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3차원 Digital Smile Design을 활용한 전치부 심미수복 증례

Using 3-dimensional digital smile design in esthetic restoration of anterior teeth: A case report

  • 홍성만 (경희대학교 치과병원 보철과) ;
  • 이영후 (경희대학교 치과병원 보철과) ;
  • 홍성진 (경희대학교 치과병원 보철과) ;
  • 백장현 (경희대학교 치과대학/치의학 전문대학원 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학/치의학 전문대학원 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학/치의학 전문대학원 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학/치의학 전문대학원 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학/치의학 전문대학원 치과보철학교실)
  • Hong, Sungman (Department of Prosthodontics, Kyung Hee University Dental Hospital) ;
  • 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) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 투고 : 2021.06.09
  • 심사 : 2021.08.19
  • 발행 : 2021.10.31

초록

현재 치과치료의 다양한 분야에서 디지털 기술이 활용되고 있다. 특히 전치부 심미수복에 있어 기존의 전통적인 수복방식은 안모 정보를 담을 수 없고 환자가 치료 결과를 예상하기 어려운 반면 디지털 디자인을 통한 심미수복의 경우 보철물 디자인의 시각화 및 환자 피드백 반영의 용이성, 치료 결과에 대한 예지성을 얻기 쉽다. 본 증례는 전치부 외상 환자에게서 디지털 방식을 이용하여 예상되는 치료 결과를 환자가 치료 전 확인하고 피드백을 반영하여 진행하였다. 2D 디지털 스마일 디자인 방식은 환자의 안모 및 미소정보로 2차원 평면상에서 디자인이 이루어져 적용에 다소 제한되는 점이 있었으나 본 증례에서는 3차원 가상환자를 만들어 진행하였기에 디자인된 보철물에 대하여 다양한 각도에서 확인 및 수정이 가능하였다. 본 증례를 통하여 디지털 방식을 이용한 심미 수복시 환자 및 기공사와의 원활한 소통, 치료결과에 대한 높은 만족도를 얻어낼 수 있었다.

Currently, digital technology is being used in various fields of dental treatment. In particular, in the case of anterior esthetic restoration, the traditional restoration method cannot contain facial information and it is difficult for the patient to predict the treatment result. However, in the case of esthetic restoration through digital design, the visualization of the prosthesis design and the ease of reflecting patient feedback, and expecting the treatment result is available. In this case, the patient confirmed the results of restoration treatment using a digital method before treatment and obtained consent for treatment in an anterior tooth trauma patient. In addition, since the conventional digital smile design method uses only the patient's facial and smile information, the design was made on a two-dimensional plane, and its application was somewhat limited. However, in this case, a three-dimensional virtual patient was created and thus the designed restoration was viewed from various angles. Through this case, it was possible to obtain a high degree of satisfaction with the ease of communication with the patient and the technician during the esthetic restoration using the digital method, the simplicity of the procedure, and the treatment result.

키워드

참고문헌

  1. Paolucci B, Calamita M, Coachman C, Gurel G, Shayder A, Hallawell P. The art of dental composition, Quintessence Dent Technol 2012;35:187-200.
  2. McLaren EA, Culp L. Smile analysis: The photoshop smile design technique. Part 1. J Cosmet Dent 2013;29:94-108.
  3. Spear FM, Kokich VG, Mathews DP. Interdisciplinary management of anterior dental esthetics. J Am Dent Assoc 2006;137:160-9. https://doi.org/10.14219/jada.archive.2006.0140
  4. Chu SJ. Range and mean distribution frequency of individual tooth width of the maxillary anterior dentition. Pract Proced Aesthet Dent 2007;19:209-15.
  5. Magne P, Gallucci GO, Belser UC. Anatomic crown width/length ratios of unworn and worn maxillary teeth in white subjects. J Prosthet Dent 2003;89:453-61. https://doi.org/10.1016/S0022-3913(03)00125-2
  6. Murthy BV, Ramani N. Evaluation of natural smile: Golden proportion, RED or Golden percentage. J Conserv Dent 2008;11:16-21. https://doi.org/10.4103/0972-0707.43413
  7. Kwon JH, Woo YH, Choi DG. The study of relationship between sagittal condylar guide angle and Incisal guide angle during mandibular protrusion in normal Korean. J Korean Acad Prosthodont 1989;27:11-36.
  8. Lepidi L, Chen Z, Ravida A, Lan T, Wang HL, Li J. A full-digital technique to mount a maxillary arch scan on a virtual articulator. J Prosthodont 2019;28:335-8. https://doi.org/10.1111/jopr.13023
  9. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992;63:995-6. https://doi.org/10.1902/jop.1992.63.12.995
  10. Lee H, Paek J, Noh K, Kwon KR. Precise reproduction of soft tissue structure around the pontic area using computer-aided design and manufacturing. J Prosthodont 2019;28:216-8. https://doi.org/10.1111/jopr.12593
  11. Murray H, Locker D, Mock D, Tenenbaum H. Patient satisfaction with a consultation at a cranio-facial pain unit. Community Dent Health 1997;14:69-73.
  12. Tuncel I, Turp I, Usumez A. Evaluation of translucency of monolithic zirconia and framework zirconia materials. J Adv Prosthodont 2016;8:181-6. https://doi.org/10.4047/jap.2016.8.3.181
  13. Kontonasaki E, Rigos AE, Ilia C, Istantsos T. Monolithic zirconia: an update to current knowledge. optical properties, wear, and clinical performance. Dent J (Basel) 2019;7:90. https://doi.org/10.3390/dj7030090