총의치 난증례에 대한 접근법: 진단부터 최종의치까지
Approach to complicated fully edentulous case: from the diagnosis to the definitive denture
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
심한 잔존치조제의 흡수와 의치지지조직의 손상을 동반한 총의치 난증례는 정확한 진단과 체계적인 치료계획 수립을 통해 보철물의 유지, 안정,지지를 증진시켜야 한다. Provisional restoration은 총의치의 안정성을 다각도로 평가하고 환자와 치과의사의 피드백을 가능하게 하는 유용한 도구로서 사용될 수 있다. 본 증례에서는 진단용의치를 통해 인상면, 연마면, 교합면을 평가하여 의치의 안정성을 증대시키고 환자의 심미적 요구를 반영하여 최종의치로 이행하였으며 임상적으로 기능과 심미적인 측면에 있어서 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.
Abstract
In fully edentulous cases, which are accompanied by severe residual ridge resorption and impairment of supporting tissues of complete dentures, proper diagnosis and systemic treatment planning are required for the improvement in retention, stability, and support of prosthesis. Provisional restoration, while it is unfamiliar in complete denture restoration, can be used as a valuable tool, which makes possible to evaluate the stability of complete dentures and receive feedback from patients in complex clinical situations. In this case, a provisional denture was used to improve stability of impression, polished, and occlusal surfaces of complete denture, and to consider esthetic requirements before final denture construction. The result was clinically satisfactory in terms of functional and esthetical aspects.
참고문헌 (10)
- Galindo D, "Long-term reinforced fixed provisional restorations", J Prosthet Dent, 79, pp.698~701 (1998)
- Lytle RB, "The management of abused oral tissues in complete denture construction", J Prosthet Dent, 7, pp.27~42 (1957)
- Lytle RB, "Complete denture construction based on a study of the deformation of the underlying soft tissue", J Prosthet Dent, 9, pp.539~551 (1959)
- Chase WW, "Tissue conditioning utilizing dynamic adaptive stress", J Prosthet Dent, 11, pp.804~815 (1961)
- Pound E, "Conditioning of denture patients", J Am Dent Assoc, 64, pp.461~468 (1962)
- Razek MK, "Assessment of tissue conditioning materials for functional impressions", J Prosthet Dent, 42, pp.376~380 (1979)
- McGarry TJ, "Classification system for complete edentulism. The American College of Prosthodontics", J Prosthodontics, 8, pp.27~39 (1999)
- Slade GD, "Derivation and validation of a short-form oral health impact profile", Community Dent Oral Epidemiol, 25, pp.284~290 (1997)
- Douglass CW, "Will there be a need for complete dentures in the United States in 2020?", J Prosthet Dent, 87, pp.5~8 (2002)
- Szabo′G, "Quality of life and prosthodontics", Fogorv Sz, 99, pp.91~98 (2006)