Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Full mouth rehabilitation with dental implant utilizing 3D digital image and CAD/CAM system: case report

3차원 디지털 영상과 CAD/CAM 시스템을 활용한 전악 임플란트 수복 증례

  • Kang, Se-Ha (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Jeong, Seung-Mi (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Shin, Jae-Ok (Department of Prosthodontics, Wonju College of Medicine, Yonsei University) ;
  • Fang, Jeong-Whan (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)
  • 강세하 (연세대학교 원주의대 치과보철과) ;
  • 정승미 (연세대학교 원주의대 치과보철과) ;
  • 신재옥 (연세대학교 원주의대 치과보철과) ;
  • 방정환 (연세대학교 원주의대 치과보철과) ;
  • 김대환 (연세대학교 원주의대 치과보철과) ;
  • 최병호 (연세대학교 원주의대 구강악안면외과)
  • Received : 2015.05.22
  • Accepted : 2015.06.11
  • Published : 2015.06.30
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Abstract

This article describes how to use digital system in a fully edentulous case that diagnosis to definitive prosthesis fabrication. While proceeding oral scan and CBCT taking, digital markers were attached on maxillary palate and lower existing denture. Using CBCT image and oral scan image, the bone contour and anatomical structures were analyzed and flapless surgical guide, customized abutment and prosthesis were made. After the osseointegration, the definitive prosthesis was fabricated using the oral scan image with scan body. It provides clinicians with a fast workflow and improves clinical efficiency.

본 증례는 상 하악 완전 무치악 환자에서 진단, 식립 그리고 보철물 제작에 디지털 방식을 활용하는 방법에 대해 제시하였다. 상악은 구개 부위, 하악은 기존 의치에 방사선 불투과성 마커를 부착한 후 구강스캔 및 CBCT 촬영을 시행하였다. 구강스캔 이미지와 CBCT 이미지를 중첩시켜 진단 및 수술가이드와 임시보철물을 제작하였다. 골유착 후에는 스캔바디를 이용한 구강스캔을 통해 최종보철물을 제작하였다. 임플란트를 이용한 전악수복에서 디지털 방식을 다양하게 활용하였으며 정확성과 환자의 불편감 최소화라는 목적에 만족할만한 결과를 얻었기에 이 증례를 보고하고자 한다.

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References

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