The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full-mouth rehabilitation using digital method to transfer provisional restoration to final fixed implant restoration

디지털 방법을 활용하여 임시수복물을 최종 고정성 임플란트 수복물로 이행한 완전 구강 회복 증례

  • Cho, Eunhan (Department of Prosthodontics, Kyung Hee University College of Dentistry, Kyung Hee University Medical Center) ;
  • Lee, Younghoo (Department of Prosthodontics, Kyung Hee University College of Dentistry, Kyung Hee University Medical Center) ;
  • Hong, Seoung-Jin (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Paek, Janghyun (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Noh, Kwantae (Department of Prosthodontics, College of Dentistry, Kyung Hee University)
  • 조은한 (경희대학교치과병원 보철과) ;
  • 이영후 (경희대학교치과병원 보철과) ;
  • 홍성진 (경희대학교 치과대학 치과보철학교실) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학 치과보철학교실)
  • Received : 2022.08.04
  • Accepted : 2022.10.06
  • Published : 2022.10.31
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Abstract

For a full-mouth fixed prosthetic treatment of the edentulous patient, it is essential to confirm the proper tooth position and thorough evaluation of the remaining alveolar bone and soft tissue before surgery. CAD-CAM dentistry and guided implant surgery have such advantages of providing simultaneous planning of surgery and prosthetic treatment to ensure pre-knowledge of the treatment. In this clinical case, using the digital technology, digital temporary denture fabrication, esthetic evaluation before fixed prostheses treatment, and guided surgery planning was possible. After the surgery, previously obtained data was used for fabricating fixed temporary prostheses. Definitive zirconia prostheses transferred from the provisional prostheses were fabricated and functionally and esthetically satisfying results were obtained.

완전 무치악 환자의 고정성 보철 수복 시 수술 전 적합한 치아 위치를 확인하고 잔존 치조골과 연조직의 평가를 통해 수술을 계획하여 정확한 임플란트를 식립하는 것이 필수적이다. 가이드 임플란트 수술과 CAD-CAM 기술은 보철 치료와 수술을 동시에 계획할 수 있고 치료에 대한 예지력을 확보할 수 있는 장점이 있다. 본 임상 증례에서는 이러한 디지털 기술을 활용하여 임시의치 제작, 고정성 수복 치료 전 심미성 평가 및 가이드 수술을 계획하였다. 수술 후에도 기존에 얻었던 정보들을 통해 고정성 임시 보철물을 제작하는데 유용하게 사용되었으며 최종적으로 임시 보철물을 반영하여 단일 구조 지르코니아 보철물을 제작하였고 기능적, 심미적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

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