ISSN : 0376-4672
임플란트 보철물 장착 후 가장 흔한 문제점이 인접치의 이동으로 인한 식편압입 현상이다. 특히 임플란트 보철물의 근심면에서 빈발하며 인접치의 생활력이나 대합치의 종류와 같은 다양한 요인이 영향을 미친다고 한다. 이를 예방하기 위해 이상적인 인접면접촉의 형태나 강도를 가진 임플란트 보철물을 만들어 주어야 한다. 또한 음식물저류를 유발하지 않도록 지대주나 보철물의 출현윤곽을 만들어 준다. 발치 후 임플란트 보철까지 상당한 기간이 소요되므로 인접치나 대합치의 교합조기접촉이 있을 가능성이 증가한다. 이러한 치아 동요도가 있으면 인접접촉강도와 관계 없이 식편압입이 발생하기도 한다. 인접치의 교합조기접촉을 조정해 주는 것은 인접면접촉의 안정성을 증가시키는 한 방법이 될 것으로 사료된다.
Food impaction between the implant prostheses and adjacent teeth is the most frequently observed problem. It may be caused by the migration of the adjacent teeth. This symptom may be observed at the mesial aspect of implant prostheses especially, and related with the multiple contributing factors including teeth vitality and antagonist. Idal proximal contact with optimal strength and shape should be made for preventing the food impaction. Shape of customized abutment and prosthesis should have optimal emergence profile. Long duration from the extraction to the delivery of implant prostheses, the adjacent teeth and antagonist teeth may have possibility of occlusal interferences. Remained teeth mobility can induce the food impaction regardless of interproximal contact strength. Occlusal adjustment to remove occlusal interferences can be a method for enhancing the stability of interproximal contact.
1. 정재훈, 오상천, 동진근. 식편압입의 발현에 관한임상적 연구. 대한치과보철학회지. 2000;38:50-58.
2. 신동욱, 이진한, 김세연, 동진근. 임플란트 보철물과 인접치 사이의 식편압입에 관한 임상적 연구. 대한치과보철학회지. 2014;52:27-33.
3. Jemt T, Ahlberg G, Henriksson K, Bondevik O. Tooth movements adjacent to single-implant restorations after more than 15 years of follow-up. Int J Prosthodont. 2007;20:626-632.
4. Wei H, Tomotake Y, Nagao K, Ichikawa T. Implant prostheses and adjacent tooth migration preliminary retrospective survey using 3-dimensional occlusal analysis. Int J Prosthodont. 2008;21:302-304.
5. 이양진. 임플란트 수복 후의 식편압입 무엇이 문제인가? 대한치과의사협회지. 2009;47:191-205.
6. Koori H, Morimoto K, Tsukiyama Y, Koyano K. Statistical analysis of the diachronic loss of interproximal contact between fixed implant prostheses and adjacent teeth. Int J Prosthodont. 2010;23:535-540.
7. Rosenstiel SF. Contemporary Fixed Prosthodontics. 4th Edition. Elsevier Health Sciences. 2006.
8. Burch JG, Miller JB. Evaluating crown contours of a wax pattern. J Prosthet Dent. 1973;30:454-458.
9. Dörfer CE, von Bethlenfalvy ER, Staehle HJ, Pioch T. Factors influencing proximal dental contact strengths. Eur J Oral Sci. 2000;108:368-377.
10. Kasahara K, Miura H, Kuriyama M, Kato H, Hasegawa S. Observations of interproximal contact relations during clenching. Int J Prosthodont. 2000;13:289-294.
11. Guichet DL, Yoshinobu D, Caputo AA. Effect of splinting and interproximal contact tightness on load transfer by implant restorations. J Prosthet Dent. 2002;87:528-535.
12. Miura H. A study on the interdental proximal contact relation. J Jpn Prosthodont Soc. 1985;29:1134-1142.
13. Miura H, Hasegawa S, Okada D, Ishihara H. The measurement of the physiological tooth displacement in function. J Med Dent Sci. 1998;45:103-115.
14. Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of interimplant bone crest. J Periodontol. 2000;71:546-549.
15. Boice PA, Niles SM, Dubois LM. Evaluation of proximal contacts with shim stock. J Oral Rehabil. 1987;14:91-94.
16. Kim DS, Suh KW. A proximal contact adjustment and interproximal relief method. J Prosthet Dent. 2007;97:244-245.
17. 김종화. Implant custom abutment를 정말 꼭 써야할까요?. 월간치과계. 2013;5:92-99.
18. Hirschfeld I : Food Impaction. J Amer Dent Assn. 1930;17:1504-1528.
19. Wright EF. : Elimination of a food impaction problem in the posterior maxillary region. J Prosthet Dent. 1993;69:540-541.
20. Craddock HL, Youngson CC, Manogue M, Blance A. Occlusal changes following posterior tooth loss in adults. Part 1: a study of clinical parameters associated with the extent and type of supraeruption in unopposed posterior teeth. J Prosthodont. 2007;16:485-494.
21. Craddock HL, Youngson CC, Manogue M, Blance A. Occlusal changes following posterior tooth loss in adults. Part 2. Clinical parameters associated with movement of teeth adjacent to the site of posterior tooth loss. J Prosthodont. 2007 ;16:495-501.
22. Craddock HL. Occlusal changes following posterior tooth loss in adults. Part 3. A study of clinical parameters associated with the presence of occlusal interferences following posterior tooth loss. J Prosthodont. 2008;17:25-30.
23. Burgett FG, Ramfjord SP, Nissle RR, Morrison EC, Charbeneau TD, Caffesse RG. A randomized trial of occlusal adjustment in the treatment of periodontitis patients. J Clin Periodontol. 1992;19:381-387.
24. Dawson PE. Functional occlusion: from tmj to smile design. Mosby Inc. 2006.
25. Yamashita S, Igarashi Y, Ai M. Tooth contacts at the mandibular retruded position, influence of operator’s skill on bite registration. J Oral Rehabil. 2003;30:318-323.
26. Landi N, Manfredini D, Tognini F, Romagnoli M, Bosco M. Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system. J Prosthet Dent. 2004;92:190-195.
27. Ramfjord SP. Bruxism, a clinical and electromyographic study. J Am Dent Assoc. 1961;62:21-44.
28. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent. 1979;41:284-289.
29. Minagi S, Ohtsuki H, Sato T, Ishii A. Effect of balancing-side occlusion on the ipsilateral TMJ dynamics under clenching. J Oral Rehabil. 1997;24:57-62.
30. Chambrone L1, Chambrone LA, Lima LA. Effects of occlusal overload on peri-implant tissue health: a systematic review of animal-model studies. J Periodontol. 2010;81:1367-1378.
