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심미적 영역에서 단계적 접근을 통한 다수 치아 임플란트 수복: 증례보고

Other Titles
 A staged approach for rehabilitation of multiple missing teeth in the esthetic zone: Case report 
Authors
 손주연  ;  한현진  ;  박정철  ;  김지환  ;  윤정호  ;  김성태  ;  박영범  ;  정의원  ;  김창성  ;  심준성  ;  문홍석  ;  최성호 
Citation
 Journal of the Korean Academy of Implant Dentistry (대한치과이식임프란트학회지), Vol.29(2) : 40-46, 2010 
Journal Title
 Journal of the Korean Academy of Implant Dentistry (대한치과이식임프란트학회지) 
ISSN
 1229-7038 
Issue Date
2010
Keywords
dental implant ; bone grafting ; soft tissue ; esthetics
Abstract
Replacement of missing teeth in the esthetic zone is often a challenge for the clinician. Especially, in the area with soft tissue and hard tissue deficiencies, a step by step approach accompanying bone augmentation procedure and soft tissue graft is necessary. In the present case, severe gingival recession and horizontal bone deficiency were noted in maxillary anterior region. Prior to the implant placement, vascularized interpositional periosteal connective tissue (VIP-CT) graft was performed at the time of extraction of anterior teeth to increase keratinized tissue and soft tissue dimension. After 2 months, implants were installed and guided bone regeneration (GBR) was performed on the horizontal alveolar defect. Additional soft tissue graft was done for improvement of horizontal contour at the time of the healing abutment connection. To obtain the proper gingival contour and papilla, temporary restoration was used for 3 months prior to the delivery of final restoration. Relatively enough bone and soft tissue were acquired using staged soft tissue and hard tissue augmentation procedures with implant installation, and the patient was satisfied with the restoration and gingival architcture. Implantation restorations to replace multiple missing teeth in esthetic zone with the soft tissue and hard tissue deficiencies require presurgical planning, proper implant positioning, skillful practitioner and teamwork of the entire implant team
Files in This Item:
T201004959.pdf Download
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Prosthodontics (보철과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Tae(김성태)
Kim, Jee Hwan(김지환) ORCID logo https://orcid.org/0000-0002-0872-4906
Kim, Chang Sung(김창성) ORCID logo https://orcid.org/0000-0003-3902-1071
Moon, Hong Seok(문홍석) ORCID logo https://orcid.org/0000-0001-8118-8145
Park, Young Bum(박영범)
Park, Jung Chul(박정철)
Shim, June Sung(심준성) ORCID logo https://orcid.org/0000-0003-1428-0122
Yun, Jeong Ho(윤정호)
Jung, Ui Won(정의원) ORCID logo https://orcid.org/0000-0001-6371-4172
Choi, Seong Ho(최성호) ORCID logo https://orcid.org/0000-0001-6704-6124
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102860
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