상악골 결손부 환자에서 3D printing을 이용한 closed hollow bulb obturator 수복 증례
Prosthetic rehabilitation for a maxillectomy patient using 3D printing assisted closed hollow bulb obturator: a case report
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 증례는 상악골 결손이 있는 무치악 환자에서 3D printing을 이용해 closed hollow bulb obturator로 수복한 증례이다. Magic dentureTM 시스템(Cozahn, Seoul, Korea)에서 제공하는 트레이와 인상법을 이용하여 구내 인상을 채득하였고, 시적의치상에서 수직고경과 안모, 유지력 등을 확인하였다. 환자가 요구하는 바와 오차를 시적의치에서 수정한 후 이를 반영하였다. 의치의 무게를 줄이고 균일한 두께를 부여하기 위해 상악골 결손부위를 closed hollow bulb로 디자인하여 최종의치상을 프린팅하였다. 치료 후 심미적 및 기능적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.
Abstract
This case report presents a closed hollow bulb obturator made by 3D printing for a maxillectomy patient. Final impression was taken according to the instructions and impression trays provided by the Magic dentureTM system. Vertical dimension, facial appearance, and retention had been checked with the try-in denture. The try-in denture was corrected and adjusted to fulfill the demand of the patients, then these were reflected to the final design of the denture. The defect area was designed as a closed hollow bulb shape to reduce the weight and to provide uniform thickness of the denture. The patient satisfied with the esthetics and function of the denture.
참고문헌 (16)
- Irish J, "Quality of life in patients with maxillectomy prostheses", Head Neck, 31, pp.813~821 (2009)
- Keyf F, "Obturator prosthesis for hemimaxillectomy patients", J Oral Rehabil, 28, pp.821~829 (2001)
- Wang RR, "Sectional prosthesis for total maxillectomy patients: a clinical report", J Prosthet Dent, 78, pp.241~244 (1997)
- Buzayan MM, "The hollow bulb obturator fabrication, where do we stand in 2017", Periodont Prosthodont, 3, pp.10~ (2017)
- Brown KE, "Fabrication of a hollow-bulb obturator", J Prosthet Dent, 21, pp.97~103 (1969)
- C. H. Vamsi Krishna, "Fabrication of a hollow bulb prosthesis for the rehabilitation of an acquired total maxillectomy defect", Case Reports, 2014(mar26 1), pp.bcr2013201400~bcr2013201400 (2014), BMJ[DOI]
- Dawood A, "3D printing in dentistry", Br Dent J, 219, pp.521~529 (2015)
- Tasopoulos T, "Fabrication of a 3D printing definitive obturator prosthesis: a clinical report", Acta Stomatol Croat, 51, pp.53~58 (2017)
- Kattadiyil MT, "Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting", J Prosthet Dent, 114, pp.818~825 (2015)
- Brown JS, "A modified classification for the maxillectomy defect", Head Neck, 22, pp.17~26 (2000)
- Habib BH, "Fabrication of a closed hollow obturator", J Prosthet Dent, 91, pp.383~385 (2004)
- Sreeramulu B, "Alternative technique for fabrication of hollow bulb obturator for hemimaxillectomy patient - a case report", Int J Healthcare Biomed Res, 3, pp.139~143 (2014)
- Patil PG, "Lost wax-bolus tech- Prosthetic rehabilitation for a maxillectomy patient using 3D printing assisted closed hollow bulb obturator: a case report nique to process closed hollow obturator with uniform wall thickness using single flasking procedure", J Indian Prosthodont Soc, 17, pp.84~88 (2017)
- Shrestha B, "Fabrication of closed hollow bulb obturator using thermoplastic resin material", Case Rep Dent, 2015, pp.504561~ (2015)
- Ushijima M, "Changes in lip forms on three-dimensional images with alteration of lip support and", or occlusal vertical dimension in complete denture wearers, 2013, pp.57, 113~121
- Kamashita Y, "Influence of lip support on the soft-tissue profile of complete denture wearers", J Oral Rehabil, 33, pp.102~109 (2006)