구치부 지지의 상실로 인해 과도한 치아 마모와 수직 고경 상실을 보이는 환자에서 수직 고경 거상을 동반한 전악 수복 증례
A case of full mouth rehabilitation with vertical dimension gaining in patient with severely worn dentition and loss of vertical dimension due to loss of posterior support
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초록
증령에 따라 진행되는 치아의 마모는 자연스러운 현상이지만 생리적인 범위를 초과하여 나타나는 병적 마모는 기능 및 심미 문제를 야기하게 된다. 특히, 구치부 지지가 상실되면 전치부의 병적 마모로 인해 수직 고경의 감소와 교합평면의 부조화가 일어날 수 있다. 이러한 문제를 해결하려면 중심위를 고려한 적절한 수직 고경 설정이 필요하다. 본 증례의 환자는 상악 구치부 상실에 의한 하악 전치부의 심한 마모를 보이는 71세 남환으로 보철 수복 공간을 위해 수직 고경을 거상하여 전악 수복을 시행하였다. 8개월간의 평가 결과 안정적인 교합을 확인하였고 기능적, 심미적으로 만족할만한 결과를 보였기에 이를 보고하고자 한다.
Abstract
Gradual tooth wear is a natural process of aging, but pathological wear over physiologic ranges leads to functional and esthetic problems. The loss of posterior support may cause pathological wear of anterior teeth, which results in reduction of vertical dimension and disharmony of occlusal plane. To solve this problem, determination of proper vertical dimension considering centric relation is necessary. This case report presented 71-year-old male, who had the severe wear of lower anterior teeth due to loss of posterior support. By meticulous evaluation, a full mouth rehabilitation with elevation of vertical dimension was planned. After 8 months of follow-up, stable occlusal scheme ismaintained and patient was satisfied with clinical outcome functionally and esthetically.
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