The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Comparative evaluation of two sets of complete dentures fabricated by digital and conventional workflow in a single patient: A case report

단일 환자에서 디지털 및 전통적인 워크플로우로 제작한 두 쌍의 총의치를 장착하여 비교평가한 증례 보고

  • Kim, Sang Hyun (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Oh, Kyung Chul (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Park, Ji Man (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Kim, Jee Hwan (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Moon, Hong Seok (Department of Prosthodontics, Yonsei University College of Dentistry)
  • 김상현 (연세대학교 치과대학 치과보철학교실) ;
  • 오경철 (연세대학교 치과대학 치과보철학교실) ;
  • 박지만 (연세대학교 치과대학 치과보철학교실) ;
  • 김지환 (연세대학교 치과대학 치과보철학교실) ;
  • 문홍석 (연세대학교 치과대학 치과보철학교실)
  • Received : 2021.03.23
  • Accepted : 2021.07.05
  • Published : 2021.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Application of digital technology in dental treatments can simplify the treatment process and reduce patient discomfort. In regards of digital complete dentures, several commercial systems are available. However, these systems are not being routinely applied in Korea. In this case report, comparative analyses were performed regarding the two sets of complete dentures fabricated in digital and conventional workflow in a single patient. Complete dentures made with digital workflow were able to form an ideal occlusion because customized teeth were used. Compared to that, there were also limitations such as lower retention of mandibular dentures, so we would like to report this.

치과치료에 디지털 기술을 접목함으로써 치료 과정을 단순화하고 환자의 불편감을 줄여줄 수 있다. 디지털 기술을 활용한 총의치의 경우 여러 상업적인 시스템들이 나와 있으나 아직 국내에서는 보편적으로 사용되고 있지 않다. 본 증례 보고에서는 단일 환자에서 디지털 및 전통적인 치료 술식으로 제작한 두 쌍의 총의치를 장착한 뒤 이에 대한 환자의 만족도와 유지력, 안정성, 적합도를 비교하였다. 디지털 치료 술식으로 제작한 총의치는 개인화되어 디자인된 밀링된 치아를 이용했기 때문에 이상적 교합을 형성할 수 있었으며, 디지털 치은 디자인을 통해 심미성 또한 확보하여 적절한 기능적, 심미적 임상결과를 보였으나, 전통적 제작 방식에 비해 하악 의치의 유지력이 떨어지는 등의 한계 또한 존재하였기에, 이에 대하여 보고하고자 한다.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea(NRF) grant funded by the Korea government(MSIT) (No. 2020R1F1A107237012).

References

  1. Bohner LO, Neto PT, Ahmed AS, Mori M, Lagana DC, Sesma N. CEREC chairside system to register and design the occlusion in restorative dentistry: A systematic literature review. J Esthet Restor Dent 2016;28:208-20. https://doi.org/10.1111/jerd.12226
  2. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent 2012;107:34-46. https://doi.org/10.1016/S0022-3913(12)60015-8
  3. Kattadiyil MT, AlHelal A. An update on computer-engineered complete dentures: A systematic review on clinical outcomes. J Prosthet Dent 2017;117: 478-85. https://doi.org/10.1016/j.prosdent.2016.08.017
  4. Schwindling FS, Stober T. A comparison of two digital techniques for the fabrication of complete removable dental prostheses: A pilot clinical study. J Prosthet Dent 2016;116:756-63. https://doi.org/10.1016/j.prosdent.2016.03.022
  5. Solaberrieta E, Barrenetxea L, Minguez R, Iturrate M, De Prado I. Registration of mandibular movement for dental diagnosis, planning and treatment. Int J Interact Des Manuf 2017;12:1027-38.
  6. Goodacre BJ, Goodacre CJ, Baba NZ, Kattadiyil MT. Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. J Prosthet Dent 2016;116:249-56. https://doi.org/10.1016/j.prosdent.2016.02.017
  7. Steinmassl PA, Klaunzer F, Steinmassl O, Dumfahrt H, Grunert I. Evaluation of currently available CAD/CAM denture systems. Int J Prosthodont 2017;30: 116-22. https://doi.org/10.11607/ijp.5031
  8. Kattadiyil MT, Jekki R, Goodacre CJ, Baba NZ. Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting. J Prosthet Dent 2015;114:818-25. https://doi.org/10.1016/j.prosdent.2015.08.001