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Customized abutment and screw-type implant prostheses after cementation based on the digital intra-oral impression technique

구강 내 디지털 인상채득을 통한 맞춤형 지대주와 시멘트 합착 후 나사형 임플란트 보철 수복 증례

  • Hong, Yong-Shin (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Park, Eun-Jin (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Kim, Sun-Jong (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Kim, Myung-Rae (Department of Prosthodontics, School of Medicine, Ewha Womans University) ;
  • Heo, Seong-Joo (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Park, Ji-Man (Department of Prosthodontics, School of Medicine, Ewha Womans University)
  • 홍용신 (이화여자대학교 의학전문대학원 치과학교실) ;
  • 박은진 (이화여자대학교 의학전문대학원 치과학교실) ;
  • 김선종 (이화여자대학교 의학전문대학원 치과학교실) ;
  • 김명래 (이화여자대학교 의학전문대학원 치과학교실) ;
  • 허성주 (서울대학교 치의학대학원 치과보철학교실) ;
  • 박지만 (이화여자대학교 의학전문대학원 치과학교실)
  • Received : 2011.12.23
  • Accepted : 2012.01.12
  • Published : 2012.01.31

Abstract

Fixed dental prostheses such as inlay, onlay, crown, and bridge fabricated by CAD/CAM technique combined with digital impressions is getting popular due to the recent rapid progress of digital impression taking system. For the scope of implant prosthesis, however, digital intra-oral scan hasn't been actively utilized for the fabrication of superstructures. In this case report, 6 cases of titanium-milled custom abutment based on the iTero intra-oral scan data were introduced, five of them were restored with screw-type prosthesis after cementation (SCRP) and the clinical results were satisfactory on restoring the function and esthetics.

최근 디지털 인상채득 시스템이 개발되면서 이를 기존의 CAD/CAM 시스템과 접목한 인레이, 온레이, 크라운이나 간단한 계속가공의치 등의 고정성 보철물의 제작이 활발히 소개되고 있다. 그러나 임플란트 보철에서는 주로 기존의 아날로그식 인상채득 후 이를 스캔하여 제작하는 방법이 사용되어 왔으나, 구강 내 디지털 스캔한 데이터를 이용하여 나사형 보철물을 제작하는 술식은 아직 활발히 이루어지지 않았다. 이에 본 증례보고에서는 6명의 환자를 대상으로 구강 내 스캐너인 iTero를 사용하여 디지털 스캔을시행한후그중다섯명은맞춤형지대주와 시멘트 합착 후 나사형 임플란트 보철물(screw-retained implant prosthesis after cementation, or SCRP)을 제작하였고, 임상적으로 기능과 심미적인 측면으로 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

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