The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full-mouth rehabilitation of partial edentulism in a deep bite patient

과개교합을 갖는 부분무치악환자의 전악수복

  • Kim, Sung-Hoon (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Rhee, Ye-Kyu (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Ko, Kyung-Ho (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Huh, Yoon-Hyuk (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
  • 김성훈 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 이예규 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 고경호 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 허윤혁 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 치과보철학교실 및 구강과학연구소)
  • Received : 2016.09.19
  • Accepted : 2016.11.09
  • Published : 2017.04.28
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Abstract

Deep overbite patients who do not have proper occlusal relationship may cause problems such as teeth wear and antagonist extrusion. These lead to the collapse of occlusal plane and esthetic problem. Increasing vertical dimension is frequently essential to resolve those problems. This case report demonstrates a full-mouth rehabilitation for a patient with severe deep bite that contacts surface to surface by increasing vertical dimension. Treatment procedures included diagnosis, treatment planning, implant surgery, and prosthodontic rehabilitation. Satisfactory results were obtained in functional and esthetic aspects.

과도한 수직피개를 가진 과개교합 환자에서 안정적인 유지접촉이 없는 경우 연조직 외상, 치질 파괴, 대합치 정출의 문제가 일어날 수 있고 이는 결과적으로 교합평면의 붕괴와 기능적, 심미적 문제로 이어진다. 치아의 상실과 마모가 발생된 환자에 대한 치료계획 수립 시 올바른 교합수직고경 설정을 통해 환자의 안정적인 악간관계를 회복시켜야 한다. 본 증례는 중심위에서 극심한 면 대 면 접촉이 발생된, 편측 구치부가 상실된 과개교합 환자에게 수직고경 증가를 동반한 완전구강회복술을 시행한 증례를 보고하였다. 보철수복 공간 확보를 위해 수직고경증가를 동반한 완전구강회복술로 안정적인 교합관계와 조화로운 전방, 측방유도를 얻어 환자의 기능적, 심미적 문제를 해결할 수 있었다.

Keywords

References

  1. The glossary of prosthodontic terms. J Prosthet Dent 2005;94:10-92. https://doi.org/10.1016/j.prosdent.2005.03.013
  2. Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis, Mo.: Mosby; 2007. xiii, p. 630.
  3. McDonagh S, Chadwick J. The combined orthodontic and surgical treatment of traumatic Class II division 2 in the adult. Dent Update 2004;3:83-8, 90-1.
  4. Beddis HP, Durey K, Alhilou A, Chan MF. The restorative management of the deep overbite. Br Dent J 2014;217:509-15. https://doi.org/10.1038/sj.bdj.2014.953
  5. Ambard A, Mueninghoff L. Planning restorative treatment for patients with severe Class II malocclusions. J Prosthet Dent 2002;88:200-7. https://doi.org/10.1067/mpr.2002.127713
  6. Akerly WB. Prosthodontic treatment of traumatic overlap of the anterior teeth. J Prosthet Dent 1977;38:26-34. https://doi.org/10.1016/0022-3913(77)90263-3
  7. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos 1935;77:851-4.
  8. McGee AM, Skinner M. Facial asymmetry and the attribution of personality traits. Br J Soc Psychol 1987;26:181-4. https://doi.org/10.1111/j.2044-8309.1987.tb00778.x
  9. 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
  10. Burnett CA, Clifford TJ. The mandibular speech envelope in subjects with and without incisal tooth wear. Int J Prosthodont 1999;12:514-8.
  11. Ash MM, Ramfjord SP. Occlusion. 4th ed. Philadelphia: W.B. Saunders; 1995. viii, p. 472.
  12. Capp NJ, Warren K. Restorative treatment for patients with excessive vertical overlap. Int J Prosthodont 1991;4:353-60.
  13. Gopi Chander N, Venkat R. An appraisal on increasing the occlusal vertical dimension in full occlusal rehabilitation and its outcome. J Indian Prosthodont Soc 2011;11:77-81. https://doi.org/10.1007/s13191-011-0066-9
  14. Ratnasari A, Hasegawa K, Oki K, Kawakami S, Yanagi Y, Asaumi JI, et al. Manifestation of preferred chewing side for hard food on TMJ disc displacement side. J Oral Rehabil 2011;38:12-7. https://doi.org/10.1111/j.1365-2842.2010.02128.x
  15. Diernberger S, Bernhardt O, Schwahn C, Kordass B. Self-reported chewing side preference and its associations with occlusal, temporomandibular and prosthodontic factors: results from the population-based Study of Health in Pomerania (SHIP-0). J Oral Rehabil 2008;35:613-20. https://doi.org/10.1111/j.1365-2842.2007.01790.x
  16. Wilding RJ, Adams LP, Lewin A. Absence of association between a preferred chewing side and its area of functional occlusal contact in the human dentition. Arch Oral Biol 1992;37:423-8. https://doi.org/10.1016/0003-9969(92)90027-6
  17. Bates JF, Stafford GD, Harrison A. Masticatory function--a review of the literature. 1. The form of the masticatory cycle. J Oral Rehabil 1975;2:281-301. https://doi.org/10.1111/j.1365-2842.1975.tb00921.x
  18. Yamasaki Y, Kuwatsuru R, Tsukiyama Y, Oki K, Koyano K. Objective assessment of mastication predominance in healthy dentate subjects and patients with unilateral posterior missing teeth. J Oral Rehabil 2016;43:575-82. https://doi.org/10.1111/joor.12403
  19. 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
  20. Sulaiman TA, Abdulmajeed AA, Donovan TE, Cooper LF, Walter R. Fracture rate of monolithic zirconia restorations up to 5 years: A dental laboratory survey. J Prosthet Dent 2016;116:436-9. https://doi.org/10.1016/j.prosdent.2016.01.033