완전무치악 환자에서 디지털 가이드 수술 방식을 이용한 무피판절개 임플란트 식립증례: 증례보고 및 5년 추적관찰
Flapless implant placement with digital 3D imaging and planning system in fully edentulous patient: A case report and 5-year follow-up
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
디지털 방식을 이용한 치과 임플란트 진료에서 가장 주목받는 분야 중 하나가 디지털 소프트웨어와 컴퓨터 단층촬영을 이용하여 수술용 스텐트를 제작, 임플란트를 식립하는 분야이다. 컴퓨터를 이용한 디지털 임플란트 치료계획 시스템과 이를 이용한 수술용 가이드는 예지성과 심미성, 기능성을 갖춘 임플란트의 식립과 수복을 가능하게 한다. 특히 이러한 가이드 수술은 임플란트 수복물의 형태와 기능을 고려한 임플란트의 식립 시 더욱 유리하다. 최근 여러 제조사에서 보철물 제작을 위해 치과용 스캔부터 제작방법까지 다양한 디지털 방식의 제작과정을 제시하고 있다. 이러한 방법들은 정확하고 예지성 있는 예후를 위해 여러 연구자들에 의해 연구되어지고 있으며, 점차 발전하고 있다. 이번 증례는 완전무치악의 여성 환자에서 임플란트 고정성 보철물을 이용한 수복증례이다. 하악은 all-on-four 방식을 적용하여 4개의 임플란트를 식립하였으며, 상악은 이에 기초하여 6개의 임플란트를 식립하였다. 최종보철물에 기초한 임플란트의 식립을 위해 임플란트 수술용 스텐트를 이용하였으며, 환자는 치료 결과에 만족하였으며, 5년 추적관찰 결과, 임플란트와 보철물 모두 안정적으로 유지되고 있다.
Abstract
One of the fastest growing segments of implant dentistry is the utilization of computed tomography (CT) scan data and treatment planning software in conjunction with guided surgery for implant reconstruction cases. Computer assisted planning systems and associated surgical templates have established a predictable, esthetic, functional technique for placing and restoring implants. Especially, a philosophy of restoratively driven implant placement has been generally adopted. Recently, a variety of commercial dental fields have released their scanning and fabricating protocols and methods for restorations. This process is still being investigated and developed for the most precise and predictable outcome. This case report describes a female patient who wanted dental implants in fully edentulous areas. Restoratively driven implant placements were performed with surgical guide and the patient was fully satisfied with the clinical results, and at 5-year post restorative follow-up assessment, both implant and prosthesis were proved clinical success.
참고문헌 (15)
- Lal K, "Use of stereolithographic templates for surgical and prosthodontic implant planning and placement. Part I. The concept", J Prosthodont, 15, pp.51~58 (2006)
- Lal K, "Use of stereolithographic templates for surgical and prosthodontic implant planning and placement. Part II. A clinical report", J Prosthodont, 15, pp.117~122 (2006)
- Ozan O, "Clinical accuracy of 3 different types of computed tomography-derived stereolithographic surgical guides in implant placement", J Oral Maxillofac Surg, 67, pp.394~401 (2009)
- van Steenberghe D, "A custom template and definitive prosthesis allowing immediate implant loading in the maxilla : a clinical report", Int J Oral Maxillofac Implants, 17, pp.663~670 (2002)
- van Steenberghe D, "A computed tomographic scan-derived customized surgical template and fixed prosthesis for flapless surgery and immediate loading of implants in fully edentulous maxillae : a prospective multicenter study", Clin Implant Dent Relat Res, 7, pp.S111~S120 (2005)
- Parel SM, "Interactive imaging for implant planning, placement, and prosthesis construction", J Oral Maxillofac Surg, 62, pp.41~47 (2004)
- Marchack CB, "An immediately loaded CAD", CAM-guided definitive prosthesis : a clinical report, 2005, pp.93, 8~12
- Balshi SF, "Surgical planning and prosthesis construction using computed tomography, CAD", CAM technology, and the Internet for immediate loading of dental implants, 2006, pp.18, 312~323
- Balshi SF, "Surgical planning and prosthesis construction using computer technology and medical imaging for immediate loading of implants in the pterygomaxillary region", Int J Periodontics Restorative Dent, 26, pp.239~247 (2006)
- Kupeyan HK, "Definitive CAD", CAM-guided prosthesis for immediate loading of bonegrafted maxilla : a case report, 2006, pp.8, 161~167
- Rosner O, "Use of a provisional restoration as a radiographic guide prior to implant placement", J Prosthet Dent, 96, pp.303~304 (2006)
- Pjetursson BE, "Comparison of survival and complication rates of tooth-supported fixed dental prostheses(FDPs)and implant-supported FDPs and single crowns(SCs)", Clin Oral Implants Res, 18, pp.97~113 (2007)
- Goodacre CJ, "Clinical complications with implants and implant prostheses", J Prosthet Dent, 90, pp.121~132 (2003)
- Maló P, "“All-on-Four” immediate-function concept with Brånemark System implants for completely edentulous mandibles: a retrospective clinical study", Clin Implant Dent Relat Res, 5, pp.2~9 (2003)
- De Rossi M, "All on Four® fixed implant support rehabilitation : a masticatory function study", Clin Implant Dent Relat Res, 16, pp.594~600 (2014)