The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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The use of surgical guide stent for implant placement

임플란트 식립을 위한 수술 가이드의 사용

  • Lee, Ji-Yeon (Department of Dentistry, School of Medicine Inha University) ;
  • Yoon, Ji-Young (Department of Dentistry, School of Medicine Inha University) ;
  • Oh, Namsik (Department of Dentistry, School of Medicine Inha University)
  • 이지연 (인하대학교 부속병원 치과보철학교실) ;
  • 윤지영 (인하대학교 부속병원 치과보철학교실) ;
  • 오남식 (인하대학교 부속병원 치과보철학교실)
  • Received : 2014.09.24
  • Accepted : 2014.10.17
  • Published : 2014.10.31
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Abstract

Surgical guide not only provide diagnosis and treatment plan, but even location and direction of implantation. Surgical guide could be divided into non-limited design, partially limited design, and completely limited design. Partially limited design is easily manufactured and inexpensive but less accuracy, compared to completely limited design. From this approach, partially limited design may be particularly effective in patients who present with a single missing tooth or partially edentulous teeth. Completely limited design is anatomically accuracy, esthetical and functional, optimized treatment for prosthetic and biomechanical perspective, and also minimizes discomfort for post-treatment. The purpose of this study is to review previous studies of various surgical guides and applying in clinic.

임플란트 식립 시 수술 가이드는 치료계획 수립 및 진단 뿐 아니라 식립 위치 및 각도를 조절하는데 도움을 준다. 수술 가이드는 식립 위치만 보여 주는 디자인(Nonlimiting design), 식립 위치와 각도를 보여주는 디자인(Partially limiting design), 식립 위치와 각도 및 깊이까지 보여주는 디자인(Completely limiting design)으로 나뉜다. 식립 위치와 각도를 보여주는 디자인은 제작이 비교적 간단하고 비용이 적게 드는 반면 식립 위치와 각도 및 깊이까지 보여주는 디자인보다 수술 정확성이 떨어진다는 단점을 가진다. 식립 위치와 각도 및 깊이까지 보여주는 디자인은 해부학적으로 정확하고 보철적, 생역학적 관점에서 최적화 된 치료를 할 수 있으며 심미적, 기능적으로 술 후 불편감을 최소화 해줄 수 있다. 본 논문에서는 다양한 수술 가이드에 대하여 문헌을 통해 고찰해보고 이를 임상에 적용한 증례를 살펴보고자 한다.

Keywords

References

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