컴퓨터보조 기반 점막지지 서지컬템프레이트를 이용한 하악전치부 임플란트 식립
Implant Fixture Installation in the Anterior Mandible by Use of a Mucosa Supported Surgical Template Based on Computer Assisted Treatment Planning
이지호, 김성민, 김명주, 박정민, 서미현, 명훈, 이종호, 김명진,
소속 상세정보
이지호 ( Lee Jee-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
김명주 ( Kim Myung-Joo ) - 서울대학교 치의학대학원 치과보철학교실
박정민 ( Park Jung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
서미현 ( Seo Mi-Hyun ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
김명진 ( Kim Myung-Jin ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0360120110330020158
Abstract
A 73-year-old Korean female patient with a fully edentulous mandible was planned to have five implant fixtures installed in the anterior mandible for the fixed prosthesis. After 3-dimensional (3D) computed tomographic scanning was transferred to OnDemand3Dⓡ (Cybermed Co., Seoul, Korea) software program for the virtual planning, five fixtures of MK III Groovy RP implants of Branemark Systemⓡ (Nobel Biocare AB Co., Goteborg, Sweden) were installed in the anterior mandible between both mental foramens using In2Guideⓡ (CyberMed Co., Seoul, Korea) mucosa-supported surgical template with Quick Guide Kitⓡ (Osstem Implant Co., Seoul, Korea) systems. Fixture installations were completed successfully without any complications, such as mental nerve injury, bony bleedings, fenestrations and other unexpected events. Postoperative computed tomographic scans were aligned and fused to the planned implant, then angular and linear deviations were compared with the planned virtual implants. The mean angular deviation between the planned and actual implant axes was 3.422±1.336o. The mean distance between the planned and actual implant at the neck area was 0.544±0.290 mm horizontally and 0.118±0.079 mm vertically. The average distance between the planned and actual implant at the apex area was 1.166±0.566 mm horizontally and 0.14±0.091 mm vertically. These results could be considered more precise and accurate than previous reports, and even our recent results. The entire procedures of this case are reported and reviewed.
키워드
Angular deviation; Computer assisted treatment planning; Linear deviation; Mucosa supported surgical template; Virtual planning
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