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단일구조 수복용 지르코니아와 Dental CAD/CAM System을 이용한 전악 임플란트 고정성 보철 수복 증례
Full mouth rehabilitation of a patient using monolithic zirconia and dental CAD/CAM system: a case report
J Dent Rehabil Appl Sci 2018;34(3):196-207
Published online September 30, 2018
© 2018 Korean Academy of Stomatognathic Function and Occlusion.

이상훈, 윤형인, 여인성, 한중석, 김성훈*
Sang-Hoon Lee, Hyung-In Yoon, In-Sung Yeo, Jung-Suk Han, Sung-Hun Kim*

서울대학교 치의학대학원 치과보철학교실

Department of Prosthodontics, School of Dentistry, Seoul National University, Seoul, Republic of Korea
Sung-Hun Kim
Professor, Department of Prosthodontics, School of Dentistry, Seoul National University, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
Tel: +82-2-2072-2661, Fax: +82-2-2072-3860, E-mail:
Received May 10, 2018; Revised July 21, 2018; Accepted August 6, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
임플란트의 장기적인 안정을 위해서는 이상적인 위치와 각도로 임플란트를 식립하는 것이 중요하며, 이를 위해서는 정확한 계획에 따른 정확한 수술과 보철이 중요하다. 본 증례에서는 치조골 흡수가 심하게 진행된 환자에서 CT data 및 진단왁스업을 스캔한 data를 이용하여 CT guided surgery를 시행하고, 단일구조 수복용 지르코니아와 CAD/CAM technique을 이용하여 전악 임플란트 고정성 보철로 수복하여 기능 및 심미적으로 만족할만한 결과를 얻었기에 이를 보고하고자 한다.
An accurate implant placement with ideal location is significant for long-term success of the implant. An exact evaluation of nearby anatomic structures such as quality of residual bone, an inferior alveolar bone and a maxillary sinus is required. For a prosthetic-driven treatment, planned surgery, precise prosthesis and communication with the patient are significant requisites especially for full-mouth rehabilitation. In this case, the patient with severe alveolar bone resorption had a CT guided surgery supported by CT data and the data from scanning diagnostic wax-up. Afterward, edentulous area was restored by full mouth implant-supported prosthesis by using monolithic zirconia and CAD/CAM technique. This paper reports the outcome of the procedure which was remarkable both esthetically and functionally.
주요어 : 전악구강회복; 임플란트지지 고정성 보철물; 단일구조수복용 지르코니아; guided surgery; computer-aided design/computer-aided manufacturing (CAD/CAM)
Keywords : full mouth rehabilitation; implant supported fixed restoration; monolithic zirconia; guided surgery; computer-aided design/computer-aided manufacturing (CAD/CAM)

September 2018, 34 (3)
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