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Double Scanning에 의한 고성능 중합체를 이용한 임플란트 지지 고정성 보철물 수복 증례

Implant supported prosthesis with high performance polymers using a double scanning method

  • 강경환 (고려대학교 구로병원 임상치의학연구소) ;
  • 박진홍 (고려대학교 구로병원 임상치의학연구소) ;
  • 이정열 (고려대학교 구로병원 임상치의학연구소) ;
  • 신상완 (고려대학교 구로병원 임상치의학연구소)
  • Kang, Kyeong-Hwan (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University) ;
  • Park, Jin-Hong (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University) ;
  • Lee, Jeong-Yol (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University) ;
  • Shin, Sang-Wan (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University)
  • 투고 : 2017.02.09
  • 심사 : 2017.05.24
  • 발행 : 2017.07.31

초록

최근, CAD/CAM 기술이 발전하면서 하이브리드 보철물의 제작에 이용되고 있다. Double scanning technique은 시적용 납의치와 주모형을 스캔 후 중첩하여, 가상 디자인의 현실화와 보철 기공 과정의 간소화를 이루었다. 본 증례에서는 금속 혹은 지르코니아 대신 고성능 중합체인 Polyetherketoneketone (Pekkton, Cendres+$M{\acute{e}}taux$, Biel, Switzerland)를 framework의 재료로 사용했으며, 콤포짓이나 세라믹 혹은 의치용 치아 대신 Polymethyl methacrylate (PMMA) 비니어링 치아(Visio-lign, Bredent, Senden, Germany)를 최종 보철물로 사용하였다. Pekkton과 Visio-lign을 사용한 본 증례에서 만족할만한 치료 결과와 환자의 만족을 얻었으며, 추후 주기적인 유지관리 및 평가가 필요할 것으로 사료된다.

Nowadays, the development of dental scanner and CAD/CAM technology can facilitate the fabrication of hybrid prosthesis. Double scanning technique, scanning a trial prosthesis and master model, made it possible to realize virtual design and simplify the laboratory work. Instead of using the metal or zirconia framework with composite, ceramic or denture tooth, the new high performance polymer Polyetherketoneketone (Pekkton, Cendres+$M{\acute{e}}taux$, Biel, Switzerland) as a framework with Polymethyl methacrylate (PMMA) veneering teeth (Visio-lign, Bredent, Senden, Germany) was used in this case. This case report showed an acceptable treatment outcome and satisfaction of patient using Pekkton and Visio-lign. However, long term clinical evaluation is needed.

키워드

참고문헌

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피인용 문헌

  1. Investigation of the retention forces of secondary telescopic crowns made from Pekkton® ivory in combination with primary crowns made from four different dental alloys: an in vitro stud vol.64, pp.5, 2017, https://doi.org/10.1515/bmt-2018-0167
  2. Investigation of the retention forces of secondary telescopic crowns made from Pekkton® ivory in combination with primary crowns made from four different dental alloys: an in vitro stud vol.64, pp.5, 2017, https://doi.org/10.1515/bmt-2018-0167
  3. Parameters Affecting the Retention Force of CAD/CAM Telescopic Crowns: A Focused Review of In Vitro Studies vol.10, pp.19, 2017, https://doi.org/10.3390/jcm10194429