DOI QR코드

DOI QR Code

상하악 전치부 심한 변색과 마모를 보이는 쉐그렌 증후군 환자에서 twin-stage법을 이용한 수복증례

Rehabilitation using twin-stage method for a Sjögren's syndrome patient with severe discoloration and attrition on upper and lower anterior teeth

  • 이선기 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 양홍서 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 박상원 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 임현필 (전남대학교 치의학전문대학원 치과보철학교실) ;
  • 윤귀덕 (전남대학교 치의학전문대학원 치과보철학교실)
  • Lee, Seon-Ki (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yang, Hong-So (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 투고 : 2015.12.17
  • 심사 : 2016.03.22
  • 발행 : 2016.07.29

초록

쉐그렌 증후군($Sj{\ddot{o}}gren^{\prime}s$ syndrome)을 가진 환자들은 구강건조증으로 인하여 치질이 연화되어 마모와 변색을 가지는 경우가 빈번하다. 전치부가 심하게 마모된 경우 전방유도의 상실 및 교합의 부조화, 보철수복을 위한 공간의 부족 등의 문제가 발생할 수 있는데, twin-stage method를 이용하여 수복시 전방유도와 측방유도를 통해 구치부 이개량을 확보하여 중심위와 편심위에서 모두 이상적인 교합을 형성할 수 있다. 본 증례는 쉐그렌 증후군으로 인하여 상, 하악 전치부의 심한 변색과 마모를 가진 환자에게 twin-stage method를 이용하여, 수복하였기에 보고하는 바이다.

Patients with $Sj{\ddot{o}}gren^{\prime}s$ syndrome usually suffer from teeth discoloration and attrition due to xerostomia. If the anterior teeth are badly worn, problems such as loss of anterior guidance, occlusal disharmony, and limited space for restoration may occur. However, ideal occlusion is obtained in both centric and eccentric relation by regaining the disocclusion of the posterior teeth through the anterior and lateral guidance using twin-stage method. In this case, rehabilitation was performed for a $Sj{\ddot{o}}gren^{\prime}s$ syndrome patient with maxillary and mandibular incisor's severe attrition and teeth discoloration by using twin-stage method.

키워드

참고문헌

  1. Fox RI, Robinson CA, Curd JG, Kozin F, Howell FV. Sjogren's syndrome. Proposed criteria for classification. Arthritis Rheum 1986;29:577-85. https://doi.org/10.1002/art.1780290501
  2. Hobo S. Twin-tables technique for occlusal rehabilitation: Part I-Mechanism of anterior guidance. J Prosthet Dent 1991;66:299-303. https://doi.org/10.1016/0022-3913(91)90253-S
  3. Hobo S. Twin-tables technique for occlusal rehabilitation: Part II-Clinical procedures. J Prosthet Dent 1991;66:471-7. https://doi.org/10.1016/0022-3913(91)90507-S
  4. Hobo S, Takayama H. Twin-stage procedure. Part 1: A new method to reproduce precise eccentric occlusal relations. Int J Periodontics Restorative Dent 1997;17:112-23.
  5. Dawson PE. Functional occlusion: From TMJ to smile design. St. Louis; Mosby; 2007. p. 159-77.
  6. Williamson EH, Lundquist DO. Anterior guidance: its effect on electromyographic activity of the temporal and masseter muscles. J Prosthet Dent 1983;49:816-23. https://doi.org/10.1016/0022-3913(83)90356-6
  7. Cho Y, Raigrodski AJ. The rehabilitation of an edentulous mandible with a CAD/CAM zirconia framework and heatpressed lithium disilicate ceramic crowns: a clinical report. J Prosthet Dent 2014;111:443-7. https://doi.org/10.1016/j.prosdent.2013.11.011
  8. Karl M, Graef F, Wichmann M, Krafft T. Passivity of fit of CAD/CAM and copy-milled frameworks, veneered frameworks, and anatomically contoured, zirconia ceramic, implantsupported fixed prostheses. J Prosthet Dent 2012;107:232-8. https://doi.org/10.1016/S0022-3913(12)60067-5