구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제33권3호
  • /
  • Pages.207-215
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  • 2017
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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심한 치조골 흡수로 인해 편평한 치조제를 보이는 완전 무치악 환자에서 설측 교두 교합을 이용한 의치 수복 증례

Complete denture treatment using lingualized occlusion scheme at the edentulous patient with severely absorbed flat residual ridges: a case report

  • 최범식 (단국대학교 치과대학 치과보철학교실) ;
  • 이준석 (단국대학교 치과대학 치과보철학교실)
  • Choi, Bum-Shik (Department of Prosthodontics, School of Dentistry, Dankook University) ;
  • Lee, Joon-Seok (Department of Prosthodontics, School of Dentistry, Dankook University)
  • 투고 : 2017.07.10
  • 심사 : 2017.07.29
  • 발행 : 2017.09.30
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초록

총의치 치료에서는 지지, 유지, 안정, 교합, 심미 등 고려할 요소가 많으나 치조골 흡수가 심한 경우, 해당 요인을 갖추기 어렵다. 해부학적 치아를 사용할 경우 좋은 저작효율과 심미성을 기대할 수 있으나, 흡수된 치조골에서는 안정이 저하될 수 있으며 비해부학적 치아는 이와 반대의 효과를 나타낸다. 이에 치아를 혼용하는 설측 교두 교합이 제시되었다. 설측 교두 교합에서 상, 하악 협측 교두는 중심위, 측방위에서 접촉되지 않고 교합접촉위치가 설측화 또는 중심화되어 의치의 안정성이 증대될 수 있다. 본 증례는 상하 치조제의 흡수가 진행되어, 상악에서 편평한 치조제를 보이는 경우로, 설측 교두 교합을 이용한 총의치를 이용하여 치료함으로써 의치의 안정성과 환자의 만족도를 높였기에 이를 보고하는 바이다.

Many factors should be considered for successful denture treatment at edentulous patients: support, retention, stability, occlusion, esthetics, etc. The patient who has severely absorbed residual ridges, however, treatments are challenging to satisfy those factors. The dentures that use anatomic artificial teeth show good mastication efficiency and esthetics but, can easily lose stability at absorbed ridges. On the contrary, the dentures that use non-anatomic artificial teeth perform better stability but, lower masticatory efficiency and esthetics at absorbed ridges. The lingualized occlusion, using both anatomic and non-anatomic teeth, introduced for compromise those of the pros and cons. At lingualized occlusion, buccal cusps of the teeth do not contact on centric relation. Therefore, direction of the occlusal force towards lingually, then stability of dentures increases. This case report shows the results of the treatment flat residual ridges using complete dentures with ligualized occlusion to increase dentures stability and satisfactory of the patient.

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참고문헌

  1. Kwon WI, Song YG, Lee JS. Complete denture rehabilitation of fully edentulous patient with severe bone resorption and class II jaw relation using piezography. J Korean Acad Prosthodont 2016;54:445-50. https://doi.org/10.4047/jkap.2016.54.4.445
  2. Kawai Y, Ikeguchi N, Suzuki A, Kuwashima A, Sakamoto R, Matsumaru Y, Kimoto S, Iijima M, Feine JS. A double blind randomized clinical trial comparing lingualized and fully bilateral balanced posterior occlusion for conventional complete dentures. J Prosthodont Res 2017;61:113-22. https://doi.org/10.1016/j.jpor.2016.07.003
  3. Becker CM, Swoope CC, Guckes AD. Lingualized occlusion for removable prosthodontics. J Prosthet Dent 1977;38:601-8. https://doi.org/10.1016/0022-3913(77)90002-6
  4. Clough HE, Knodle JM, Leeper SH, Pudwill ML, Taylor DT. A comparison of lingualized occlusion and monoplane occlusion in complete dentures. J Prosthet Dent 1983;50:176-9. https://doi.org/10.1016/0022-3913(83)90007-0
  5. Gysi A. Special teeth for cross-bite cases. Dent Digest 1927;33:167-71.
  6. Sutton AF, McCord JF. A randomized clinical trial comparing anatomic, lingualized, and zero-degree posterior occlusal forms for complete dentures. J Prosthet Dent 2007;97:292-8. https://doi.org/10.1016/j.prosdent.2007.03.003
  7. Ohnuki M, Nishiyama Y, Hosoi T, Tojo T, Nishimura K. Functional efficacy of full balanced occlusion and lingualized occlusion evaluated from morphological differences in the edentulous alveolar ridge. Prosthodont Res Pract 2002;1:31-40. https://doi.org/10.2186/prp.1.31
  8. Matsumaru Y. Influence of mandibular residual ridge resorption on objective masticatory measures of lingualized and fully bilateral balanced denture articulation. J Prosthodont Res 2010;54:112-8. https://doi.org/10.1016/j.jpor.2009.11.008
  9. Deniz DA, Kulak Ozkan Y. The influence of occlusion on masticatory performance and satisfaction in complete denture wearers. J Oral Rehabil 2013;40:91-8. https://doi.org/10.1111/joor.12015
  10. Heydecke G, Vogeler M, Wolkewitz M, Turp JC, Strub JR. Simplified versus comprehensive fabrication of complete dentures: patient ratings of denture satisfaction from a randomized crossover trial. Quintessence Int 2008;39:107-16.
  11. Zhao K, Mai QQ, Wang XD, Yang W, Zhao L. Occlusal designs on masticatory ability and patient satisfaction with complete denture: a systematic review. J Dent 2013;41:1036-42. https://doi.org/10.1016/j.jdent.2013.07.016
  12. Lim SR, Lee JS. Three dimensional deformation of dry-stored complete denture base at room temperature. J Adv Prosthodont 2016;8:296-303. https://doi.org/10.4047/jap.2016.8.4.296
  13. Basso MF, Nogueira SS, Arioli-Filho JN. Comparison of the occlusal vertical dimension after processing complete dentures made with lingualized balanced occlusion and conventional balanced occlusion. J Prosthet Dent 2006;96:200-4. https://doi.org/10.1016/j.prosdent.2006.08.005
  14. Phoenix RD, Engelmeier RL. Lingualized occlusion revisited. J Prosthet Dent 2010;104:342-6. https://doi.org/10.1016/S0022-3913(10)60153-9
  15. Arksornnukit M, Phunthikaphadr T, Takahashi H. Pressure transmission and distribution under denture bases using denture teeth with different materials and cuspal angulations. J Prosthet Dent 2011;105:127-36. https://doi.org/10.1016/S0022-3913(11)60013-9