대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제57권2호
  • /
  • Pages.150-159
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  • 2019
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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임플란트 수술용 가이드를 사용한 부분 유도 임플란트 수술의 정확도 평가: 증례보고

An assessment of accuracy of half-guided implant surgery using implant surgical guide: A case report

  • 김충길 (서울대학교 치의학대학원 치과보철학교실, 서울대학교치과병원 치과보철과) ;
  • 이원섭 (가톨릭대학교 서울성모병원 치과병원 치과보철과) ;
  • 권호범 (서울대학교 치의학대학원 치과보철학교실, 서울대학교치과병원 치과보철과)
  • Kim, Choongkil (Dental Research Institute and Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul National University Dental Hospital) ;
  • Lee, Wonsup (Department of Prosthodontics, Dental Hospital, St. Mary's Hospital of Catholic University of Korea) ;
  • Kwon, Ho-Beom (Dental Research Institute and Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul National University Dental Hospital)
  • 투고 : 2018.09.11
  • 심사 : 2018.11.27
  • 발행 : 2019.04.30
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초록

무치악 환자의 치료에서 치과용 임플란트를 이용한 보철치료는 현재 널리 사용되고 있는 치료 방법 중 하나이다. 임플란트를 적절한 위치에 정확히 식립하기 위해 최근 임플란트 수술용 가이드를 이용하여 임플란트 수술의 정확도를 향상시키는 방법이 소개되어 폭넓게 사용되고 있다. 임플란트 수술 시 임플란트 수술용 가이드를 적용하는 수준에 따라 완전 유도 임플란트 수술과 부분 유도 임플란트 수술로 구분할 수 있다. 비록 완전 유도 임플란트 수술이 더 높은 정확도를 보이는 것은 사실이나 수술상황에서의 다양한 임상적 환경 등으로 인해서 부분 유도 임플란트 수술이 종종 시행된다. 이 증례는 치아파절과 치주염 등으로 치아를 상실하게 된 부분무치악 환자에서 임플란트와 고정성보철물을 이용해서 보철 수복 치료를 시행한 사례이다. 임플란트 수술 과정에서 임플란트 수술용 가이드를 사용해서 부분 유도 임플란트 수술을 시행하였으며, 임플란트 수술 계획과 수술 결과 간의 정확도에 대한 분석을 시행하여 소개하였다.

Nowadays, dental implant is one of the widely used treatment options for edentulous patients. Recently, a method of improving the accuracy of implant surgery using an implant surgical guide has been introduced and widely used in order to accurately place the implant in a proper position. Full-guided and half-guided implant surgery can be distinguished according to the level of surgical guide application during the implant surgery. It is true that full-guided implant surgery exhibits higher accuracy, but half- guided implant surgery is often performed in a clinical situation due to the factors such as the circumstances of the operation. A partially edentulous patient who lost teeth due to tooth fracture and periodontal disease was treated using implant and fixed prosthesis. Half-guided implant surgery was performed using an implant surgical guide during implant surgery, the accuracy of implant placement was analyzed.

키워드

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