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Web viewer for sharing of prosthesis design between laboratory and clinic: Case report

웹뷰어를 이용한 기공실과 진료실 측 간의 보철물 설계 형태의 공유: 증례 보고

  • Jang, Sung Won (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee, Ho Jin (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Kim, So-Yeun (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee, Du-Hyeong (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
  • 장성원 (경북대학교 치과대학 치과보철학교실) ;
  • 이호진 (경북대학교 치과대학 치과보철학교실) ;
  • 김소연 (경북대학교 치과대학 치과보철학교실) ;
  • 이두형 (경북대학교 치과대학 치과보철학교실)
  • Received : 2022.06.21
  • Accepted : 2022.07.21
  • Published : 2022.07.29

Abstract

Close communication between clinicians and dental technicians is an important factor in providing successful prostheses. The exchange of opinions with laboratories has mainly been in the form of written prescriptions and a photos, but it has been reported that information transmission may be limited. Currently, as digital technology-based prosthesis fabrication is common, 3D image objects can be stored on the web and can be easily viewed through a mobile web browser. In this article, we introduce cases where the design of the prosthesis was improved by designing the prosthesis using CAD software and reviewing the prosthesis designed with the clinical side through a web viewer. Through this protocol, it was possible to improve the occlusal surface and crown contour, the opposing teeth condition, the size of the gingival embrasure, and the shape of pontic. The process of sharing, discussing, and modifying the prosthesis design with the clinician and technician through a web viewer contributes to reflecting the diversity of oral conditions and individualized needs, thereby helping to make functional and esthetic prostheses.

성공적인 보철 수복물을 제공하기 위해서는 치과의사와 치과기공사 간의 긴밀한 의사소통은 중요한 요소이다. 치과기공사와 의견 교환은 주로 기공의뢰서와 사진촬영의 형태로 이루어져 왔으나 정보 전달이 제한될 수 있다고 보고되었다. 현재는 디지털 기술에 기반을 둔 보철물 제작이 일반화됨에 따라 영상 객체를 웹상에 저장하고 모바일 브라우저를 통해 손쉽게 확인할 수 있게 되었다. 본 논문에서는 CAD 소프트웨어를 이용하여 보철물을 설계하고 웹뷰어를 통해 치과의사와 설계된 보철물을 검토하여 보철물의 설계를 개선한 증례들을 소개한다. 본 프로토콜을 통해 교합면 및 치관 형태, 대합치 치료, 치은측 치간 공극의 크기, 가공치 하방 형태 등을 개선할 수 있었다. 이러한 웹뷰어를 통한 보철물 설계를 3차원적으로 치과의사와 공유하고 토의하여 수정하는 과정은 구강내 조건의 다양성과 개별화된 요구를 반영하는 데 기여하여 기능적이고 심미적인 보철물을 제작하는 데 도움을 줄 수 있다.

Keywords

Acknowledgement

This research was supported by the Korea Medical Device Development Fund grant funded by the Korea government (the Ministry of Science and ICT, the Ministry of Trade, Industry and Energy, the Ministry of Health & Welfare, Republic of Korea, and the Ministry of Food and Drug Safety) (202011A02) and the Bio & Medical Technology Development Program of the National Research Foundation Grant funded by the Korean Government (2020R1I1A1A01062967).

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