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Esthetic restoration of maxillary anterior fixed prosthesis using a digital diagnostic wax-up: a case report

디지털 진단납형을 이용한 상악 전치부 고정성 보철물 심미 수복 증례

  • Eunji Oh (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Songyi Park (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Woohyung Jang (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Chan Park (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Kwidug Yun (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Hyun-Pil Lim (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Sangwon Park (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 오은지 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박송이 (전남대학교 치의학전문대학원 보철학교실) ;
  • 장우형 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박찬 (전남대학교 치의학전문대학원 보철학교실) ;
  • 윤귀덕 (전남대학교 치의학전문대학원 보철학교실) ;
  • 임현필 (전남대학교 치의학전문대학원 보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 보철학교실)
  • Received : 2023.03.14
  • Accepted : 2023.04.22
  • Published : 2023.06.30

Abstract

Recently, computer-aided design and computer-aided manufacturing (CAD/CAM) environment have changed the clinician treatment method in the fabrication of prosthesis. The diagnostic wax-up by using digital technology simplifies the laboratory process and provides clinical efficiency and convenience. In this case, Digital diagnostic wax-up was superimposed on extra-oral photo to consider the patient's facial appearance and utilized to produce the final prosthesis. It can be more efficient and esthetic than a diagnostic wax-up that was made only on a model. The digital diagnostic wax-up that superimposed on extra-oral photo not only visualizes the predicted outcome of prosthodontic treatment but also improves satisfaction and facilitates the communication between patient and dentist. We report aesthetically and functionally satisfactory results that obtained after restoration.

최근 Computer-aided design/Computer-aided manufacturing (CAD/CAM) 기술의 발달로 보철제작에 있어 진료과정의 변화를 가져왔다. 디지털 방식의 진단납형 제작은 기공과정을 단순화하고 임상적인 효율성과 편리함을 제공한다. 본 증례는 기존에 모델 상에서만 제작하였던 진단 왁스업이 아닌 환자의 안모를 고려한 디지털 진단 왁스업을 시행하고 이를 최종 수복물 제작 시에 활용하여 보다 효율적이고 심미적인 고정성 보철물을 제작하였다. 안모를 고려한 디지털 진단납형은 환자에게 치료 후의 안모를 시각화하여 제시함으로써 환자와의 의사소통과 만족도를 증진시킬 수 있다. 수복 후 심미적, 기능적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.

Keywords

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