The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Evaluation of suitability and stability in a skeletal Class III complete denture patient with flabby tissue: A case report

Flabby tissue를 동반하는 골격성 Class III 환자의 양악 총의치 수복 및 적합성/안정성 평가 증례

  • Lee, Junsuk (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Hong, Seoungjin (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Noh, Kwantae (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kim, Hyeong-Seob (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 이준석 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 홍성진 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 백장현 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 노관태 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 배아란 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 김형섭 (경희대학교 치의학전문대학원 치과보철학교실) ;
  • 권긍록 (경희대학교 치의학전문대학원 치과보철학교실)
  • Received : 2018.05.23
  • Accepted : 2018.07.12
  • Published : 2018.10.31
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Abstract

To obtain denture retention, support, and stability in Class III edentulous cases with flat alveolar ridges and extensive flabby tissue is very difficult. The patient was a 72-year-old male who wore ill-fitting 20 year old dentures made by non-medical institutions. There was flabby tissue on the maxillary anterior ridge. The patient showed Angle Class III skeletal relationship with severe protruded mandible. First, temporary dentures were fabricated to restore the masticatory function, and final dentures were made through non- pressure impression technique and careful the arrangement of the posterior resin teeth. Improvement of the retention and stability of the denture during the occlusal force application is reported.

치조제 흡수 및 광범위한 flabby tissue가 존재하는 Class III 무치악 증례에서 의치의 유지, 지지, 안정을 얻기는 매우 어렵다. 환자는 72세의 남성으로 약 20년전 비의료기관에서 제작된 의치의 잦은 탈락과 잘 씹히지 않는다는 것을 주소로 내원하신 분이다. 본 환자의 임상검사 소견상 상악 전치부에는 심한 flabby tissue 가 존재하였으며, 골격성 Class III에 해당하는 심한 하악 전돌 양상이 관찰되었다. 먼저 임시 의치 제작으로 저작기능을 회복하고 flabby tissue의 무압인상채득을 실시하였으며, 구치부 치아 배열을 고려하여 최종 의치를 제작하였다. 이에 환자의 주소인 의치의 탈락 및 저작시 불편감이 개선되는 양호한 결과를 얻었기에 이를 보고하는 바이다.

Keywords

References

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