결손된 치질과 변색된 법랑질을 수복하기 위해 많은 재료와 술식이 개발되어왔다. 즉 silicate cement, PMMA resin, BISGMA composite resin, glass ionomer cement, porcelain등이 이용되어 왔으나 이것들은 biocompatible하지 않아 이상적인 재료는 아니다. 따라서 인간의 결손된 enamel을 수복할 수 있는 새로운 생역학적인 재료가 필요하게 되었다. 필자는 최근 관심의 대상이 되고 있는 porcelain laminate veneer system(층상 도재 전장관)에 관하여 문헌을 중심으로 고찰해 보고자 한다(국내에서는 장완식 교수께서 1987년 6월10일 보철학교실 세미나에서 video tape를 통해 소개한바 있음). 여기서는 Hobo, Iwata(1985)등이 소개한 castable apatite ceramic material을 이용한 laminate veneer술식에 관해 기술하고 내화성 모형(refractory cast)을 이용한 laminate술식과 비교 기술하고자 한다.

Two brothers aged 15 1/6 and 12 2/3 years were diagnosed as Class I malocclusion with ectopic eruption of the upper left central incisor in the elder brother and etopic eruption in the upper right second premolar in the younger. All 4 second molars were extracted at the same time in both brothers. The treatment results were as follows. 1. In the elder brother, the third molars were fully erupted and their angulations were excellent at 3 years post-treatment. 2. In the younger brother, the lower right third molar was mesially erupted and upper third molars were still undergoing eruption at 3 years post-treatment. 3. Assessment of panex films of both brothers at aged 15 showed an earlier eruption of the third molars in the younger brother. 4. A longer post-treatment supervision of the third molars was required in the younger brother. 5. The facial probiles were enhanced and the ectopic eruptions were corrected in both brothers.