Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Immediate loading of mandibular single implant by using surgical guide and modeless digital prosthesis: a case report

수술용 가이드와 modeless 디지털 보철물을 이용한 하악 구치부 단일 임플란트 즉시 하중 증례

  • Lim, Hyun-jeong (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Kim, Myung-Joo (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Kwon, Ho-Beom (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Lim, Young-Jun (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 임현정 (서울대학교 치과대학 치과보철학교실) ;
  • 김명주 (서울대학교 치과대학 치과보철학교실) ;
  • 권호범 (서울대학교 치과대학 치과보철학교실) ;
  • 임영준 (서울대학교 치과대학 치과보철학교실)
  • Received : 2017.09.05
  • Accepted : 2017.09.21
  • Published : 2017.12.30
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Abstract

In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.

본 증례는 완전한 디지털 workflow로 단일 치아 임플란트 지지형 보철물을 즉시 부하하여 수복한 증례이다. 하악 제1대 구치 상실로 내원한 환자로, 구강 스캐너로 구내 디지털 인상채득 후, CT데이터와 디지털 스캔 데이터를 통해 제작한 수술용 가이드를 이용하여 임플란트를 식립하였다. 술 후 1주일 후, 맞춤형 지대주와 임시치아를 체결하여 즉시부하 하였다. 술 후 8주 후 지대주 레벨에서 구강스캐너를 이용하여 디지털 인상채득 후, 술 후 3개월에 지르코니아 최종 보철물을 장착하였다. 본 증례는 환자의 만족도 및 정확성 면에서 만족할 만한 결과를 나타내었으며, 완전한 디지털 과정을 통한 수복 결과 정확성, 심미성, 기능성 면에서 만족할 만한 결과를 나타내었기에 보고하는 바이다.

Keywords

References

  1. Pjetursson BE, Bragger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007;18:97-113. https://doi.org/10.1111/j.1600-0501.2007.01439.x
  2. Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014;29:25-42. https://doi.org/10.11607/jomi.2014suppl.g1.2
  3. Azari A, Nikzad S. Computer-assisted implantology: historical background and potential outcomes - a review. Int J Med Robot 2008;4:95-104. https://doi.org/10.1002/rcs.188
  4. Widmann G, Bale RJ. Accuracy in computer-aided implant surgery - a review. Int J Oral Maxillofac Implants 2006;21:305-13.
  5. Jung RE, Schneider D, Ganeles J, Wismeijer D, Zwahlen M, Hammerle CH, Tahmaseb A. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2009;24:92-109.
  6. Fortin T, Bosson JL, Isidori M, Blanchet E. Effect of flapless surgery on pain experienced in implant placement using an image-guided system. Int J Oral Maxillofac Implants 2006;21:298-304.
  7. Aalam AA, Nowzari H, Krivitsky A. Functional restoration of implants on the day of surgical placement in the fully edentulous mandible: a case series. Clin Implant Dent Relat Res 2005;7:10-6. https://doi.org/10.1111/j.1708-8208.2005.tb00041.x
  8. Wolfinger GJ, Balshi TJ, Rangert B. Immediate functional loading of Branemark system implants in edentulous mandibles: clinical report of the results of developmental and simplified protocols. Int J Oral Maxillofac Implants 2003;18:250-7.
  9. Ioannidou E, Doufexi A. Does loading time affect implant survival? A meta-analysis of 1,266 implants. J Periodontol 2005;76:1252-8. https://doi.org/10.1902/jop.2005.76.8.1252
  10. Calandriello R, Tomatis M, Rangert B. Immediate functional loading of Branemark system implants with enhanced initial stability: a prospective 1- to 2-year clinical and radiographic study. Clin Implant Dent Relat Res 2003;5:10-20. https://doi.org/10.1111/j.1708-8208.2003.tb00011.x
  11. Glauser R, Lundgren AK, Gottlow J, Sennerby L, Portmann M, Ruhstaller P, Hammerle CH. Immediate occlusal loading of Branemark TiUnite implants placed predominantly in soft bone: 1-year results of a prospective clinical study. Clin Implant Dent Relat Res 2003;5:47-56.
  12. Yong LT, Moy PK. Complications of computeraided-design/computer-aided-machining-guided (Nobel Guide) surgical implant placement: an evaluation of early clinical results. Clin Implant Dent Relat Res 2008;10:123-7. https://doi.org/10.1111/j.1708-8208.2007.00082.x
  13. Komiyama A, Klinge B, Hultin M. Treatment outcome of immediately loaded implants installed in edentulous jaws following computer-assisted virtual treatment planning and flapless surgery. Clin Oral Implants Res 2008;19:677-85. https://doi.org/10.1111/j.1600-0501.2008.01538.x
  14. Dreiseidler T, Neugebauer J, Ritter L, Lingohr T, Rothamel D, Mischkowski RA, Zoller JE. Accuracy of a newly developed integrated system for dental implant planning. Clin Oral Implants Res 2009;20:1191-9. https://doi.org/10.1111/j.1600-0501.2009.01764.x
  15. Eggers G, Patellis E, Muhling J. Accuracy of template-based dental implant placement. Int J Oral Maxillofac Implants 2009;24:447-54.