안면스캔 데이터와 임시의치를 복제한 개인 트레이를 활용하여 CAD/CAM을 통한 monolithic disc로 제작한 총의치 수복: 증례 보고
Fabrication of complete dentures made with monolithic discs through CAD/CAM using facial scan data and individual tray duplicating temporary denture: a case report
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초록
최근 치의학 분야에서 디지털 기술이 발달함에 따라 computer-aided design-computer-aided manufacturing (CAD/CAM)을 이용한 의치 제작 진료 단계의 변화를 가져왔다. CAD/CAM 기술을 이용한 의치 제작 방식은 제작기간과 내원 간격의 단축으로 임상적인 효율성과 편리함을 제공함과 동시에 기공을 단순화하여 오류 발생을 감소시켰다. 본 증례는 복잡한 병력과 신체적 장애를 가진 환자에게 기존의 임시의치를 디지털 방식으로 복제 및 출력하여 개인 트레이로 활용하였고, 부가중합형 실리콘 인상재로 채득한 최종 인상체에는 수직고경과 중심위, 상악 전치부의 각도 및 길이에 대한 정보가 포함되어 있으며 이를 통해 제작 기간과 내원 간격을 단축하여 환자의 만족도를 높일 수 있었다. 최종 의치는 밀링 방식 및 monolithic disc를 이용하여 제작하였고, 적절한 안정과 유지, 지지를 보여 기능적, 심미적으로 만족스러운 결과를 얻을 수 있었다.
Abstract
As digital technology has advanced in the field of dentistry, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) has brought changes to the stages of dental treatment. The use of CAD/CAM technology in dental restoration offers clinical efficiency and convenience by reducing production time and appointment intervals, while also simplifying the fabrication process to reduce errors. In this case, digital replication and printing of temporary teeth were used to aid a patient with complex medical histories and physical disabilities. The final impression obtained with silicone impression material included information on the vertical dimension, centric relation, and the angle and length of the anterior teeth, which shortened the production time and appointment intervals and increased patient satisfaction. The final restoration was fabricated using milling and monolithic disc techniques, demonstrating appropriate stability, retention, and support, resulting in functional and aesthetic satisfaction.
참고문헌 (17)
- Maeda Y, "A CAD", CAM system for removable denture. Part I : Fabrication of complete dentures, 1994, pp.7, 17~21
- Goodacre CJ, "CAD", CAM fabricated complete dentures : concepts and clinical methods of obtaining required morphological data, 2012, pp.107, 34~46
- Dusmukhamedov S, "Digital denture fabrication : a technical note", Appl Sci, 11, pp.8093~ (2021)
- Miyazaki T, "A review of dental CAD", CAM : current status and future perspectives from 20 years of experience, 2009, pp.28, 44~56
- 이정진, "총의치 제작에 적용 가능한 디지털 기술과 임상적 고찰", 대한치과의사협회지, 57(9), pp.534~543 (2019), 대한치과의사협회[DOI]
- Goodacre BJ, "Comparison of denture tooth movement between CAD-CAM and conventional fabrication techniques", J Prosthet Dent, 119, pp.108~115 (2018)
- Patzelt SB, "Assessing the feasibility and accuracy of digitizing edentulous jaws", J Am Dent Assoc, 144, pp.914~920 (2013)
- Kattadiyil MT, "CAD", CAM complete dentures : a review of two commercial fabrication systems, 2013, pp.41, 407~416
- Zeidan AAE, "Evaluation of the effect of different construction techniques of CAD-CAM milled, 3D-printed, and polyamide denture base resins on flexural strength : an in vitro comparative study", J Prosthodont, 32, pp.77~82 (2022)
- Aguirre BC, "Flexural strength of denture base acrylic resins processed by conventional and CADCAM methods", J Prosthet Dent, 123, pp.641~646 (2020)
- Ayman AD, "The residual monomer content and mechanical properties of CAD", CAM resins used in the fabrication of complete dentures as compared to heat cured resins, 2017, pp.9, 4766~4772
- Steinmassl O, "Influence of CAD", CAM fabrication on denture surface properties, 2018, pp.45, 406~413
- Hamza TA, "Accuracy of ceramic restorations made with two CAD", CAM systems, 2013, pp.109, 83~87
- Lo Russo L, "Assessment of tooth displacement during the cast-free digital processing of milled dentures", J Prosthet Dent, 129, pp.199~204 (2023)
- Afnan F. Al-Fouzan, "Adherence of Candida to complete denture surfaces in vitro: A comparison of conventional and CAD", CAM complete dentures, 2017, pp.9(5), 402~408[DOI]
- Maragliano-Muniz P, "Incorporting digital dentures into clinical practice : flexible work flows and improved clinical outcomes", J Prosthodont, 30, pp.125~132 (2021)
- Silva NRFA, "Innovative subtractive production of a digital removable complete denture from start to finish : a JPD Digital video presentation", J Prosthet Dent, 127, pp.1~5 (2022)