The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation of a patient with tooth wear and insufficient restorative space due to loss of posterior teeth support: a case report

구치부 지지 상실로 인해 치아 마모와 부족한 수복 공간을 보이는 환자에서의 완전구강회복 증례

  • Hyunsub Kim (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Young-Jun Lim (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Ho-Beom Kwon (Department of Prosthodontics, School of Dentistry, Seoul National University) ;
  • Myung-Joo Kim (Department of Prosthodontics, School of Dentistry, Seoul National University)
  • 김현섭 (서울대학교 치의학대학원 치과보철학교실) ;
  • 임영준 (서울대학교 치의학대학원 치과보철학교실) ;
  • 권호범 (서울대학교 치의학대학원 치과보철학교실) ;
  • 김명주 (서울대학교 치의학대학원 치과보철학교실)
  • Received : 2023.09.06
  • Accepted : 2023.10.15
  • Published : 2024.01.31
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Abstract

To rehabilitate a patient with inappropriate occlusion due to posterior support loss, it is necessary to achieve an appropriate occlusal vertical dimension and create prostheses that demonstrate stable occlusion at the centric relation for full mouth restoration. This case shows full mouth rehabilitation in a patient with missing posterior teeth and tooth wear, achieved through implant-supported prostheses and zirconia full-veneer crowns. To assess adaptation to the increased occlusal vertical dimension, an occlusal splint and temporary restorations were secured. By fabricating the definitive restorations based on the anterior guidance of the temporary restorations, stable occlusal rehabilitation was successfully achieved.

구치부 지지 상실로 부적절한 교합을 보이는 환자를 전악 보철 수복하기 위해서는 적절한 교합수직고경의 증가와 중심위에서 안정된 교합을 나타내는 보철물의 제작이 필요하다. 본 증례는 대구치가 상실되고 치아 마모를 보이는 환자에서 임플란트 보철과 지르코니아 전부 전장관을 사용해 완전구강회복한 증례이다. 증가된 교합수직고경에의 적응 여부를 평가하기 위해 occlusal splint 및 임시 수복물이 사용됐으며, 임시 수복물의 전방 유도를 따르는 최종 보철물을 제작함으로써 안정된 교합 회복을 이룰 수 있었다.

Keywords

References

  1. Verrett RG. Analyzing the etiology of an extremely worn dentition. J Prosthodont 2001;10:224-33. https://doi.org/10.1111/j.1532-849X.2001.00224.x
  2. Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent 1984;52:467-74. https://doi.org/10.1016/0022-3913(84)90326-3
  3. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10. https://doi.org/10.1111/j.1834-7819.2011.01640.x
  4. Gopi Chander N, Venkat R. An appraisal on increasing the occlusal vertical dimension in full occlusal rehabilitation and its outcome. J Indian Prosthodont Soc 2011;11:77-81. https://doi.org/10.1007/s13191-011-0066-9
  5. Dawson PE. Functional occlsion: from TMJ to smile design. 1st ed., St. Louis; Mosby; 2006. p. 57-68.
  6. Carroll WJ, Woelfel JB, Huffman RW. Simple application of anterior jig or leaf gauge in routine clinical practice. J Prosthet Dent 1988;59:611-7. https://doi.org/10.1016/0022-3913(88)90081-9
  7. Fayz F, Eslami A, Graser GN. Use of anterior teeth measurements in determining occlusal vertical dimension. J Prosthet Dent 1987;58:317-22. https://doi.org/10.1016/0022-3913(87)90048-5
  8. Hoffman PJ, Silverman SI, Garfinkel L. Comparison of condylar position in centric relation and in centric occlusion in dentulous subjects. J Prosthet Dent 1973;30:582-8.
  9. Dawson PE. Evaluation, diagnosis, and treatment of occlusal problems. 2nd ed., St. Louis; Mosby; 1989. p. 41-7.
  10. Graham MM, Buxbaum J, Staling LM. A study of occlusal relationships and the incidence of myofacial pain. J Prosthet Dent 1982;47:549-55. https://doi.org/10.1016/0022-3913(82)90308-0
  11. Golsen LF, Shaw AF. Use of leaf gauge in occlusal diagnosis and therapy. Quintessence Int Dent Dig 1984;15:611-21.
  12. Kattadiyil MT, Alzaid AA, Campbell SD. What materials and reproducible techniques may be used in recording centric relation? best evidence consensus statement. J Prosthodont 2021;30(S1):34-42. https://doi.org/10.1111/jopr.13321
  13. Shillingburg HT, Hobo S, Whitsett LD, Jacobi R, Brackett S. Fundamentals of fixed prosthodontics. 4th ed., Chicago; Quintessence; 2012. p. 40-1.
  14. Jo YH, Hobo S, Takayama H. Occlusion. Seoul; Koonja Publishing; 1996. p. 5-13.