The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation of iatrogenic attrition patient

의원성 마모 환자의 전악 수복 증례

  • Lim, Na-Kyung (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Shin, Soo-Yeon (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 임나경 (단국대학교 치과대학 치과보철학교실) ;
  • 신수연 (단국대학교 치과대학 치과보철학교실)
  • Received : 2020.10.26
  • Accepted : 2021.03.16
  • Published : 2021.04.30
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Abstract

Physiologic tooth attrition is accepted as a natural change. But when pathologic changes, such as loss of occlusal vertical dimension, masticatory pain, loss of masticatory function, and loss of esthetics occur, restorative measures should be taken by dentist. A patient visited the clinic with the chief complaint of 'My lower teeth bite the palate and it hurts'. It was diagnosed as iatrogenic attrition of lower natural dentition caused by inappropriate upper restorations, resulting in traumatic overbite. Through model analysis and diagnostic wax up, increase in vertical dimension was decided. Upper and lower dentitions were restored with new prostheses. After restoration, satisfactory outcomes were achieved both in functional and esthetic aspects.

일생에 걸친 치아의 생리적 마모는 자연스러운 과정으로 여겨지고 있지만 치아 마모가 교합 수직고경의 감소, 저작 시 통증 및 저작 기능 상실, 심미성 소실 등의 병적 변화를 일으킨다고 판단되는 경우 치과의사가 이를 회복시켜주어야 한다. 본 증례 환자는 '아래 앞니가 입천장에 닿아서 아프다'는 주소로 내원하였다. 상악의 부적절한 보철물에 의한 하악 치열의 의원성 마모와 그에 따른 외상성 교합이 발생한 것으로 진단하였다. 진단모형 분석 및 납형조각을 통해 수직고경 거상을 결정하였으며 상악 및 하악을 적절한 고정성 보철물로 재수복하여 심미적 및 기능적으로 만족스러운 결과를 얻었기에 이를 보고하고자 한다.

Keywords

References

  1. Habsha E. Dental management of tooth wear part II. Oral Health 1999;57-64.
  2. Davies S, Gray R, Qualtrough A. Management of tooth surface loss. Br Dent J 2002;192:11-23. https://doi.org/10.1038/sj.bdj.4801278
  3. Pindborg JJ. Pathology of the dental hard tissues. 1st ed., Copenhagen: Munksgaard, 1970. p. 294-325.
  4. Smith BG. Tooth wear: etiology and diagnosis. Dent Update 1989;16:204-12.
  5. Hemmings KW, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000;83:287-93. https://doi.org/10.1016/S0022-3913(00)70130-2
  6. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear. Br Dent J 2012;212:17-27. https://doi.org/10.1038/sj.bdj.2011.1099
  7. Seghi RR, Rosenstiel SF, Bauer P. Abrasion of human enamel by different dental ceramics in vitro. J Dent Res 1991;70:221-5. https://doi.org/10.1177/00220345910700031301
  8. Lambrechts P, Braem M, Vanherle G. Buonocore memorial lecture. Evaluation of clinical performance for posterior composite resins and dentin adhesives. Oper Dent 1987;12:53-78.
  9. Ibsen RL, Ouellet DF. Restoring the worn dentition. J Esthet Dent 1992;4:96-101. https://doi.org/10.1111/j.1708-8240.1992.tb00671.x
  10. Lawson NC, Janyavula S, Syklawer S, McLaren EA, Burgess JO. Wear of enamel opposing zirconia and lithium disilicate after adjustment, polishing and glazing. J Dent 2014;42:1586-91. https://doi.org/10.1016/j.jdent.2014.09.008
  11. Silva TM, Salvia AC, Carvalho RF, Pagani C, Rocha DM, Silva EG. Polishing for glass ceramics: which protocol? J Prosthodont Res 2014;58:160-70. https://doi.org/10.1016/j.jpor.2014.02.001
  12. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos 1935;77:851-4.
  13. Kwon KR. The prosthetic approach for collapsed vertical dimensions of occlusion. J Dent Rehab Appl Sci 2004;20:169-81.
  14. 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.
  15. Song MY, Park JM, Park EJ. Full mouth rehabilitation of the patient with severely worn dentition: a case report. J Adv Prosthodont 2010;2:106-10. https://doi.org/10.4047/jap.2010.2.3.106
  16. Mehta S, Banerji S, Millar B, Suarez-Feito JM. Current concepts on the management of tooth wear: part 3. Active restorative care 2: the management of generalised tooth wear. British Dent J 2012;212:121-7. https://doi.org/10.1038/sj.bdj.2012.97
  17. Sato S, Hotta TH, Pedrazzi V. Removable occlusal overlay splint in the management of tooth wear: a clinical report. J Prosthet Dent 2000;83:392-5. https://doi.org/10.1016/S0022-3913(00)70032-1
  18. Dawson PE. Evaluation, diagnosis, and treatment of occlusal problems. St. Louis; The C.V. Mosby Co.; 1974. p. 214.
  19. Muts EJ, van Pelt H, Edelhoff D, Krejci I, Cune M. Tooth wear: a systematic review of treatment options. J Prosthet Dent 2014;112:752-9. https://doi.org/10.1016/j.prosdent.2014.01.018
  20. Gray RJ, Davies SJ. Occlusal splints and temporomandibular disorders: why, when, how? Dent Update 2001;28:194-9. https://doi.org/10.12968/denu.2001.28.4.194