• 대한치과보철학회지
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• 제55권1호
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• pp.79-87
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• 2017

전치부 개방 교합은 다양한 원인이 복합적으로 작용하고, 진단에 따라 효과적인 치료 계획과 적절한 유지 방법을 선택할 수 있다. 대부분의 경우 교정과 악교정 수술을 통해 안정적인 교합을 얻고, 기능과 심미를 회복한다. 하지만 전체 치열에서 심한 우식증이 있는 경우 광범위한 수복이 필요하게 되므로, 보철 수복을 통해서도 교합을 재형성할 수 있다. 본 증례는 심한 우식을 동반한 골격성 전치부 개방 교합 환자에서 안모 분석 및 진단 납형으로부터 가장 효과적인 치료로 전악 보철 수복을 선택하였다. 교합력을 균등하게 분산하고 심미적인 임시 수복물을 제작하였고, 악간 관계 평가, 혀 등 연조직의 적응, 입술과의 조화를 관찰하고 수정하였다. 충분한 기간 동안 사용한 임시 수복물을 CAD/CAM (Computer-aided design/computer-aided manufacturing)을 이용하여 단일구조 지르코니아 최종 보철물로 이행하였고, 치료 종결 후 3개월 간 주기적으로 관찰하였을 때 만족스러운 결과를 얻었다.

• The Journal of Advanced Prosthodontics
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• 제7권3호
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• pp.264-270
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• 2015

This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.

• 대한치과기공학회지
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• 제40권3호
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• pp.125-131
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• 2018

Purpose: Automatic dental prosthesis manufacturing process was accelerated by the spread of dental CAD / CAM system. The CAD / CAM system with milling alloys were needed supplement. So, sintered alloy blocks were introduced. In this study, we want to study sintered alloy block. And to evaluate the alloy block manufacture and alloy properties. Methods: The alloy powders were prepared by high pressure water dispersion method. The sintered alloy blocks were prepared by low temperature pressing method. Their components observation were EDX, and the alloy structure was observed by XRD. Results: Co-Cr alloy powders were observed to have a circle shape with an average diameter of about $100{\mu}m$ and a Ni-Cr alloy powder had a circle shape with an average diameter of about $50{\mu}m$. The Co-Cr alloy block is composed of Co (34.62 wt%), Cr (17.33 wt%), Mo (2.98 wt%), Si (0.36 wt%) and C (44.17 wt%). The Ni-Cr alloy powder was composed of Ni (40.29 wt%), Cr (19.37 wt%), Mo (3.53 wt%), Si (0.52 wt%) and C (33.18 wt%). The peak of the Co and CoCr peaks were observed in the CoCr alloy body by the means of XRD study. Cr2Ni3 of the peak was observed in the Ni-Cr alloy material. Conclusion : As a result, the following conclusions were obtained. 1. Prepared by high-pressure water-law Co-Cr alloy powder has an average diameter $100{\mu}m$, Ni-Cr alloy powder was found to have the form of sphere having an average diameter $50{\mu}m$. 2. Co-Cr alloy and Ni-Cr alloy block produced by low-temperature processing showed a certain ratio. 3. In the XRD study, Co phase appeared in Co-Cr alloy block after sintering. and Cr2Ni3 phase appeared in Ni-Cr alloy block after sintering.

• 대한치과기공학회지
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• 제37권1호
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• pp.1-7
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• 2015

Purpose: The aim of this study was to evaluate the marginal and internal gap of wax copings fabricated from extraoral scanning with intraoral scanning. Methods: Fifteen study models(abutment of teeth 16) were made by PMMA. STL files of thirty abutment were prepared by intraoral scanning with extraoral scanning. Wax copings of thirty fabricated using CAD/CAM system. Marginal and internal gap of wax copings of thirty were measured by silicone replica technique and digital microscope(${\times}140$). Date were analyzed by using independent samples t-test. Results: Mean (SD) of two group were measured $55.61(27.42){\mu}m$ for totally gap of ES group and $60.67(33.14){\mu}m$ for totally gap of IS group. But marginal and internal gap of two group were not differences statistically significant(p>0.05). Conclusion: Evaluation of marginal and internal gap of two group showed that no differences statistically significant and clinically acceptable results.

• The Journal of Advanced Prosthodontics
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• 제9권4호
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• pp.265-270
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• 2017

PURPOSE. This study is to evaluate the internal fit of the crown manufactured by CAD/CAM milling method and 3D printing method. MATERIALS AND METHODS. The master model was fabricated with stainless steel by using CNC machine and the work model was created from the vinyl-polysiloxane impression. After scanning the working model, the design software is used to design the crown. The saved STL file is used on the CAD/CAM milling method and two types of 3D printing method to produce 10 interim crowns per group. Internal discrepancy measurement uses the silicon replica method and the measured data are analyzed with One-way ANOVA to verify the statistic significance. RESULTS. The discrepancy means (standard deviation) of the 3 groups are $171.6\;(97.4){\mu}m$ for the crown manufactured by the milling system and 149.1 (65.9) and $91.1\;(36.4){\mu}m$, respectively, for the crowns manufactured with the two types of 3D printing system. There was a statistically significant difference and the 3D printing system group showed more outstanding value than the milling system group. CONCLUSION. The marginal and internal fit of the interim restoration has more outstanding 3D printing method than the CAD/CAM milling method. Therefore, the 3D printing method is considered as applicable for not only the interim restoration production, but also in the dental prosthesis production with a higher level of completion.

• 대한심미치과학회지
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• 제22권1호
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• pp.9-21
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• 2013

심미의 기준은 시대와 문화 그리고 개개인의 주관적인 관점에 따라 각기 다를 수 있다. 하지만 심미적인 부위를 수복하는 치과의사로서 일반적으로 따라야 할 원칙과 기준들이 있으며 수복물의 형태와 주변치아와의 조화 등을 위해 캐드캠의 몇몇 기능들은 아주 유용한 것으로 보이며, 전통적인 작업 방식에 비해 효율성도 높은 것으로 보인다. 또한 전치부 임플란트에서 치은이 얇은 경우 기계적인 문제를 줄이면서도 지르코니아 등의 도재를 사용하기 위한 한 방법인 링크 지대주에 대해 함께 알아보려 한다.

• 대한심미치과학회지
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• 제19권1호
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• pp.59-69
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• 2010

• 대한심미치과학회지
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• 제20권1호
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• pp.78-83
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• 2011

• Journal of Yeungnam Medical Science
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• 제41권3호
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• pp.233-233
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• 2024

• 대한치과보철학회지
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• 제53권1호
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• pp.81-85
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• 2015

본 증례의 환자는 상악 전치부 보철물의 파절 및 기존에 사용하던 하악 의치의 불편감 때문에 임플란트를 이용한 고정성 보철을 원한다는 주소로 내원하였다. 상악동 거상술, 하악지 골이식과 함께 상악에 5개, 하악에 6개의 임플란트를 식립하였다. 전치부와 양쪽 구치부의 세 부분으로 나누어 임플란트 지지형 고정성 보철물을 장착하였다. 이상과 같은 과정을 통해 적절한 심미적, 기능적 결과를 얻었기에 이를 보고하고자 한다.