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구치부 zirconia 수복 시 임상에서 고려사항

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(1)

Ǎ⊹ᇡ implant ᙹᅖ ᜽ᨱࠥ ᯱᩑ⊹ᨱ ᔍᬊ⦹޹ ᰍഭॅᮥ ᔍᬊ⦹Ł ᯩ݅. ə్ӹ implant۵ ᯱᩑ⊹᪡۵ ݍญ periodontal ligamenta ᨧʑ ভྙᨱ ᙹᅖ ᜽ Ʊ⧊᳑ᱶᮥ ᖙᝍ⦹í ⧕᧝ ⦹Ł, ࠥᰍ❭ᱩᯕ ኩჩ⦹ʑ ভྙᨱ ᯱᩑ⊹᪡

ݍญ Ʊ⧊໕ᮥ goldಽ ᱽ᯲⦹۵ ኩࠥa ׳ᦹ݅. ə౑ߑ ↽ɝᨱ ɩ aĊᯕ ɪ॒⦹ᩍ, ɩᗮ ᔍᬊపᯕ ฯᮡ implant ᙹᅖ

᜽ᨱ ɩᮥ ᯝၹᱢᮝಽ ᔍᬊ⦹۵ äᯕ ᇡݕ ࡹ໕ᕽ zirconiaෝ ᱢᬊ⦹í ࡹᨩŁ, ✚⯩ veneering porcelain᮹ ❭ᱩᮥ ႑ ᱽ⦹ʑ ᭥⧕ all zirconiaෝ ᱢᬊ⦹۵ ᇥᯕ ۹Ł ᯩ݅. ⦹ḡอ zirconiaa ⊹ŝᨱ ᱢᬊࡽ ʑeᯕ ᪅௹ḡ ᦫŁ, ✚⯩ Ǎ⊹

ᇡ ᱢᬊᨱ š⧕ᕽ۵ ᩑǍӹ ᯥᔢ đŝa ᇡ᳒⦹ᩍ ᔩಽᬕ ᔍᝅॅᯕ ĥᗮ ၽčࡹŁ ᯩ۵ ŝᱶᯕ݅.

BMM[JSDPOJBࠜ֜౿ऀ઩ళଣୡ૳්ݡԧ୷۶ଭࢂॷා݅

1. porcelainᮥ veneering⦹ḡ ᦫᦥࠥ ᝍၙᱢᯙa?

2. contact ᳑ᱶ ʑǍ۵?

3. Ʊ⧊ ᳑ᱶ ၰ polish ʑǍ۵?

4. zirconiaa ݉݉⦹ᩍ ݡ⧊⊹ ษ༉a ᝍ⦹ḡ ᦫᮥʭ?

QPSDFMBJOଡWFOFFSJOH෇஺ੴଠBMM[JSDPOJB֜౿ऀ৤࣫ࢄଠਕࢠୡ

଴ԧ

↽ɝᨱ ࠥᰍ ❭ᱩᮥ ႊḡ⦹ʑ ᭥⧕ ฯᮡ ⊹ŝ᮹ᔍa all zirconia ᙹᅖྜྷᮥ ᱢᬊ⦽݅. ə్ӹ all zirconia۵ veneer⦽

ᙹᅖྜྷᨱ እ⧕ ᔾ࠺qᯕ ฯᯕ ᇡ᳒⦹݅. ⫭ᔍᨱᕽ ᱽŖ⦹۵ ᷾ಡॅᮡ ᔢݚ⯩ ᝍၙᱢᮝಽ ᅕᯕӹ, ᝅᱽ ᯥᔢᨱᕽ᮹ ᙹ ᅖྜྷॅᮥ ᅕ໕ ⨩ᩨŁ ⚍໦ࠥa ਉᨕḥ݅.

ᖒྕĞ

༊࠺ᇡᇡ⊹ŝ᮹ᬱ

(2)

՜տսՄԶՇՄ;JSLPO[BIO⫭ᔍᨱᕽᱽŖ⦹۵1SFUUBVCMPDLᮥᯕᬊ

⦽ᙹᅖྜྷ᷾ಡᯙߑ ᝍၙᱢᮝಽᅕᯕӹ ᱥᦦᮥᙹᅖ⦹ᩡʑভ

ྙᨱእƱ⧁ᯱᩑ⊹aᨧᨕᕽᝅᱽᯥᔢᨱᱢᬊ⧁ভ᪡۵₉ᯕ aᯩ݅

՜տսՄԶ ՉՄə్ӹǍvԕᰆ₊⧕ᅕ໕ᙹᅖྜྷᯕ⨩ᩨŁ⚍

໦ࠥaਉᨕᲙᝍၙᱢᯕḡᦫ݅ᙹᅖྜྷᯕᝍၙᱢᯙaෝ᦭ʑ

᭥⧕ᕽ۵Ǎvԕᱥℕෝᮡᔍḥᯕ⦥᫵⦹݅

՜տսՄԶՋՄ/PSJUBLF⫭ᔍ᮹,BUBOBCMPDLᮝಽ ᮥᙹᅖ⦹

ᩡ۵ߑ[JSDPOJBaי⇽ࡽᇡ᭥۵ᇩ⚍໦⦹ᩍᝍၙᱢᯕḡᦫ݅

[JSDPOJB۵݅ෙGFMETQBUIJDQPSDFMBJOᯕӹMJUIJVNEJTJMJDBUFᨱ

እ⧕⚍໦ࠥaਉᨕᲙ޽ᝍၙᱢᯕḡอʑŖŝᱶᯕᙺݍࡹ໕ᔢ ݚ⯩ᝍၙᱢᯙᙹᅖᮥ⧁ᙹᯩ݅

՜տսՄԶ ՈՄԶ;JSLPO[BIO⫭ᔍ᮹⚍໦ࠥaᯩ۵1SFUUBVಽᱽ᯲⦽

ᙹᅖྜྷᯙߑ᯲ᨦ༉⩶ᨱᕽ۵ᝍၙᱢᮝಽᅕᯙ݅

՜տսՄԶ ՊՄǎᔑᱽ⣩ᯙ"DVDFSB⫭ᔍ᮹⚍໦ࠥaᯩ۵[JSDPOJB

CMPDLᮝಽ ᨱBMM[JSDPOJBᙹᅖྜྷᮥᱽ᯲⦹ᩡ۵ߑᩎ᜽

ᵝ᭥⊹ᦥᅕ݅⦹᧸݅

(3)

zirconiaᨱ ᔍᬊ⦹۵ veneering porcelainᮡ ࢱ ᰍഭ᮹ ᩕ➞₞ĥᙹa ᕽಽ እ᜘⧕᧝⦹ʑ ভྙᨱ ɩᗮᨱ ᔍᬊ⦹޹ ࠥ ᰍ۵ ᔍᬊ⧁ ᙹ ᨧŁ, zirconiaᬊ powderෝ ᩍ్ ⫭ᔍᨱᕽ ❱ๅ⦹Ł ᯩ݅. ᱽ⣩ॅ᮹ ᗭᖒ ᪉ࠥa ⫭ᔍษ݅ ᳑ɩᦊ ݅ෙ

ߑ, ə ॅ ᵲ ᯝᇡ۵ ᔢݚ⯩ ԏᮡ ᪉ࠥᨱᕽ ᗭᖒ⦽݅. ᱡᯱ᮹ metal ceramic Ğ⨹ᨱ እ⇵ᨕ ᅝ ভ low fusing porcelainᮡ

Ǎv ԕ ᰆ₊ ⬥ ❭ᱩ᮹ ኩࠥa ׳ᦹ݅. ə౨ʑ ভྙᨱ ׳ᮡ ᪉ࠥᨱᕽ ᗭᖒ⦹۵ powderෝ ᖁ⪙⦹ᩍ Noritake ⫭ᔍ᮹ Cerabien ZR powderෝ ᔍᬊ⦽݅.

՜տսՄԶՍՄQPSDFMBJOWFOFFSJOH⬥᪥ᖒ⦽ᙹᅖྜྷ

՜տսՄԶ ՌՄ ǎᔑ "DVDFSB CMPDLᮝಽ ݅᧲⦽ ⩶┽᮹ [JSDPOJB

DPQJOHᮥอॅᨩ݅۵DPOWFOUJPOBM⦹í[JSDPOJBDPQJOH

ᮥᱽ᯲⦽⬥GFMETQBUIJDQPSDFMBJOᮥWFOFFSJOH⦹ᩡŁ ᮡ

[JSDPOJBಽᯙᱲ໕ŝᖅ⊂ᨱᄞᮥ⩶ᖒ⦽⬥WFOFFSJOH⦹ᩡŁ 

ᮡBMM[JSDPOJBಽᱽ᯲⦹ᩡ݅

՜տսՄԶՎՄԶᙹᅖྜྷԕ໕ ՜տսՄԶՏՄǍvԕᮥᰆ₊⦹ᩡ۵ߑᝍၙᱢᯕ݅[JSDPOJB

ᙹᅖྜྷᯕ ᯝၹᱢᮝಽ ⨩ᩨ݅Ł ⦹۵ߑ  DPQJOH᮹ DPMPSJOHŝ

QPSDFMBJOWFOFFSJOHᮥ᯹⦹໕ᝍၙᱢᯙᙹᅖྜྷᮥอॅᙹᯩ݅

(4)

[JSDPOJB৤࣫ࢄଭDPOUBDU୺୨

contactᮥ ᳑ᱶ⦽ ݅ᮭᨱ polishingᮥ ⦹໕ contactᯕ ۱ᜉ⧕ ḩ ᬑಅa ᯩʑ ভྙᨱ ↽᳦ ݉ĥᨱᕽ۵ polishingᮥ ↽ ᗭ⦽ᮝಽ ᵥᯝ ᙹ ᯩ۵ ʑǍಽ ᳑ᱶ⦽݅. ᯝၹᱢᮝಽ ɩᗮ ᙹᅖྜྷᮡ ၙᖙ⦽ contact ᳑ᱶ ݉ĥᨱᕽ rubber wheelᮥ ᔍ ᬊ⦹Ł, ࠥᰍ ᙹᅖྜྷᮡ silicone wheelᮥ ᔍᬊ⦽݅. ə్ӹ zirconia۵ ݉݉⦹ʑ ভྙᨱ ᳦௹ ᔍᬊ⦹޹ abrasiveಽ۵ ᔎ ᱽࡹḡ ᦫᦥᕽ, ၹऽ᜽ zirconia ᙹᅖྜྷᮥ ᭥⦽ diamond impregnated abrasiveෝ ᔍᬊ⧕᧝⦽݅.

՜տսՄԶ ՇՆՄ᜽ᵲᨱᕽ❱ๅࡹ۵[JSDPOJBᬊWFOFFSJOHQPSDFMBJO ᮹ᗭᖒ᪉ࠥ⫭ᔍษ݅ᗭᖒ᪉ࠥa݅ෙߑ ᨕ۱⫭ᔍ۵ᔢݚ⯩

MPXGVTJOHQPSDFMBJOᮥ❱ๅ⦽݅ə౑ߑMPXGVTJOHQPSDFMBJO ᮹vࠥᨱš⧕ᕽ۵ᇩᦩqᯕᯩ݅

՜տսՄԶ ՇՇՄ ɩᗮ ᙹᅖྜྷᮡ ၙᖙ⦽ DPOUBDU ᳑ᱶ ݉ĥᨱᕽ

SVCCFSXIFFMᮥᔍᬊ⦽݅

՜տսՄԶ ՇՈՄࠥᰍᙹᅖྜྷ᮹ၙᖙ⦽DPOUBDU᳑ᱶᨱᕽ۵TJMJDPOF

XIFFMᮥᔍᬊ⦽݅

(5)

֗෍࡟ଲ[JSDPOJB଴BMM[JSDPOJB৤࣫ࢄଭ֗෍୺୨׆֜

zirconia۵ ݉݉⦹ʑ ভྙᨱ Ǎv ԕᨱᕽ Ʊ⧊᳑ᱶ ᜽ diamond pointෝ ᔍᬊ⦽݅. ə్ӹ ᔎᱽŝᱶᨱᕽ stressಽ ᯙ

⦽ microcrackᯕ ၽᔾ⦹ᩍ vࠥa ᱡ⦹ࢁ ᙹ ᯩ݅۵ ᱱᮥ Łಅ⧕᧝⦽݅.

zirconia grind ᜽ ᵝ᮹ ᔍ⧎

1) coarse ⦽ burෝ ᔍᬊ⦹໕ ᩕᯕ ၽᔾ⦹Ł crackᯕ ᔾĉ copingᯕ ᧞⪵ ࢁ ᬑಅa ᯩʑ ভྙᨱ medium coarse diamond bur(red ring)ᮥ ᔍᬊ⦽݅.

2) water sprayಽ ∊ᇥ⯩ cooling⦹ᩍ ᩕᯕ ၽᔾ⦹ḡ ᦫࠥಾ ⦽݅.

3) light pressure; medium coarse diamond bur(red ring)ෝ ᔍᬊ⧕ࠥ ⯹ᮥ a⧕ ᔎᱽ⦹໕ ᇩΤᯕ ⛡۵ߑ, coping᮹ v

ࠥෝ ᱡ⦹ ᜽┍ ᙹ ᯩᮝအಽ ᧞⦽ ⯹ᮝಽ ᔎᱽ⧕᧝⦽݅.

՜տսՄԶՇՉՄԶDPOUBDU᳑ᱶ᜽ᨱ۵ࢱ̹⽄᮹Ʊ⧊ḡෝᔍᬊ⦹ᩍ

⢽᜽ࡽᇡᇥอᔎᱽ⧕᧝ᱶ⪶⯩DPOUBDU᳑ᱶᯕa܆⦹݅

՜տսՄԶ ՇՊՄԶ[JSDPOJBᙹᅖྜྷᨱᕽᔍᬊ⦹۵EJBNPOEa⡍⧉ࡽ

BCSBTJWFXIFFMಽDPBSTF NFEJVN GJOFᖙ᳦ඹa⦥᫵⦹݅

՜տսՄԶՇՋՄXBUFSTQSBZ⦹ḡอÑ⊽CVS CMVFSJOHಽ⯹ᮥa⧕

ᔎᱽ⦹໕ᇩΤᯕၽᔾ⦹۵äᮥᅝᙹᯩ݅

(6)

- Ǎv ԕᨱᕽ Ʊ⧊᳑ᱶ ⧁ Ğᬑ

Ǎv ԕᨱᕽ ⧊₊/ᱲ₊ ⬥ Ʊ⧊ ᳑ᱶ⧁ Ğᬑa ᯩ۵ߑ, ᯕভ۵ wheelಽ polish⦹ʑa ᨕಅᬭᕽ ⢽໕ᯕ ᔢݚ⯩ Ñ⋁

í ࡽ݅. ᙹᅖྜྷ ⢽໕ᯕ Ñ⋁໕ ݡ⧊⊹ ษ༉a ᬑಅࡹʑ ভྙᨱ Ǎv ԕᨱᕽ finish ⧁ ʑǍa ⦥᫵⦹݅.

- Ǎv ᫙ᨱᕽ Ʊ⧊ ᳑ᱶ ⬥ polish ⧁ Ğᬑ

Ʊ⧊᳑ᱶ ⬥ᨱ۵ polishing ⧕᧝ ⦹۵ߑ zirconiaa ݉݉⦹ᩍ ᯝၹ feldspathic porcelainᯕӹ lithium disilicateᨱ ᔍᬊ

⦹޹ silicone wheelಽ۵ polish ࡹḡ ᦫʑ ভྙᨱ, ᦿᨱᕽ ᨙɪ⦽ diamond impregnated wheelᮥ ᔍᬊ⦹ᩍ᧝ ⦽݅. ᳦௹

ᔍᬊ⦹޹ ᩑษʑǍॅᯕ ⬉ŝᱢᯙḡෝ ᦭ᦥᅕʑ ᭥⧕ᕽ e݉⯩ ᝅ⨹⧕ᅕᦹ۵ߑ, ᩎ᜽ polishࡹḡ ᦫᦹ݅.

՜տսՄԶՇՌՄ BMM[JSDPOJBDSPXOᮥǍvԕᨱᕽƱ⧊᳑

ᱶ⦹ᩡ۵ߑQPMJTI⧁ᱢᱩ⦽ʑǍaᨧᨕᕽᔢݚ⯩Ñ⋁݅

՜տսՄԶՇՍՄǍvԕᨱᕽGJOJTIaa܆⦽,PNFUᔍ᮹[JSDPOJBᬊ

EJBNPOEQPJOU

՜տսՄԶՇՏՄԶÑ⊽ᇡᇥᮥࠥᰍᬊTJMJDPOFXIFFMಽQPMJTI⦹ᩡ۵ ߑ⢽໕ᯕᩍᱥ⯩Ñ⊽äᮥᅝᙹᯩ݅

՜տսՄԶՇՎՄEJBNPOECVSಽTJOUFSJOHࡽ[JSDPOJB⢽໕ᮥÑ⋁í

⦹ᩡ݅

(7)

ᯝၹ ʑŖᗭᨱᕽ green stoneŝ ɩᗮᬊ rubber wheelಽ ᩑษ⦽݅Ł ⦹ʑᨱ ᯕॅ ᰍഭಽࠥ ᩑษ⧕ ᅕᦹ۵ߑ ⬉ŝᱢ ᯕḡ ᦫ݅.

՜տսՄԶ ՈՆՄԶÑ⊽ᇡᇥᮥEJBNPOEJNQSFHOBUFEXIFFMಽ⢽໕

ᮥ्݅Łӹܩๅҩ⧕ḥäᮥᅝᙹᯩ݅

՜տսՄԶ ՈՇՄ TJOUFSJOH ࡽ [JSDPOJB ⢽໕ᮥ

EJBNPOE CVSಽ Ñ⋁í ⦽ ݅ᮭ  ᫝἞ ᮡ

HSFFOTUPOFᮝಽGJOJTI⦹ᩡ۵ߑᩩᔢŝ݅෕í

ᨕ۱ᱶࠥÑ⋁ʑaᵡäᮥᅝᙹᯩ݅

՜տսՄԶ ՈՈՄ HSFFO TUPOFᮝಽ ्݅ᮡ ᇡ᭥ෝ

SVCCFSXIFFMಽᩑษ⧩޵ܩ⢽໕ᨱŲ┾ᯕᯩ

ḡอ ᯱᖙ⯩ᅕ໕ᩍᱥ⯩Ñ⋁ʑভྙᨱHSFFO

TUPOFŝSVCCFSXIFFMಽ۵QPMJTIࡹḡᦫ۵ä

ᮥ᦭ᙹᯩ݅

(8)

[JSDPOJB৤࣫ࢄଠ୺ׁ࠮֗෍୺୨ැܑ৤࣫ࢄඝ࡟ଲ෇ઓ՚ܤۗճ෇ۀ܁

ᯝၹᱢᮝಽ all zirconia ᙹᅖྜྷᮥ Ǎv ԕ ᰆ₊ ⬥ᨱ Ʊ⧊ ᳑ᱶ⦹Ł ӹ໕ ⢽໕᮹ ᔪ᳑a Ⓧí ᄡ⦽݅۵ äᯕ ฯᮡ ⊹ ŝ᮹ᔍॅ᮹ ᇩอᯕ݅. ᱽ᳑ᔍᨱᕽ۵ sintering ⦹ʑ ᱥ green stateᨱᕽ coloring⦹໕ 1.5~2mm ᱶࠥ stainᯕ ⋉⚍⦹အ ಽ Ʊ⧊᳑ᱶ ᱶࠥಽ ᔪ᳑a ᄡ⦹ḡ ᦫ݅Ł ⦽݅. ə్ӹ ᯥᔢᨱᕽ ᧞e᮹ Ʊ⧊᳑ᱶᮥ ⦹໕ Ʊ⧊໕ᯕ ⦹᧸í ࡹ۵ ä

ᮥ ᩍ్ ჩ Ğ⨹⦹໕ᕽ ə ᬱᯙᮥ ⇵ᱶ⧕ ᅕ໕, ᦥษ ʑŖŝᱶᨱᕽ stainᯕ ʫí ⋉⚍⧁ ᱶࠥಽ ∊ᇥ⯩ ᪅௽ ᜽e ࠺ᦩ coloring⦹ḡ ᦫ۵ äᯕ ᬱᯙᯕ௝ ᔍഭࡽ݅.

zirconia coping ᱽ᯲ ŝᱶᮥ ᅕ໕ ݉݉⦹ḡ ᦫᮡ ᔢ┽᮹ green stateᨱᕽ millingᮥ ⦹Ł coloring⦽ ݅ᮭᨱ sintering

⦹ᩍ ݉݉⦽ copingᮥ อु݅. green stateᨱᕽ coloring⧁ ভ stain ᬊᧂᨱ ݕaࢱ۵ ႊჶ(dipping)ŝ brushing⦹۵ ࢱa ḡ ႊჶᯕ ᯩ݅. ʑŖᗭᨱᕽ۵ layer build-up ⬉ŝෝ ԕʑ ᭥⧕ dipping ᅕ݅۵ brush ႊჶᮥ ᖁ⪙⦹۵ ä zᮡߑ, ᯕভ

∊ᇥ⯩ ᪅௽ ᜽e࠺ᦩ ၹᅖ⦹ᩍ brush⦹ḡ ᦫᮝ໕ stainᯕ ʫí ⋉⚍⦹ḡ ᦫᦥᕽ, ᧞eอ ᔎᱽ⧕ࠥ stain⊖ᯕ ჸĉḡ໕ ᕽ ⨩ᩑ zirconiaa י⇽ࡹ۵ äᮝಽ ᔍഭࡽ݅.

՜տսՄԶ ՈՉՄԶəᇡ᭥ෝEJBNPOEJNQSFHOBUFEXIFFMಽQPMJTI

⦹ܩๅҥ్ᬭᲙᕽŲ┾ᯕӽ݅

՜տսՄԶՈՊՄԶᯥᔢᨱᕽe݉⦽ᝅ⨹ᮥ☖⧕ᕽࠥ[JSDPOJBෝGJOJTI

BOEQPMJTI⦹ʑ᭥⧕ᕽ۵[JSDPOJBᬊᩑษʑǍॅᯕ⦥᫵⦹݅۵

äᮥ᦭ᙹᯩ݅

՜տսՄԶ ՈՋՄ1SFUUBV ;JSLPO[BIOᔍಽᱽ᯲⦽BMM[JSDPOJBDSPXO

ॅƱ⧊᳑ᱶ⦹ʑᱥᨱ۵ᝍၙᱢᮝಽᅕᯙ݅

՜տսՄԶ ՈՌՄ1SFUUBV ;JSLPO[BIOᔍಽᱽ᯲⦽BMM[JSDPOJBDSPXO

ॅƱ⧊᳑ᱶᮥᨕ۱ᱶࠥ⦽⬥ᨱ۵⢽໕ᯕ᪥ᱥ⯩⦹᧸íࡹ

ᨕ݅ෙ⊹ᦥ᪡ᱥ⩡ᨕᬙญḡᦫ۵݅

(9)

՜տսՄԶ ՈՍՄԶTJOUFSJOH ⦹ʑ ᱥ HSFFO TUBUF [JSDPOJB CMPDLᮥ

NJMMJOH⦽ᔍḥ

՜տսՄԶՈՏՄᯝᱶ᜽e࠺ᦩTUBJOᬊᧂᨱݕᦥࢱ۵EJQQJOHႊჶ

՜տսՄԶՈՎՄNJMMJOH⬥TUBJOJOHŝᱶ

՜տսՄԶՉՆՄCSVTIෝᯕᬊ⦹ᩍᖁ┾ᱢᮝಽၵ෕໕MBZFSCVJMEVQ

⬉ŝෝԝᙹᯩ݅

՜տսՄԶ ՉՇՄDPMPSJOH⦽⬥TJOUFSJOH⦹໕ᱥℕᱢᮝಽᔪ᳑aၵ ѱäᮥᅝᙹᯩ݅

(10)

ᱽ᳑ᔍᨱᕽ۵ stainᯕ 1.5-2mm ⋉⚍⦽݅Ł ⦹ᩍ ᜽❱ࡹ۵ zirconia block ⦽἞ ໕ᨱ ᪅௽ ᜽e coloring⦹ᩡ޵ܩ ᔢ ݚ⯩ ʫᯕ ⋉⚍ࡽ äᮥ ᅝ ᙹ ᯩᨩ݅.

ੱ ݅ෙ ႊჶᮝಽ dippingᮥ ᪅௹⦽ copingᮥ ᔎᱽ⧕ ᅕᦹ۵ߑ ᩎ᜽ ʫᯕ stainᯕ ⋉⚍ࡽ äᮥ ⪶ᯙ⧁ ᙹ ᯩᨩ݅.

᭥᮹ ࢱ aḡ e݉⦽ ᝅ⨹ᮝಽ ᅝ ভ green stateᨱᕽ shadingᮥ ᯹⦹໕ ᔢݚ⯩ ʫí stainᯕ ⋉⚍⦹۵ äᮥ ⪶ᯙ⧁ ᙹ

ᯩᨩ݅. ə్အಽ ʑŖŝᱶᨱᕽ ᖒ᮹ ᯩ۵ shading ŝᱶᯕ ⦥᫵⦹݅.

[JSDPOJB֗෍࡟֗෍୺୨บෛી՚࣪ଲ࡟TUBJO෇࡟ܣ஺ੴଡג

Ʊ⧊ ᳑ᱶ ⬥ shading ⦽ ໕ᯕ ᔎᱽࡹᨕ ⨩ᩨí ᅕᯕ໕, ‘stain⦹ᩍ }ᖁ᜽┍ ᙹ ᯩḡ ᦫᮥʭ?’௝Ł ᔾb⧁ ᙹ ᯩ۵ߑ, sintering⦽ zirconia ԕ໕ᮝಽ۵ stainᯕ ⋉⚍⦹ḡ ༜⦹ʑ ভྙᨱ stainᮥ ⦹ᩍࠥ ᛞí ჸĉḩ äᯕ݅.

՜տսՄԶ ՉՈՄԶ-"7"᪡ 1SFUUBV CMPDL ⦽἞ ໕ᨱ ᪅௽ ᜽e

DPMPSJOH⦽⬥݉໕ᮥᔎᱽ⧕ᅕܩᱽ᳑ᔍ᮹ᵝᰆݡಽTUBJOᯕᔢ ݚ⯩ʫᯕ⋉⚍ࡽäᮥᅝᙹᯩᨩ݅

՜տսՄԶ ՉՉՄԶEJQQJOHᮥ᪅௹⦹ᩍ[JSDPOJBDPQJOHᮥTIBEJOH⦹

ᩡ݅

՜տսՄԶ ՉՊՄԶᇡ᭥ෝ᧞NNᔎᱽ⦹ᩡ۵ߑᩍᱥ⯩TUBJO

ࡽäᮥ⪶ᯙ⧁ᙹᯩ݅

(11)

[JSDPOJBԧۚۚ෇઱۩෍౿ࠬࡦԧਕ෇஺ੴଡג

ฯᮡ ⊹ŝ᮹ᔍॅᯕ zirconiaa թྕ ݉݉⦹ᩍ ݡ⧊⊹ ษ༉a ᝍ⧁ äᮝಽ ᬑಅ⦹۵ߑ, ษ༉ᨱ š⦽ ᝅ⨹ᮥ ᅕ໕ ᳦

௹ ɩᗮᬊ ࠥᰍӹ lithium disilicateᨱ እ⧕ ݡ⧊⊹ ษ༉a ᱢᮡ äᮥ ᦭ ᙹ ᯩ݅.

[JSDPOJB֗෍࡟ଭହঃࢂ୪୥

᯹ ᩑษ ࡽ zirconia ໕ᮡ Ʊ⧊ḡಽ markingᯕ ᯹ ᦩࡹᨕ prematuritya ᯙʑࡹḡ ᦫ۵ Ğᬑa ᳦᳦ ᯩ݅. ᱡᯱ᮹ Ğ

⨹ᨱ ᮹⦹໕ veneering porcelainᅕ݅ Ʊ⧊ḡa ᯥʑࡹḡ ᦫ۵ Ğᬑa ኩჩ⦽ ä z݅. Ʊ⧊ ᳑ᱶ ⬥ prematuritya ԉ ᦥ ᯩᮝ໕ ḡݡ⊹ӹ ݡ⧊⊹a ᇩ⠙⦹Ñӹ ᯕ࠺⦹۵ Ğᬑa ၽᔾࡽ݅. gold۵ ductilitya ᯩʑ ভྙᨱ ᱡᱩಽ high spot

՜տսՄԶ ՉՋՄ TJOUFSJOH⦽ [JSDPOJB DPQJOH ⦽἞ ໕ᨱ۵ DPSSFDU

QPXEFS᪡TUBJOᮥᕿᨕࢱ̮í⦹Ł ݅ෙ⦽໕ᨱ۵☖ჶŝz ᯕHMB[FQPXEFS᪡TUBJOᮥᕿᨕHMB[F⦹ᩡ݅

՜տսՄԶ ՉՍՄ FOBNFMŝ ᮁᔍ⦽ ᰍḩಽ ᯹ ໕ษࡽ [JSDPOJB  WFOFFSJOHQPSDFMBJO MJUIJVNEJTJMJDBUFᨱྙḩ్ᕽࢱᰍഭa᨝

ษӹษ༉ࡹ۵aෝ᳑ᔍ⧩݅

՜տսՄԶ ՉՌՄ DPQJOHᮥ SVCCFS XIFFMಽ ᩑษ⦹ᩡ޵ܩ  HMB[F

QPXEFS᪡TUBJOᮥᕿᨕHMB[F⦽໕ᮡᛞíჸĉᲭ݅ᯕđŝಽ

ᅝভTJOUFSJOH⦽[JSDPOJBԕ໕ᮝಽ۵TUBJOᯕ⋉⚍⦹ḡ༜⦽݅

۵äᮥ᦭ᙹᯩŁ ǍvԕᨱᕽࠥṈᮡ᜽eԕᨱTUBJOᯕჸĉ ḩäᮥᩩᔢ⧁ᙹᯩ݅

՜տսՄԶՉՎՄԶᝅ⨹đŝQPMJTI᯹ࡽ[JSDPOJB۵MJUIJVNEJTJMJDBUF ӹWFOFFSJOHQPSDFMBJOᨱእ⧕ݡ⧊⊹XFBSaᱢŁ [JSDPOJB

ᯱℕࠥ ษ༉a ᦩ ࡹ۵ äᮥ ᅝ ᙹ ᯩ݅ ə్ӹ ᯥᔢᨱᕽ۵

[JSDPOJBࠥษ༉aࡹḡᦫŁݡ⧊⊹ษ༉ࠥ޽ᔾʑʑভྙᨱ

ᙹᅖ⬥ྙᱽaၽᔾ⦹۵Ğᬑa᳦᳦ᯩ݅

(12)

Ğᬑᨱ۵ Ʊ⧊ḡa ᯹ ᯙʑࡹ۵ḡෝ ⪶ᯙ⦹Ł, ݅ෙ ᙹᅖྜྷᨱ እ⧕ ᖙᝍ⯩ Ʊ⧊ ᳑ᱶ⦹۵ äᯕ ⦥᫵⦹݅.

ᱡᯱ᮹ Ğ⨹ᮝಽ ᅝ ভ veneering porcelainᨱ እ⧕ᕽࠥ Ʊ⧊ḡa markingᯕ ᯹ ᦩ ࡹʑ ভྙᨱ Ʊ⧊ḡ ᔍᬊ ᜽ᨱ ᖙ ᝍ⦽ ᵝ᮹a ⦥᫵⦹݅.

֜౿ऀ[JSDPOJB৤࣫ਏঅߦ૶DPQJOHEFTJHO

ᩍ┽ʭḡ zirconiaಽ Ǎ⊹ᇡ ᙹᅖ ᜽ᨱ۵ metal ceramicŝ ᮁᔍ⦹í zirconia copingᮥ ᱽ᯲⦽ ⬥ ə ᭥ᨱ porcelainᮥ

veneering⦹۵ conventional⦽ ႊჶŝ all zirconiaಽ ᱽ᯲⦹۵ ࢱ aḡ ႊჶอᯕ ᱢᬊࡹᨩ۵ߑ, ᯕ ࢱ aḡ ႊჶ ༉ࢱ ᰆᱱᯕ ᯩᮝӹ ⊹໦ᱢᯙ ݉ᱱࠥ ᯩ݅.

zirconia copingᮥ ᱽ᯲⦽ ⬥ porcelainᮥ veneering⦹۵ conventional⦽ ႊჶᮡ ᝍၙᱢᮝಽ۵ ᬑᙹ⦹ӹ veneer⦽ ࠥ ᰍa ❭ᱩࢁ ᬑಅ ভྙᨱ Ǎ⊹ᇡӹ implant ᙹᅖ ᜽ᨱ۵ ᱢᬊ⦹ʑ ᇩᦩ⦹݅. ၹ໕ᨱ all zirconia۵ ࠥᰍ ❭ᱩ ᬑಅa ᨧ ᨕᕽ ᱽ2ݡǍ⊹ӹ implant ᙹᅖྜྷᨱᕽࠥ ᨕ۱ ᱶࠥ ᝍၙᱢ ᙹᅖᯕ a܆⦽ ᰆᱱᯕ ᯩᮝӹ, ᝍၙᱢᯕḡ ᦫí ⨩ᩨí ࡹ ۵ Ğᬑa ᳦᳦ ᯩŁ, Ǎv ԕ Ʊ⧊᳑ᱶ ŝᱶᯕ ᨕಅᬑ໑, polishingᯕ ᬊᯕ⦹ḡ ᦫᮡ ݉ᱱᯕ ᯩ݅.

՜տսՄԶ ՉՏՃՊՆՄ ᔢᦦ  ŝ ⦹ᦦ  ⊹ᦥෝ [JSDPOJB Ʊ⧊໕ᮝಽ ᙹᅖ⦹ᩡ۵ߑ QSFNBUVSJUZa ᔢݚ⯩ ᯩᮭᨱࠥ ᇩǍ⦹Ł

[JSDPOJBᇡ᭥۵Ʊ⧊ḡa᯹ᯙʑࡹḡᦫ۵݅

՜տսՄԶՊՇՄƱ⧊໕ᮥ[JSDPOJBಽ⩶ᖒ⦹ᩡ۵ߑᙹᅖྜྷᯥ᜽

⧊₊ᵝᯝ⬥⪹ᯱԕᬱ᜽⊹ᦥᔍᯕaჭᨕḥäᮥၽč⧩݅

⊹ᦥෝ⬥ႊᮝಽၙ۵QSFNBUVSJUZaᯩᨩ޹äᮝಽᔍഭࡹᨕ

݅᜽Ʊ⧊᳑ᱶᮥ⦹ᩡ݅

՜տսՄԶ ՊՈՄƱ⧊᳑ᱶᯝ⬥ԕᬱ⦹ᩍ᳑ᔍ⧕ᅕܩ⊹ᦥa

ᬱ௹᭥⊹ಽ⫭ᅖࡹᨩ݅ྜྷುᚁᯱaƱ⧊᳑ᱶᮥᖙᝍ⯩ᦩ⦽

đŝᯕḡอᯕ౑ᝅᙹ۵݅ෙᙹᅖྜྷᨱᕽ۵ᱥ⩡Ğ⨹⦹ḡᦫ ᦹ݅

(13)

Ʊ⧊໕ᨱ zirconiaಽ ᧞ 1mm ࢱ̹᮹ wallᮥ ⩶ᖒ⦹Ł porcelainᮥ veneering⦹໕ ࠥᰍ❭ᱩᮥ ᔢݚ⯩ ႊḡ⧁ ᙹ ᯩŁ, Ʊ⧊໕ᯕ ᵝಽ feldspathic porcelainᯕʑ ভྙᨱ ᝍၙᱢᯕ໑ Ʊ⧊ ᳑ᱶ ၰ polishingᯕ ᬊᯕ⦹݅.

՜տսՄԶ ՊՉՄԶᦥḢʭḡ۵ ᯕ౑ ⩶┽᮹ GSBNFXPSLa ᔾᗭ⦹

ʑ ভྙᨱ ᱽa ᬱ⦹۵ ⩶┽ಽ XBYVQ⦹ᩍ NJMMJOH DFOUFS ಽ ᅕԕ໕ XBY QBUUFSOᮥ  TDBO⦹ᩍ [JSDPOJB DPQJOHᮥ ᱽ᯲

⦽݅ WFOFFSJOH QPSDFMBJO᮹ ❭ᱩᮥ ↽ᗭ⦽ᮝಽ ᵥᯕʑ ᭥⧕

QSPYJNBMŝMJOHVBMᨱࢱ̹NN᮹[JSDPOJBXBMMᮥ⩶ᖒ⦽݅ੱ

⦽ǍvԕᨱᕽDPOUBDU᳑ᱶŝᱶᯕᬊᯕ⧁ᙹᯩíDPOUBDUᇡ

᭥۵᧞NN᮹Ŗeᮥᇡᩍ⦽݅

՜տսՄԶՊՋՄԶ$;3QPXEFS/PSJUBLFෝ⇶ᖒ⦹ᩍ᪥ᖒᦿᨱᕽᨙ

՜տսՄԶ ՊՊՄԶ-"7".[JSDPOJBCMPDLᮥᔍᬊ⦹ᩍDPQJOHᱽ᯲

⦹ᩡ݅

՜տսՄԶՊՌՄǍvԕᰆ₊⬥ᔍḥ

(14)

ঃੱஹߢ

ঃੱஹߢ

՜տսՄԶՊՍՄԶᮥ[JSDPOJBಽᙹᅖ⦹۵ߑᔢᦦᨱࠥᮁᔍ⦽⩶┽

ಽQSPYJNBMŝQBMBUBMᨱNN᮹ᄞᮥ⩶ᖒ⦹ᩡ݅ -"7".

[JSDPOJBCMPDLᮥᔍᬊ

՜տսՄԶՊՎՄԶ$;3QPXEFS/PSJUBLFෝ⇶ᖒ⦹ᩍ᪥ᖒ

՜տսՄԶՊՏՄԶǍvԕᰆ₊ᔍḥ[JSDPOJBaᅕᯕ۵QBMBUBMᇡ᭥۵

⨩ᩨíᅕᯕḡอƱ⧊໕ᮡəᨱእ⧕ᔾ࠺qᯕᯩᨕᝍၙᱢᯕ

݅

՜տսՄԶՋՇՄNBSHJOᇡ᭥᮹vࠥෝ׳ᯕʑ᭥⧕[JSDPOJBDPMMBSෝ

⩶ᖒ⦹ᩡ݅ᯝၹᱢᮝಽݡǍ⊹ᨱ۵[JSDPOJBNBSHJOᮥ⩶ᖒ⦹

۵ߑ GSBNFXPSL᮹❭ᱩᮥᩩႊ⧁ᙹᯩŁᝍၙᱢᮝಽࠥྙᱽ aᨧ݅

՜տսՄԶ ՋՆՄԶᮡ ࠥᰍ ❭ᱩᮥ ႊḡ⦹ʑ ᭥⧕ Ʊ⧊໕ ⩲⊂

อ WFOFFS ⧁ ᩩᱶᯕŁ  ۵ DPOWFOUJPOBM⦽ ႊჶᮝಽ

GSBNFXPSLෝᱽ᯲⦹ᩡ݅ -"7".&41&[JSDPOJBCMPDLᔍᬊ

(15)

ஹߢ

՜տսՄԶ ՋՉՄDFSWJDBMNBSHJOᇡ᭥ᨱ[JSDPOJBDPMMBSaᅕᯕ۵ߑ  Ǎvԕᰆ₊⬥ᨱ۵⢽᜽aӹḡᦫ۵݅

՜տսՄԶ ՋՈՄ$;3QPXEFS ,"5"/" /PSJUBLFಽࠥᰍ⇶ᖒ⬥

ᔍḥ᮹Ʊ⧊໕ᖅ⊂۵[JSDPOJBಽƱ⧊໕ᮥ⩶ᖒ⦹ᩡ݅

՜տսՄԶՋՊՄǍvԕᰆ₊⬥ᔍḥDPOWFOUJPOBM⦽ႊჶᮝಽࠥ

ᰍ⇶ᖒ⦽۵ᵝ᭥ᯱᩑ⊹᪡Ǎᇥᯕ᯹ᦩࡹ۵ߑƱ⧊໕ᨱ

[JSDPOJBaי⇽ࡽᮡࢵ┢⦽۱ӭᯕᯩᮝӹᝍၙᱢᮝಽⓍ

íྙᱽࡹḡᦫ۵݅

՜տսՄԶՋՋՄԶJNQMBOUᙹᅖྜྷᯕ௝ࠥᰍ❭ᱩᯕᬑಅࡹᨕƱ⧊໕ݡ ՜տսՄԶՋՌՄԶǍvԕᰆ₊⬥ᔍḥᱥၹᱢᮝಽᝍၙᱢᯕ݅

(16)

ஹߢ

՜տսՄԶՋՍՄԶə్ӹƱ⧊᳑ᱶ⬥ᨱ۵TIBEJOH⦽[JSDPOJBᇡᇥᯕ

ჸĉḡ໕ᕽ⦹᧸íᅕᯙ݅ᦥษࠥTIBEJOHᯕ᧶íࡽđŝᯕ

݅ၹ໕ᨱWFOFFSJOH⦽ᇡᇥᮡᬱ௹᮹ᔪᮥᮁḡ⦹Łᯩ݅ᯕ

Ğᬑෝᅕ޵௝ࠥWFOFFSJOH⦹۵äᯕ❭ᱩࡹḡᦫ۵݅໕޵ᬒ

ᝍၙᱢᯕ݅

՜տսՄԶՋՏՄ$;3QPXEFSಽWFOFFSJOH⦽ᔍḥƱ⧊ಆᯕ᯲ᬊ⦹

۵ᇡᇥᮥݡᇡᇥ[JSDPOJBಽ⩶ᖒ⧩ʑভྙᨱࠥᰍ❭ᱩᬑಅ۵

Ñ᮹ᨧ݅

՜տսՄԶ ՋՎՄ ᨱ ᜾พ⦽ JNQMBOUa ⩲⊂ᮝಽ ⊹ᬑℱ ᯩ݅

SFUSJFWBCJMJUZ᪡SFUJHIUFOJOHᮥ᭥⧕TDSFXIPMFᮥ⩶ᖒ⦹Ł᝗

ᮡߑ อ᧞ɩᗮᮝಽTDSFXIPMFᵝ᭥ᨱDIJNOFZෝ⩶ᖒ⦹໕

ᅕʑӹᓁäᯕ݅ ,"5"/"CMPDLᔍᬊ

՜տսՄԶՌՆՄ[JSDPOJBaי⇽ࡽᇡ᭥۵⢽᜽aӹʕ⦹ḡอɩᗮŝ ۵ᝍၙ໕ᨱᕽእƱ⧁ᙹᨧ݅

(17)

՜տսՄԶ ՌՇՄԶƱ⧊໕ᮡ[JSDPOJBಽᱽ᯲⦹ᩡ݅ "DVDFSBCMPDL

ᔍᬊ

՜տսՄԶՌՉTDSFXIPMFᮥ᧞eᇩ⚍໦⦽.ᔍ᮹0% PQBDJPVT

EFOUJODPNQPTJUFಽ∊ᱥ⦹ᩡ۵ߑᔢݚ⯩ᝍၙᱢᯕŁ JNQMBOU

ᙹᅖྜྷᯕḡอࠥᰍ❭ᱩ᮹ᬑಅaᨧ݅

՜տսՄԶՌՈՄԶǍvԕᰆ₊⬥ᔍḥ

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