The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Strategic serial extractions and immediate implantation for interdental papilla preservation: A case report

치간 유두 보존을 위한 전략적 연속발치술과 즉시 임플란트 식립: 증례보고

  • Choi, Geun-Bae (Hanvit Dental Clinic) ;
  • Lee, Jung-Jin (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Ahn, Seung-Geun (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University) ;
  • Seo, Jae-Min (Department of Prosthodontics, School of Dentistry and Institute of Oral Bio-Science, Chonbuk National University)
  • 최근배 (한빛치과의원) ;
  • 이정진 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 안승근 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소) ;
  • 서재민 (전북대학교 치의학전문대학원 치과보철학교실 및 구강생체과학연구소)
  • Received : 2016.12.12
  • Accepted : 2017.02.02
  • Published : 2017.07.31
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Abstract

Maintaining the blood supply of the interdental alveolar bone is crucial for preserving the interdental papilla. Rebuilding the interimplant papilla between adjacent implants is more difficult than rebuilding the interdental papilla between the natural tooth and implant. Therefore, preserving the interimplant tissue is necessary when adjacent implants are closely placed. In this case report, three effective methods for maintaining the surrounding tissue, namely strategic serial extraction, immediate implantation, and provisionalization of adjacent maxillary central incisors, were performed. The marginal gingiva and interimplant papilla were well maintained for 24 months.

치간유두의 보존을 위해서는 치간골의 혈액공급이 매우 중요하다. 인접한 임플란트 사이의 치간유두를 재생하는 것은 치아와 임플란트 사이의 치간유두보다 어렵다. 그러므로 인접한 임플란트를 식립할 경우 임플란트 사이 조직을 보존하는 것이 필요하다. 이를 위해서 전략적 발치술, 즉시 임플란트 식립 및 임시 보철물 제작은 임플란트 주위 조직을 보존하는데 효과적인 방법으로 소개되었다. 본 증례는 손상된 양측 상악 중절치를 전략적 연속 발치술 및 임플란트 즉시 식립을 통해 회복한 환자로 24개월 뒤 임플란트 주위 조직 및 치간 유두가 안정적으로 보존되었기에 이를 보고하는 바이다.

Keywords

References

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