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Evaluation methods of occlusal vertical dimension and their clinical applications: A narrative review

수직 고경 평가법의 임상적 적용: 문헌 고찰

  • Sun, Minji (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Moon, Hong Seok (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Kim, Jaeyoung (Department of Prosthodontics, Yonsei University College of Dentistry)
  • 선민지 (연세대학교 치과대학 치과보철학교실) ;
  • 문홍석 (연세대학교 치과대학 치과보철학교실) ;
  • 김재영 (연세대학교 치과대학 치과보철학교실)
  • Received : 2022.08.16
  • Accepted : 2022.10.04
  • Published : 2022.10.31

Abstract

In an extensive oral rehabilitation, determining a proper occlusal vertical dimension is a critical step and the starting point for successful treatment. Since changing the occlusal vertical dimension could be time-consuming, financially challenging, and physically demanding for both clinicians and patients, multi-faceted analysis and careful consideration are essential in the diagnosis and further treatment process. The purpose of this narrative review is to discuss the occlusal vertical dimension and its current issues, and to summarize previous methods of evaluating occlusal vertical dimension to propose clinical guidance for determining a viable occlusal vertical dimension for full-mouth rehabilitation.

광범위한 전악 보철 수복 시 적절한 교합 수직 고경(occlusal vertical dimension)의 설정은 성공적인 치료를 위해 매우 중요한 단계이자 치료의 시작점이 된다. 수직 고경의 변경을 통한 술식은 치료가 침습적일 수 있으며, 환자 및 임상의들의 많은 시간과 비용, 노력을 필요로 하기 때문에, 진단 및 치료 진행 과정에 다각적인 분석과 심도 깊은 고찰이 필수적이다. 본 논문에서는 선행 문헌들의 검토를 통해 수직 고경의 개념과 관련된 여러 쟁점들에 대해 정리하고, 다양한 수직 고경 평가법들을 정리하여 전악 구강 회복 치료 시 적절한 수직 고경을 설정하기 위한 임상적 방법과 이에 대한 근거를 제시하고자 한다.

Keywords

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