The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Application of dental implant for orthodontic anchorage

보철 수복용 임플란트의 교정치료를 위한 고정원의 활용

  • Kang, Hyo-Jin (Department of Periodontology, School of Medicine, Ewha Womans University) ;
  • Park, Eun-Jin (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Kim, Sun-Jong (Department of Oral and Maxillofacial Sugery, School of Medicine, Ewha Womans University) ;
  • Pang, Eun-Kyoung (Department of Periodontology, School of Medicine, Ewha Womans University)
  • 강효진 (이화여자대학교 의학전문대학원 치과학교실 치주과) ;
  • 박은진 (이화여자대학교 의학전문대학원 치과학교실 치과보철과) ;
  • 김선종 (이화여자대학교 의학전문대학원 치과학교실 구강악안면외과) ;
  • 방은경 (이화여자대학교 의학전문대학원 치과학교실 치주과)
  • Received : 2016.01.23
  • Accepted : 2016.03.29
  • Published : 2016.06.01
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Abstract

Currently, dental implants have become predictable and reliable adjuncts for oral rehabilitation. Osseointegrated implants can be used to provide rigid orthodontic anchorage and have advantages compared conventional orthodontic anchorage especially when there were edentulous areas and implants were scheduled as a treatment plan. Orthodontic force doesn't cause the bone loss of osseointegrated implants. Implant materials, surgical protocols and healing time before loading follow the conventional treatment protocol. Because the implants, once installed, can't change the location, meticulous treatment planning should be preceded. Further investigations are needed to standardize the treatment protocol.

보철 수복용 임플란트는 소실된 구강조직을 회복하는데 매우 예측 가능한 치료방법으로 특히 교정치료를 위한 고정원으로 사용되었을 때 원하지 않는 고정원의 위치변화 없이 원하는 치아의 움직임만을 얻을 수 있는 효과적인 치료 방법 중 하나이다. 특히 수복해야 할 무치악 부위가 존재하는 경우 장래 보철적 지대치로 이용될 임플란트를 교정치료 전에 미리 식립하여 교정적 고정원으로 사용한다면 고정용 나사 식립을 위한 추가적인 비용이 없고, 교정력에 의한 고정용 나사의 탈락과 같은 부작용 없이 효과적인 고정원으로써 사용될 수 있을 것이다. 교정력은 골유착된 임플란트에 골소실을 야기하지 않으며 임플란트의 종류와 수술 방법, 치유 기간은 일반적인 치료과정 을 따르면 된다. 다만 한번 골유착된 임플란트는 위치를 변화시킬 수 없으므로 치료를 시작하기 전에 임플란트 식립 시기 및 식립 위치에 대한 정확한 진단이 반드시 선행되어야 할 것이다.

Keywords

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