대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제56권1호
  • /
  • Pages.64-69
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  • 2018
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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치성 점액종 환자의 총의치 수복증례

Fabrication of complete dentures for a patient with odontogenic myxoma: A case report

  • 정다운 (가천대학교 길병원 치과보철과) ;
  • 김현희 (가천대학교 길병원 치과보철과) ;
  • 배정윤 (가천대학교 길병원 치과보철과)
  • Jeong, Da-Woon (Department of Prosthodontics, Gil Medical Center, Gachon University) ;
  • Kim, Hyun-Hee (Department of Prosthodontics, Gil Medical Center, Gachon University) ;
  • Bae, Jung-Yoon (Department of Prosthodontics, Gil Medical Center, Gachon University)
  • 투고 : 2017.08.28
  • 심사 : 2017.09.19
  • 발행 : 2018.01.31
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초록

치성점액종은 악골에 드물게 발생하는 양성 치성 종양이다. 본 증례의 60대 무치악 남성은 전상악부에 발생한 연조직 종괴 제거를 주소로 내원하였으며 절제 생검 결과 치성 점액종으로 확진되었다. 외과적 제거 후 잔존한 가동조직의 변형을 최소화 하기 위해 고안된 투명 레진 트레이로 인상을 채득하였다. 악간관계기록 및 납의치 시적시에 중립대 영역을 설정하고 기능적 연마면 형태를 인기하여 총의치의 안정성과 유지력을 증진시킬 수 있었다. 치성 점액종 제거 후 가동조직과 중립대를 고려하여 심미적, 기능적으로 만족스러운 총의치를 제작하였기에 이를 보고하는 바이다.

Odontogenic myxoma of the jaws is a rare benign odontogenic tumor. In this case, a 61-year-old male patient had a chief complaint about maxillary anterior gingival mass and excisional biopsy result confirmed odontogenic myxoma. The clear acrylic resin custom tray was designed to minimize displacement of flabby tissue which remained after the surgery. Neutral zone and external impression technique could provide satisfactory result in terms of denture stability and retention during jaw relation record and wax denture try-in procedure. This clinical report describes fabrication of complete dentures for a patient with odontogenic myxoma in regard to flabby tissue and neutral zone.

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참고문헌

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