Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지
DOI QR코드

DOI QR Code

Prosthetic treatment with correcting edentulous maxillomandibular relation

무치악치조제의 개선을 통한 보철치료

  • Rhee, Ye-Kyu (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Huh, Yoon-Hyuck (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
  • 이예규 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 허윤혁 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Received : 2014.09.26
  • Accepted : 2014.11.11
  • Published : 2014.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

If the maxillomandibular relationship is unstable or requires treatment for improved function and esthetics, the first treatment objective is to provide stable occlusal contacts. The patient has moderate mental retardation. Due to inadequate vertical overjet, horizontal arch malrelation and excessive tooth loss, full mouth rehabilitation was required. The purpose of treatment planning is to establish physiologic maxillomandibular relation. Using cephalometrics for occlusal analysis is an aid to make a decision. The amount of horizontal bone reduction was calculated with evaluating soft tissue profile. After provisional denture placement, healing of the surgical site and newly adapted arch relationship was evaluated. The patient satisfied with esthetics and showed stable holding contacts. Periodic examination is needed to exclude occlusal disharmony.

상악과 하악의 크기부조화가 있거나 악간관계가 불안정한 환자의 치료목적은 안정적인 교합접촉을 부여하는 것이다. 중등도의 정신지체 환자로 부족한 수직고경, 수평적 악골관계 부조화, 광범위한 치질소실로 인하여 보철치료가 필요하였다. 두부계측학적 평균치를 기준으로 악골위치를 판별하고, 연조직 측모분석 후 수평 골삭제량을 결정하였다. 수술 부위의 안정적인 치유 및 설정된 상하악관계에 대한 의치 적응여부를 평가하였다. 만족할만한 심미성과 안정적 교합상태를 얻었으나, 추가적인 교합변화의 가능성을 고려한 정기적인 관리가 필요할 것으로 사료된다.

Keywords

References

  1. Dawson PE. Functional occlusion from TMJ to smile design. St. Louis; Mosby; 2006. p. 548-75.
  2. Sofou AM, Diakoyianni-Mordohai I, Emmanouel I, Markovitsi H, Pissiotis AL. Using cephalometry to evaluate maxillomandibular relationship in complete denture construction. Int J Prosthodont 1993;6:540-5.
  3. Ciftci Y, Kocadereli I, Canay S, Senyilmaz P. Cephalometric evaluation of maxillomandibular relationships in patients wearing complete dentures: a pilot study. Angle Orthod 2005;75:821-5.
  4. Curtis TA, Langer Y, Curtis DA, Carpenter R. Occlusal considerations for partially or completely edentulous skeletal class II patients. Part I: background information. J Prosthet Dent 1988;60:202-11. https://doi.org/10.1016/0022-3913(88)90317-4
  5. Curtis TA, Langer Y, Curtis DA, Carpenter R. Occlusal considerations for partially or completely edentulous skeletal class II patients. Part II: treatment concepts. J Prosthet Dent 1988;60:334-42. https://doi.org/10.1016/0022-3913(88)90279-X
  6. Jahangiri L, Devlin H, Ting K, Nishimura I. Current perspectives in residual ridge remodeling and its clinical implications: a review. J Prosthet Dent 1998;80:224-37. https://doi.org/10.1016/S0022-3913(98)70116-7
  7. Pietrokovski J, Starinsky R, Arensburg B, Kaffe I. Morphologic characteristics of bony edentulous jaws. J Prosthodont 2007;16:141-7. https://doi.org/10.1111/j.1532-849X.2007.00165.x
  8. Craddock HL, Youngson CC. Eruptive tooth movement-the current state of knowledge. Br Dent J 2004;197:385-91. https://doi.org/10.1038/sj.bdj.4811712
  9. Fujiki K, Aoki K, Marcian P, Borak L, Hudieb M, Ohya K, Igarashi Y, Wakabayashi N. The influence of mechanical stimulation on osteoclast localization in the mouse maxilla: bone histomorphometry and finite element analysis. Biomech Model Mechanobiol 2013;12:325-33. https://doi.org/10.1007/s10237-012-0401-z
  10. Kwon KR, Kim YS, Kim CW, Kim HJ, Moon HS, Park SW, Park CJ, Song KY, Lee JS, Lee JH, Lee CH, Lim YJ, Cheong MK, Jung JH, Jeong CM, Cho IH, Cho HW, Han JH. Prosthodontic treatment for edentulous patients. 1st ed. Seoul; Dental wisdom; 2007. p. 203-4.
  11. Proffit WR, Fields HW, Sarver DM. Contemporary orthodontics, 5th ed. St. Louis; Mosby; 2013. p. 162-7.
  12. Cawood JI, Howell RA. A classification of the edentulous jaws. Int J Oral Maxillofac Surg 1988;17:232-6. https://doi.org/10.1016/S0901-5027(88)80047-X
  13. Murphy T. Compensatory mechanisms in facial height adjustment to functional tooth attrition. Aust Dent J 1959;4:312-23. https://doi.org/10.1111/j.1834-7819.1959.tb03727.x
  14. Compagnon D, Woda A. Supraeruption of the unopposed maxillary first molar. J Prosthet Dent 1991;66:29-34. https://doi.org/10.1016/0022-3913(91)90347-Y