The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation with Implant-Guided Surgery and Fixed prosthesis

Implant-Guided Surgery를 이용한 고정성 임플란트 보철물의 전악 수복 증례

  • Kim, Seong-Mo (Department of Dental Prosthodontics, Anam Hospital, Korea University) ;
  • Park, Jin-Hong (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University) ;
  • Ryu, Jae-Jun (Department of Dental Prosthodontics, Anam Hospital, Korea University) ;
  • Shin, Sang Wan (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University) ;
  • Lee, Jeong-Yol (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University)
  • 김성모 (고려대학교 안암병원 치과 보철과) ;
  • 박진홍 (고려대학교 구로병원 임상치의학 연구소) ;
  • 류재준 (고려대학교 안암병원 치과 보철과) ;
  • 신상완 (고려대학교 구로병원 임상치의학 연구소) ;
  • 이정열 (고려대학교 구로병원 임상치의학 연구소)
  • Received : 2017.09.14
  • Accepted : 2017.12.21
  • Published : 2018.04.30
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Abstract

The development of cone beam computerized tomography (CBCT) allows three-dimensional analysis of the patient's anatomy. The surgical guide is a combination of CBCT, computer-aided design/computer-aided manufacturing (CAD/CAM) and implant diagnostics software, which allows well planned prostheses design and ideal implant placement. Guided surgery minimizes possible anatomical damage and allows for more reproducible treatment planning. In this case, the operation time was shortened by using a surgical guide for multiple implants placement in a fully edentulous patient. Immediate loading were performed more easily using preliminary preparation of provisional prosthesis. The patient was satisfied with improved esthetics and chewing function.

Cone beam computerized tomography (CBCT)의 발전은 환자의 해부학적 구조를 3차원적으로 분석할 수 있게 하였다. Surgical guide는 CBCT와 CAD/CAM, 임플란트 진단 소프트웨어의 접목을 통해 미래의 보철물을 계획하고 적합한 위치에 임플란트를 식립할 수 있게 한다. Guided surgery를 통해 해부학적 구조물에 대한 침범을 최소한으로 줄일 수 있고 보다 재현성 있는 치료계획의 설정이 가능하다. 본 증례는 전악 무치악 환자에게 surgical guide를 이용하여 다수의 임플란트를 식립한 증례로 수술시간을 단축시킬 수 있었으며 임시 보철물을 미리 제작함으로써 보다 쉽게 immediate loading을 시행할 수 있었다. 환자는 개선된 안모와 저작기능에 만족하였다.

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References

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