대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제53권2호
  • /
  • Pages.157-166
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  • 2015
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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완전 무치악 환자에서 디지털 시스템을 이용한 임플란트 즉시 보철수복 증례

Immediate restorations in a fully edentulous patient utilizing digital system: A case report

  • 방정환 (연세대학교 원주의대 치과보철과) ;
  • 정승미 (연세대학교 원주의대 치과보철과) ;
  • 강세하 (연세대학교 원주의대 치과보철과) ;
  • 황찬현 (연세대학교 원주의대 치과보철과) ;
  • 김대환 (연세대학교 원주의대 치과보철과) ;
  • 최병호 (연세대학교 원주의대 구강악안면외과)
  • Fang, Jeong-Whan (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Jeong, Seung-Mi (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Kang, Se-Ha (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Hwang, Chan-Hyeon (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Kim, Dae-Hwan (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, Wonju College of Medicine, Yonsei University)
  • 투고 : 2015.02.23
  • 심사 : 2015.04.03
  • 발행 : 2015.04.30
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초록

본 증례는 하악 완전 무치악 환자에서 인상채득과 석고모형 제작과정 없이 CBCT와 구강스캐너를 이용하여 수술 전에 한 번의 치과방문으로 임플란트 식립과 동시에 즉시 보철수복을 시행하는 방법을 제시하였다. 무치악 부위 연조직 형태, 수직교합고경, 상하악 악궁관계에 대한 정보는 환자가 사용하고 있는 의치를 스캔하여 얻었다. 이 방법은 무치악 환자에서 임플란트를 이용한 보철수복 과정을 기존의 방법보다 내원 횟수를 단축시켰다.

This article describes how to use CBCT and an intraoral scanner in a fully edentulous case that enables the clinician to place implants with flapless guided surgery and to engage prefabricated, customized implant abutments at the time of implant surgery, with only 1 clinical consultation before implant surgery. The patient's existing denture is used to simulate the teeth, the soft tissue and the vertical dimension of occlusion, and jaw relationship in the fully edentulous jaw. It provides clinicians with a fast workflow and improves clinical efficiency.

키워드

참고문헌

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피인용 문헌

  1. CAD/CAM 전문 인력 양성을 위한 교육 및 업무의 필요성 vol.38, pp.4, 2016, https://doi.org/10.14347/kadt.2016.38.4.365