대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제60권1호
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  • Pages.91-99
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  • 2022
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  • 0301-2875(pISSN)
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  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
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심한 치아 마모와 수복공간 부족을 보이는 환자에서의 완전 구강회복 증례

Full mouth rehabilitation of the patient with severely worn dentition and limited vertical dimension

  • 양민성 (서울대학교 치의학대학원 치과보철학교실) ;
  • 김성균 (서울대학교 치의학대학원 치과보철학교실) ;
  • 허성주 (서울대학교 치의학대학원 치과보철학교실) ;
  • 곽재영 (서울대학교 치의학대학원 치과보철학교실) ;
  • 박지만 (서울대학교 치의학대학원 치과보철학교실) ;
  • 이유승 (서울대학교 치의학대학원 치과보철학교실)
  • Yang, Min-Seong (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Kim, Seong-Kyun (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Heo, Seong-Joo (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Koak, Jai-Young (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Park, Ji-Man (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Yi, Yu-Seung (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 투고 : 2021.09.06
  • 심사 : 2021.10.05
  • 발행 : 2022.01.28
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초록

심한 치아 마모는 치료되지 않고 방치될 경우에 치아 구조물의 상실, 치수 합병증, 착색, 기능과 심미의 상실과 같은 여러 합병증 등을 야기한다. 본 증례의 환자는 전치부에서 특히 심한 치아마모를 보이며 수복공간 부족을 보이는 경우로 수직고경 거상을 동반한 전악 고정성 보철물로 수복을 하였다. 진단납형을 토대로 수직거상량을 결정하고 가철성 교합안정장치를 6주간 장착하여 적응도를 평가하였다. 이후 고정성 임시보철물을 수복함으로써 3달간 근신경계의 조화, 심미, 측두하악관절 등에 대하여 재평가하였다. 위와 같은 치료과정을 통해서 단일구조 지르코니아를 이용한 전악 고정성 보철물로 최종수복을 완료하였고 기능적, 심미적으로 안정적인 결과를 얻었기에 보고하는 바이다.

Severely worn dentition causes various complications such as loss of tooth structure, discoloration, pulp complications and loss of function and aesthetics. In this case, the patient showed particularly severe attrition in the anterior teeth and lack of space for restoration. The amount of vertical dimension was determined based on the diagnostic wax up, and the patient's adaptation was evaluated by using a removable occlusal splint for 6 weeks. Thereafter, the coordination of the muscular nervous system, aesthetics, temporomandibular joint were re-evaluated for 3 months by restoring the fixed provisional restoration. Through the above treatment process, the final restoration was completed with full mouth fixed prosthesis using monolithic zirconia, and functionally and aesthetically stable results were obtained.

키워드

과제정보

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2018R1D1A1B07042333) and by the Korea Medical Device Development Fund grant funded by the Korea government (the Ministry of Science and ICT, the Ministry of Trade, Industry and Energy, the Ministry of Health & Welfare, Republic of Korea, the Ministry of Food and Drug Safety) (Project Number: 202011A02).

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