양측 구치부 교합평면의 기울어짐과 이부의 비대칭이 있는 환자에서 디지털 가상환자를 이용한 상악 전치부 심미 수복 증례
Aesthetic restoration of maxillary anterior teeth in patient with tilted occlusal plane on both posterior parts and asymmetry of the chin using virtual patient: a case report
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초록
전치부 심미 치료 시에는 보철물 자체의 색상, 형태, 질감과 함께 안모와의 조화를 중요하게 고려해야 한다. 최근 디지털 기술의 발달로 구강 스캔 데이터와 함께 안면 스캔, 하악 움직임 기록 데이터를 통합하여 형성한 가상 환자를 사용하여 보다 심미적이고 기능적인 보철물 제작이 가능해졌다. 본 증례 보고는 기울어진 교합 평면과 안면 비대칭이 있는 환자에서 가상 환자를 통해 상악 전치부 임플란트 및 치아 지지 고정성 보철물을 수복하였다. 구내와 안면 스캔 데이터, 교합 데이터를 획득하여 가상 환자를 구축하였고, 이를 통해 치료과정에서 안모와 조화를 이루는 보철물의 설계 및 제작이 보다 용이했으며, 치과의사와 환자, 치과기공사 사이에서 원활하고 직관적인 의사소통이 가능했다. 보철 치료 후 심미적 및 기능적으로 만족할 만한 결과를 보였기에 이를 보고하는 바이다.
Abstract
In esthetic prosthetic treatment, color, shape, texture of teeth, and harmony with the facial appearance are considered very important. The virtual patient is formed by integrating data from intraoral and facial scans and mandibular movement records, making fabricating more aesthetic and functional prostheses possible in digital dentistry. In this case report, the patient with the tilted occlusal plane and facial asymmetry was restored with an anterior maxillary implant and a tooth-supported fixed prosthesis using the virtual patient. By using a virtual patient, it was possible to communicate between the dentist and patient or the dental technician during the design process, and we report this case because the results showed satisfactory aesthetic and functional results after treatment.
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