초록

When a patient with systemic disease needs complex treatment, a good prognosis can be expected if sequential treatment is performed based on evidence. For patients taking anticoagulants such as warfarin, it is very important to establish an oral rehabilitation that takes into account drug control and treatment intervals. In addition, in patients with lost posterior support, oral rehabilitation should aim to restore the existing vertical dimension as much as possible, and for this, it is necessary to apply and confirm provisional prostheses of the patient. In this case report, the patient was taking warfarin for mitral valve replacement surgery and atrial fibrillation 20 years ago. Full mouth rehabilitation with fixed implant prostheses was done, and 20 months of follow-up showed successful results.

키워드

Anticoagulant drug, Warfarin, Fixed implant prosthesis, Full mouth rehabilitation

참고문헌(16)open

  1. [학술지] Branemark PI / 1969 / Intra-osseous anchorage of dental prostheses. I. Experimental studies / Scand J Plast Reconstr Surg 3 : 81 ~ 100

  2. [학술지] Awad MA / 1998 / Measuring patient satisfaction with mandibular prostheses / Community Dent Oral Epidemiol 26 : 400 ~ 405

  3. [학술지] Bagga R / 2019 / An investigation into the prevalence of combination syndrome / J Dent 82 : 66 ~ 70

  4. [학술지] Carr AB / 1987 / Maximum occlusal force levels in patients with osseointegrated oral implant prostheses and patients with complete dentures / Int J Oral Maxillofac Implants 2 : 101 ~ 108

  5. [학술지] Smith DE / 1984 / Interim dentures and treatment dentures / Dent Clin North Am 28 : 253 ~ 271

  6. [단행본] Little JW / 2013 / Dental management of the medically compromised patient / Mosby : 18

  7. [학술지] 박관수 / 2019 / 와파린(Warfarin) 투여 환자의 치과 치료 / 대한치과의사협회지 57 (10) : 623 ~ 628

  8. [학술지] Bacci C / 2010 / Management of dental extraction in patients undergoing anticoagulant treatment. Results from a large, multicentre, prospective, case-control study / Thromb Haemost 104 : 972 ~ 975

  9. [학술지] Eisenstein DH / 2012 / Anticoagulation management in the ambulatory surgical setting / AORN J 95 : 510 ~ 521

  10. [학술지] Wells PS / 1994 / Interactions of warfarin with drugs and food / Ann Intern Med 121 : 676 ~ 683

  11. [학술지] Perry DJ / 2007 / Guidelines for the management of patients on oral anticoagulants requiring dental surgery / Br Dent J 203 : 389 ~ 393

  12. [학술지] Manz MC / 1997 / Radiographic assessment of peri-implant vertical bone loss: DICRG Interim Report No. 9 / J Oral Maxillofac Surg 55 (12 Suppl 5) : 62 ~ 71

  13. [단행본] Misch CE / 2015 / Dental Implant Prosthetics / Elsevier : 914 ~ 934

  14. [학술지] 길준강 박정철 / 2011 / 다수의 상악 전치 결손 환자에서 단계별 임프란트 식립 및 임시수복물을 이용한 수복 증례 / 대한치과이식학회지 30 : 71 ~ 78

  15. [단행본] Dawson PE / 2007 / Functional Occlusion From TMJ to Smile Design / Elsevier : 114 ~ 125

  16. [학술지] Kourtis S / 2007 / Provisional restorations for optimizing esthetics in anterior maxillary implants : a case report / J Esthet Restor Dent 19 : 6 ~ 17