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완전 디지털 시스템을 이용한 상악동 거상술 및 구치부 임플란트 고정성 보철 수복 증례
박강수,김선재,표세욱,장재승 대한치과보철학회 2024 대한치과보철학회지 Vol.62 No.2
A variety of digital technologies are being used throughout the entire implant treatment process of diagnosis, surgery, impression, design, and fabrication of prostheses. In this case, using a digital surgical guide, sinus floor elevation was performed without complications, and the implants were placed in the planned position. After the healing period for osseointegration, CAD-CAM (Computer-aided design-Computer-aided manufacturing) customized abutments and provisional prostheses were delivered. While using the provisional prosthesis, occlusal change was observed. To transfer the intermaxillary relationship and abutment position that reflect occlusal change and axial displacement, double scanning and abutment-level digital impressions were taken. Abutment superimposition was used to capture the subgingival margin without gingival retraction. Then, the definitive prosthesis was designed and fabricated with digital system. We report a case applying digital system, to achieve the predictable result as well as the efficient treatment process from implant surgery to fabricating prosthesis in the posterior area. 진단, 수술, 인상, 보철물 제작 등 임플란트 치료 전 과정에서 디지털 기술이 활용되고 있다. 본 증례에서는 디지털 수술 가이드를 이용하여 합병증 없이 상악동 거상술을 시행하고, 계획된 위치에 임플란트를 식립하였다. 골유착을 위한 치유 기간 이후, CAD-CAM (Computer-aided design/Computer-aided Manufacturing)으로 맞춤형 지대주 및 임시 보철물을 제작하여 장착하고, 환자의 적응도와 교합을 평가하였다. 임시 보철물상에서 교합 변화가 관찰되어, 광중합형 컴포지트 레진으로 수리하였다. 최종 보철물 제작 시, 지대주의 수직 침하, 임시 보철물의 형태와 적응된 교합 관계를 반영하기 위해, 이중 스캔과 지대주 수준의 디지털 인상을 채득하였다. 치은 압배 없이 치은 연하 변연을 인기하기 위해, CAD-CAM 소프트웨어상에서 라이브러리화된 지대주 데이터를 중첩하고, 지르코니아 최종 보철물 제작하여 장착하였다. 구치부 임플란트 수복 시, 디지털 시스템을 이용하여 전통적인 방법에서 겪는 어려움을 줄이고, 수술부터 보철물 제작까지 효율적인 치료 과정과 안정적이고 예지성 있는 결과를 얻어 보고하는 바이다.
박강수,장수영,이응식,윤성기,Park, Kang-Soo,Chang, Su-Young,Lee, Eung-Shik,Youn, Sung-Kie 대한기계학회 2002 大韓機械學會論文集A Vol.26 No.6
A study on the topology optimization of a multi-spectral camera for space-use is presented. The optimization is carried out under self-weight and polishing pressure loading. A multi-spectral camera for space-use experiences degradation of optical image in the space, which can not be detected on the optical test bench on the earth. An optical surface deformation of a primary mirror, which is a principal component of the camera system, is an important factor affecting the optical performance of the whole camera system. In this study, topology optimization of the primary mirror of the camera is presented. As an objective function, a measure of Strehl ratio is used. Total mass of the primary mirror is given as a constraint to the optimization problem. The sensitivities of the objective function and constraint are calculated by direct differentiation method. Optimization procedure is carried out by an optimality criteria method. For the light-weight primary mirror design, a three dimensional model is treated. As a preliminary example, topology optimization considering a self-weight loading is treated. In the second example, the polishing pressure is also included as a loading in the topology optimization of the mirror. Results of the optimized design topology for the mirror with various mass constraints are presented.