총의치 균형교합에 영향을 미치는 진료실재부착의 효과
Effectiveness of clinical remounting improving balanced occlusion of complete dentures
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초록
치과의사는 악간관계기록 오류로 인해 발생하는 교합오차를 줄이기 위해 진료실재부착을 시행한다. 진료실재부착으로 수정된 의치를 사용하면 일반적으로 통증이 감소하고 의치 사용이 편해지며 더 편하게 저작할 수 있다고 한다. 하지만 이러한 평가는 환자의 주관적인 평가이므로 본 연구에서는 실험적인 지표를 통해 진료실재부착의 효과를 확인하고자 하였다. 7명의 환자를 대상으로 전치부에서 1 - 2 mm의 공간이 있도록 중심위 악간관계를 채득하여 진료실재부착을 시행한 후 미끄러짐 유무를 확인하였으며, 압력감지센서로 교합력을 측정하였고 실리콘인기재로 교합면적을 측정하였다. 진료실재부착후 교합압의 변화는 없었으나 교합면적 증가와 함께 접촉 후 미끄러짐이 줄어드는 것을 확인할 수 있었다. 진료실재부착을 시행하면 조기접촉이 감소하고 교합면적이 증가하므로 시행하는 것이 필요하다.
Abstract
Clinical remounting of complete denture is performed to refine occlusal harmony in maxillo-mandibular relation. It has been reported that patients who used adjusted dentures with clinical remounting felt less complications such as pain and discomfort in mastication. The purpose of this study was to assess effects of clinical remounting with case series. Seven patients with existing complete prosthesis were included. Clinical remounting procedure was done through interocclusal relation recording. In addition, occlusal force was measured with pressure indicating sensor and occlusal contact areas were evaluated with photo occlusion analysis. Occlusal contact areas of prosthesis were enlarged, while bite pressure was not increased. Hit and slide phenomenon of prosthesis was reduced concurrently. Clinical remounting procedure improved denture stability and increased occlusal contact area. Therefore, clinical remounting should be considered.
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