The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Full mouth rehabilitation of a patient with worn dentition and loss of posterior support by vertical dimension reestablishment: a clinical report

구치부 상실과 과도한 교모가 있는 환자의 수직 고경 회복을 통한 전악 보철 수복

  • Ryu, Jung-Hyun (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)
  • 류정현 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이원섭 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이철원 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이수영 (가톨릭대학교 의과대학 서울성모병원 치과보철과)
  • Received : 2018.04.18
  • Accepted : 2018.05.31
  • Published : 2018.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Excessive teeth wear may result in the complications such as esthetic problems, hypersensitivity, and loss of vertical dimension. This clinical report focuses on the causes of severely worn dentition and the full-mouth rehabilitation of a patient with rheumatoid arthritis for 20 years. An interview, clinical and radiological examinations were performed to analyze the causes and decide the treatment plan. After delivery of the final prostheses, a night guard was used to protect the restorations and temporomandibular joints. The patient was satisfied esthetically and functionally.

과도한 치아의 마모는 심미적인 문제와 치아의 과민성, 수직 고경의 감소 등의 합병증이 발생한다. 본 증례는 20년 동안 류마티스 관절염 기왕력을 가진 환자를 문진, 임상적 및 방사선학적 검사를 통해 마모가 발생한 원인을 분석하고 완전 구강 회복술을 시행한 것이다. 최종보철물 제작 후 보철물 파절 예방과 안정된 측두하악관절의 유지를 위해 나이트 가드를 제작하였다. 심미적, 기능적으로 만족할만한 결과를 보였기에 이를 보고하는 바이다.

Keywords

References

  1. 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
  2. Crothers AJ. Tooth wear and facial morphology. J Dent 1992; 20:333-41. https://doi.org/10.1016/0300-5712(92)90019-9
  3. 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
  4. 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
  5. Davies SJ, Gray RJ, Qualtrough AJ. Management of tooth surface loss. Br Dent J 2002;192:11-6, 19-23.
  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. Dawson PE. Functional occlusion: From TMJ to smile design. St. Louis, MO; Elsevier Health Sciences; 2006.
  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. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10.
  10. Korean Academy of Orofacial Pain and Oral Medicine. Orofacial pains and temporomandibular disorders. 4th ed. Seoul, Korea; 2012. p. 155-6.
  11. Nelson SJ. Wheeler's dental anatomy, physiology, and occlusion 10th ed. St. Louis, MO; Elsevier, Saunders; 2015. p. 13.
  12. Goiato MC, Pellizzer EP, da Silva EV, Bonatto Lda R, dos Santos DM. Is the internal connection more efficient than external connection in mechanical, biological, and esthetical point of views? A systematic review. Oral Maxillofac Surg 2015;19:229-42. https://doi.org/10.1007/s10006-015-0494-5
  13. Kim KS, Lim YJ, Kim MJ, Kwon HB, Yang JH, Lee JB, Yim SH. Variation in the total lengths of abutment/implant assemblies generated with a function of applied tightening torque in external and internal implant-abutment connection. Clin Oral Implants Res 2011;22:834-9. https://doi.org/10.1111/j.1600-0501.2010.02063.x
  14. Ozkurt Z, Kazazoglu E. Clinical success of zirconia in dental applications. J Prosthodont 2010;19:64-8. https://doi.org/10.1111/j.1532-849X.2009.00513.x
  15. 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
  16. Ehrlich J, Hochman N, Yaffe A. Contribution of oral habits to dental disorders. Cranio 1992;10:144-7. https://doi.org/10.1080/08869634.1992.11677903
  17. Gregory-Head B, Curtis DA. Erosion caused by gastroesophageal reflux: diagnostic considerations. J Prosthodont 1997;6: 278-85. https://doi.org/10.1111/j.1532-849X.1997.tb00108.x
  18. Chronopoulos V, Maroulakos G, Tsoutis K, Stathopoulou P, Nagy WW. Complete mouth rehabilitation and gastroesophageal re‡ux disease: Conventional and contemporary treatment approaches. J Prosthet Dent 2017;117:1-7. https://doi.org/10.1016/j.prosdent.2016.05.014
  19. Kuybulu FI, Gemalmaz D, Pameijer CH, Yarat A, Alcan T. Erosion of luting cements exposed to acidic buffer solutions. Int J Prosthodont 2007;20:494-5.
  20. 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