»ó¾Ç ÀüºÎ ¹«Ä¡¾Ç ȯÀÚ¿¡¼­ CAD/CAM ½Ã½ºÅÛÀ¸·Î Á¦À۵Ǵ Pd-Ag ÇÕ±ÝÀ» ÀÌ¿ëÇÑ °íÁ¤¼º ÀÓÇöõÆ® Àü¾Ç ¼öº¹ Áõ·Ê
Maxillary cement retained implant supported fixed prosthesis using the millingable Pd-Ag alloy generated by CAD/CAM system: clinical report after two years in service

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ÀÌÁؽÄ(Lee Jun-Sik) - ´Ü±¹´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
ÇѼ¼Áø(Han Se-Jin) - ´Ü±¹´ëÇб³ Ä¡°ú´ëÇÐ ±¸°­¾Ç¾È¸é¿Ü°úÇб³½Ç
ÃÖÀ¯¼º(Choi Yu-Sung) - ´Ü±¹´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç

Abstract

°ñÈí¼ö°¡ ½ÉÇÑ È¯ÀÚ¿¡¼­ ÀÓÇöõÆ®¸¦ ÀÌ¿ëÇÑ Àü¾Ç ¼öº¹ÀÇ °æ¿ì Ä¡Àº°ú Ä¡¾ÆÀÇ ¿ÜÇüÀ» ½É¹ÌÀûÀ̸鼭µµ ±â´ÉÀûÀ¸·Î ȸº¹Çϱâ À§Çؼ­´Â º¸Ã¶¹° Á¦ÀÛ¿¡ ÀÖ¾î ½ÅÁßÀ» ±âÇØ¾ß ÇÑ´Ù. ÀÌ·¯ÇÑ Àü¾Ç ¼öº¹ Áõ·Ê¿¡¼­ CAD/CAM ½Ã½ºÅÛÀÌ ³ôÀº Á¤È®¼ºÀ» °¡Áö´Â º¸Ã¶¹° Á¦ÀÛÀ» °¡´ÉÇÏ°Ô ÇÔÀ¸·Î½á »ç¿ëÀÌ Áõ°¡ÇÏ°í ÀÖ´Ù. ÃÖ±Ù¿¡ ÀÓ»ó¿¡¼­ ƼŸ´½À̳ª Áö¸£ÄڴϾÆÀÇ ´ÜÁ¡À» º¸¿ÏÇϸ鼭 ³ôÀº »ýüÀûÇÕ¼ºÀ» °¡Áö°í CAD/CAM ½Ã½ºÅÛÀ¸·Î Á¦ÀÛÇÒ ¼ö ÀÖ´Â Æȶóµã-Àº(Pd-Ag) ÇÕ±ÝÀÌ °³¹ßµÇ¾î »ç¿ëµÇ°í ÀÖ´Ù. º» Áõ·Ê¿¡¼­´Â »ó¾Ç ÀüºÎ ¹«Ä¡¾Ç ȯÀÚ¿¡¼­ ÀÓÇöõÆ®¸¦ ½Ä¸³ÇÏ°í µµÀçÀÇ chippingÀ̳ª ÆÄÀýÀÇ À§ÇèÀ» °¨¼Ò½ÃÅ°±â À§ÇØ Pd-Ag ÇÕ±ÝÀ» ÀÌ¿ëÇØ Á¦ÀÛµÈ ÀÓÇöõÆ® °íÁ¤¼º º¸Ã¶¹°·Î ¼öº¹ÇÑ È¯ÀÚ¿¡ ´ëÇØ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
Full-mouth reconstruction of a patient using dental implants is a challenge if there is vertical and horizontal bone resorption. Therefore, it is should be cautious in making the fixed prostheses that restore the function and the esthetics of the gingiva and teeth. In full mouth rehabilitation, CAD/CAM system makes it possible to fabricate restorations with high precision, regardless of span of the restoration. Recently, Palladium-silver (Pd-Ag) alloy which is highly biocompatible and millingable has been developed to compensate for the shortcomings of the titanium or zirconia. This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a Pd-Ag alloy generated by CAD/CAM system on eleven osseointegrated implants. The occluding surfaces were made of Pd-Ag alloy, to decrease the risk of chipping or fracture. The prostheses were esthetically pleasing, and no clinical complications have been reported after two years.

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Pd-Ag ÇÕ±Ý, CAD/CAM ½Ã½ºÅÛ, ½Ã¸àÆ® À¯ÁöÇü º¸Ã¶¹°, ÀÓÇöõÆ® ÁöÁö º¸Ã¶¹°
Pd-Ag alloy, CAD/CAM system, cement-retained prosthesis, implant supported prosthesis
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DOI
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ICD 03
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