DOI QR코드

DOI QR Code

Submucosal zirconia implant prosthesis fabricated with CAD/CAM

CAD/CAM으로 제작한 점막하 지르코니아 임플란트 보철 수복 증례

  • Chang, Jae-Seung (Department of Dentistry, Yong-In Severance Hospital, College of Dentistry, Yonsei University) ;
  • Kim, Sunjai (Department of Prosthodontics, Gangnam Severance Dental Hospital, College of Dentistry, Yonsei University)
  • 장재승 (연세대학교 용인세브란스병원 치과) ;
  • 김선재 (연세대학교 강남세브란스 치과병원 치과보철과)
  • Received : 2014.09.11
  • Accepted : 2014.10.17
  • Published : 2014.10.31

Abstract

They have been recently introduced many aesthetic implant prosthesis using with zirconia and CAD/CAM. However, there are many limitations in their gingival and occlusal region. In this case, submucosal zirconia implant prosthesis were fabricated with CAD/CAM system. The connection of these screw cement retained prosthesis and titanium abutment was designed to 1mm above the fixture. The clinical results were satisfactory on the aesthetics and function.

최근 지르코니아와 CAD/CAM을 이용하는 심미적인 임플란트 보철치료 방법들이 많이 소개되고 있다. 그러나 이러한 방법들은 치은부위와 교합면부위에서 한계점들을 가지고 있다. 이에 본 증례에서는 지르코니아와 CAD/CAM 시스템을 이용하여 고정체 1 mm 상부에서부터 형성되는 점막하지르코니아 임플란트 보철물을 제작하고 이를 타이타늄 지대주와 접착하여 시멘트 나사 유지형 보철물을 제작하였다. 임상적으로 심미적이고 기능적면에서 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

  1. Ortorp A, Kihl ML, Carlsson GE. A 3-year retrospective and clinical follow-up study of zirconia single crowns performed in a private practice. J Dent 2009;37:731-6. https://doi.org/10.1016/j.jdent.2009.06.002
  2. Anusavice KJ. Standardizing failure, success, and survival decisions in clinical studies of ceramic and metal-ceramic fixed dental prostheses. Dent Mater 2012;28:102-11. https://doi.org/10.1016/j.dental.2011.09.012
  3. Koenig V, Vanheusden AJ, Le Goff SO, Mainjot AK. Clinical risk factors related to failures with zirconia-based restorations: an up to 9-year retrospective study. J Dent 2013;41:1164-74. https://doi.org/10.1016/j.jdent.2013.10.009
  4. Marchack BW, Sato S, Marchack CB, White SN. Complete and partial contour zirconia designs for crowns and fixed dental prostheses: a clinical report. J Prosthet Dent 2011;106:145-52. https://doi.org/10.1016/S0022-3913(11)60112-1
  5. Leutert CR, Stawarczyk B, Truninger TC, Hammerle CH, Sailer I. Bending moments and types of failure of zirconia and titanium abutments with internal implant-abutment connections: a laboratory study. Int J Oral Maxillofac Implants 2012;27:505-12.
  6. Zembic A, Philipp AO, Hammerle CH, Wohlwend A, Sailer I. Eleven-Year Follow-Up of a Prospective Study of Zirconia Implant Abutments Supporting Single All-Ceramic Crowns in Anterior and Premolar Regions. Clin Implant Dent Relat Res 2014 Sep 2.
  7. Park JH, Park S, Lee K, Yun KD, Lim HP. Antagonist wear of three CAD/CAM anatomic contour zirconia ceramics. J Prosthet Dent 2014;111:20-9. https://doi.org/10.1016/j.prosdent.2013.06.002