The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture

구순암 환자에서의 의치접착제를 이용한 상악 총의치와 심한 치주 상태에서의 하악 이중관의치를 이용한 수복 증례

  • Choi, Hyun-Suk (Department of Prosthodontics, School of Dentistry, Kyoungpook National University) ;
  • Lee, Cheong-Hee (Department of Prosthodontics, School of Dentistry, Kyoungpook National University) ;
  • Cho, Jin-Hyun (Department of Prosthodontics, School of Dentistry, Kyoungpook National University)
  • 최현석 (경북대학교 치과대학 치과보철학교실) ;
  • 이청희 (경북대학교 치과대학 치과보철학교실) ;
  • 조진현 (경북대학교 치과대학 치과보철학교실)
  • Received : 2014.12.01
  • Accepted : 2014.01.06
  • Published : 2015.01.30
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Abstract

When oral cancer is occured, one may experience problems such as lip defect, necrosis of periodontal tissue and cervical caries caused by radiotherapy. According to ADI (Association of dental implantology), recent radiotherapy on jaw bone could be a relative contraindication of implant treatment. Due to this controversy, in most cases, treatment is done with removable dentures rather than implants. Especially, lip defect caused by an oral cancer operation have a serious repercussion on the retention of the denture. In this case report, patient with upper lip cancer had undergone resection primarily and secondary radiotherapy was done periodically. As a result, upper teeth of patient were extracted gradually and lower teeth showed very poor periodontal status. Therefore, Polident$^{(R)}$ denture adhesive cream (GlaxoSmithKline, London, England) was applied on maxillary complete denture to overcome reduced retention due to the lip defect and double crown RPD with friction pin was applied on the mandible successfully for two years.

구강암의 발생 시, 구순의 결손과 방사선치료에 의한 치주조직과 치경부우식증 등의 문제가 발생할 수 있다. ADI (Association of dental implantology)에 의하면 상 하악골에 대한 방사선치료가 최근에 시행되었을 경우 임플란트를 식립하는 것은 상대적 비적응증이 된다. 대부분의 경우 임플란트를 이용한 보철물의 제작이 어렵고 의치를 사용한 수복이 이루어지게 된다. 특히, 구강암 수술로 인한 구순결손은 의치의 유지에 심각한 영향을 주게 된다. 본 증례는 상순암을 가진 환자로 일차적으로 절제술을 시행하고, 이차적으로 방사선 치료가 정기적으로 이루어진 결과, 환자의 상악 치아들은 순차적으로 자연 발치되었고, 하악은 매우 불량한 치주상태를 나타내었다. 상악은 총의치에 의치접착제를 적용하여 구순결손에 의한 의치의 유지력 저하를 극복하였고, 하악에서는friction pin을 이용한 하악이중관의치가 2년 동안 성공적으로 사용되었다.

Keywords

References

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