디지털 진단 왁스업을 통하여 안모를 고려한 상악 전치부 심미수복 증례
Esthetic restoration of maxillary anterior teeth considering facial features in digital diagnostic wax-up: a case report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
심미 보철 수복에서 심미적인 치료 결과의 예지성을 높이기 위해서는 안모 분석과 치아와 입술과의 관계, 치아의 형태 너비/길이 비율, 치은의 형태 등을 고려해야 한다. 기존에 사용되는 전통적인 진단 왁스업은 환자의 안모를 고려할 수 없으며, 빠른 형태 수정이 불가하다는 한계가 있다. 최근에는 디지털 기술을 이용하여 환자의 안모를 3차원화한 가상 환자를 제작하여 안모와 조화되는 수복물을 디자인할 수 있게 되었다. 이러한 디지털 작업은 효율적일 뿐만 아니라 환자에게 빠르게 시각화된 치료 결과를 제시하여 동기 부여의 효과를 줄 수 있다. 따라서 본 증례는 환자의 안모를 고려한 디지털 진단 왁스업을 통해 심미적인 전치부 보철 수복을 시행하였다.
Abstract
To enhance the predictability of aesthetic treatment outcomes in aesthetic prosthetic restorations, considerations must include analysis of facial features, the relationship between teeth and lips, proportions of tooth width/length, gingival form, and more. Traditional diagnostic wax-ups have limitations in considering the patient’s facial features and are unable to facilitate rapid form modifications. With recent advancements in digital technology, it is now possible to digitize the patient’s facial features in three dimensions, enabling the design of restorations that harmonize with facial features. These digital workflows not only improve efficiency but also provide patients with faster visualization of treatment outcomes, thereby enhancing motivation. Therefore, in this case, a treatment plan is devised to utilize digital diagnostic wax-ups considering the patient’s facial features for the final prosthetic design.
참고문헌 (21)
- Morgan DW, "A diagnostic wax-up technique", J Prosthet Dent, 33, pp.169~177 (1975)
- Abduo J, "Morphological Symmetry of Maxillary Anterior Teeth before and after Prosthodontic Planning : Comparison between Conventional and Digital Diagnostic Wax-Ups", Med Princ Pract, 25, pp.276~281 (2016)
- Sangappa SB, "Patient Satisfaction in Prosthodontic Treatment : Multidimensional Paradigm", J Indian Prosthodont Soc, 12, pp.21~26 (2012)
- Afsharzand Z, "Communication between the dental laboratory technician and dentist : work authorization for fixed partial dentures", J Prosthodont, 15, pp.123~128 (2006)
- Chiche GJ, "Esthetics of Anterior Fixed Prosthodontics", pp.13~32 (1994), Quintessence
- Chiche GJ, "Esthetics of Anterior Fixed Prosthodontics", pp.33~52 (1994), Quintessence
- Tsukiyama T, "Comparison of the anatomic crown width", length ratios of unworn and worn maxillary teeth in Asian and white subjects, 2012, pp.107, 11~16
- Yang HX, "Comparison of maxillary anterior mathematical proportions among 3 dental arch forms", J Prosthet Dent, 130, pp.614~619 (2023)
- Johnston CD, "The influence of dental to facial midline discrepancies on dental attractiveness ratings", Eur J Orthod, 21, pp.517~522 (1999)
- Graber TM, "Orthodontics: current principles and techniques", pp.762~764 (1994), Mosby-Year Book
- Chasens AI, "Periodontal desease, pathologic tooth migration and adult orthodontics", N Y J Dent, 49, pp.40~43 (1979)
- Brunsvold MA, "Pathologic tooth migration", J Periodontol, 76, pp.859~866 (2005)
- Duncan WJ, "Realignment of periodontally-affected maxillary teeth-A periodontist’s perspective. Part II : Case reports", N Z Dent J, 93, pp.117~123 (1997)
- Melsen B, "Intrusion of incisors in adult patients with marginal bone loss", Am J Orthod Dentofacial Orthop, 96, pp.232~241 (1989)
- Steffensen B, "Orthodontic intrusive forces in the treatment of periodontally compromised incisors : A case report", Int J Periodontics Restorative Dent, 13, pp.433~441 (1993)
- Ericsson I, "Orthodontic forces and recurrence of periodontal disease. An experimental study in the dog", Am J Orthod, 74, pp.41~50 (1978)
- Polson A, "Periodontal response after tooth movement into intrabony defects", J Periodontol, 55, pp.197~202 (1984)
- Fradeani M, "Esthetic rehabilitation in fixed prosthodontics Volume 1. Esthetic analysis: a systematic approach to prosthetic treatment", pp.16~31 (2004), Quintessence
- Ahmad I, "Anterior dental aesthetics : facial perspective", Br Dent J, 199, pp.15~21 (2005)
- Matthews TG, "The anatomy of a smile", J Prosthet Dent, 39, pp.128~134 (1978)
- Eissman H, "Dental Porcelain: The state of the Art, 1977", pp.297~ (1977), University of Southern California, School of Dentistry
