치아 상실 및 치아의 병적 이동이 일어난 환자의 다과간 협력진료 증례
Multidisciplinary approach for a patient with teeth loss and pathologic teeth migration: case report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
치주질환이나 우식으로 인해 구치부 치아가 상실된 환자들은 잔존하고 있는 전치부 및 소구치부 치아로 안정된 교합고경을 유지하기 어렵다. 구치의 상실로 대합치의 정출이나 인접치의 경사가 발생되는 경우 교합평면이 붕괴되거나 부적절한 교합간섭을 야기하게 된다. 만약 치아 상실 상태가 지속된 경우에는 하악의 전방이동으로 인해 상악 전치의 동요와 순측 이개를 초래하게 되며 치주질환이 동반된 경우에는 더욱 심각한 상황으로 변화한다. 이와 같이 치아의 병적 이동이 일어난 환자의 치료는 보존 및 치주치료, 교정 치료를 통한 재배열, 그리고 상실된 치아의 보철수복을 통한 교합고경의 재설정 및 유지와 같은 다과간 협력 진료가 매우 중요하다.
Abstract
Patients who lost molars from dental caries or periodontitis have difficulty in maintaining their vertical dimension because their incisors and premolars also show vertical tooth movement. Missing posterior molars leads to occlusal interference and collapse of occlusal plane due to extrusion of opposite teeth and tipping of adjacent teeth. When this condition persists over long time, mandible moves forward, so it causes mobility and labioversion of upper incisors. This progress cannot be stopped spontaneously and the situation gets worse and worse. Therefore, for a patient with pathologic teeth migration caused by chronic periodontitis, interdisciplinary approach which is including periodontal treatment, orthodontic teeth alignment and prosthetic restoration of missing molars is required. This case report shows successful multidisciplinary approach to a patient who lost vertical dimension due to severe dental caries and periodontitis.
참고문헌 (20)
- Ong MA, "Interrelationship between periodontics and adult orthodontics", J Clin Periodontol, 25, pp.271~277 (1998)
- Selwyn SL, "An assessment of patients with periodontally involved migrated incisors", J Dent, 1, pp.153~157 (1973)
- Southard TE, "The anterior component of occlusal force. Part 1. Measurement and distribution", Am J Orthod Dentofacial Orthop, 96, pp.493~500 (1989)
- Southard TE, "The anterior component of occlusal force. Part 2. Relationship with dental malalignment", Am J Orthod Dentofacial Orthop, 97, pp.41~44 (1990)
- Towfighi PP, "Pathologic migration of anterior teeth in patients with moderate to severe periodontitis", J Periodontol, 68, pp.967~972 (1997)
- Brunsvold MA, "Pathologic tooth migration", J Periodontol, 76, pp.859~866 (2005)
- Pinho T, "Multidisciplinary management including periodontics, orthodontics, implants, and prosthetics for an adult", Am J Orthod Dentofacial Orthop, 142, pp.235~245 (2012)
- Martinez-Canut P, "A study on factors associated with pathologic tooth migration", J Clin Periodontol, 24, pp.492~497 (1997)
- Proffit WR, "Equilibrium theory revisited: factors influencing position of the teeth", Angle Orthod, 48, pp.175~186 (1978)
- Ericsson I, "Lack of significance of increased tooth mobility in experimental periodontitis", J Periodontol, 55, pp.447~452 (1984)
- Folio J, "Orthodontic therapy in patients with juvenile periodontitis: clinical and microbiological effects", Am J Orthod, 87, pp.421~431 (1985)
- Polson AM, "Long-term effect of orthodontic treatment on crestal alveolar bone levels", J Periodontol, 55, pp.28~34 (1984)
- Polson A, "Periodontal response after tooth movement into intrabony defects", J Periodontol, 55, pp.197~202 (1984)
- Gaumet PE, "Spontaneous repositioning of pathologically migrated teeth", J Periodontol, 70, pp.1177~1184 (1999)
- Jin LJ, "Clinical diagnosis of trauma from occlusion and its relation with severity of periodontitis", J Clin Periodontol, 19, pp.92~97 (1992)
- Palomo L, "Salient periodontal issues for the modern biologic orthodontist", Semin Orthod, 14, pp.229~245 (2008)
- Pinho T, "Orthodontic management of a case with missing upper posterior teeth, severe curve of Spee and periodontal problems", Int J Stomatol Occl Med, 5, pp.188~197 (2012)
- Riedel RA, "A review of the retention problem", Angle Orthod, 30, pp.179~199 (1960)
- Listgarten MA, "Positive correlation between the proportions of subgingival spirochetes and motile bacteria and susceptibility of human subjects to periodontal deterioration", J Clin Periodontol, 8, pp.122~138 (1981)
- Zachrisson BU, "Cause and prevention of injuries to teeth and supporting structures during orthodontic treatment", Am J Orthod, 69, pp.285~300 (1976)