구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제24권2호
  • /
  • Pages.193-201
  • /
  • 2008
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지

Gold Electroforming System을 이용한 하악 임플란트 지지 텔레스코프 피개의치

Mandibular Implant-Supported Telescopic Overdenture using Gold Electroforming System : A Case Report

  • 최지하 (전북대학교 치과대학 치과보철학교실) ;
  • 김승균 (전북대학교 치과대학 치과보철학교실) ;
  • 유병일 (전북대학교 치과대학 치과보철학교실) ;
  • 안승근 (전북대학교 치과대학 치과보철학교실) ;
  • 박주미 (전북대학교 치과대학 치과보철학교실) ;
  • 송광엽 (전북대학교 치과대학 치과보철학교실) ;
  • 박찬운 (전북대학교 치과대학 치과보철학교실)
  • Choi, Jee-Ha (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ;
  • Kim, Seung-Kyun (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ;
  • Yu, Byoung-Il (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ;
  • Ahn, Seung-Geun (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ;
  • Park, Ju-Mi (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ;
  • Song, Kwang-Yeob (Department of Prosthodontics, School of Dentistry, Chonbuk National University) ;
  • Park, Charn-Woon (Department of Prosthodontics, School of Dentistry, Chonbuk National University)
  • 투고 : 2008.03.23
  • 심사 : 2008.06.25
  • 발행 : 2008.06.30
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초록

하악 완전 무치악 환자의 보철수복에 있어 임플란트 식립 후 피개의치의 제작은 첫 번째 치료 옵션으로 고려되어질 수 있다. 임플란트 지지 텔레스코프 피개의치를 제작하는 경우 인공치 및 유지 장치의 배열을 위한 악간 공간이 필요하다. 임플란트 상부 보철물의 passive한 fit은 보철물의 기계적 실패를 막는 중요한 요소이다. Gold electroforming system을 이용하여 제작한 telescopic attachment는 우수한 마진 적합도 및 passive한 fit을 보이며 얇은 코핑 두께로 인하여 좁은 악간 공간에서도 사용이 가능한 장점이 있다. 본 증례에서는 4개의 임플란트 식립 후 Gold electroforming system을 이용하여 telescopic overdenture를 제작하여 기능 및 심미적으로 좋은 결과를 나타내었다.

In edentulous mandible, implant supported overdenture was considered as a first treatment option. In case of a implant supported telescopic overdenture, sufficient inter-arch space needs for arrangement of artificial teeth and attachment. Passive fit of the implant prosthesis is important factor for preventing mechanical failure. Gold Electroforming System is particularly useful to achieve a passive fit of telescopic attachment and results in precision marginal fit and the small thickness of the coping provides optimal space for narrow inter-arch space. This article presents that application of Gold Electroforming System can provide excellent esthetics and function on four-implant supported telescopic overdenture.

키워드

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