상악골에서 Veneer 골이식과 동반된 즉시 임프란트 매식 |
정종철1, 최재선2, 김호성3, 성대경4, 이계혁5, 최재욱6, 김영훈7 |
1가천의과대학부속 길병원 치과 구강악안면외과 2가천의과대학부속 길병원 치과 구강악안면외과 3가천의과대학부속 길병원 치과 구강악안면외과 4가천의과대학부속 길병원 치과 구강악안면외과 5가천의과대학부속 길병원 치과 구강악안면외과 6가천의과대학부속 길병원 치과 구강악안면외과 7가천의과대학부속 길병원 치과 보철과 |
Jong-Cheol Jeong1, Jae-Seon Choe2, Ho-Seong Kim3, Dae-Gyeong Seong4, Gye-Hyeok Lee5, Jae-Uk Choe6, Yeong-Hun Kim7 |
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Abstract |
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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