DOI QR코드

DOI QR Code

Restoration of anterior teeth with dental implant using multilayer zirconia

다층 지르코니아를 이용한 임플란트 전치부 수복 증례

  • Lee, Sunghee (Department of Prosthodontics, Graduate School, Kyung Hee University) ;
  • Lee, Younghoo (Department of Prosthodontics, Kyung Hee University Dental Hospital) ;
  • Hong, Seoung-Jin (Department of Prosthodontics, Kyung Hee University Dental Hospital) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Noh, Kwantae (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 이성희 (경희대학교 일반대학원 치과보철학교실) ;
  • 이영후 (경희대학교치과병원 보철과) ;
  • 홍성진 (경희대학교치과병원 보철과) ;
  • 백장현 (경희대학교 치과대학.치의학전문대학원 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학.치의학전문대학원 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학.치의학전문대학원 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학.치의학전문대학원 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학.치의학전문대학원 치과보철학교실)
  • Received : 2021.06.14
  • Accepted : 2021.09.29
  • Published : 2021.10.31

Abstract

For successful restoration of maxillary anterior implants, both pink esthetics and white esthetics must be satisfied. For pink esthetic part, the role of appropriate provisional prosthesis restoration is important, and for white esthetic part, the color and shape of the definitive prosthesis is important. Multilayer zirconia can be used for natural tooth appearance due to the higher transparency of the incisal area compared to the conventional monolithic zirconia. Therefore, in this case, white esthetic part was achieved through multilayer zirconia after recovering function and esthetics through appropriate provisional prosthesis in a patient who lost the maxillary anterior teeth.

상악 전치부 임플란트의 성공적인 수복을 위해서는 pink esthetics와 white esthetics가 모두 충족되어야 한다. Pink esthetics 부분의 경우 적절한 임시보철물의 역할이 중요하고, white esthetics 부분의 경우에는 최종 보철물의 색상과 형태가 중요하다. 다층 지르코니아는 기존의 단일구조 지르코니아에 비해 절단 부위의 투명도가 높기 때문에 추가적인 도재 축성 없이 자연스러운 보철물 제작이 가능하다. 따라서 본 증례에서는 상악 전치를 상실한 환자에서 적절한 임시보철물을 통해 기능과 심미성을 충분히 회복한 후 다층 지르코니아를 통해 white esthetics를 달성하였다.

Keywords

References

  1. Cho HL, Lee JK, Um HS, Chang BS. Esthetic evaluation of maxillary single-tooth implants in the esthetic zone. J Periodontal Implant Sci 2010;40:188-93. https://doi.org/10.5051/jpis.2010.40.4.188
  2. Belser UC, Grutter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol 2009;80:140-51. https://doi.org/10.1902/jop.2009.080435
  3. Joo HS, Park SW, Yun KD, Lim HP. Complete-mouth rehabilitation using a 3D printing technique and the CAD/CAM double scanning method: A clinical report. J Prosthet Dent 2016;116:3-7. https://doi.org/10.1016/j.prosdent.2016.01.007
  4. Brunot-Gohin C, Duval JL, Verbeke S, Belanger K, Pezron I, Kugel G, Laurent-Maquin D, Gangloff S, Egles C. Biocompatibility study of lithium disilicate and zirconium oxide ceramics for esthetic dental abutments. J Periodontal Implant Sci 2016;46:362-71. https://doi.org/10.5051/jpis.2016.46.6.362
  5. Gonzalez-Martin O, Lee E, Weisgold A, Veltri M, Su H. Contour management of implant restorations for optimal emergence profiles: guidelines for immediate and delayed provisional restorations. Int J Periodontics Restorative Dent 2020;40:61-70. https://doi.org/10.11607/prd.4422
  6. Galindo-Moreno P, Leon-Cano A, Monje A, Ortega-Oller I, O'Valle F, Catena A. Abutment height influences the effect of platform switching on peri-implant marginal bone loss. Clin Oral Implants Res 2016;27:167-73.
  7. Kim M, Lee DH. Influence of extraoral polishing of the crown-abutment interface on the marginal fit of screw- and cement-retained prostheses: a clinical pilot study. Int J Prosthodont 2020;33:629-3.
  8. Duran JC, Aguirre F, Pino R, Velasquez D. Dimensional variations in the soft tissue profile after removal of implant-supported fixed interim restorations: a pilot clinical study. Implant Dent 2018;27:28-32. https://doi.org/10.1097/ID.0000000000000720
  9. Li J, Chen Z, Wang M, Wang HL, Yu H. Dynamic changes of peri-implant soft tissue after interim restoration removal during a digital intraoral scan. J Prosthet Dent 2019;122:288-94. https://doi.org/10.1016/j.prosdent.2018.07.020
  10. Papadopoulos I, Pozidi G, Goussias H, Kourtis S. Transferring the emergence profile from the provisional to the final restoration. J Esthet Restor Dent 2014;26:154-61. https://doi.org/10.1111/jerd.12068
  11. Doliveux S, Jamjoom FZ, Nadra M, Gallucci GO, Hamilton A. Fabrication technique for a custom implant emergence profile on 3D printed casts. J Prosthet Dent 2020;123:571-5 https://doi.org/10.1016/j.prosdent.2019.03.016
  12. Stawarczyk B, Keul C, Eichberger M, Figge D, Edelhoff D, Lumkemann N. Three generations of zirconia: From veneered to monolithic. Part I. Quintessence Int 2017;48:369-80.
  13. Zhang F, Spies BC, Vleugels J, Reveron H, Wesemann C, Muller WD, van Meerbeek B, Chevalier J. High-translucent yttria-stabilized zirconia ceramics are wear-resistant and antagonist-friendly. Dent Mater 2019;35:1776-90. https://doi.org/10.1016/j.dental.2019.10.009
  14. Rosentritt M, Preis V, Behr M, Strasser T. Fatigue and wear behaviour of zirconia materials. J Mech Behav Biomed Mater 2020;110:103970. https://doi.org/10.1016/j.jmbbm.2020.103970
  15. Erdelt K, Pinheiro Dias Engler ML, Beuer F, Guth JF, Liebermann A, Schweiger J. Computable translucency as a function of thickness in a multi-layered zirconia. J Prosthet Dent 2019;121:683-9. https://doi.org/10.1016/j.prosdent.2018.08.013
  16. Fontolliet A, Al-Haj Husain N, Ozcan M. Wear analysis and topographical properties of monolithic zirconia and CoCr against human enamel after polishing and glazing procedures. J Mech Behav Biomed Mater 2020;105:103712. https://doi.org/10.1016/j.jmbbm.2020.103712
  17. Kang CM, Peng TY, Shimoe S. Color accuracy of different types of monolithic multilayer precolored zirconia ceramics. J Prosthet Dent 2020;124:789. e1-7.