The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation with vertical dimension increase in patient with loss of anterior guidance due to maxillary anterior teeth wear: A case report

상악 전치부 마모로 전방 유도가 상실된 환자에서 수직고경 거상을 동반한 전악구강회복 증례

  • Kim, Woong-Gi (Department of Prosthodontics, Veteran's Health Medical Service Center) ;
  • Yeom, Kyeong-Yeon (Department of Prosthodontics, Veteran's Health Medical Service Center) ;
  • Lee, Yong-Sang (Department of Prosthodontics, Veteran's Health Medical Service Center)
  • 김웅기 (중앙보훈병원 치과병원 보철과) ;
  • 염경연 (중앙보훈병원 치과병원 보철과) ;
  • 이용상 (중앙보훈병원 치과병원 보철과)
  • Received : 2016.08.21
  • Accepted : 2016.09.23
  • Published : 2017.04.28
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Abstract

Severely worn dentition is frequently multifactorial. It is crucial that the etiology of excessive wear be determined, but accurately diagnosing the factors responsible for tooth wear is often confusing. Before initiating the treatment of these cases, meticulous examination and determining vertical dimension are essential. A 69-year-old male patient had the chief complaint that he has worn dentition and functional and esthetic discomfort. Based on model analysis and diagnostic wax up, new vertical dimension had been determined. Provisional restorations were cemented and after 5 months permanent prostheses were fabricated. This case reports a satisfactory functional and esthetic clinical outcome achieved by restoring the vertical dimension.

심하게 마모된 치열은 종종 그 원인이 다양하다. 과도한 마모의 원인을 파악하는 것은 매우 중요하지만 마모를 일으키는 원인을 명확히 진단하기란 쉽지 않다. 마모된 치열의 치료를 시작하기 전 세심한 검사와 수직고경을 결정하는 것은 필수적이다. 69세의 남환이 전반적인 치아 마모로 인한 기능적, 심미적인 불만을 주소로 내원하였다. 모델 분석과 진단 납형을 바탕으로 새로운 수직고경이 설정되었다. 임시 보철물이 장착되고 5개월 후 최종 보철물을 장착하였다. 새로운 수직고경을 설정하여 기능적, 심미적으로 만족한 임상적 결과를 얻었기에 보고하는 바이다.

Keywords

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