Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지

Fixed Prosthetic Restoration in an Edentulous Patient with NobelGuideTM System

양악 무치악 환자에서 NobelGuideTM 시스템을 이용한 고정성 임플란트 보철수복

  • Shin, Hyoung-Joo (Department of Prosthodontics, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Kim, Dae-Gon (Department of Prosthodontics, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics, College of Dentistry and Research Institute of Oral Science, Gangneung-Wonju National University)
  • 신형주 (강릉원주대학교 치과대학 치과보철학교실) ;
  • 김대곤 (강릉원주대학교 치과대학 치과보철학교실) ;
  • 조리라 (강릉원주대학교 치과대학 치과보철학교실) ;
  • 박찬진 (강릉원주대학교 치과대학 치과보철학교실)
  • Received : 2009.04.03
  • Accepted : 2009.09.25
  • Published : 2009.09.30
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Abstract

This report described a technique utilizing a computer-aided design (CAD) /computer-aided machining (CAM) - guided surgical implant placement and prefabricated fixed complete denture for an immediately loaded restoration. A patient with an edentulous maxilla and mandible received 6 implants in maxilla and 6 implants in the mandible using CAD/CAM surgical templates. Prefabricated provisional maxillary and mandibular implant supported fixed prostheses were connected immediately after implant installation. Provisional prostheses were evaluated for aesthetics, function during 6 months. Definitive prostheses were fabricated.

임플란트 술식에서 방사선 영상 기술, 컴퓨터 소프트웨어의 발전으로 정확한 진단 및 surgical guide의 제작이 가능해졌다. 본 증례는 양악 무치악 환자에서 고정성 임플란트 보철을 위해 CAD/CAM technique을 이용하여 수술을 하고 즉시 하중을 가한 증례이다. Planning software program을 이용하여 해부학적 구조물과 단면상을 고려하여 상 하악에 각각 6개씩의 임플란트를 최적의 위치에 계획하였다. 정밀한 surgical guide 이용하여 미리 계획된 위치와 방향으로 무절개 임플란트 식립 수술을 시행하였다. 즉시 사용 가능한 고정성 임시 보철물을 미리 제작해 수술 직후 장착하여 환자의 만족도를 높였으며, 이를 6개월간 평가하여 심미적이며, 기능적으로 안정적인 최종 보철물을 제작할 수 있었다.

Keywords

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