대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제56권4호
  • /
  • Pages.347-353
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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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DOI QR Code

심한 치아 마모로 인해 수직 고경이 상실된 환자에서 국소 의치를 이용한 전악 수복 증례

Full mouth rehabilitation using removable partial denture in patient with loss of vertical dimension due to worn dentition

  • 심은영 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 이나영 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 강정경 (한국보훈복지공단 중앙보훈병원 치과보철과)
  • Shim, Eun-Young (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Lee, Na-Young (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Kang, Jeong-Kyung (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center)
  • 투고 : 2018.07.12
  • 심사 : 2018.09.13
  • 발행 : 2018.10.31
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초록

치아의 마모는 나이가 들어감에 따라 진행되는 정상적인 과정이지만, 과도한 마모는 교합 부조화, 기능 및 심미적인 문제를 가져온다. 특히, 구치부 지지가 상실된 경우 전치부 치아의 마모와 수직 고경의 감소가 발생할 수 있고 이로 인하여 측두 하악 관절 장애 및 비심미적인 안모 변화, 저작 효율 감소가 일어날 수 있다. 본 증례의 환자는 70세 남자 환자로 심한 치아의 마모로 인한 수직 고경 상실로 심미적인 회복을 위해 내원하였으며 구강 검사, 방사선 검사, 진단 모형 검사를 통해 수직 고경을 평가하고, 수직 고경 증가를 동반한 가철성 국소의치로 수복을 결정하였다. 10개월 간의 관찰 결과 안정적으로 교합이 유지되고 있는 것을 확인하였고, 환자의 기능적, 심미적인 만족을 얻었다.

Gradual attrition is a normal process of aging, but severe attrition causes occlusal disharmony, functional disorder and esthetic problems. The collapse of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). And it induces the pathologic change of the TMJ, unaesthetic facial appearance and decreased masticatory function. In this case, 70 year-old male presented with decreased vertical dimension and esthetic problems due to worn dentition. Based on assessment of intraoral findings, diagnostic cast and radiographic examination, full-mouth rehabilitation with increase of OVD was planned. After 10 month follow-up, occlusal stability is maintained and through this procedure, satisfactory outcomes were achieved in esthetic and functional aspects.

키워드

참고문헌

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