The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Considerations for increasing denture stability: a case report

의치의 안정성을 증대시키기 위한 고려 요소: 증례보고

  • Kim, Jiyeon (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 김지연 (경희대학교 치의학전문대학원 치의학과 치과보철학교실) ;
  • 김형섭 (경희대학교 치의학전문대학원 치의학과 치과보철학교실) ;
  • 배아란 (경희대학교 치의학전문대학원 치의학과 치과보철학교실)
  • Received : 2012.09.01
  • Accepted : 2012.10.08
  • Published : 2012.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

When wearing complete dentures, patients want to function naturally within a physiologically stable range. To do this, recovery of esthetics, biologically stable arrangement and contour, and occlusal contacts with denture stability are necessary. In this case report, a complete denture patient of adverse conditions was presented. To increase stability of the dentures, functional impression was made by border molding using the neutral zone. The dentures were checked for physiological centric relations and stable occlusion. The clinical results showed satisfactory results on function and esthetics.

총의치 장착시, 환자는 생리적으로 안정된 범위 내에서 자연스럽게 기능하기를 원하며 이를 위해서는, 안모의 회복(심미적 효과), 생물학적으로 안정된 인공치 배열과 외형, 의치 동요가 없는 교합접촉이 반드시 필요하다. 이에 본 증례보고에서는 총의치를 제작하기에 불리한 조건을 가진 환자를 대상으로 인상면, 연마면, 교합면에 있어서의 의치의 안정을 증대시키기 위해, 기능적 변연 형성을 통한 인상채득, 중립대 확인, 생리적 중심위 재확립, 안정된 교합을 형성시켜 주었으며, 임상적으로 기능과 심미적인 측면에 있어서 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

  1. Darvell BW, Clark RK. The physical mechanisms of complete denture retention. Br Dent J 2000;189:248-52.
  2. Jacob RF. The traditional therapeutic paradigm: complete denture therapy. J Prosthet Dent 1998;79:6-13. https://doi.org/10.1016/S0022-3913(98)70186-6
  3. Ahmad AJ, Peter JN. Neutral zone in complete dentures; systematic analysis of evidence and technique. Smile Dent J 2011;6:8-12.
  4. McGarry TJ, Nimmo A, Skiba JF, Ahlstrom RH, Smith CR, Koumjian JH. Classification system for complete edentulism. Dent Today 2001;20:90-5.
  5. Inada M, Yamazaki T, Shinozuka O, Sekiguchi G, Tamamori Y, Ohyama T. Complete denture treatments for a cerebral palsy patient by using a treatment denture. A case report. J Med Dent Sci 2002;49:171-7.
  6. Zuccolotto MC, Nobilo KA, Nunes Lde J, Hotta TH. Sliding plates on complete dentures as a treatment of temporomandibular disorder: a case report. Cranio 1999;17:289-92. https://doi.org/10.1080/08869634.1999.11746106
  7. Duncan JP, Raghavendra S, Taylor TD. A selective-pressure impression technique for the edentulous maxilla. J Prosthet Dent 2004;92:299-301. https://doi.org/10.1016/j.prosdent.2004.06.001
  8. Ladha K, Gill S, Gupta R, Verma M. Neutral zone approach for the rehabilitation of a severely atrophic mandibular ridge: Case report. Gen Dent 2012;60:e166-9.
  9. Ortman HR. The role of occlusion in preservation and prevention in complete denture prosthodontics. J Prosthet Dent 1971;25:121-38. https://doi.org/10.1016/0022-3913(71)90099-0
  10. Levin B. A review of artificial posterior tooth forms including a preliminary report on a new posterior tooth. J Prosthet Dent 1977;38:3-15. https://doi.org/10.1016/0022-3913(77)90260-8
  11. Boretti G, Bickel M, Geering AH. A review of masticatory ability and efficiency. J Prosthet Dent 1995;74:400-3. https://doi.org/10.1016/S0022-3913(05)80381-6
  12. Sato S, Nasu F, Motegi K. Analysis of kinesiograph recordings and masticatory efficiency after treatment of non-reducing disk displacement of the temporomandibular joint. J Oral Rehabil 2003;30:708-13. https://doi.org/10.1046/j.1365-2842.2003.01122.x
  13. Sierpinska T, Golebiewska M, Dlugosz JW. The relationship between masticatory efficiency and the state of dentition at patients with non rehabilitated partial lost of teeth. Adv Med Sci 2006;51:196-9.
  14. Escudeiro Santos C, de Freitas O, Spadaro AC, Mestriner- Junior W. Development of a colorimetric system for evaluation of the masticatory efficiency. Braz Dent J 2006;17:95-9. https://doi.org/10.1590/S0103-64402006000200002
  15. Schimmel M, Christou P, Herrmann F, Muller F. A two-colour chewing gum test for masticatory efficiency: development of different assessment methods. J Oral Rehabil 2007;34:671-8. https://doi.org/10.1111/j.1365-2842.2007.01773.x
  16. Nokubi T, Nokubi F, Yoshimuta Y, Ikebe K, Ono T, Maeda Y. Measuring masticatory performance using a new device and $\beta$- carotene in test gummy jelly. J Oral Rehabil 2010;37:820-6. https://doi.org/10.1111/j.1365-2842.2010.02112.x
  17. Maria EOA, Wilson M Jr, Fabio RD, Cl′cero RGN, Samira AS. Clinical assessment of masticatory efficiency in the rehabilitation of edentulous patients. Braz J Oral Sci 2011;10:217-20.
  18. Kwon KR, Park NS, Choi DG. A study on masticatory performance and function by posterior occlusal schemes in complete denture. J Korean Acad Prosthodont 1996;34:539-73.
  19. Carlsson GE. Early in contrast to recent methods to evaluate masticatory function in implant patients. J Prosthodont Res 2012;56:3-10. https://doi.org/10.1016/j.jpor.2011.11.005

Cited by

  1. 3D 프린팅용 광경화 수지를 사용하여 제작한 의치상용 인공치아의 항온수조 침적에 따른 변형률 비교 분석 vol.42, pp.3, 2020, https://doi.org/10.14347/jtd.2020.42.3.202