The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Treatment of upper and lower 3D printing CAD-CAM dentures using the POP (PNUD Occlusal Plane) Bow system, a prefabricated occlusal plane transfer device: A case report

조립식 교합 평면 인기 장치 POP (PNUD Occlusal Plane) Bow 시스템을 이용한 3D 프린팅 CAD-CAM 의치치료 증례

  • Seol-Hwa Lee (Department of Prosthodontics, School of Dentistry, Pusan National University, Pusan National University Dental Hospital, Dental Research Institute) ;
  • Chang-Mo Jeong (Department of Prosthodontics, School of Dentistry, Pusan National University, Pusan National University Dental Hospital, Dental Research Institute) ;
  • Mi-Jung Yun (Department of Prosthodontics, School of Dentistry, Pusan National University, Pusan National University Dental Hospital, Dental Research Institute) ;
  • Jung-Bo Huh (Department of Prosthodontics, School of Dentistry, Pusan National University, Pusan National University Dental Hospital, Dental Research Institute) ;
  • So-Hyoun Lee (Department of Prosthodontics, School of Dentistry, Pusan National University, Pusan National University Dental Hospital, Dental Research Institute)
  • 이설화 (부산대학교 치의학전문대학원 치과보철학교실, 부산대학교 치과병원 치의학연구소) ;
  • 정창모 (부산대학교 치의학전문대학원 치과보철학교실, 부산대학교 치과병원 치의학연구소) ;
  • 윤미정 (부산대학교 치의학전문대학원 치과보철학교실, 부산대학교 치과병원 치의학연구소) ;
  • 허중보 (부산대학교 치의학전문대학원 치과보철학교실, 부산대학교 치과병원 치의학연구소) ;
  • 이소현 (부산대학교 치의학전문대학원 치과보철학교실, 부산대학교 치과병원 치의학연구소)
  • Received : 2022.09.26
  • Accepted : 2022.10.17
  • Published : 2023.01.31
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Abstract

In order to manufacture functional and esthetic prostheses, it is essential to accurately transmit information about the patient's occlusal plane. In particular, in the case of a completely edentulous patient, the occlusal plane is very important to correctly support the soft tissue, to achieve aesthetic harmony with the facial appearance, and to properly pronounce it, and to form a balanced occlusal relationship for stable mastication. In the conventional method, various facebow systems were used to transmit patient's information from the clinic to the laboratory, but there were several limitations in the process of transferring them to CAD. To simplify this process, a prefabricated POP (PNUD Occlusal Plane) Bow system was recently developed. In this case, a CAD-CAM (Computer-aided design-computer-aided manufacturing) treatment dentures reflecting the patient's occlusal plane information was manufactured using the POP Bow system during the treatment of a completely edentulous patient, and aesthetic and functional satisfaction was obtained.

기능적이고 심미적인 보철물을 제작하기 위해서 환자의 교합평면에 관한 정보를 정확하게 전달하는 과정은 필수적이다. 특히, 완전 무치악 환자의 경우 교합평면은 의치가 연조직을 올바르게 지지하고 안모와 심미적 조화를 이루며 제대로 된 발음을 할 수 있도록 중요한 기준을 제시하고, 안정적인 저작작용을 위한 균형 있는 교합관계를 형성하는데 매우 중요한 역할을 한다. 전통적으로 환자의 악간 관계와 교합평면에 대한 정보를 진료실에서 기공실로 전달하기 위해 교합기에 연결하여 사용하는 다양한 안궁(facebow) 시스템을 이용하였으나, CAD 상으로 이를 옮기는 과정에서는 여러 한계점이 있었다. 이 과정을 단순화하기 위하여 최근 조립식의 POP(PNUD Occlusal Plane) Bow system이 개발되었다. 본 증례에서는 완전 무치악 환자의 치료 과정에서 POP Bow system을 적용하여 환자의 교합평면 정보가 잘 반영된 CAD-CAM(Computer-aided design-computer-aided manufacturing) 치료 의치를 제작하였고, 심미적이고 기능적인 만족도를 얻을 수 있었다.

Keywords

Acknowledgement

This paper was supported by the grant of clinical research funding of the Dental Hospital of Pusan National University in 2021.

References

  1. Afsharzand Z, Rashedi B, Petropoulos VC. Communication between the dental laboratory technician and dentist: work authorization for fixed partial dentures. J Prosthodont 2006;15:123-8. https://doi.org/10.1111/j.1532-849X.2006.00086.x
  2. Zarb GA, Bolender CL, Hickey JC, Carlsson GE. Boucher's prosthodontic treatment for edentulous patients. 10th ed. St. Louis: CV Mosby; 1990. p. 272-309.
  3. Lee JI, Shin SW, Suh KW. A study on establishing the occlusal plane. J Korean Acad Prosthodont 1992;30; 575-81.
  4. Goodfriend DJ. New face-bow for dentist-laboratory cooperation. J American Dent Assoc 1964;68:866-72. https://doi.org/10.14219/jada.archive.1964.0207
  5. Palik JF, Nelson DR, White JT. Accuracy of an earpiece face-bow. J Prosthet Dent 1985;53:800-4. https://doi.org/10.1016/0022-3913(85)90160-X
  6. Kazanoglu A, Unger JW. Determining the occlusal plane with the Camper's plane indicator. J Prosthet Dent 1992;67:499-501. https://doi.org/10.1016/0022-3913(92)90080-T
  7. Alhajj MN, Khalifa N, Abduo J, Amran AG, Ismail IA. Determination of occlusal vertical dimension for complete dentures patients: an updated review. J Oral Rehabil 2017;44:896-907. https://doi.org/10.1111/joor.12522
  8. Duret F, Blouin JL, Duret B. CAD-CAM in dentistry. J Am Dent Assoc 1988;117:715-20. https://doi.org/10.14219/jada.archive.1988.0096
  9. Maeda Y, Minoura M, Tsutsumi S, Okada M, Nokubi T. A CAD/CAM system for removable denture. Part I: Fabrication of complete dentures. Int J Prosthodont 1994;7:17-21.
  10. Goodacre CJ, Garbacea A, Naylor WP, Daher T, Marchack CB, Lowry J. CAD/CAM fabricated complete dentures: concepts and clinical methods of obtaining required morphological data. J Prosthet Dent 2012;107:34-46. https://doi.org/10.1016/S0022-3913(12)60015-8
  11. Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J 2009;28:44-56. https://doi.org/10.4012/dmj.28.44
  12. Bidra AS, Taylor TD, Agar JR. Computer-aided technology for fabricating complete dentures: systematic review of historical background, current status, and future perspectives. J Prosthet Dent 2013;109:361-6. https://doi.org/10.1016/S0022-3913(13)60318-2
  13. Solaberrieta E, Garmendia A, Minguez R, Brizuela A, Pradies G. Virtual facebow technique. J Prosthet Dent 2015;114:751-5. https://doi.org/10.1016/j.prosdent.2015.06.012
  14. Solaberrieta E, Minguez R, Barrenetxea L, Etxaniz O. Direct transfer of the position of digitized casts to a virtual articulator. J Prosthet Dent 2013;109:411-4. https://doi.org/10.1016/S0022-3913(13)60330-3