대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제56권1호
  • /
  • Pages.17-24
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  • 2018
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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Lost wax technique과 CAD를 이용한 pattern의 프린팅 방식으로 제작된 가철성 국소의치 금속구조물의 적합도 비교

Comparison of internal adaptation of removable partial denture metal frameworks made by lost wax technique and printing technique of pattern using CAD

  • 최원준 (경희대학교 치과대학 치과보철학교실) ;
  • 우이형 (경희대학교 치과대학 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학 치과보철학교실) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실)
  • Choi, Wonjun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Woo, Yi-Hyung (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 투고 : 2017.08.28
  • 심사 : 2017.09.27
  • 발행 : 2018.01.31
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초록

가철성 국소의치의 금속구조물을 제작하는 방법은 왁스 패턴을 제작하여 주조하는 lost wax technique이 주로 사용되어 왔으나, 디지털 기술의 발달로 서베잉과 금속구조물을 CAD (Computer aided design)로 디자인하여 제작할 수 있게 되었다. 여러 증례에서 CAD를 이용한 pattern의 프린팅 방식으로 얻은 레진 패턴이 구강 내에 정확하게 적합 되었고 최종 금속구조물 또한 좋은 적합도를 보였다고 보고되었다. 본 원저는 치조골 소실이 심한 상, 하악부분 무치악 환자에서 가철성 국소의치의 금속구조물을 두 가지 방식으로 각각 제작하였다. 첫 번째는 일반적인 lost wax technique과 두 번째는 CAD를 통해 pattern을 프린팅하여 금속구조물을 주조하는 방식으로 제작하여, CAD data와 fit checker를 이용해 금속구조물과 서베이드 크라운과의 유격을 측정함으로써 금속구조물의 적합도를 비교하였다. 두 가지 방식 모두 임상적으로 사용 가능한 금속구조물의 적합도를 얻었기에 이를 보고하고자 한다.

Lost wax technique of casting wax patterns has been used principally to make metal frameworks of removable partial dentures. Since the development of digital technology and CAD, metal frameworks can be built through digital surveying and framework designing. Many cases proved that resin patterns made by CAD printing method were well adapted to internal oral structure and final metal frameworks also showed good internal adaptation as well. The metal frameworks of a removable partial denture were made by both lost wax technique and CAD technique and were applied to a patient with severe alveolar bone loss. Using CAD data and fit checker, internal adaptation of both metal frameworks were evaluated by comparing the gap between surveyed crown and its structure. This study is to prove that metal frameworks by both techniques showed adaptation that can be applied in clinical field.

키워드

참고문헌

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피인용 문헌

  1. Virtual Evaluation of the Accuracy of Fit and Trueness in Maxillary Poly(etheretherketone) Removable Partial Denture Frameworks Fabricated by Direct and Indirect CAD/CAM Techniques vol.28, pp.7, 2019, https://doi.org/10.1111/jopr.13075
  2. 전신성 피부경화증 환자에서의 3차원 구강스캐너를 이용한 가철성 국소의치 제작 증례 vol.59, pp.1, 2018, https://doi.org/10.4047/jkap.2021.59.1.116