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심한 하악골융기를 가진 무치악 환자의 piezography를 이용한 상하악 총의치 수복 증례 Running title : Complete denture fabrication using piezography

Complete denture rehabilitation of edentulous patient with severe mandibular tori using piezography : A case report Running title : Complete denture fabrication using piezography

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The presence of severe mandibular tori may render difficulty in the insertion and removal of denture. Therefore, removal of mandibular tori can be planned ahead if denture construction is considered. Piezography was introduced by Dr. Klein in 1974 to represent the neutral zone obtained through pronunciation, unlike the conventional method of acquiring the neutral zone using swallowing and masticatory movements. Utilization of pronunciation, it predominantly employs the horizontal forces of the muscles. Acquiring the neutral zone by pronunciation utilizing the horizontal movement of muscles has the advantage in denture stability which is affected by lateral forces. This allows for a harmonious denture design without in­terfering normal muscle movement. In edentulous patients, the neutral zone is influenced by bony prominences, hence the removal of such prominences may necessary during denture fabrication. The denture teeth arrangement using the neutral zone differs from the conventional denture arrangement in that it alters the actual range of motion of the tongue. Therefore, by fabricating dentures through piezography, which utilizes the horizontal forces of muscles, more stable dentures were produced, and this is being reported.

Abstract

The presence of severe mandibular tori may render difficulty in the insertion and removal of denture. Therefore, removal of mandibular tori can be planned ahead if denture construction is considered. Piezography was introduced by Dr. Klein in 1974 to represent the neutral zone obtained through pronunciation, unlike the conventional method of acquiring the neutral zone using swallowing and masticatory movements. Utilization of pronunciation, it predominantly employs the horizontal forces of the muscles. Acquiring the neutral zone by pronunciation utilizing the horizontal movement of muscles has the advantage in denture stability which is affected by lateral forces. This allows for a harmonious denture design without in­terfering normal muscle movement. In edentulous patients, the neutral zone is influenced by bony prominences, hence the removal of such prominences may necessary during denture fabrication. The denture teeth arrangement using the neutral zone differs from the conventional denture arrangement in that it alters the actual range of motion of the tongue. Therefore, by fabricating dentures through piezography, which utilizes the horizontal forces of muscles, more stable dentures were produced, and this is being reported.

참고문헌 (11)

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  2. Pound E, "Esthetic dentures and their phonetic values", J Prosthet Dent, 1, pp.98~111 (1951)
  3. Aidsman IK, "Glossary of prosthodontic terms", J Prosthet Dent, 38, pp.66~109 (1977)
  4. Beresin VE, "The neutral zone in complete dentures", J Prosthet Dent, 36, pp.356~367 (1976)
  5. Klein P, "Piezography : dynamic modeling or prosthetic volume", Actual Odontostomatol(Paris), 28, pp.266~276 (1974)
  6. Ikebe K, "Effect of adding impression material to mandibular denture space in Piezography", J Oral Rehabil, 33, pp.409~415 (2006)
  7. Naveen SLKS, "Complete denture fabrication using piezography concept-a case report", RGUHS journal of Dental Science, 10(2) (2018)
  8. Kwon WL, "Complete denture rehabilitation of fully edentulous patient with severe bone resorption and class 2 jaw relation using piezography", J Korean Acad Prosthodont, 54, pp.445~450 (2016)
  9. International Phonetic Association, "Handbook of the International Phonetic Association: A guide to the use of the international Phonetic alphabet" (1999), Cambridge University Press
  10. Morikawa M, "Reproducibility of the neutral zone recording on the estimated occlusal plane", J Kyushu Dent Soc, 37, pp.945~963 (1983)
  11. Fahmi FM, "The position of the neutral zone in relation to the alveolar ridge", J Prosthet Dent, 67, pp.805~809 (1992)

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