaneous implant placement. Compend Contin Educ Dent. 2008; 29: 106-110.. 216 Implantology Vol. 19 No. 4, 2015. 29(Suppl): 292-307..

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