The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear

치아 마모로 인한 수직고경감소와 과개교합을 가진 환자에서 전악 수복 증례

  • Seo, Seong-Yong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Na-Young (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kang, Jeong-Kyung (Department of Prosthodontics, Veterans Health Service Medical Center)
  • 서성용 (중앙보훈병원 치과보철과) ;
  • 이나영 (중앙보훈병원 치과보철과) ;
  • 강정경 (중앙보훈병원 치과보철과)
  • Received : 2017.07.10
  • Accepted : 2017.09.05
  • Published : 2018.01.31
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Abstract

The collapse of the posterior occlusion destroys the normal occlusal plane and causes excessive wear reducing the vertical dimension. Reduced vertical dimension of occlusion causes not only aesthetic and functional problems but also overloading on the temporomandibular joints and abnormalities of muscle nerve system. In order to improve the collapsed occlusal relationship, it is necessary to consider the change of the vertical dimension. It is necessary to make a precise diagnosis and analysis before the treatment and to evaluate the adaption of patient to the new vertical dimension of occlusion. A patient with excessive overbite often has occlusal problems of tooth wear and tooth eruption. Considering these considerations, overall prosthodontic restoration is required to solve the problem. A patient of 68 year old man in this case who suffered major tooth wear and maxillary posterior teeth loss was treated with elevation of vertical dimension of occlusion by maxillary removable dental prosthesis and mandibular fixed prosthesis.

구치부 교합의 붕괴는 정상적인 교합평면을 소실 시키고, 과도한 마모를 일으켜 수직고경을 감소시킨다. 감소된 수직 고경은 심미적, 기능적 문제를 일으킬 뿐만 아니라 측두하악관절에 과하중을 야기하고 근신경계 이상을 일으킬 수 있다. 이렇게 붕괴된 교합관계를 개선하기 위해서 수직고경 변경을 고려하여야 하는데 치료 전 정확한 진단과 분석이 필수적이며 새로운 수직 고경에 대한 적응 평가를 함께 하여야 한다. 그리고 과도한 수직피개를 가지는 과개교합 환자는 치아 마모 및 치아정출의 교합 문제를 가지는 경우가 많다. 이러한 사항을 고려해 보았을 때 치아마모로 수직고경이 감소된 과개교합 환자의 문제 해결을 위해서는 전반적인 보철수복을 하여야 한다. 본 증례는 68세 남자환자로 다수 치아의 마모와 상악 구치의 결손부위를 치료하기 위해 수직고경 증가를 동반한 상악 가철성 국소의치 및 상하악 고정성 보철물로 수복한 증례이다.

Keywords

References

  1. Dawson PE. Functional occlusion: From TMJ to smile design. St. Louis; Mosby Elsevier, 2007. p. 430-52.
  2. Murphy T. Compensatory mechanisms in facial height adjustment to functional tooth attrition. Aust Dent J 1959;4:312-23. https://doi.org/10.1111/j.1834-7819.1959.tb03727.x
  3. Briggs P, Bishop K. Fixed prostheses in the treatment of tooth wear. Eur J Prosthodont Restor Dent 1997;5:175-80.
  4. Hemmings KW, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000;83:287-93. https://doi.org/10.1016/S0022-3913(00)70130-2
  5. Sato S, Hotta TH, Pedrazzi V. Removable occlusal overlay splint in the management of tooth wear: a clinical report. J Prosthet Dent 2000;83:392-5. https://doi.org/10.1016/S0022-3913(00)70032-1
  6. Dahl BL, Krogstad O. The effect of a partial bite-raising splint on the inclination of upper and lower front teeth. Acta Odontol Scand 1983;41:311-4. https://doi.org/10.3109/00016358309162340
  7. Ramfjord SP, Blankenship JR. Increased occlusal vertical dimension in adult monkeys. J Prosthet Dent 1981;45:74-83. https://doi.org/10.1016/0022-3913(81)90015-9
  8. Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent 1984;52:467-74. https://doi.org/10.1016/0022-3913(84)90326-3
  9. Rivera-Morales WC, Mohl ND. Relationship of occlusal vertical dimension to the health of the masticatory system. J Prosthet Dent 1991;65:547-53. https://doi.org/10.1016/0022-3913(91)90298-B
  10. Park JH, Jeong CM, Jeon YC, Lim JS. A study on the occlusal plane and the vertical dimension in Korean adults with natural dentition. J Korean Acad Prosthodont 2005;43:41-51.
  11. Silverman MM. The speaking method in measuring vertical dimension. J Prosthet Dent 1953;3:193-9. https://doi.org/10.1016/0022-3913(53)90127-9
  12. Rivera-Morales WC, Mohl ND. Restoration of the vertical dimension of occlusion in the severely worn dentition. Dent Clin North Am 1992;36:651-64.
  13. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos 1935:77:851-4.
  14. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10.
  15. Abduo J. Safety of increasing vertical dimension of occlusion: a systematic review. Quintessence Int 2012;43:369-80.
  16. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent 1979;41:284-9. https://doi.org/10.1016/0022-3913(79)90008-8
  17. Naylor CK. Fabrication of a custom anterior guide table. J Prosthet Dent 1979;42:466-9. https://doi.org/10.1016/0022-3913(79)90154-9
  18. 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
  19. 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
  20. Torbjorner A, Fransson B. Biomechanical aspects of prosthetic treatment of structurally compromised teeth. Int J Prosthodont 2004;17:135-41.
  21. 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
  22. Ash MM. Occlusion. 4th ed. Saunders (W.B.) Co. Ltd., 1995. p. 72,3,6.
  23. Hellsing G. Functional adaptation to changes in vertical dimension. J Prosthet Dent 1984;52:867-70. https://doi.org/10.1016/S0022-3913(84)90001-5
  24. Jensen WO. Occlusion for the Class II jaw relations patient. J Prosthet Dent 1990;64:432-4. https://doi.org/10.1016/0022-3913(90)90039-F
  25. Curtis TA, Langer Y, Curtis DA, Carpenter R. Occlusal considerations for partially or completely edentulous skeletal Class II patients. Part II: Treatment concepts. J Prosthet Dent 1988;60:334-42. https://doi.org/10.1016/0022-3913(88)90279-X