The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full-mouth rehabilitation in a patient with inclined occlusal plane and reduced vertical dimension by an attrition: A case report

마모로 인해 수직고경이 감소되고 교합평면이 기울어진 환자의 전악보철수복 증례

  • Lee, Ha-Rim (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Kim, Jae-Hoon (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Jang, Eun-Sun (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Gyeong-Je (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 이하림 (조선대학교 치과대학 치과보철학교실) ;
  • 김재훈 (조선대학교 치과대학 치과보철학교실) ;
  • 장은선 (조선대학교 치과대학 치과보철학교실) ;
  • 이경제 (조선대학교 치과대학 치과보철학교실)
  • Received : 2018.11.28
  • Accepted : 2019.03.15
  • Published : 2019.04.30
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Abstract

A proper vertical dimension and a harmonious occlusal plane are essential to satisfy a patient esthetically and functionally. A maxillomandibular occlusal vertical dimension is determined by the elevators which repeatedly contracts to a certain length, and a tooth location is determined by a maxillomandibular vertical dimension. The patient of this case came in with the incongruity of the lips and the occlusal plane. The result of clinical test showed the lack of length of the lower anterior due to the reduction of vertical dimension, the deep overbite of anterior, the excessive attrition of anterior, and the incongruity of occlusal plane. After the diagnostic wax-up, the temporary restoration was installed, and final prosthesis was installed after 6 months. As a result, the patient obtained a functionally and esthetically satisfying result.

심미적이고 기능적인 치과보철물을 위해 적절한 수직고경과 조화로운 교합평면은 매우 중요한 요소이다. 상,하악관계의 교합수직고경은 반복적으로 일정하게 수축하는 거상근의 길이에 의해 결정되며 상악과 하악 사이의 수직 고경에 치아들의 위치가 결정된다고 볼 수 있다. 본 증례의 환자는 입술 및 교합평면의 부조화를 해결하고 싶다는 주소로 내원하였으며, 임상검사결과 수직고경의 감소로 인한 하안모의 길이 부족, 전치부의 과도한 수직피개, 과도한 전치의 교모, 교합평면의 부조화가 관찰되었다. 진단 왁스업을 시행하여 임시 수복물을 상하악에 장착하여 경과를 관찰하였고 6개월 후 최종보철물을 장착하였다. 그 결과 기능적, 심미적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.

Keywords

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