임플란트 치료 전 이상적인 교합 고경으로의 회복을 위한 다학제적 접근에 대한 연구

Abstract

Purpose: The aim of this review is to investigate various kinds of treatments which could be performed to recover non-ideal interocclusal space to ideal state prior to implant placements. Material and Methods: According to the definition of ideal interocclusal space reported previously, orthodontic, surgical and prosthodontic treatments to resolve an excessive or insufficient interocclusal space were reviewed. Among 899 articles searched by “Pubmed”, 34 articles were screened by inclusion/exclusion criteria. Results: In cases of having an insufficient interocclusal space, orthodontic intrusion which could be the least invasive treatment, segmental osteotomy which is the most invasive, and prosthodontic restoration can be possible options for the treatment. When an excessive interocclusal space is observed, some surgical techniques can be performed, including onlay block bone graf t and distraction osteotomy. In some cases, two or more treatments may be needed to have an ideal interocclusal space for implantation. Conclusion: The interdisciplinary approach may be needed for having a predictable result after dental implantation to recover a non-ideal interocclusal space to an appropriate state.