¹ßÇàÀÏ: 2005.05.01, 729p, Ä®¶óÀμâ
ÃâÆÇ: ¸í¹®ÃâÆÇ»ç
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1Àå Implant »óºÎ ±¸Á¶¹° Á¦ÀÛÀ» À§ÇÑ impression methods ¡¡ 1 Impression time 2 Classification (1) ¸ñÀû¿¡ µû¸¥ ºÐ·ù (2) Impression level¿¡ µû¸¥ ºÐ·ù 1) Fixture level impression 2) Abutment level impression (3) Impression coping¿¡ µû¸¥ ºÐ·ù 1) Transfer type impression / 2) Pick-up type impression (4) Solid abutment¸¦ ÀÌ¿ëÇÏ´Â internal connection system 3 Implant ½Ä¸³ ´çÀÏ impression(index)¸¦ äµæÇÏ´Â °æ¿ì 4 Guided gingival formÀ» ¸ðÇü»ó¿¡ Ç¥ÇöÇϱâ À§ÇÑ Àλóäµæ ¹æ¹ý 5 Conventional impression method
2Àå Master modelÀÇ Á¦ÀÛ
3Àå Implant abutment system
1 ´Ù¾çÇÑ abutmentÀÇ ÃâÇö 2 Implant abutment ¼±Åýà °í·Á»çÇ× 3 Implant system¿¡ µû¸¥ abutmentÀÇ Á¾·ù 4 Implant »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ °úÁ¤ - Replace select systemÀ» ÅëÇÑ implant »óºÎ ±¸Á¶¹° Á¦ÀÛ °úÁ¤ÀÇ ÀÌÇØ 5 External connection system V/S internal connection system
6 º¸Ã¶Àû °üÁ¡¿¡¼ ¹Ù¶óº» fixture / abutment connection typeÀÇ ¼±Åà 7 UCLA abutment¿¡ ´ëÇÑ ÀÌÇØ
4Àå Table Clinic - OSSTEM implant systemÀ» ÀÌ¿ëÇÑ implant »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ °úÁ¤
1 External connection system (1)Cemented abutment (2)Esthetic abutment (3)UCLA abutment (ÀüÄ¡ºÎ) (4)UCLA abutment (±¸Ä¡ºÎ) (5)SCRP abutment 2 Internal connection system (1)Solid abutment (Option A) (2)ComOcta cemented abutment (3)Octa abutment (±¸Ä¡ºÎ) (4)Octa abutment (ÀüÄ¡ºÎ)
5Àå Case Presentation - Part I OSSTEM implant system ¡¡ 1 OSSTEM implant systemÀÇ solid abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê -Implant »óºÎ ±¸Á¶¹°ÀÇ ¿¬°á ¹æ½Ä 2 OSSTEM implant systemÀÇ Excellent solid abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê (1)Regular platformÀÇ fixture¿¡¼ Excellent solid abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê (2) Wide neck implant fixture¿¡¼ Excellent solid abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê 3 OSSTEM systemÀÇ ComOcta cemented abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê -Solid abutment¿Í ComOcta cemented abutmentÀÇ ºñ±³ 4 OSSTEM systemÀÇ ComOcta cemented abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê -»óºÎ ±¸Á¶¹°ÀÇ ±³ÇÕ¸é Àç·á¿¡ ´ëÇÑ °í·Á »çÇ× 5 OSSTEM systemÀÇ ComOcta cemented abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê -ImplantÀÇ ½Ä¸³ À§Ä¡°¡ ÆòÇàÇÏÁö ¾ÊÀ» °æ¿ì °¢µµ¸¦ ¼öÁ¤ÇÏ´Â ¹æ¹ý -ImplantÀÇ ½Ä¸³ À§Ä¡°¡ ÆòÇàÇÏÁö ¾Ê¾Æ Angled abutment¸¦ »ç¿ëÇÑ Áõ·Ê
6 OSSTEM systemÀÇ ComOcta cemented abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê -Wide diameter implant V/S Double implant 7 OSSTEM systemÀÇ ComOcta-Plus cemented abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê 8 OSSTEM systemÀÇ ComOcta & ComOcta-Plus cemented abutment(Internal)¿Í external connection typeÀÇ cemented abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê -Cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ º¯¿¬ À§Ä¡ 9 OSSTEM systemÀÇ angled abutment¸¦ ÀÌ¿ëÇÑ Áõ·Ê
6Àå Case presentation - Part II XiVE implant system
1 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #46ÀÇ ¼öº¹ Áõ·Ê -XiVE implant systemÀÇ impression methods 2 ±³Á¤ Ä¡·á ÈÄ XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #46ÀÇ ¼öº¹ Áõ·Ê -Zirconia copingÀ» ÀÌ¿ëÇÑ AllCeramic restoration (Áõ·Ê 1, 2, 3) 3 #35, #45 ºÎÀ§ÀÇ space regaining ÈÄ cemented typeÀ¸·Î Á¦ÀÛÇÑ Áõ·Ê 4 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #36, #37ÀÇ ¼öº¹ Áõ·Ê -EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ cemented type »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ °úÁ¤ 5 XiVE systemÀÇ TempBase¸¦ ÀÌ¿ëÇÑ provisional restoration Á¦ÀÛ ÈÄ ÃÖÁ¾ »óºÎ ±¸Á¶¹°À» Á¦ÀÛÇÑ Áõ·Ê
6 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #34, 35, 36, 37ÀÇ ¼öº¹ Áõ·Ê -»óºÎ ±¸Á¶¹°À» À§ÇÑ metal framework(Coping)ÀÌ Àß ¸ÂÁö ¾Ê´Â °æ¿ì °Ë»ç »çÇ× -Multiple implant restorationÀÇ °æ¿ì splinting ¿©ºÎ¿¡ ´ëÇÑ °í·Á »çÇ× -Implant »óºÎ ±¸Á¶¹°ÀÇ º¸Ã¶Àû ¼³°è¿¡ ´ëÇÑ °í·Á »çÇ× 7 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÏ¿© #35, 36, 37, #45, 46, 47 ºÎÀ§¸¦ cement À¯ÁöÇüÀ¸·Î ¼öº¹ÇÑ Áõ·Ê 8 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #46, #47ÀÇ ¼öº¹ Áõ·Ê -XiVE systemÀÇ transversal screw¸¦ ÀÌ¿ëÇÑ screw À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ -ITI sysemÀÇ SynOcta TS abutment¸¦ ÀÌ¿ëÇÑ screw typeÀÇ »óºÎ ±¸Á¶¹° Á¦ÀÛ 9 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #13, 11, 22ÀÇ ¼öº¹ Áõ·Ê 10 XiVE systemÀÇ AuroBase¸¦ ÀÌ¿ëÇÑ screw-retained typeÀÇ »óºÎ ±¸Á¶¹° Á¦ÀÛ -TempBase¸¦ ÀÌ¿ëÇÑ provisional restorationÀÇ Á¦ÀÛ
11 XiVE systemÀÇ EsthetiBase abutment¸¦ ÀÌ¿ëÇÑ #41ÀÇ ¼öº¹ Áõ·Ê -ProTect¸¦ ÀÌ¿ëÇÑ provisional restorationÀÇ Á¦ÀÛ 12 XiVE systemÀÇ MP abutment¸¦ ÀÌ¿ëÇÑ screw À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ -XiVE systemÀÇ MP abutment¿¡ ´ëÇÑ ÀÌÇØ / *MP abutment¸¦ ÀÌ¿ëÇÑ »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê 1, 2, 3 -Screw looseningÀÌ ÀϾ ¼ö ÀÖ´Â ¿äÀΰú ÀÌ°Í¿¡ ´ëÇÑ ¹æÁöÃ¥ 13 XiVE systemÀÇ EsthetiBase abutment¿Í AuroBase¸¦ ÀÌ¿ëÇÑ combination typeÀÇ »óºÎ ±¸Á¶¹° Á¦ÀÛ Áõ·Ê 14 ´Ù¼ö Ä¡¾Æ¸¦ À§ÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ metal framework ÀûÇÕµµ È®ÀÎ ¹æ¹ý -°íÁ¤ ³ª»ç·Î ÀåÂøÇÏ´Â °æ¿ì(Screw retained type)ÀÇ framework ÀûÇÕ¼º È®ÀÎ
7Àå Case presentation - Part III ±× ¿ÜÀÇ ´Ù¾çÇÑ implant system
1 3i external systemÀÇ GingiHue post¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ -Guidelines for splinting implant 2 Biohorizon systemÀÇ fixture mount¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ 3 PITT-EASY BIO-OSS systemÀ» ÀÌ¿ëÇÑ ±¸Ä¡ºÎ ¼öº¹ Áõ·Ê -Screw- and cement-retained prosthesis ( SCRP) 4 Lifecore stage-1 systemÀÇ indexed abutment¸¦ ÀÌ¿ëÇÑ screw À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -Clinical Parameters of Evaluation During Implant Maintenance 5 Lifecore stage-1 systemÀÇ COC abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -COC abutment¸¦ ÀÌ¿ëÇÒ ¶§ abutmentÀÇ Á¶Á¤ÀÌ ÇÊ¿äÇÑ °æ¿ì »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ ¹æ¹ý
6 Endopore systemÀÇ cementable abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -Cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ ÇÕÂø½Ã ÀÜÁ¸ cementÀÇ À§Ç輺À» ÁÙÀÌ´Â ¹æ¹ý 7 SwissPlus systemÀÇ narrow straight abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê I 8 SwissPlus systemÀÇ narrow straight abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê II 9 SwissPlus systemÀÇ fixture mount¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ 10 SwissPlus systemÀÇ Cast-to abutment¸¦ ÀÌ¿ëÇÑ screw À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê
11 Replace Select systemÀÇ Esthetic abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê 12 Replace Select systemÀÇ Easy abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ 13 Replace Select systemÀÇ Esthetic abutment¸¦ ÀÌ¿ëÇÑ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê 14 Replace Select systemÀÇ Angled Esthetic abutment¸¦ ÀÌ¿ëÇÑ ±¸Ä¡ºÎ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -Removal of a fractured implant abutment screw / 539 15 Paragon systemÀÇ UCLA abutment¸¦ ÀÌ¿ëÇÑ ÀüÄ¡ºÎ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -½É¹ÌÀûÀÎ ºÎÀ§¿¡¼ÀÇ implant ¼öº¹½Ã °í·ÁÇÒ Á¡
16 Replace Select systemÀÇ Angled Esthetic abutment¸¦ ÀÌ¿ëÇÑ ÀüÄ¡ºÎ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -Interproximal papillae 17 3i systemÀÇ GingiHue post¸¦ ÀÌ¿ëÇÑ ÀüÄ¡ºÎ cement À¯ÁöÇüÀÇ »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -Submergence profile 18 3i systemÀÇ UCLA abutment¸¦ ÀÌ¿ëÇÑ ÀüÄ¡ºÎ cement À¯ÁöÇü »óºÎ ÁÖÁ¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -½É¹ÌÀûÀÎ implant ¼öº¹À» À§ÇÑ implant fixtureÀÇ ½Ä¸³ À§Ä¡ 19 3i systemÀÇ ZiReal post¸¦ ÀÌ¿ëÇÑ ÀüÄ¡ºÎ cement À¯ÁöÇü »óºÎ ÁÖÁ¶¹°ÀÇ Á¦ÀÛ Áõ·Ê -Surgical stent (Template) 20 ITI implant systemÀÇ solid abutment¸¦ ÀÌ¿ëÇÑ ÀüÄ¡ºÎ cement À¯ÁöÇü »óºÎ ±¸Á¶¹°ÀÇ Á¦ÀÛ Áõ·Ê
8Àå Case presentation - Part IV Implant-supported bar overdenture Implant full mouth rehabilitation ¡¡ 1 XiVE TG systemÀ» ÀÌ¿ëÇÑ implant-supported bar overdenture Á¦ÀÛ Áõ·Ê -Combination syndrome associated with a mandibular implant-supported overdenture -3i standard abutment¸¦ ÀÌ¿ëÇÑ bar ±¸Á¶¹°ÀÇ Á¦ÀÛ -Paragon systemÀÇ ACT abutment¸¦ ÀÌ¿ëÇÑ bar ±¸Á¶¹°ÀÇ Á¦ÀÛ 2 OSSTEM SS-II implant systemÀÇ Octa abutment¸¦ ÀÌ¿ëÇÑ implant-supported bar¡¡overdentureÀÇ Á¦ÀÛ Áõ·Ê -Implant-supported overdentureÀÇ À¯Áö ¹× ÁöÁö ÇüÅ -Clinical methods for evaluating implant framework fit 3 Implant full mouth rehabilitation(Mx.), Implant-supported bar overdenture(Mn.) 4 Maxillary full mouth implant rehabilitation and mandibular full mouth rehabilitation
9Àå Implant fixture mountÀÇ È°¿ë
1 Surgical template(stent)¸¦ Á¦ÀÛÇÒ ¶§ÀÇ È°¿ë 2 Positional index¸¦ Á¦ÀÛÇϴµ¥ È°¿ë 3 Impression copingÀ¸·ÎÀÇ È°¿ë 4 Verification device·ÎÀÇ È°¿ë 5 Provisional abutment ¶Ç´Â final abutment·ÎÀÇ È°¿ë
6 Occlusal registration stopÀ¸·ÎÀÇ È°¿ë 7 Implant - supported recording base Á¦À۽à Ȱ¿ë 8 Healing abutment·ÎÀÇ È°¿ë
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ÀÌ Ã¥Àº ÀÓ»óÁõ·Ê À§ÁÖ·Î ¼¼úÇØ ³ª°¡´Â Çü½ÄÀ» ÃëÇÏ°í ÀÖÀ¸¸ç Áõ·ÊÀÇ ±×¸² ÇÏ´Ü¿¡´Â ±× ±×¸²ÀÌ ÀǹÌÇÏ´Â °Í°ú ÀÓ»ó °úÁ¤µ¿¾È ½Ç¼ö Çß´ø°Í ±×¸®°í ÀÌ·¸°Ô ÇÏ¸é ¾î¶³±î ÇÏ´Â ³»¿ëÀ» ½Ç¾ú½À´Ï´Ù.
ÀÌ Ã¥Àº ºÎºÐ ¹«Ä¡¾Ç ȯÀÚ¿¡¼ÀÇ °íÁ¤¼º Implant º¸Ã¶°úÁ¤¿¡ ´ëÇÑ °ÍÀÌ ÁÖÀÌ¸ç ¸¶Áö¸· ºÎºÐÀº overdenture¿¡ ´ëÇÑ Áõ·Ê¸¦ º¸ÀÌ¸é¼ ¼³¸íÀ» Ãß°¡ ÇÏ¿´½À´Ï´Ù.
´Ù¾çÇÑ Implant system¿¡ ´ëÇÑ º¸Ã¶°úÁ¤À» ¼Ò°³ÇÏ·Á ÇÏ¿´À¸¸ç ¼±»ý´Ô²²¼ ¾²½Ã´Â system¿¡ Àû¿ëÇÏ°í ÀÀ¿ëÇÏ½Ã¾î ¸¹Àº µµ¿òÀÌ µÇ±â¸¦ ¹Ù¶ø´Ï´Ù.
óÀ½ Implant¸¦ Á¢ÇϽô ¼±»ý´ÔµéÀ̳ª Implant ȯÀÚ¸¦ Ä¡·áÇÏ´Â Áß¿¡ º¸Ã¶°úÁ¤¿¡¼ È¥¶õÀ» °ÞÀ¸¼Ì´ø ¼±»ý´Ôµé¿¡°Ô µµ¿òÀÌ µÇ¾úÀ¸¸é ÇÏ´Â ¹Ù¶øÀÔ´Ï´Ù. |