대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제62권3호
  • /
  • Pages.201-214
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  • 2024
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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편측성 안면 신경마비 환자에서 3D printing gothic arch tracer와 POP bow system을 이용한 전악 임플란트 고정성 보철 수복

Full mouth rehabilitation with implant fixed prostheses using POP bow system and 3D printing gothic arch tracer in a patient with unilateral facial nerve palsy

  • 정성윤 (부산대학교 치의학전문대학원 치과보철학교실, 치의생명과학연구소) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실, 치의생명과학연구소) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실, 치의생명과학연구소) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실, 치의생명과학연구소) ;
  • 이소현 (부산대학교 치의학전문대학원 치과보철학교실, 치의생명과학연구소)
  • Seong-Yun Jeong (Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Chang-Mo Jeong (Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Mi-Jung Yoon (Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Jung-Bo Huh (Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • So-Hyoun Lee (Department of Prosthodontics, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University)
  • 투고 : 2023.10.17
  • 심사 : 2023.10.25
  • 발행 : 2024.07.31
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초록

불안정한 하악운동을 하는 환자가 불수의적인 안면근육의 움직임과 안모의 비대칭적 변화를 동반하는 경우 교합수직고경의 결정과 중심위 기록, 그리고 교합평면의 정보 전달에 많은 어려움을 겪게 된다. 본 증례에서는 편측성 안면 신경마비의 증상을 갖고 오랜 기간 무치악 상태였던 환자를 위해, 3D 프린팅 방식으로 제작된 개인맞춤형의 고딕아치 묘기장치와 조립식의 교합평면 인기장치인 POP bow system을 이용하여 CAD-CAM 임시보철물을 제작하고 안정적인 악간관계를 도모하였다. 이후, 적절한 교합수직고경과 재현성 있는 중심위 및 올바른 3차원적 교합평면의 전달을 통해 전악 임플란트 고정성 보철물을 제작하고, 지속적인 유지관리를 시행하여 환자에게 기능적이고 심미적인 구강건강을 회복해 주었기에 이를 보고하는 바이다.

In patients with unstable mandibular movements who are accompanied by involuntary facial muscle movements and asymmetrical changes in the facial features, many difficulties exist in determining the vertical dimension of occlusion, recording centric relation, and transferring information about the occlusal plane. In this case, for a patient with unilateral facial nerve palsy who was edentulous for a long period of time, a CAD-CAM provisional prosthesis was fabricated using a 3D printing customized gothic arch tracer and a prefabricated occlusal plane recorder, the POP bow system, to achieve a stable interarch relationship. Afterwards, a full mouth implant fixed prosthesis was fabricated by delivering an appropriate vertical dimension of occlusion, a reproducible centric relation, and a correct three-dimensional occlusal plane, and continuous maintenance was performed to restore functional and aesthetic oral health to the patient.

키워드

과제정보

This work was supported by a 2-Year Research Grant of Pusan National University.

참고문헌

  1. Carroll WJ, Woelfel JB, Huffman RW. Simple application of anterior jig or leaf gauge in routine clinical practice. J Prosthet Dent 1988;59:611-7. https://doi.org/10.1016/0022-3913(88)90081-9
  2. Viswanath A, Gordon SM. Two cases of oromandibular dystonia referred as temporomandibular joint disorder. Grand Rounds 2012;12:1-5. https://doi.org/10.1102/1470-5206.2012.0001
  3. Dawson PE. Evaluation, diagnosis and treatment of occlusal problems. 2nd ed. St. Louis; Mosby; 1989. p. 41-7.
  4. Meyer FS. A new, simple and accurate technic for obtaining balanced and functional occlusion. J Am Dent Assoc 1934;21:195-203.
  5. Patterson AH. Construction of artificial dentures. Dent Cosmos 1923;65:679-89.
  6. Needles JW. Practical uses of the curve of Spee. J Am Dent Assoc 1923;10:918-27. https://doi.org/10.14219/jada.archive.1923.0176
  7. Gysi A. The problem of articulation. Dent cosmos 1910;52:148-69.
  8. Gerber A, Steinhardt G. Dental occlusion and the temporomandibular joint. 1st ed. Chicago; Quintessence; 1990. p. 92-4.
  9. Kantor ME, Silverman SI, Garfinkel L. Centric-relation recording techniques-a comparative investigation. J Prosthet Dent 1972;28:593-600. https://doi.org/10.1016/0022-3913(72)90107-2
  10. Yurkstas AA, Kapur KK. Factors influencing centric relation records in edentulous mouths. J Prosthet Dent 2005;93:305-10.
  11. Myers M, Dziejma R, Goldberg J, Ross R, Sharry J. Relation of Gothic arch apex to dentist-assisted centric relation. J Prosthet Dent 1980;44:78-81. https://doi.org/10.1016/0022-3913(80)90052-9
  12. Qu F, Du X, Liu WC. 3D-printed custom trays with a Gothic arch for centric relation recording and definitive impression making for complete dentures: A dental technique. J Prosthet Dent 2019;121:32-6. https://doi.org/10.1016/j.prosdent.2018.01.021
  13. Sun M, Tan X, Zhang N, Lou Y, Wu Q, Yu H. Recording jaw relation of a pediatric patient with ectodermal dysplasia and complete anodontia using a digital mini arch tracer: A case report. J Prosthodont 2022;31:738-743. https://doi.org/10.1111/jopr.13587
  14. Palik JF, Nelson DR, White JT. Accuracy of an earpiece face-bow. J Prosthet Dent 1985;53:800-4. https://doi.org/10.1016/0022-3913(85)90160-X
  15. Lee SH, Jeong CM, Yun MJ, Huh JB, Lee SH. Treatment of upper and lower 3D printing CAD-CAM dentures using the POP (PNUD Occlusal Plane) Bow system, a prefabricated occlusal plane transfer device: A case report. J Korean Acad Prosthodont 2023;61:44-54.
  16. Fang Y, Fang JH, Jeong SM, Choi BH. A technique for digital impression and bite registration for a single edentulous arch. J Prosthodont 2019;28:e519-23. https://doi.org/10.1111/jopr.12786
  17. Ueno T, Baba K, Fueki K, Ai M, Ohyama T. Influence of protrusive tooth contact on tapping point distribution. J Oral Rehabil 2000;27:1004-11. https://doi.org/10.1111/j.1365-2842.2000.00656.x
  18. Rahman MD, Kohno S, Kobayashi H, Sawada K. Influence of the inclination of the plate of an intra-oral tracing device on the condylar position registered by tapping movement. J Oral Rehabil 2004;31:546-53. https://doi.org/10.1111/j.1365-2842.2004.01190.x
  19. Millstein PL. Determining the accuracy of gypsum casts made from type IV dental stone. J Oral Rehabil 1992;19:239-43. https://doi.org/10.1111/j.1365-2842.1992.tb01098.x
  20. Abduo J, Elseyoufi M. Accuracy of intraoral scanners: a systematic review of influencing factors. Eur J Prosthodont Restor Dent 2018;26:101-21.