The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation of the patient with severe tooth loss and tooth wear with vertical dimension gaining: A case report

구치부 지지의 상실과 마모로 인해 교합이 붕괴된 환자에서 수직고경 회복을 동반한 구강회복 증례

  • Jo, Yu Jin (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Jung, Sua (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yang, Hong-So (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Sang-Won (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Lim, Hyun-Pil (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Yun, Kwi-Dug (Department of Prosthodontics, School of Dentistry, Chonnam National University) ;
  • Park, Chan (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 조유진 (전남대학교 치과대학 치과보철학교실) ;
  • 정수아 (전남대학교 치과대학 치과보철학교실) ;
  • 양홍서 (전남대학교 치과대학 치과보철학교실) ;
  • 박상원 (전남대학교 치과대학 치과보철학교실) ;
  • 임현필 (전남대학교 치과대학 치과보철학교실) ;
  • 윤귀덕 (전남대학교 치과대학 치과보철학교실) ;
  • 박찬 (전남대학교 치과대학 치과보철학교실)
  • Received : 2018.05.24
  • Accepted : 2018.08.08
  • Published : 2018.10.31
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Abstract

Multiple tooth loss and excessive occlusal wear can result in damage to occlusal disharmony, functional disorders and esthetic problems, requiring comprehensive prosthetic treatments. Changing vertical dimension harmonized with surrounding muscle tissue is important. In this case, the patient with loss of vertical dimension caused by severe tooth loss and tooth wear was treated with the analysis of vertical dimension, such as diagnostic model, radiography and various clinical exams. the patient was satisfied with favorable functions and esthetics for 1 years of follow-up.

다수의 치아 상실과 치아 마모로 인해 교합이 붕괴된 경우 교합 고경의 변경이 필요할 수 있다. 그리고 이러한 경우 심미적이면서도 근신경계와 조화를 이룰 수 있는 고경을 결정하는 것이 중요하다. 본 증례는 치아상실 및 마모로 인해 교합 수직 고경의 감소가 관찰된 환자에서 진단 모형과 방사선 사진 및 다양한 임상적 검사 등의 교합관계분석을 통해 교합 수직 고경을 회복을 동반한 보철 수복을 진행한 경우로, 기능적인 면과 심미적인 면에서 양호한 결과를 얻었기에 이를 보고하는 바이다.

Keywords

References

  1. 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
  2. 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
  3. Thompson JR. The rest position of the mandible and its significance to dental science. J Am Dent Assoc 1946;33:151-80. https://doi.org/10.14219/jada.archive.1946.0034
  4. Ibbetson RJ, Setchell DJ. Treatment of the worn dentition: 2. Dent Update 1989;16:300-2, 305-7.
  5. Johnson A, Wildgoose DG, Wood DJ. The determination of freeway space using two different methods. J Oral Rehabil 2002;29:1010-3. https://doi.org/10.1046/j.1365-2842.2002.00950.x
  6. 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.
  7. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear. Br Dent J 2012;212:17-27. https://doi.org/10.1038/sj.bdj.2011.1099
  8. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 2. Active restorative care 1: the management of localised tooth wear. Br Dent J 2012;212:73-82. https://doi.org/10.1038/sj.bdj.2012.48
  9. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 4. An overview of the restorative techniques and dental materials commonly applied for the management of tooth wear. Br Dent J 2012;212:169-77. https://doi.org/10.1038/sj.bdj.2012.137
  10. Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis; MO; Elsevier Health Sciences; 2007. p. 430-52.

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  1. 마모로 인해 수직고경이 감소되고 교합평면이 기울어진 환자의 전악보철수복 증례 vol.57, pp.2, 2018, https://doi.org/10.4047/jkap.2019.57.2.182