선천적 상악 우측 중절치 결손 환자에서 DSD (digital smile design)를 이용한 전치부 수복 증례
Anterior esthetic restoration using DSD (digital smile design) for a patient with congenital missing tooth of maxillary central incisor
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초록
상악 전치부의 보철 수복은 치과 분야에서 심미성이 크게 요구되는 치료이다. 상악 전치부의 보철 수복을 통하여 치아의 외형, 배열, 색조 등을 개선하면 심미성을 향상시키는 것이 가능하다. 특히 전치부 심미 수복을 위해서는 진단과정에서 환자의 안모 및 치아와 입술과의 관계, 치아와 치은 관계 등을 평가하고, 환자가 요구하는 바를 정확히 파악할 필요가있다. 환자와 술자 및 기공사 간의 원활한 의사소통을 통하여 환자의 요구사항을 충실히 반영하기 위한 도구로서 DSD (digital smile design) 개념을 적용할 수 있다. 이 증례에서는 상악 중절치의 선천적 결손으로 인하여 대칭성을 구현하기불가능한 상황에서 DSD를 활용하여, 환자 안모와 상악 전치부의 전체적인 조화를 추구하는 것을 목표로 하였으며, 이를 통해 환자와 술자 모두 만족할 만한 심미적인 결과를 얻었기에 이를 보고하고자 한다.
Abstract
The prosthodontic treatments in maxillary anterior teeth focus on achieving esthetic appearances. It is possible to improve the esthetic appearance by adjusting the shape, arrangement, and color of the maxillary anterior teeth. For anterior teeth restoration, it is necessary to evaluate the relationship of teeth, lip and gingival architecture with the facial profile of patient. Also, clinician needs to fully understand what the patient wants to. DSD (digital smile design) concept can be applied as a tool to improve communication with the clinician, technician and patient. In addition, DSD can help to meet the needs of the patient. In this case, it was impossible to achieve symmetry due to congenital missing of maxillary central incisor. The definitive treatment goal was to get the harmony of maxillary anterior teeth, lip and the patient’s face. This case report describes that the patient and clinician got the satisfying esthetic outcome by using DSD.
참고문헌 (18)
- Mclaren EA, "Smile analysis the photoshop smile design technique: Part I", J Cosmet Dent, 29, pp.94~108 (2013)
- Paolucci B, "Visagism: The art of dental composition", Quintessence Dent Technol, 35, pp.187~200 (2012)
- Coachman C, "Digital smile design: a tool for treatment planning and communication in esthetic dentistry", Quintessence Dent Technol, 35, pp.103~111 (2012)
- Sulikowski A, "Three-dimensional management of dental proportions: a new esthetic principle-“The frame of reference", Quintessence Dent Technol, 25, pp.8~20 (2002)
- Marcushamer E, "Anatomical crown width", length ratios of worn and unworn maxillary teeth in Asian subjects, 2011, pp.31, 495~503
- Sabri R, "The eight components of a balanced smile", J Clin Orthod, 39, pp.155~167 (2005)
- Chu SJ, "Gingival zenith positions and levels of the maxillary anterior dentition", J Esthet Restor Dent, 21, pp.113~120 (2009)
- Bagby M, "Metal ceramic compatibility: a review of the literature", J Prosthet Dent, 63, pp.21~25 (1990)
- Magne P, "The esthetic width in fixed prosthodontics", J Prosthodont, 8, pp.106~118 (1999)
- Isgrò G, "The influence of the veneering porcelain and different surface treatments on the biaxial flexural strength of a heat-pressed ceramic", J Prosthet Dent, 90, pp.465~473 (2003)
- Coachman C, "Interdisciplinary treatment planning. Vol 2: Comprehensive case studies", pp.119~174 (2012), Quintessence;
- 신세준, "전치부의 심미 수복을 위하여 Digital Smile Design을 적용한 증례", 대한치과보철학회지, 55(2), pp.164~170 (2017), 대한치과보철학회[DOI]
- Meereis CT, "Digital smile design for computer- assisted esthetic rehabilitation: two-year followup", Oper Dent, 41, pp.E13~E22 (2016)
- Lin WS, "Predictable Restorative Work Flow for Computer- Aided Design", Computer-Aided Manufacture- Fabricated Ceramic Veneers Utilizing a Virtual Smile Design Principle, 2015, pp.40, 357~363
- Pimentel W, "Predictable outcomes with porcelain laminate veneers: a clinical report", J Prosthodont, 25, pp.335~340 (2016)
- Zanardi PR, "The use of the digital smile design concept as an auxiliary tool in aesthetic rehabilitation: a case report", Open Dent J, 10, pp.28~34 (2016)
- Zandinejad A, "Digital workflow for virtually designing and milling ceramic lithium disilicate veneers: a clinical report", Oper Dent, 40, pp.241~246 (2015)
- Trushkowsky R, "Digital Smile Design concept delineates the final potential result of crown lengthening and porcelain veneers to correct a gummy smile", Int J Esthet Dent, 11, pp.338~354 (2016)