구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제34권3호
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  • Pages.196-207
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  • 2018
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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단일구조 수복용 지르코니아와 Dental CAD/CAM System을 이용한 전악 임플란트 고정성 보철 수복 증례

Full mouth rehabilitation of a patient using monolithic zirconia and dental CAD/CAM system: a case report

  • 이상훈 (서울대학교 치의학대학원 치과보철학교실) ;
  • 윤형인 (서울대학교 치의학대학원 치과보철학교실) ;
  • 여인성 (서울대학교 치의학대학원 치과보철학교실) ;
  • 한중석 (서울대학교 치의학대학원 치과보철학교실) ;
  • 김성훈 (서울대학교 치의학대학원 치과보철학교실)
  • Lee, Sang-Hoon (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Yoon, Hyung-In (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Yeo, In-Sung (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Han, Jung-Suk (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Kim, Sung-Hun (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 투고 : 2018.05.10
  • 심사 : 2018.08.06
  • 발행 : 2018.09.29
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초록

임플란트의 장기적인 안정을 위해서는 이상적인 위치와 각도로 임플란트를 식립하는 것이 중요하며, 이를 위해서는 정확한 계획에 따른 정확한 수술과 보철이 중요하다. 본 증례에서는 치조골 흡수가 심하게 진행된 환자에서 CT data 및 진단왁스업을 스캔한 data를 이용하여 CT guided surgery를 시행하고, 단일구조 수복용 지르코니아와 CAD/CAM technique을 이용하여 전악 임플란트 고정성 보철로 수복하여 기능 및 심미적으로 만족할만한 결과를 얻었기에 이를 보고하고자 한다.

An accurate implant placement with ideal location is significant for long-term success of the implant. An exact evaluation of nearby anatomic structures such as quality of residual bone, an inferior alveolar bone and a maxillary sinus is required. For a prosthetic-driven treatment, planned surgery, precise prosthesis and communication with the patient are significant requisites especially for full-mouth rehabilitation. In this case, the patient with severe alveolar bone resorption had a CT guided surgery supported by CT data and the data from scanning diagnostic wax-up. Afterward, edentulous area was restored by full mouth implant-supported prosthesis by using monolithic zirconia and CAD/CAM technique. This paper reports the outcome of the procedure which was remarkable both esthetically and functionally.

키워드

참고문헌

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