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엇갈린 교합 환자에서의 가철성 보철을 이용한 전악구강회복 증례

Full mouth rehabilitation of the patient with crossed occlusion using removable partial denture restoration: A case report

  • 최유라 (중앙보훈병원 치과병원 치과보철과) ;
  • 강정경 (중앙보훈병원 치과병원 치과보철과) ;
  • 김나홍 (중앙보훈병원 치과병원 치과보철과) ;
  • 장희원 (중앙보훈병원 치과병원 치과보철과)
  • Choi, Yu-Ra (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kang, Jeong-Kyung (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kim, Na-Hong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Chang, Hee-Won (Department of Prosthodontics, Veterans Health Service Medical Center)
  • 투고 : 2016.05.31
  • 심사 : 2016.09.02
  • 발행 : 2017.01.31

초록

엇갈린 교합을 가진 가철성 국소의치에서는 하중시 의치의 다양한 움직임과 불리한 안정으로 인해 환자의 만족감을 얻는 것이 어렵다. 편측 소수 잔존치 증례에서는 안정적인 양측성 지지를 확보하기 위해 임플란트 식립 또는 잔존치근을 이용한 추가적인 치료가 필요하다. 그러나, 본 증례에서는 고혈압, 협심증, 고령 등의 전신질환을 고려하여 가철성 국소의치를 치료방법으로 선택하였다. 엇갈린 교합으로 인해 수직고경이 상실된 환자에게 수직고경을 회복해 주기 위해서 정확한 진단과 분석이 필수적이며, 근신경계에 대한 적응을 파악해야만 수직고경을 회복해 줄 수 있다.

In removable partial denture with crossed occlusion, it is difficult to meet the satisfaction of patient due to variable movement of denture and unfavorable stability under loading. In a case with few unilaterally teeth remaining, additional treatments such as implantation or residual root are required to assure bilaterally stable support. However, due to the medical condition of the patient with hypertension, angina and old age etc., removable partial denture was planned as treatment in this case. Proper diagnosis, accurate analysis and full understanding of the adaptation for neuromuscular system are necessary to recover the vertical dimension of patient from a decreased vertical dimension due to crossed occlusion.

키워드

참고문헌

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