대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제57권1호
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  • Pages.57-65
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  • 2019
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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Computer guided implant surgery와 CAD/CAM을 활용한 전악 수복 증례

Full mouth rehabilitation utilizing computer guided implant surgery and CAD/CAM

  • 김성진 (서울대학교 치의학대학원 치과보철학교실) ;
  • 한중석 (서울대학교 치의학대학원 치과보철학교실) ;
  • 김성훈 (서울대학교 치의학대학원 치과보철학교실) ;
  • 윤형인 (서울대학교 치의학대학원 치과보철학교실) ;
  • 여인성 (서울대학교 치의학대학원 치과보철학교실)
  • Kim, Sungjin (Department of Prosthodontics, Seoul National University School of Dentistry) ;
  • Han, Jung-Suk (Department of Prosthodontics, Seoul National University School of Dentistry) ;
  • Kim, Sung-Hun (Department of Prosthodontics, Seoul National University School of Dentistry) ;
  • Yoon, Hyung-In (Department of Prosthodontics, Seoul National University School of Dentistry) ;
  • Yeo, In-Sung Luke (Department of Prosthodontics, Seoul National University School of Dentistry)
  • 투고 : 2018.08.21
  • 심사 : 2018.09.07
  • 발행 : 2019.01.31
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초록

Computer guided implant surgery와 computer-aided design/computer-aided manufacturing, computer guided implant surgery (CAD/CAM) 기술의 발전은 수복 기반 임플란트 치료의 완성도를 한층 더 높였으며, 3D printing을 통한 국소의치의 제작도 빈도가 늘고 있다. 본 증례는 디지털 치의학의 작업 흐름을 따라서 콘빔컴퓨터단층촬영을 통한 치료 계획 수립 및 수술용 스텐트의 제작과 그를 바탕으로 한 임플란트 식립을 하였으며, 맞춤 지대주와 보철물을 제작하였다. 그 후 전자 서베잉과 3D printing을 통한 국소의치 금속 구조물 및 최종적으로 지르코니아 온레이의 제작을 통해 전악 수복을 완성하여 기능과 심미적으로 만족스러운 결과를 얻을 수 있었다.

Computer aided design and manufacturing and implant surgery using a guide template improve restoration-driven implant treatment procedures. This case utilized those digital technologies to make definitive prostheses for a patient. According to the work flow of digital dentistry, cone beam computed tomography established the treatment plan, which was followed to make the guide template for implant placement. The template guided the implants to be installed as planned. The customized abutments and surveyed fixed restorations were digitally designed and made. The metal framework of the removable partial denture was cast from resin pattern using an additive manufacturing technique, and the artificial resin teeth were replaced with the zirconia onlays for occlusal stability. These full mouth rehabilitation procedures provided functionally and aesthetically satisfactory results for the patient.

키워드

참고문헌

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