A Case Report of Prosthetic Rehabilitation for Skeletal Class III Malocclusion Patient

골격성 III 급 부정교합을 가진 환자의 보철수복을 통한 기능 및 심미적 회복

  • Son, Mee-Kyoung (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Chung, Chae-Heon (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 손미경 (조선대학교 치의학전문대학원 보철학교실) ;
  • 정재헌 (조선대학교 치의학전문대학원 보철학교실)
  • Received : 2010.06.05
  • Accepted : 2010.09.25
  • Published : 2010.09.30

Abstract

Physical factors and intra- and extra-oral factors of a patient have to be considered in order to decide a treatment plan for the skeletal class III malocclusion patient. Most of cases, the pre-prosthodontic treatment requires the orthodontic approaches and maxillofacial surgery. However, in some cases, patients' economic or medical condition makes impracticable situation for the orthodontic or surgical intervention. For those cases, the compromised prosthetic treatment which provides more stable and persistent occlusal stabilization is recommended. In this case report, a woman patient has a skeletal class III maxillomandibular relationship and misses multiple teeth. The prosthetic treatment without orthodontic and surgical intervention is performed due to her physical problem. The functional and esthetic results are achieved by the fixed prosthesis.

골격성 III급 부정교합을 가진 환자에서의 보철 치료는 환자의 전신적요인과 기타 구강내, 외적인 요인을 고려하여 정확한 치료 계획하에 시행되어야 한다. 성인에 있어서 III급 악골관계는 외과적 수술과 교정치료가 선행된 후 보철수복이 진행되도록 계획하는 경우가 일반적이지만 환자의 전신적 요인 등으로 인하여 수술이 불가능한 경우가 있을 수 있다. 이러한 경우에서는 보철로 인한 저작기능의 회복시 좀 더 안정적으로 교합을 유지, 지속할 수 있는 치료가 필요하다. 본 증례에서는 전신질환으로 인하여 수술이 불가한 III급 악골관계를 가진 환자에서 고정성 보철 수복을 통하여 경제적, 시간적으로 효율적이고 기능과 심미를 충족시키는 임상적 결과를 얻었기에 보고하고자 한다.

Keywords

References

  1. Nakasima A, Ichinose M, Nakata S. Genetic and environmental factors in the development of so-called pseudo-and true mesioclusions. Am J Orthod Dentofac Orthop 1986; 90: 106-116. https://doi.org/10.1016/0889-5406(86)90041-7
  2. Turley PT. Early management of the developing Class III malocclusion. Aust Orthod J 1993; 13: 19-22.
  3. Rabie AB, Gu Y. Diagnostic criteria for pseudo-Class III malocclusion. Am J Orthod Dentofacial Orthop 2000; 117: 1-9. https://doi.org/10.1016/S0889-5406(00)70241-1
  4. Wilson GW, Sisto JM. Orthognathic surgery in patients with Crohn's disease:a review of the pathophysiology and perioperative management. J Oral MaxillofacSurg 1992; 50: 502-505. https://doi.org/10.1016/S0278-2391(10)80324-6
  5. Kayser AF. Limited treatment goals-shortened dental arches. Periodontol 2000 1994; 4:7-14.
  6. Sarita PT, Kreulen CM, Witter DJ, et al. A study on occlusal stability in shortened dental arches. Int J Prosthodont 2003; 16: 375-380.
  7. Dawson PE. Evaluation, Diagnosis, and Treatment of Occlsal problems. 2nd ed.,Mosby 1989.
  8. Pleasure MA. Correct vertical dimension and freeway space. J Am Dent Assoc 1951; 43: 160-163.
  9. Shanahan TEJ. Physiologic vertical dimension and centric relation. J Prosth Dent 1956; 6: 741-747. https://doi.org/10.1016/0022-3913(56)90070-1
  10. Silverman MM. The speaking method in measuring vertical dimension. J Prosth Dent 1953; 3(2): 193-199. https://doi.org/10.1016/0022-3913(53)90127-9
  11. Dawson PE. Centric relation. Its effect on occlusomuscle harmony. Dent Clin North Am 1979; 23(2): 169-180.
  12. Carey JP, Craig M, Kerstein RB et al. A determination of the existence of a relationship between applied occlusal load and dental articulating paper mark area. The open Dentistry Journal 2007:(1);1-7.
  13. Kerstein RB. T-scan III applications in mixed arch and complete arch, implant-supported prosthodontics. Dent Implantol Update 2008; 19: 49-53.