구강안면 근긴장이상을 가진 완전 무치악 환자에서 구치부 지르코니아 교합면을 갖는 상악 총의치와 하악 임플란트 지지 고정성 보철물의 수복
Maxillary complete denture with posterior zirconia occlusion and mandibular implant support fixed prostheses in completely edentulous patients with orofacial dystonia
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구강안면 근긴장이상(Orofacial dystonia)은 자신의 의지와 상관없이 불수의적으로 얼굴, 입술, 혀 및 턱 주변을 불규칙적 이거나 반복적으로 움직이는 신경운동학적 장애로 틱장애로 불리기도 한다. 이러한 증상을 갖는 무치악 환자는 총의치 사용의 어려움과 더불어 언어 장애 및 연하곤란, 구강안면의 통증까지 기능적이고 심미적인 문제점들을 겪게 된다. 본 증례에서는 비교적 젊은 나이에 완전 무치악 상태를 경험하게 된 구강안면 근긴장이상 환자를 위해, 양측 구치부 지르코니아 교합면을 갖는 상악 총의치와 하악 임플란트 지지 고정성 보철물의 수복치료를 시행하고 지속적인 미소훈련을 시행하여 안면근육의 심미적인 개선을 도모하고자 하였다. 치료의 결과, 환자는 저작기능과 심미성이 향상된 것 뿐만 아니라, 심리적 안정감을 회복하여 정상적인 일상생활이 가능해진 것에 대해 매우 만족하였기에 이를 보고하고자 한다.
Abstract
Orofacial dystonia is a neuromotor disorder that causes irregular or repetitive movements of the face, lips, tongue, and jaw involuntarily, also called tic disorder. Edentulous patients with these symptoms experience functional and aesthetic problems, including difficulty using complete dentures, speech and swallowing difficulties, and orofacial pain. In this case, for a patient with orofacial dystonia who experienced complete edentulism at a relatively young age, restorative treatment was performed with a maxillary complete denture with bilateral posterior zirconia occlusal surfaces and a mandibular implant-supported fixed prosthesis, and continuous smile training was performed. The aim was to improve the aesthetics of facial muscles. As a result of the treatment, the patient was very satisfied with not only improved chewing function and aesthetics, but also regained psychological stability and was able to lead a normal daily life, so we would like to report this
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