임플란트 보철 수복 후 발생한 악관절 장애 환자의 T-Scan 분석을 이용한 재수복 증례
Re-restoration of temporomandibular joint disorder acquired after implant prosthetic restoration using T-Scan: A case report
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참고문헌
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초록
광범위한 보철 수복에서 교합접촉의 재설정이 필요한 경우가 많이 있으며, 교합접촉은 보철물 성공의 필수요소이다. 만약 교합접촉 관계가 잘못부여된다면 다양한 교합외상의 증상이 발생할 수 있으며, 악관절 장애도 그 중 하나이다. 이런 악관절 장애의 흔한 증상의 하나로 저작근 장애 및 악관절 부위 통증이 발생될 수 있으며 이는 환자에게 많은 고통을 준다. 본 증례는 보철물의 잘못된 교합접촉으로 인한 지속적 악관절 통증을 가진 환자에서 교합 재설정한 보철물로 재수복하여 저작근 및 악관절 통증이 개선되는 등의 만족스러운 결과를 얻어 이를 보고하는 바이다.
Abstract
In cases of extensive prosthetic restoration, correction of occlusal contact is often needed, as it is the essential component for a successful restoration. If occlusal contact is given incorrectly, various symptoms of occlusal trauma can occur of which temporomandibular joint disorder (TMD) is one of them. As one of the common symptoms of TMD, patients may suffer with masticatory muscle disorder and temporomandibular joint pain. This case presents satisfactory results for the improvement of masticatory muscles and temporomandibular joint pain of a TMD patient, caused by incorrect occlusal contact of the restoration, by replacing the prosthesis after occlusion correction.
참고문헌 (17)
- Dawson PE, "Position paper regarding diagnosis, management, and treatment of temporomandibular disorders. The American Equilibration Society", J Prosthet Dent, 81, pp.174~178 (1999)
- "Report of the president's conference on the examination, diagnosis, and management of temporomandibular disorders", J Am Dent Assoc, 106, pp.75~77 (1983)
- Goldstein BH, "Temporomandibular disorders: a review of current understanding", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 88, pp.379~385 (1999)
- Beard CC, "Effects of occlusal splint therapy on TMJ dysfunction", J Prosthet Dent, 44, pp.324~335 (1980)
- Mizui M, "Quantitative analysis of occlusal balance in intercuspal position using the T-Scan system", Int J Prosthodont, 7, pp.62~71 (1994)
- Ekberg E, "The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial", J Orofac Pain, 17, pp.133~139 (2003)
- Nilner M, "Short-term effectiveness of a prefabricated occlusal appliance in patients with myofascial pain", J Orofac Pain, 22, pp.209~218 (2008)
- Doepel M, "Long-term effectiveness of a prefabricated oral appliance for myofascial pain", J Oral Rehabil, 39, pp.252~260 (2012)
- 정다운, "측두하악장애의 치료", 구강회복응용과학지, 28(4), pp.441~452 (2012), 대한턱관절교합학회
- 손미경, "T-Scan® III 시스템의 임상적 적용", Oral Biology Research, 35(2), pp.161~167 (2011), 구강생물학연구소
- Hirano S, "In vitro study on accuracy and repeatability of the T-Scan II system", Kokubyo Gakkai Zasshi, 69, pp.194~201 (2002)
- Yamamura M, "A study on display and accuracy of occlusal contacts by means of T-Scan System", Kanagawa Shigaku, 25, pp.236~241 (1990)
- Landi N, "Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic system", J Prosthet Dent, 92, pp.190~195 (2004)
- Troeltzsch M, "Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences", J Prosthet Dent, 105, pp.410~417 (2011)
- Celic′R, "Association of horizontal and vertical overlap with prevalence of temporomandibular disorders", J Oral Rehabil, 29, pp.588~593 (2002)
- Gesch D, "Association of malocclusion and functional occlusion with temporomandibular disorders (TMD) in adults: a systematic review of population-based studies", Quintessence Int, 35, pp.211~221 (2004)
- Kirveskari P, "Occlusal adjustment and the incidence of demand for temporomandibular disorder treatment", J Prosthet Dent, 79, pp.433~438 (1998)