The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Complete mouth rehabilitation with vertical dimension increase in patient with extremely worn dentition

심한 치아 마모를 보이는 환자에서 수직 고경 증가를 동반한 전악 구강 회복 증례

  • Kim, Sung-Yong (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Kim, Na-Hong (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Yeom, Kyeong-Yeon (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center)
  • 김성용 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 김나홍 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 염경연 (한국보훈복지공단 중앙보훈병원 치과보철과)
  • Received : 2018.08.14
  • Accepted : 2018.09.08
  • Published : 2019.01.31
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Abstract

Generalized severely worn dentition causes occlusal disharmony, esthetic problems, and temporomandibular joint disorders. In order to solve these problems, it is necessary to make a precise analysis of vertical dimension and treatment plans considering it. This case report demonstrates the complete mouth rehabilitation of a 58-year-old male patient with a lot of worn teeth by increasing vertical dimension. Provisional restorations were cemented and after 4 months of evaluation for patient's compliance, permanent prostheses were fabricated. With these treatments, functionally and esthetically satisfactory results were obtained.

전반적인 치아의 심각한 마모는 교합 부조화, 심미문제, 턱관절 장애 등을 야기할 수 있으며, 이러한 문제를 해결하기 위해서는 수직 고경에 대한 세심한 평가가 필요하고, 이를 고려한 치료계획을 세워야 한다. 본 증례의 환자는 다수 치아 마모가 있는 58세 남환으로 수직 고경 거상을 동반하여 고정성 보철물로 전악 수복을 하였다. 임시 보철물을 장착하고 4개월 동안 새로운 수직 고경에 대한 환자의 적응도를 평가한 후에 최종 보철물을 장착하였으며, 기능적, 심미적으로 만족할만한 결과를 얻었기에 이를 보고하는 바이다.

Keywords

References

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