The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation of severely worn dentition with implants and removable partial dentures

심한 마모를 가진 환자에서 임플란트와 가철성 국소의치를 이용한 전악수복 증례

  • Lee, Shin Eon (Department of Prosthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Won Sup (Department of Prosthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Cheol Won (Department of Prosthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Lee, Su Young (Department of Prosthodontics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 이신언 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이원섭 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이철원 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이수영 (가톨릭대학교 의과대학 서울성모병원 치과보철과)
  • Received : 2017.09.04
  • Accepted : 2017.09.27
  • Published : 2018.01.31
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Abstract

Excessive tooth wear can lead to decrease in occlusal vertical dimension and can cause pathological changes in the oral environment and masticatory system. When recovering occlusal vertical dimension and occlusion, accurate diagnosis and analysis are essential. This clinical case describes a 75-year-old woman with severely worn dentition due to loss of the posterior support. Full mouth rehabilitation with occlusal vertical dimension increment was planned. Clinical and radiographic examinations, occlusal vertical dimension evaluation, and diagnostic wax-up were performed and patient adaptability was evaluated using provisional restorations. As for definitive restoration, considering economic condition of the patient, removable partial denture was fabricated and solitary implants were placed in the mandibular left and right posterior region to increase support and retention of the removable partial denture. During one year of follow-up, functional and esthetic outcomes were observed satisfactory.

과도한 치아 마모는 수직 고경 감소를 초래하고 구강 환경과 저작계의 병적 변화를 유발할 수 있다. 수직 고경과 교합을 회복시켜주기 위해서는 정확한 진단과 분석이 필수적이다. 본 증례에서는, 75세 여성환자로 구치부 지지 상실로 인한 치아 심한 마모가 관찰되었다. 따라서 수직 고경 거상을 동반한 전악 재건 수복을 계획하였다. 정확한 임상적 방사선학적 검사, 수직 고경 평가 후 진단 납형을 제작하였고 임시보철수복을 통해 환자의 적응여부를 평가하였다. 최종 수복은 환자의 경제적 상황을 고려하여 가철성 국소의치를 제작하였으며 하악 좌우측 구치부에 임플란트를 한 개씩 식립하여 국소의치의 지지와 유지를 보강하였다. 최종 수복물 장착 후 1년 간의 경과관찰 기간 동안 기능적, 심미적으로 만족할 만한 결과를 보였다.

Keywords

References

  1. Hattab FN, Yassin OM. Etiology and diagnosis of tooth wear: a literature review and presentation of selected cases. Int J Prosthodont 2000;13:101-7.
  2. Smith BG, Knight JK. A comparison of patterns of tooth wear with aetiological factors. Br Dent J 1984;157:16-9. https://doi.org/10.1038/sj.bdj.4805401
  3. Smith BG, Knight JK. An index for measuring the wear of teeth. Br Dent J 1984;156:435-8. https://doi.org/10.1038/sj.bdj.4805394
  4. Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis; Mo: Mosby; 2007, p. 430-52.
  5. Jahangiri L, Jang S. Onlay partial denture technique for assessment of adequate occlusal vertical dimension: a clinical report. J Prosthet Dent 2002;87:1-4. https://doi.org/10.1067/mpr.2002.120845
  6. Muts EJ, van Pelt H, Edelhoff D, Krejci I, Cune M. Tooth wear: a systematic review of treatment options. J Prosthet Dent 2014;112:752-9. https://doi.org/10.1016/j.prosdent.2014.01.018
  7. 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
  8. Ibbetson RJ, Setchell DJ. Treatment of the worn dentition: 2. Dent Update 1989;16:300-2, 305-7.
  9. Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion and abfraction revisited: a new perspective on tooth surface lesions. J Am Dent Assoc 2004;135:1109-18. https://doi.org/10.14219/jada.archive.2004.0369
  10. Verrett RG. Analyzing the etiology of an extremely worn dentition. J Prosthodont 2001;10:224-33. https://doi.org/10.1111/j.1532-849X.2001.00224.x
  11. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10.
  12. Tang Y, Loh HT, Wong YS, Fuh JYH, Lu L, Wang X. Direct laser sintering of a copper-based alloy for creating threedimensional metal parts. J Mat Proc Tech 2003;140:368-72. https://doi.org/10.1016/S0924-0136(03)00766-0
  13. Akova T, Ucar Y, Tukay A, Balkaya MC, Brantley WA. Comparison of the bond strength of laser-sintered and cast base metal dental alloys to porcelain. Dent Mater 2008;24:1400-4. https://doi.org/10.1016/j.dental.2008.03.001
  14. Keltjens HM, Kayser AF, Hertel R, Battistuzzi PG. Distal extension removable partial dentures supported by implants and residual teeth: considerations and case reports. Int J Oral Maxillofac Implants 1993;8:208-13.
  15. Kuzmanovic DV, Payne AG, Purton DG. Distal implants to modify the Kennedy classification of a removable partial denture: a clinical report. J Prosthet Dent 2004;92:8-11. https://doi.org/10.1016/j.prosdent.2004.04.010
  16. Schneid TR, Mattie PA. Implant-assisted removable partial dentures. In: Phoenix RD, Cagna DR, DeFreest CF, editors. Stewart's clinical removable partial prosthodontics. 4th ed. Chicago; Quintessence Publishing Company; 2008. p. 259-77.
  17. Jang Y, Emtiaz S, Tarnow DP. Single implant-supported crown used as an abutment for a removable cast partial denture: a case report. Implant Dent 1998;7:199-204. https://doi.org/10.1097/00008505-199807030-00007
  18. Pellecchia M, Pellecchia R, Emtiaz S. Distal extension mandibular removable partial denture connected to an anterior fixed implant-supported prosthesis: a clinical report. J Prosthet Dent 2000;83:607-12. https://doi.org/10.1067/mpr.2000.107114
  19. Starr NL. The distal extension case: an alternative restorative design for implant prosthetics. Int J Periodontics Restorative Dent 2001;21:61-7.
  20. Chronopoulos V, Sarafianou A, Kourtis S. The use of dental implants in combination with removable partial dentures: a case report. J Esthet Restor Dent 2008;20:355-64. https://doi.org/10.1111/j.1708-8240.2008.00209.x