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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
J Dent Rehabil Appl Sci 2019;35(3):191-198
Published online September 30, 2019
© 2019 Korean Academy of Stomatognathic Function and Occlusion.

오미주, 이종혁*, 송영균
Miju Oh, Jonghyuk Lee*, Young-Gyun Song

단국대학교 치과대학 치과보철학교실

Department of Prosthodontics, College of Dentistry, Dankook University, Cheonan, Republic of Korea
Jonghyuk Lee
Professor, Department of Prosthodontics, College of Dentistry, Dankook University, Dandae-ro 119, Dongnam-gu, Cheonan, 31116, Republic of Korea
Tel: +82-41-550-1975, Fax: +82-41-550-0255, E-mail: hyuk928@chol.com
Received July 31, 2019; Revised August 20, 2019; Accepted August 27, 2019.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
본 증례는 상악골 결손이 있는 무치악 환자에서 3D printing을 이용해 closed hollow bulb obturator로 수복한 증례이다. Magic denture™ 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.
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 denture™ 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.
주요어 : obturator; 상악골 결손; 3D printing; closed hollow bulb
Keywords : obturator; maxillary defect; 3D printing; closed hollow bulb


September 2019, 35 (3)
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