상악골에서 Veneer 골이식과 동반된 즉시 임프란트 매식

  • 정종철 (가천의과대학부속 길병원 치과 구강악안면외과) ;
  • 최재선 (가천의과대학부속 길병원 치과 구강악안면외과) ;
  • 김호성 (가천의과대학부속 길병원 치과 구강악안면외과) ;
  • 성대경 (가천의과대학부속 길병원 치과 구강악안면외과) ;
  • 이계혁 (가천의과대학부속 길병원 치과 구강악안면외과) ;
  • 최재욱 (가천의과대학부속 길병원 치과 구강악안면외과) ;
  • 김영훈 (가천의과대학부속 길병원 치과 보철과)
  • 발행 : 1999.01.01

초록

Patients who present with severe maxillary bone loss Secondary to trauma or resorption provide a unique diagnosis and difficulty in implant installation. To solve this problem, various bone grafting methods and graft materials can be used in these compromised cases. But for the patients required wide reconstruction, autogenous iliac bone has been used widely because of easy harvesting of much corticocancellous bone. Usually, implant installations are performed 6-12 months later after grafting. but this method necessary long treatment period and additional surgery. To avoid this disadvantages, bone grafting with immediate implant installations are frequently used. But special care is necessary to prevent postoperative complication in this method. We present three cases of veneer grafting with immediate implant installation. These patients had a knife-edge shaped alveolar bone due to labial alveolar bone loss. We reconstructed this alveolar bone with veneer grafting with iliac bone and performed immediate implant installation. There was no complications during healing periods in these three cases. Six months later, we found good survival of grafting bone and osseointegration of these implants, so we could perform prosthetic treatment successfully.

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