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심미보철 수복을 위한 3차원 안면스캔과 가상 보철물 시각화를 이용한 디지털 치료 증례
Digital approach integrating 3D facial scan and a virtual mockup for esthetic restorative treatment: A case report 원문보기

대한치과보철학회지 = The journal of Korean academy of prosthodontics, v.57 no.4, 2019년, pp.425 - 431  

마이해엔 (경북대학교 치과대학 치과보철학교실) ,  최용도 (경북대학교 치과대학 치과보철학교실) ,  이두형 (경북대학교 치과대학 치과보철학교실)

초록
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본 임상증례는 전치부 영역에서 안면영상, 콘빔 컴퓨터 단층촬영 그리고 구내 스캔영상을 이용하여 보철물을 시각화하는 과정을 보여준다. 이러한 접근 방식은 임상과 기공 그리고 환자 측과의 소통을 향상시킨다. 환자가 상악 중절치의 외상 후 보철치료를 위해 내원하였고, 전신 건강 상태는 양호하였다. 안면연상, 콘빔 컴퓨터 단층촬영 그리고 구내 스캔영상을 이용하여 가상 환자 모형을 제작하였다. 최종 보철물의 제작 전 보철물 디자인 영상이 환자에게 제시되었고, 환자의 의견을 반영하여 형태를 수정하였다. 이러한 디지털 작업 과정은 최적의 심미 보철물의 제작을 용이하게 하고, 보철물의 예측성을 향상시킨다.

Abstract AI-Helper 아이콘AI-Helper

This clinical case report describes the digital workflow that combines a face scan, cone beam computed tomography and an intraoral scan to visualize the outcome of prosthodontic treatment in the anterior region. This approach improves communication between clinic, laboratory and patients. A patient ...

주제어

AI 본문요약
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제안 방법

  • Based on the merged image, the restorations of laminate and complete crown were designed under consideration of the patient smile and esthetics lines using Digital Oral Design module in R2Gate (MegaGen, Daegue, Korea) (Fig. 5). The designed restoration was shown to the patient in clinic as a virtual mock-up on a 3D face scan of the patient to get the patient’s feedback.
  • The designed virtual restorations were transfer to CAD software (R2CAD, MegaGen, Daegu, Korea), and revised based on the patient’s feedback in collaboration with the dentist professional considerations. The confirmed design was exported to a 5-axis milling machine (Ceramill Motion 2, Amann Girrbach, Koblach, Germany) to produce the definitive restorations using a hybrid ceramic block (VITA Enamic, Amann Girrbach, Koblach, Germany) for the laminate veneer and a zirconia block (Zolid fx white, Amann Girrbach, Koblach, Germany) for the complete crown. The definitive restorations were delivered to the patient, and the patient was satisfied with the predictability of treatment workflow and esthetics of the restorations (Fig.
  • The designed restoration was shown to the patient in clinic as a virtual mock-up on a 3D face scan of the patient to get the patient’s feedback.
  • The designed virtual restorations were transfer to CAD software (R2CAD, MegaGen, Daegu, Korea), and revised based on the patient’s feedback in collaboration with the dentist professional considerations.
  • 16,17 More recently, the concept of applying facial scanning for esthetic analysis during the design phase of dental restorations has been introduced in prosthodontics.18 The main idea is to integrate a virtual teeth setup with a replica of the patient face and to digitally evaluate the impact of changing teeth positions, forms, and colors on facial appearance. The 3D design information obtained from this virtual clinical evaluation phase can then be used to fabricate mockups or provisional restorations.
  • A virtual setup phase might be a good option to provide the patient and the treatment provider with a tool regarding the facial appearance of the prospective definitive restoration. The purpose of this clinical case is to propose a digital approach integrating 3D facial scanning, a virtual mockup and direct conversion of design to definitive restoration in the workflow of a restorative treatment.
  • The occlusal plane was not altered. The two central maxillary incisors were indicated to be restored with a laminate veneer on #11 tooth and a monolithic zirconia crown on #21 tooth and chosen using the stepwise procedure with a virtual mock-up on 3D face scan to increase the esthetic results.
  • The underlying bone morphology was obtained by using the CBCT-scan device with a field of view of 120 × 85 mm, voxel size of 0.2 mm, exposure conditions of 80 kVp, 8 mA, and a 24-s pulsed scan (Fig. 1B).
  • This clinical report describes a digital treatment workflow based on the combination of face and oral cavity scans to create a 3D virtual patient for the clinical and laboratory phases of an esthetic treatment with a laminate veneer and a monolithic zirconia crown in the anterior region. Within the limit of this report, the digital workflow has the potential to enhance the predictability of esthetic outcomes.

대상 데이터

  • A 39-years-old male patient came for esthetic treatment for maxillary central incisors. The extraoral examination showed no deviation in the facial and dental midlines.
본문요약 정보가 도움이 되었나요?

참고문헌 (27)

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