• Title/Summary/Keyword: 고딕 아치 묘기법

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Complete denture rehabilitation of edentulous patient with severe alveolar bone resorption and condyle fracture using gothic arch tracing and closed mouth impression technique: A case report (하악 과두 골절과 심한 잔존치조제 흡수를 보이는 완전 무치악 환자에서 폐구 인상법과 고딕아치 묘기법을 이용한 총의치 수복 증례)

  • Choi, In-Ho;Kim, Seong-A;Kim, Na-Hong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.145-152
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    • 2020
  • It is essential to record maxillomandibular relationship accurately for the harmony of esthetic and function in complete denture. Gothic arch tracing visually demonstrates the movement of the mandible, and is useful to establish accurate and reproducible centric relation. Proper retention and stability of complete denture in patients with severe alveolar bone resorption is difficult to attain. In such case, the closed mouth impression technique might be recommended. The denture border and impression are determined by patient's physiologic movement in the closed mouth impression technique. And, denture peripheral border is entirely closed with oral mucous membrane. This report presents satisfactory complete denture restoration using closed mouth impression technique and gothic arch tracing in patients with mandibular condyle fracture and severe absorption of mandibular alveolar ridge.

Full mouth rehabilitation of a patient with difficulties in guiding centric relation: A case report (중심위로의 유도가 어려운 환자의 수복 증례)

  • Jun, Daejeon;Vang, Mongsook;Yang, Hongso;Park, Sangwon;Lim, Hyunpil;Yun, Kwidug
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.4
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    • pp.366-376
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    • 2015
  • The Gothic arch tracing method using a Gothic arch tracer which is one of the centric relation recording methods can reproduce mandibular movement more accurately by describing the path of mandibular curvilinear motion. This case reports that we have satisfactory results by recording reproducible centric relation using a gothic arch tracing method in a patient who has difficulty to induce centric relation by operator due to parafunctional movement.

Full mouth rehabilitation using removable prosthesis of patient with unstable mandible movements: A case report (불안정한 하악운동을 보이는 환자에서 가철성 의치 수복 증례)

  • Sohn, Dong-Hwan;Yi, Yang-Jin;Jo, Deuk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.35-41
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    • 2020
  • Patients with collapsed occlusal support and unilateral chewing show parafunctional mandibular movements, which can be complicated in older patients. Gothic arch tracing and split cast technique are used to confirm the deviation between centric relation and anterior habitual bite in patient who has oral dyskinesia and collapsed occlusion. Temporary denture as occlusal stabilization appliance was provided for stable occlusion and reproducible mandibular movement. Definitive denture was fabricated by lingualized occlusion concept.

Complete denture rehabilitation of a fully edentulous patient with unilateral facial nerve palsy: A case report (편측성 안면 신경마비 환자에서의 총의치 수복 증례)

  • Choi, Eunyoung;Lee, Ji-Hyoun;Choi, Sunyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.451-457
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    • 2017
  • Bell's palsy is an acute-onset unilateral peripheral facial neuropathy. For patients with sequelae of facial paresis, the successful rehabilitation of fully edentulous arches is challenging. This case report described the treatment procedures and clinical considerations to fabricate complete dentures of a patient who showed unilateral displacement of mandible, unilateral chewing pattern and parafunctional jaw movement due to sequelae of Bell's palsy. Gothic arch tracing was used to record reproducible centric relation and lingualized occlusion was performed to provide freedom to move between centric relation and the patient's habitual functional area in fabricating satisfactory dentures in terms of function and esthetics.

Complete denture rehabilitation in the edentulous patient with severe mandibular bone resorption and vascular malformation using closed mouth impression and monoplane occlusion: A case report (심한 하악골 흡수와 혈관기형을 보이는 무치악 환자에서 폐구인상법과 단일평면교합법을 이용한 총의치 수복 증례)

  • Kim, Jae-Hyun;Cho, Hye-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.2
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    • pp.220-227
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    • 2021
  • A patient failed to use conventional complete dentures due to severe mandibular bone resorption and soft tissue hyperplasia on lips, tongue and oral vestibule from vascular malformation. The treatment of choice would be an implant-retained overdenture, however, he refused owing to high cost. The closed mouth impression technique using BPS principle, CR record registration with gothic arch tracing and monoplane occlusion using non-anatomic teeth were used to fabricate complete dentures for this patient. Patient satisfaction, the retention and the stability of complete dentures were highly improved as a result.

Comparison of conventional and suction-effective complete denture in a fully edentulous patient: a case report (완전 무치악 환자에서 전통형 총의치와 흡착형 총의치 비교 증례)

  • Woong-Gi Han;Hong Seok Moon;Jaeyoung Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.4
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    • pp.366-374
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    • 2024
  • In a completely edentulous patient who cannot have implant-retained overdentures due to medical history and economic circumstances, a suction-effective complete denture utilizing the closed-mouth impression technique is being used to secure high retention. In this case, both a conventional complete denture using the open-mouth impression technique and a suction-effective complete denture using the closed-mouth impression technique were fabricated for a single completely edentulous patient. The results demonstrated that both methods provided excellent outcomes in terms of function, esthetics, and patient satisfaction. Conventional complete dentures increase the area of denture-bearing pressure to ensure retention and stability, whereas suction-effective complete dentures achieve retention by sealing the entire border of the denture. Since there are characteristic differences in the clinical and laboratory procedures due to differences in the concept of denture fabrication, this was compared through this case report.