심한 치아 마모 환자의 전악보철 수복 증례
Full mouth rehabilitation with extremely worn dentition
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초록
병적 치아 마모의 경우 교합면의 병리적 손상, 기능장애, 교합 이상, 심미문제, 치수병변, 턱관절 장애 등의 증상을 보인다. 이러한 경우에는 원인을 분석하고 수직고경 손실여부, 교합 양상 등을 고려하여 치료 계획을 세워야 한다. 본 증례는 심한 마모가 있는 71세 남환으로 수직고경 거상을 동반한 전악수복을 하였다. 임시 보철물을 통해 증가된 수직고경에 대한 환자의 적응도를 평가하였고, 이상 소견이 없는 것을 확인하고 최종 보철물을 장착하였다. 일련의 치료 과정을 통해 만족스러운 결과를 얻었기에 보고하는 바이다.
Abstract
Pathologic attrition leads to pathologic damage on occlusal plane, functional disorders, occlusal disharmony, esthetic problems, pulpal lesion, temporomandibular joint (TMJ) disorder. In this case, treatment plan should be considered for possibility of vertical dimension loss, occlusal pattern, esthetics, phonetics, amount of vertical dimension increase. This case report was a 71-year-old man who had severely worn dentition. Full mouth rehabilitation was carried out with vertical dimension increase due to limited space for prosthesis. After evaluation of provisional restorations for patient’s compliance, final restorations were fabricated and routine clinical assessments were made. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition.
참고문헌 (12)
- Mulay G, "An evaluation of wear of human enamel opposed by ceramics of different surface finishes", J Indian Prosthodont Soc, 15, pp.111~118 (2015)
- Ibbetson RJ, "Treatment of the worn dentition: 2", Dent Update, 16, pp.300~302 (1989)
- Silverman MM, "The speaking method in measuring vertical dimension. 1952", J Prosthet Dent, 85, pp.427~431 (2001)
- Silverman MM, "Determination of vertical dimension by phonetics", J Prosthet Dent, 6, pp.467~471 (1956)
- Turner KA, "Restoration of the extremely worn dentition", J Prosthet Dent, 52, pp.467~474 (1984)
- Johnson A, "The determination of freeway space using two different methods", J Oral Rehabil, 29, pp.1010~1013 (2002)
- 박정형, "한국 성인 유치악자의 교합평면 및 수직고경에 관한 연구", 대한치과보철학회지, 43(1), pp.41~51 (2005), 대한치과보철학회
- Willis FM, "Features of the face involved in full denture prosthesis", Dent Cosmos, 77, pp.851~854 (1935)
- Dawson PE, "Functional occlusion: from TMJ to smile design", pp.430~452 (2007), Elsevier Health Sciences
- Rivera-Morales WC, "Relationship of occlusal vertical dimension to the health of the masticatory system", J Prosthet Dent, 65, pp.547~553 (1991)
- Abduo J, "Clinical considerations for increasing occlusal vertical dimension: a review", Aust Dent J, 57, pp.2~10 (2012)
- Oh YR, "A study of intraoral anatomic landmarks of Korean adult-upper jaw", J Korean Acad Prosthodont, 33, pp.753~768 (1995)