The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Complete denture rehabilitation in the edentulous patient with severe mandibular bone resorption and vascular malformation using closed mouth impression and monoplane occlusion: A case report

심한 하악골 흡수와 혈관기형을 보이는 무치악 환자에서 폐구인상법과 단일평면교합법을 이용한 총의치 수복 증례

  • Kim, Jae-Hyun (Department of Prosthodontics, School of Dentistry, Wonkwang University) ;
  • Cho, Hye-Won (Department of Prosthodontics, School of Dentistry, Wonkwang University)
  • 김재현 (원광대학교 치과대학 치과보철학교실) ;
  • 조혜원 (원광대학교 치과대학 치과보철학교실)
  • Received : 2020.09.08
  • Accepted : 2020.11.02
  • Published : 2021.04.30
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Abstract

A patient failed to use conventional complete dentures due to severe mandibular bone resorption and soft tissue hyperplasia on lips, tongue and oral vestibule from vascular malformation. The treatment of choice would be an implant-retained overdenture, however, he refused owing to high cost. The closed mouth impression technique using BPS principle, CR record registration with gothic arch tracing and monoplane occlusion using non-anatomic teeth were used to fabricate complete dentures for this patient. Patient satisfaction, the retention and the stability of complete dentures were highly improved as a result.

본 환자는 혈관기형으로 인한 구순과 혀, 전정 등 연조직의 비대와 팽윤감, 심한 하악골 흡수로 인해 일반적인 총의치를 사용할 수 없었다. 최선의 치료 방법은 임플란트 피개의치이나 경제적 제약 때문에 선택할 수 없었다. 하악 총의치로 수복을 하기 어려운 증례에서 음압을 형성하는 BPS 흡착식 원리를 응용한 폐구인상법과 고딕아치 묘기법을 이용한 중심위 악간관계기록 및 비해부학적치아를 이용한 단일평면교합법으로 총의치를 제작하여 그 결과가 양호하였다. 치료 전 환자와의 충분한 대화를 통해 요구사항을 확인함으로써 환자가 원하는 심미성을 보유하면서 기능적으로 양호한 총의치 제작이 가능하였다.

Keywords

References

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