대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제61권4호
  • /
  • Pages.316-327
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  • 2023
  • /
  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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Digital workflow를 활용한 'All-on-4' 임플란트 지지 고정성 보철물 수복 증례

'All-on-4' fixed implant supported prosthesis restoration using digital workflow: a case report

  • 주성우 (경희대학교치과병원 보철과) ;
  • 홍성진 (경희대학교 치과대학 치과보철학교실) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실) ;
  • 노관태 (경희대학교 치과대학 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실) ;
  • 김형섭 (경희대학교 치과대학 치과보철학교실)
  • Sungwoo Ju (Department of Prosthodontics, Kyung Hee University College of Dentistry, Kyung Hee University Medical Center) ;
  • Seoung-Jin Hong (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Janghyun Paek (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Kwantae Noh (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Ahran Pae (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Kung-Rock Kwon (Department of Prosthodontics, College of Dentistry, Kyung Hee University) ;
  • Hyeong-Seob Kim (Department of Prosthodontics, College of Dentistry, Kyung Hee University)
  • 투고 : 2023.07.18
  • 심사 : 2023.09.12
  • 발행 : 2023.10.31
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초록

구치부 심한 골소실을 보이는 완전 무치악 환자에게 이공 전방에 4개 이상의 임플란트를 식립 후 전악 수복을 하는 'All-on-X' 임플란트 지지 고정성 보철 수복을 고려해 볼 수 있다. 과거에는 이러한 임플란트 고정성 보철 수복시 특별한 기준점 없이 술자의 판단에 의존하여 잔존 치조제에 임플란트를 식립하고 보철 수복 단계에선 이미 식립된 임플란트에 맞춰서 보철물을 제작하는 방식이었지만, 최근 디지털 치의학의 발전으로 진단, 수술, 보철 제작 등 모든 과정에서 계획적이고 예지력 있는 치료가 가능해졌다. 디지털 총의치, 임플란트 서지컬 가이드, 안면스캔 그리고 복제 의치를 통한 인상 채득 등의 디지털 기술들을 사용하여 복잡한 기공 과정을 줄이고, 임시 수복물의 심미와 기능을 최종 보철물로 효과적으로 이행할 수 있다. 상기 환자는 상악 디지털, 하악 'all-on-x' 임플란트 고정성 보철물 수복환자로, 진단부터 최종 수복까지 디지털 기술을 활용하여 기능과 심미성을 만족시키는 보철물을 제작할 수 있었기에 이를 보고하고자 한다.

In the case of fully edentulous patients with severe alveolar bone resorption, the consideration of 'All-on-X' implant-supported fixed prosthesis after placing four or more implants in the anterior maxilla is possible. Recent advancements in digital dentistry have enabled systematic and predictable treatment in all phases, including diagnosis, surgery, and prosthesis fabrication. By incorporating digital dentistry techniques such as digital complete denture, implant surgical guides, facial scanning into the conventional restoration process, it is possible to reduce the complexity of the prosthesis fabrication and effectively achieve the transition from provisional prosthesis to definitive prosthesis in terms of both aesthetics and function.

키워드

과제정보

The present work was supported by the Korea Medical Device Development Fund grant funded by the Korea Government (Ministry of Science and ICT; Ministry of Trade, Industry and Energy; Ministry of Health & Welfare; Ministry of Food and Drug Safety. Project Number: KMDF_PR_20200901_0002, 9991006992).

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