The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

A case of full mouth rehabilitation with vertical dimension gaining in patient with severely worn dentition and loss of vertical dimension due to loss of posterior support

구치부 지지의 상실로 인해 과도한 치아 마모와 수직 고경 상실을 보이는 환자에서 수직 고경 거상을 동반한 전악 수복 증례

  • Jung, Ji-Ah (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Bang, Joo-Hyuk (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Lee, Yong-Sang (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center) ;
  • Kim, Sung-Yong (Department of Prosthodontic Dentistry, Veterans Health Service Medical Center)
  • 정지아 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 방주혁 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 이용상 (한국보훈복지공단 중앙보훈병원 치과보철과) ;
  • 김성용 (한국보훈복지공단 중앙보훈병원 치과보철과)
  • Received : 2019.10.02
  • Accepted : 2019.10.24
  • Published : 2020.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Gradual tooth wear is a natural process of aging, but pathological wear over physiologic ranges leads to functional and esthetic problems. The loss of posterior support may cause pathological wear of anterior teeth, which results in reduction of vertical dimension and disharmony of occlusal plane. To solve this problem, determination of proper vertical dimension considering centric relation is necessary. This case report presented 71-year-old male, who had the severe wear of lower anterior teeth due to loss of posterior support. By meticulous evaluation, a full mouth rehabilitation with elevation of vertical dimension was planned. After 8 months of follow-up, stable occlusal scheme is maintained and patient was satisfied with clinical outcome functionally and esthetically.

증령에 따라 진행되는 치아의 마모는 자연스러운 현상이지만 생리적인 범위를 초과하여 나타나는 병적 마모는 기능 및 심미 문제를 야기하게 된다. 특히, 구치부 지지가 상실되면 전치부의 병적 마모로 인해 수직 고경의 감소와 교합평면의 부조화가 일어날 수 있다. 이러한 문제를 해결하려면 중심위를 고려한 적절한 수직 고경 설정이 필요하다. 본 증례의 환자는 상악 구치부 상실에 의한 하악 전치부의 심한 마모를 보이는 71세 남환으로 보철 수복 공간을 위해 수직 고경을 거상하여 전악 수복을 시행하였다. 8개월간의 평가 결과 안정적인 교합을 확인하였고 기능적, 심미적으로 만족할만한 결과를 보였기에 이를 보고하고자 한다.

Keywords

References

  1. Murphy T. Compensatory mechanisms in facial height adjustment to functional tooth attrition. Australian Dent J 1959;4:312-23. https://doi.org/10.1111/j.1834-7819.1959.tb03727.x
  2. Hemmings KW, Howlett JA, Woodley NJ, Griffiths BM. Partial dentures for patients with advanced tooth wear. Dent Update 1995;22:52-9.
  3. 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
  4. Willis FM. Features of the face involved in full denture prosthesis. Dental Cosmos 1935;77:851-4.
  5. 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
  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. Rivera-Morales WC, Mohl ND. Restoration of the vertical dimension of occlusion in the severely worn dentition. Dent Clin North Am 1992;36:651-64.
  8. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent 1979;41:284-9. https://doi.org/10.1016/0022-3913(79)90008-8
  9. Goodacre CJ, Campagni WV, Aquilino SA. Tooth preparations for complete crowns: an art form based on scientific principles. J Prosthet Dent 2001;85:363-76. https://doi.org/10.1067/mpr.2001.114685
  10. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10. https://doi.org/10.1111/j.1834-7819.2011.01640.x
  11. Dawson PE. Centric relation. Its effect on occluso-muscle harmony. Dent Clin North Am 1979;23:169-80.
  12. Ramfjord SP, Ash MM. Occlusion. WB Saunders Co., Philadelphia; 1966. p. 115.
  13. Dahl BL, Carlsson GE, Ekfeldt A. Occlusal wear of teeth and restorative materials. A review of classification, etiology, mechanisms of wear, and some aspects of restorative procedures. Acta Odontol Scand 1993;51:299-311. https://doi.org/10.3109/00016359309040581
  14. Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis; MO; Elsevier Health Sciences; 2007. p. 430-52.
  15. Rosenstiel SF, Land MF, Junhei F. Contemporary fixed prosthodontics. St. Louis; MO; Elsevier Health Sciences; 2008. p. 55-7.
  16. Lee CY, Chung MK. Comparison of wear resistance among resin denture teeth opposing various restorative materials. J Korean Acad Prosthodont 1999;37:313-27.