フレアーアウトを呈した歯周炎患者の動的治療開始前にインプラント埋入を計画した症例  [in Japanese] A Case Report of Implant Placement Planning Prior to the Initial Orthodontic Teeth Movement in a Periodontitis Patient with Flaring  [in Japanese]

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Author(s)

    • 松山 孝司 MATSUYAMA Takashi
    • 鹿児島大学大学院医歯学総合研究科歯周病学分野 Kagoshima University Graduate School of Medical and Dental Sciences Department of Periodontology
    • 丸山 浩美 MARUYAMA Hiromi
    • 鹿児島大学大学院医歯学総合研究科口腔顎顔面補綴学分野 Kagoshima University Graduate School of Medical and Dental Sciences Oral and Maxillofacial Prosthodontics
    • 上村 裕希 KAMIMURA Hiroki
    • 鹿児島大学大学院医歯学総合研究科歯科矯正学分野 Kagoshima University Graduate School of Medical and Dental Sciences Orthodontics
    • 松井 竜太郎 MATSUI Ryutaro
    • 鹿児島大学大学院医歯学総合研究科顎顔面疾患制御学分野 Kagoshima University Graduate School of Medical and Dental Sciences Maxillofacial Diagnostic and Surgical Science
    • 長岡 英一 NAGAOKA Eiichi
    • 鹿児島大学大学院医歯学総合研究科口腔顎顔面補綴学分野 Kagoshima University Graduate School of Medical and Dental Sciences Oral and Maxillofacial Prosthodontics

Abstract

Implants can not only be used in the definitive prosthetic solution but can also be of great benefit as stable anchors during orthodontic therapy. However, for ideal results, it is essential to establish orthodontically favorable positions for the implants and, more importantly, the best position for an adequate occlusal restoration prior to orthodontic teeth movement.<br/>This report describes the utility of implants for bite raising and occlusal support prior to orthodontic teeth movement in patients with a reduced occlusal vertical dimension and resultant flaring.<br/>The patient was a 57-year-old woman with chronic periodontitis including resultant flaring of the maxillary anterior teeth and posterior bite collapse. She first received periodontal treatment using a bilateral free-end-saddle removable partial denture, however, she complained of maxillary anterior flaring after placement of the denture and wanted orthodontic treatment and implant therapy. Therefore, the degree of potential bite raising and the stability of the mandibular position after bite raising were checked by an anterior jig and Gothic arch. Possible positions of implant placements and orthodontic tooth displacement were determined using a wax setup cast and lateral cephalograms with an anterior jig. Nine implants were placed in the planned positions using a surgical stent. Consideration of possible future orthodontic tooth displacements and the stability of the mandibular position before treatment is essential for determining the best placement positions for implants. Implant-supported occlusions in orthodontically favorable positions provide patient satisfaction, such as the reduction of periodontal pockets, esthetical restoration and stable occlusion.<br/>It is suggested that the use of implants prior to orthodontic teeth movement is effective for stable bite raising and occlusal support in patients with a reduced occlusal vertical dimension and resultant flaring.

Journal

  • Journal of Japanese Society of Oral Implantology

    Journal of Japanese Society of Oral Implantology 24(4), 596-602, 2011-12-31

    Japanese Society of Oral Implantology

Codes

  • NII Article ID (NAID)
    10030269686
  • NII NACSIS-CAT ID (NCID)
    AN10072606
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    09146695
  • Data Source
    CJP  J-STAGE 
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