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의료 3D 프린팅 기술의 전망 및 소아치과분야에서의 활용

Prospect for 3D Printing Technology in Medical, Dental, and Pediatric Dental Field

  • 이상호 (조선대학교 치의학전문대학교 소아치과학교실)
  • Lee, Sangho (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
  • 투고 : 2015.11.13
  • 심사 : 2015.11.17
  • 발행 : 2016.02.29

초록

3D 프린팅 기술이 가장 많이 활용될 수 있는 분야의 하나가 의학분야이다. 3D 프린팅 기술은 최근들어 더욱 상업화되고 프린팅에 사용되는 재료 또한 생체친화성, 생분해성 고분자를 이용 가능하게 됨에 따라 생체의료분야에서의 활용성이 점차적으로 높아지고 있는 경향이다. 생체의료분야에서는 수술 모형을 제작하고 절제범위와 시술 후의 형태를 시술 전에 미리 확인하여 시술시간을 단축하고 부작용을 최소화하고 있으며 인공 골과 장기를 생산함으로써 이식에 따른 부작용을 감소시키고 있다. 또한 보청기, 의족 등 맞춤형 의료 보조용품을 생산하고 있다. 치의학 분야에도 크라운, 덴쳐 등의 보철 수복물 제작, 교정 장치 및 모델 제작, 임플란트 식립이나 외과 수술을 위한 수술용 가이드 제작 등 치과 의료기술을 한 차원 더 높일 수 있을 것으로 전망된다. 그러나 아직은 프린팅 재료(소재), 조형기술, CAD 관련 소프트웨어 기술, 생체안정성과 유효성 검증, 호환성과 표준화 등 해결해야 할 과제가 산적해 있있어 앞으로 이에 대한 지속적인 연구, 개발이 이루어져야 할 것으로 사료된다.

One of the fields to which the 3D printing technology can be applied is the field of medicine. Recently, the application of 3D printing technology to the bio-medical field has been gradually increasing with the commercializing of the bio-compatible or bio-degradable materials. The technology is currently contributing to the biomedical field by reducing times required for operations or minimizing adverse effects through preoperative identification of post-surgical consequences or model surgery with artificial bones and organs. This technology also enables the production of customized biomedical auxiliary products like hearing aids or artificial legs etc. For the field of dentistry, the 3D printing technology is also expected to elevate the level of dental treatment by making the customized orthodontic models, crown, bridge, inlay, and surgical guides for implant and surgery. However, issues remaining unidentified or incomplete in printing materials, modeling technology, software technology associated with CAD, verification of bio-stability and bio-effectiveness of materials or in compatibility and standardization of the technology are yet to be solved or be clarified for the full-scale application of the 3D printing technology, thus, it seems such issues should be resolved through further studies.

키워드

참고문헌

  1. Ministry of Science, ICT and Future Planning, Ministry of Trade, Industry and Energy : Roadmap of the strategy for 3D printing technology. Report on the 3D printing-2014 year, 1-39, 2014.
  2. Kwak KH, Park SH : Trend of the global 3D printing industry technology. J of the KSME, 53:58-60, 2013.
  3. Park HW : 3D printing Technology and Applications-Overview. J of the KSME, 54:32-35, 2014.
  4. DH Freedman : Layer By Layer-Technology Review 115.1 (2012): 50-53. Academic Search Premier. Web. 26 July 2013.
  5. Assessments on WikiPedia-3D printing. Available from URL: https: //en.wikipedia.org/wiki/3D_printing (Assessed on October 5, 2015).
  6. Choi HW, Kim HC : 3D Printing Technologies-A Review. Journal of the Korean Society of Manufacturing Process Engineers, 14:1-8, 2015.
  7. Chia HN, Wu BM : Recent advances in 3D printing of biomaterials. J Biol Eng, 9:2-14, 2015. https://doi.org/10.1186/1754-1611-9-2
  8. Park SA, LEE JH, Kim WD : Development of biomimetic scaffold for tissue engineering. Elastomers and Composites, 44:106-111, 2009.
  9. Park SH, Yim SG, Yang SY, et al. : 3D printing technology for biomedical applications. KIC News, 1891:67-78, 2015.
  10. Park SH, Park JH, Lee HJ, et al. : Current status of biomedical applications using 3D printing technology. J Korean Soc Precis Eng, 31:1067-1076, 2014. https://doi.org/10.7736/KSPE.2014.31.12.1067
  11. Lee JY, Choi B, Wu B, et al. : Customized bio-mimetic scaffolds created by indirect three-dimensional printing for tissue engineering. Biofabrication, 5:045003. doi: 10.1088/1758-5082/5/4/045003. 2013.
  12. Obregon F, Vaquette, Lvanovski S, et al. : Threedimensional bioprinting for regenerative dentistry and craniofacial tissue engineering, J Dent Res, 94:143S-52S, 2015. https://doi.org/10.1177/0022034515588885
  13. Kim K, Lee CH, Kim BK, et al. : Anatomically shaped tooth and periodontal regeneration by cell homing. J Dent Res, 89:842-847, 2010. https://doi.org/10.1177/0022034510370803
  14. Assessments on Aprecia Pharmaceuticals-FDA approves the first 3D printed drug product. Available from URL: http://www.cu reepilepsy.org/downloads/articles/3D-Printed-Drug-Product.pdf (Assessed on October 5, 2015).
  15. Sun J, Zhang FQ : The Application of Rapid Prototyping in Prosthodontics. J Prosthodont, 21:641-644, 2012. https://doi.org/10.1111/j.1532-849X.2012.00888.x
  16. Assessments on Metal Powder Report-3D printing of dental restorations. Available from URL: http://www.sciencedirect.com/science /article/pii/S0026065713700626 (Assessed on October 5, 2015).
  17. Hussein MO, Hussein LA : Novel 3D modeling technique of removable partial denture framework manufactured by 3D printing technology. Int. J Advanced Research, 299:686-694, 2014.
  18. Flugge TV, Nelson K, Schmelzeisen R, et al. : Three-dimensional plotting and printing of an implant drilling guide: simplifying guided implant surgery. J Oral Maxillofac Surg, 71:1340-1346, 2013. https://doi.org/10.1016/j.joms.2013.04.010
  19. Cohen A, Laviv A, Berman P, et al. : Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 108:661-666, 2009. https://doi.org/10.1016/j.tripleo.2009.05.023
  20. Assessments on the JoongAng Daily Health Media-3D printer produced an artificial jaw, the world's first transplant success. Available from URL: http://jhealthmedia.joins.com/news/articleView.html?idxno=3085 (Assessed on October 5, 2015).
  21. Taneva E, Kusnoto B, Evans CA : Issues in Contemporary Orthodontics (ISBN 978-953-51-2161-9); chapter 9 (3D Scanning, Imaging, and Printing in Orthodontics). Farid Bourzgui Pub Co. 147-188, 2015.
  22. Nasef AA, El-Beialy AR, Mostafa YA : Virtual techniques for designing and fabricating a retainer. Am J Orthod Dentofacial Orthop, 146:394-398, 2014. https://doi.org/10.1016/j.ajodo.2014.01.025
  23. Wiechmann D, Rummel V, Thalheim A, et al. : Customized brackets and arch wires for lingual orthodontic treatment. Am J Orthod Dentofacial Orthop, 124:593-599, 2003. https://doi.org/10.1016/j.ajodo.2003.08.008
  24. Lee SJ, Jeong IY, Lee CY, et al. : Clinical application of computer-aided rapid prototyping for autotransplantation of the teeth. The Journal of Korean Dental Association, 38:994-996, 2000.
  25. Cho NJ, Lee NY, Lee SH : Autotransplantation of an impacted maxillary canineusing rapid prototyping : a case report. J Korean Acad Pediatr Dent, 34:498-505, 2007.
  26. Schmidt SK, Clevery DG : Tooth autotransplantation: An overview and case study. J Mich Dent Assoc, 96:36-41, 2-14.
  27. Kim SH, Kim YJ, Kim S, et al. : A comparison of decisions for primary anterior teeth between pediatric dentists and general dentists. J Korean Acad Pediatr Dent, 39:242-248, 2012. https://doi.org/10.5933/JKAPD.2012.39.3.242
  28. Andreadis GA, Toumba KJ, Curzon ME : Slowrelease fluoride glass devices: in vivo fluoride release and retention of the devices in children. Eur Arch Paediatr Dent, 7:258-261, 2006. https://doi.org/10.1007/BF03262562
  29. Lee KY, Lee SH, Lee NY : Evaluation of fluoridereleasing capacity from polyvinyl alcohol polymer tape supplemented with NaF in oral cavity. J Korean Acad Pediatr Dent, 40:89-97, 2013. https://doi.org/10.5933/JKAPD.2013.40.2.89
  30. Kim MJ, Lee SH, Lee NY, et al. : Evaluation of the effect of PVA tape supplemented with 2.26% fluoride on enamel demineralization using microhardness assessment and scanning electron microscopy: In vitro study. Arch Oral Biol, 58:160-166, 2013. https://doi.org/10.1016/j.archoralbio.2012.06.015

피인용 문헌

  1. Contemporary Approach to Autotransplantation of Teeth with Complete Roots Using 3D-printing Technology vol.44, pp.4, 2017, https://doi.org/10.5933/JKAPD.2017.44.4.461
  2. Correlation between UV-dose and Shrinkage amounts of Post-curing Process for Precise Fabrication of Dental Model using DLP 3D Printer vol.17, pp.2, 2018, https://doi.org/10.14775/ksmpe.2018.17.2.047