½ÉÇÑ ±³¸ð¿Í ±¸Ä¡ºÎ »ó½ÇÀ» º¸À̴ ȯÀÚÀÇ Àü¾Ç ¼öº¹: Jaw motion tracking°ú digital workflow¸¦ È°¿ëÇÑ Áõ·Ê º¸°í
Full-mouth rehabilitation of severely attrited dentition with missing posterior teeth: a case report using digital workflow with jaw motion tracking
¹ÚÂù¿µ, ÀÌ¿µÈÄ, È«¼ºÁø, ¼Û¿ø±Ù, ³ë°üÅÂ, ¹è¾Æ¶õ, ±èÇü¼·, ±Ç±à·Ï,
¼Ò¼Ó »ó¼¼Á¤º¸
¹ÚÂù¿µ ( Park Chan-Young ) -
ÀÌ¿µÈÄ ( Lee Young-Hoo ) -
È«¼ºÁø ( Hong Seoung-Jin ) -
¼Û¿ø±Ù ( Song Won-Keun ) -
³ë°üÅ ( Noh Kwan-Tae ) -
¹è¾Æ¶õ ( Pae Ah-Ran ) - °æÈñ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
±èÇü¼· ( Kim Hyeong-Seob ) -
±Ç±à·Ï ( Kwon Kung-Rock ) -
Abstract
ÃÖ±Ù ´Ù¾çÇÑ Áõ·Ê º¸°í¿¡¼ ¼Ò°³µÇ°í ÀÖ´Â jaw motion trackingÀº ȯÀÚÀÇ ¾È±Ã ÀÌÀü ¹× °³º°ÈµÈ ÇÏ¾Ç ¿îµ¿ °æ·Î¸¦ ±â·ÏÇÑ ÈÄ, À̸¦ computer-aided-design/computer-aided-manufacturing (CAD-CAM) ¼ÒÇÁÆ®¿þ¾îÀÇ °¡»ó°ø°£»ó¿¡ ÀçÇöÇÏ´Â ¹æ¹ýÀÌ´Ù. º» Áõ·ÊÀÇ È¯ÀÚ´Â ¿À·£ ±â°£ ±¸Ä¡ºÎÀÇ »ó½Ç·Î ÀÎÇØ ±³ÇÕÆò¸éÀÇ ºØ±«°¡ °üÂûµÇ¾ú±â¿¡, ¼öÁ÷ ±³ÇÕ °í°æÀÇ Áõ°¡¸¦ µ¿¹ÝÇÑ ¿ÏÀü ±¸° ȸº¹¼úÀ» °èȹÇÏ¿´´Ù. ¿ì¼± jaw motion trackingÀ» ÁøÇàÇÏ¿© »õ·Î¿î Áß½ÉÀ§ »ó¿¡¼ ȯÀÚÀÇ ÇÏ¾Ç ¿îµ¿À» ±â·ÏÇÑ ÈÄ, ÀÌ Á¤º¸¸¦ ȯÀÚÀÇ ÃÊÁø ±¸³» µ¥ÀÌÅÍ ¹× 3Â÷¿ø ¾È¸é ½ºÄµ µ¥ÀÌÅÍ¿Í Á¶ÇÕÇÏ¿© °¡»ó ȯÀÚ¸¦ »ý¼ºÇÏ¿´´Ù. °¡»ó ȯÀÚ »ó¿¡¼ ÁøÇàÇÑ µðÁöÅÐ ¿Î½º¾÷°ú ÀÓÇöõÆ® ½Ä¸³ °èȹÀ» ¹ÙÅÁÀ¸·Î Àӽà º¸Ã¶¹°À» Á¦ÀÛÇÏ¿´´Ù. »õ·Ó°Ô ¼³Á¤µÈ ¼öÁ÷ ±³ÇÕ °í°æ »ó¿¡¼ ÀûÀýÇÑ °ßÄ¡ À¯µµ¸¦ º¸ÀÌ´Â Àӽà º¸Ã¶¹°ÀÇ °ËÁõÀ» ÅëÇØ, ÃÖÁ¾ º¸Ã¶¹°·Î ÀÌÇàÇÏ¿´´Ù. ÀÌó·³ µðÁöÅÐ Ä¡ÀÇÇÐ ±â¼úÀÇ ÀåÁ¡À» È°¿ëÇÏ¿© ȯÀÚ´Â ÀúÀÛ´É°ú ½É¹Ì¼ºÀÇ °³¼±¿¡ ¸¸Á·ÇÏ¿´±â¿¡ º» Áõ·Ê¸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
Jaw motion tracking, which is introduced in recent case reports, is a method which records the patient¡¯s individualized pathway of the mandibular movements along with facebow transfer, and reproduces the information in the virtual space of computer-aided-design/computer-aided-manufacturing (CAD-CAM) software. In this present case, a collapse of the occlusal plane was observed, due the loss of posterior teeth for a long period. Full-mouth rehabilitation with an increase in the occlusal vertical dimension was planned. First, the patient¡¯s mandibular movements were recorded on the newly established jaw relation by jaw tracking, and this information was assembled with the patient¡¯s intraoral data to create a virtual patient. Implant planning and diagnostic wax-up was done on the virtual patient, leading the fabrication of the provisional prosthesis. On the newly established jaw relation with an increase in the occlusal vertical dimension, canine guidance of the provisional prosthesis was checked. Finally, the provisional prosthesis was carried out to the definitive prosthesis. Using the advantages of the technologies in the digital dentistry, the patient was satisfied with the function and the esthetics after the treatment.
Å°¿öµå
µðÁöÅÐ Ä¡ÀÇÇÐ; °¡»ó ±³ÇÕ±â; ¿ÏÀü ±¸° ȸº¹; Ä¡¾ÆÀÇ ±³¸ð
Digital dentistry; Virtual articulator; Full-mouth rehabilitation; Tooth wear
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸