한국치위생학회지 (Journal of Korean society of Dental Hygiene)

  • 제22권4호
  • /
  • Pages.225-230
  • /
  • 2022
  • /
  • 2287-1705(pISSN)
  • /
  • 2288-2294(eISSN)
한국치위생학회 (Korean Society of Dental Hygiene)
권호 표지
DOI QR코드

DOI QR Code

심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례

Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony

  • 조유진 (전남대학교 치의학전문대학원 치과보철학교실)
  • Jo, Yu-Jin (Department of Prosthodontics, School of Dentistry, Chonnam National University)
  • 투고 : 2022.06.17
  • 심사 : 2022.07.07
  • 발행 : 2022.08.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

키워드

과제정보

I wish to express my deep appreciation to colleagues and technical assistants.

참고문헌

  1. Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent 1984;52(4):467-74. https://doi.org/10.1016/0022-3913(84)90326-3
  2. Park JY, Park SW, Yun KD, Jang WH. Comparative evaluation using cephalometric radiographs in patients with full mouth rehabilitation by changing the vertical dimension. Int J Oral Biol 2021;46(4):208-13. https://doi.org/10.11620/IJOB.2021.46.4.208
  3. Rugh JD, Drago CJ. Vertical dimension: a study of clinical rest position and jaw muscle activity. J Prosthet Dent 1981;45(6):670-5. https://doi.org/10.1016/0022-3913(81)90426-1
  4. Campos AA, Nathanson D, Rose L. Reproducibility and condylar position of a physiologic maxillomandibular centric relation in upright and supine body position. J Prosthet Dent 1996;76(3):282-7. https://doi.org/10.1016/s0022-3913(96)90172-9
  5. Rosenstiel SF, Land MF, Fujimoto J. Comtemporary fixed prosthodontics. 4th ed. St. Louis: Mosby; 2006: 55-9.
  6. Dawson PE. Evaluation, diagnosis and treatment of occlusal problems. 2nd ed. St. Louis: Mosby; 1989: 28-33,41-5,590-1.
  7. Mozaffari PM, Amirchaghmaghi M, Mortazavi H. Oral manifestations of renal patients before and after transplantation: a review of literature. Avicenna J Dent Res 2009;1(1):1-6.
  8. Elayi CS, Lusher S, Nyquist JLM, Darrat Y, Morales GX, Miller CS. Interference between dental electrical devices and pacemakers or defibrillators: results from a prospective clinical study. J Am Dent Assoc 2015;146(2):121-8. https://doi.org/10.1016/j.adaj.2014.11.016
  9. Dawson PE. Functional occlusion: from TMJ to smile design. Quintessence Int 2006;430-52.
  10. Jo YJ, Jung SA, Yang HS, Park SW, Lim HP, Yun KD, et al. Full mouth rehabilitation of the patient with severe tooth loss and tooth wear with vertical dimension gaining: a case report. J Korean Acad Prosthodont 2018;56(4):302-7. https://doi.org/10.4047/jkap.2018.56.4.302
  11. Aradya A, Nagarajagowda RSK, Basavaraju RM, Srinivas S, Kumararama SS. Influence of T - scan system on occlusion correction of implant supported prostheses: a systematic review. J Contemp Dent Pract 2022;23(1):105-17. https://doi.org/10.5005/jp-journals-10024-3288
  12. Manuel ST, Kundabaka M, Shetty N, Parolia A. Asthma and dental erosion. Kathmandu Univ Med J 2008;6(3):370-4. https://doi.org/10.3126/kumj.v6i3.1714
  13. Alcazar Navarrete B, Gomez-Moreno G, Aguilar-Salvatierra A, Guardia J, Romero Palacios PJ. Xerostomia relates to the degree of asthma control. J Oral Pathol Med 2015;44(4):273-7. https://doi.org/10.1111/jop.12228
  14. Ranjitkar S, Kaidonis JA, Smales RJ. Gastroesophageal reflux disease and tooth erosion. Int J Dent 2012;2012:1-10. https://doi.org/10.1155/2012/479850
  15. Dundar A, Sengun A. Dental approach to erosive tooth wear in gastroesophageal reflux disease. Afr Health Sci 2014;14(2):481-6. https://doi.org/10.4314/ahs.v14i2.28
  16. Wetselaar P, Lobbezoo F. The tooth wear evaluation system: a modular clinical guideline for the diagnosis and management planning of worn dentitions. J Oral Rehabil 2016;43(1):69-80. https://doi.org/10.1111/joor.12340