의치의 안정성을 증대시키기 위한 고려 요소: 증례보고
Considerations for increasing denture stability: a case report
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초록
총의치 장착시, 환자는 생리적으로 안정된 범위 내에서 자연스럽게 기능하기를 원하며 이를 위해서는, 안모의 회복(심미적 효과), 생물학적으로 안정된 인공치 배열과 외형, 의치 동요가 없는 교합접촉이 반드시 필요하다. 이에 본 증례보고에서는 총의치를 제작하기에 불리한 조건을 가진 환자를 대상으로 인상면, 연마면, 교합면에 있어서의 의치의 안정을 증대시키기 위해, 기능적 변연 형성을 통한 인상채득, 중립대 확인, 생리적 중심위 재확립, 안정된 교합을 형성시켜 주었으며, 임상적으로 기능과 심미적인 측면에 있어서 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.
Abstract
When wearing complete dentures, patients want to function naturally within a physiologically stable range. To do this, recovery of esthetics, biologically stable arrangement and contour, and occlusal contacts with denture stability are necessary. In this case report, a complete denture patient of adverse conditions was presented. To increase stability of the dentures, functional impression was made by border molding using the neutral zone. The dentures were checked for physiological centric relations and stable occlusion. The clinical results showed satisfactory results on function and esthetics.
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