The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

광범위한 치아부식 및 마모가 있는 환자에서 교정치료와 단일구조 지르코니아 보철물을 이용하여 완전 구강 회복술을 시행한 증례

  • Yun, Byoung Soo (Department of Prosthodontics, School of Dentistry, Yonsei University) ;
  • Kim, Jong Eun (Department of Prosthodontics, School of Dentistry, Yonsei University) ;
  • Shim, Jun Sung (Department of Prosthodontics, School of Dentistry, Yonsei University) ;
  • Kim, Jee Hwan (Department of Prosthodontics, School of Dentistry, Yonsei University)
  • 윤병수 (연세대학교 치과대학 치과보철학교실) ;
  • 김종은 (연세대학교 치과대학 치과보철학교실) ;
  • 심준성 (연세대학교 치과대학 치과보철학교실) ;
  • 김지환 (연세대학교 치과대학 치과보철학교실)
  • Received : 2018.07.17
  • Accepted : 2018.09.11
  • Published : 2018.10.31
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Abstract

Extensive dental erosion and wear will cause serious loss of function and aesthetics in the mouth. In order to recover this condition, careful analysis of the patient's bite relationship is required. In particular, a treatment plan should be established considering the possibility of reproduction of the vertical dimension and centric relation, and appropriateness of the occlusal plane and anterior guidance. Also, the choice of prosthetic materials is an important consideration in patients with severe wear. In this case, patients with overall wear and erosion on tooth was established anterior guidance by orthodontic treatment and fully restored with monolithic zirconia, without increasing vertical dimension.

광범위한 치아의 부식 및 마모는 구강에서 심각한 기능 및 심미의 상실을 야기한다. 이를 회복하기 위해서는 환자의 교합관계에 대한 면밀한 분석이 필요하다. 특히 수직 고경과 중심위의 재현가능성, 전방유도 및 교합평면의 적절성 등을 고려하여 치료계획을 수립하여야 한다. 또한, 마모가 심한 환자의 경우 보철재료의 선택 또한 중요한 고려사항이다. 본 증례에서는 치아의 전반적인 마모와 부식이 있고 있는 환자에서 교정치료를 통하여 전방유도를 부여하고 수직고경의 변화없이 단일 구조 지르코니아를 이용한 완전 구강 회복술로 안정적인 결과를 얻었기에 보고하고자 한다.

Keywords

References

  1. Jaeggi T, Gruninger A, Lussi A. Restorative therapy of erosion. In: Lussi A, editor. Dental erosion: from diagnosis to therapy. New York; Karger; 2006. p. 200-14.
  2. Grippo JO, Simring M, Coleman TA. Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20-year perspective. J Esthet Restor Dent 2012;24:10-23. https://doi.org/10.1111/j.1708-8240.2011.00487.x
  3. Johansson A, Haraldson T, Omar R, Kiliaridis S, Carlsson GE. A system for assessing the severity and progression of occlusal tooth wear. J Oral Rehabil 1993;20:125-31. https://doi.org/10.1111/j.1365-2842.1993.tb01596.x
  4. 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
  5. 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.
  6. 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
  7. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos 1935;77:851-4.
  8. Gegauff AG. Effect of crown lengthening and ferrule placement on static load failure of cemented cast post-cores and crowns. J Prosthet Dent 2000;84:169-79. https://doi.org/10.1067/mpr.2000.107583
  9. Kim DS, Kim YJ, Choi JH, Han JH. A study of Korean norm about tooth size and ratio in Korean adults with normal occlusion. Korean J Orthod 2001;31:505-515.
  10. Kaiser DA. Fabricating a customized incisal guide table. J Prosthet Dent 1981;45:568-9. https://doi.org/10.1016/0022-3913(81)90048-2
  11. Attin T, Koidl U, Buchalla W, Schaller HG, Kielbassa AM, Hellwig E. Correlation of microhardness and wear in differently eroded bovine dental enamel. Arch Oral Biol 1997;42: 243-50. https://doi.org/10.1016/0003-9969(06)00073-2
  12. Mair LH. Wear in dentistry-current terminology. J Dent 1992;20:140-4. https://doi.org/10.1016/0300-5712(92)90125-V
  13. Dawson PE. Functional occlusion: from TMJ to smile design. 1st ed. St. Louis; MO; Mosby; 2007. p. 113-30.
  14. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10.
  15. D'Amico A. Functional occlusion of the natural teeth of man. J Prosthet Dent 1961;11:899-915. https://doi.org/10.1016/0022-3913(61)90148-2
  16. Kruger L, Michel F. A single neuron analysis of buccal cavity representation in the sensory trigeminal complex of the cat. Arch Oral Biol 1962;7:491-503. https://doi.org/10.1016/0003-9969(62)90137-1
  17. Guazzato M, Albakry M, Ringer SP, Swain MV. Strength, fracture toughness and microstructure of a selection of allceramic materials. Part II. Zirconia-based dental ceramics. Dent Mater 2004;20:449-56. https://doi.org/10.1016/j.dental.2003.05.002
  18. Vichi A, Louca C, Corciolani G, Ferrari M. Color related to ceramic and zirconia restorations: a review. Dent Mater 2011; 27:97-108. https://doi.org/10.1016/j.dental.2010.10.018
  19. Kwon MS, Oh SY, Cho SA. Two-body wear comparison of zirconia crown, gold crown, and enamel against zirconia. J Mech Behav Biomed Mater 2015;47:21-8. https://doi.org/10.1016/j.jmbbm.2014.11.029
  20. Preis V, Schmalzbauer M, Bougeard D, Schneider-Feyrer S, Rosentritt M. Surface properties of monolithic zirconia after dental adjustment treatments and in vitro wear simulation. J Dent 2015;43:133-9. https://doi.org/10.1016/j.jdent.2014.08.011