• Title/Summary/Keyword: 완전구강 회복술

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A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses (광범위한 치아부식 및 마모가 있는 환자에서 교정치료와 단일구조 지르코니아 보철물을 이용하여 완전 구강 회복술을 시행한 증례)

  • Yun, Byoung Soo;Kim, Jong Eun;Shim, Jun Sung;Kim, Jee Hwan
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.360-367
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    • 2018
  • Extensive dental erosion and wear will cause serious loss of function and aesthetics in the mouth. In order to recover this condition, careful analysis of the patient's bite relationship is required. In particular, a treatment plan should be established considering the possibility of reproduction of the vertical dimension and centric relation, and appropriateness of the occlusal plane and anterior guidance. Also, the choice of prosthetic materials is an important consideration in patients with severe wear. In this case, patients with overall wear and erosion on tooth was established anterior guidance by orthodontic treatment and fully restored with monolithic zirconia, without increasing vertical dimension.

Full mouth rehabilitation of deep bite patient with segmental osteotomy and orthodontic treatment (분절골절단술과 교정치료를 동반한 과개교합 환자의 완전구강회복 증례)

  • Chu, Seung-Sik;Cho, Woong-Rae;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.26-38
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    • 2015
  • Teeth wear and extrusion of antagonist are commonly observed in deep bite patient having severe vertical and horizontal overlap. These problems cause collapse of occlusal plane and abnormal anterior guidance. Without restoring harmonious occlusion, loss of multiple teeth and decreased masticatory function could not be prevented. To resolve problems associated with deep bite, multidisciplinary treatment including oral surgical, orthodontic and prosthetic treatment should be performed. This clinical report describes the results of increasing occlusal vertical dimension with a full-mouth restoration procedure. The treatment procedures include extraoral and intraoral examination, diagnosis, treatment planning, diagnostic wax-up, segmental osteotomy, orthodontic intrusion and prosthodontic rehabilitation. Full mouth rehabilitation with increasing occlusal vertical dimension can solve esthetic and functional problems.

Full mouth rehabilitation of a patient with worn dentition and loss of posterior support by vertical dimension reestablishment: a clinical report (구치부 상실과 과도한 교모가 있는 환자의 수직 고경 회복을 통한 전악 보철 수복)

  • Ryu, Jung-Hyun;Lee, Won-Sup;Lee, Cheol-Won;Lee, Su-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.3
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    • pp.227-234
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    • 2018
  • Excessive teeth wear may result in the complications such as esthetic problems, hypersensitivity, and loss of vertical dimension. This clinical report focuses on the causes of severely worn dentition and the full-mouth rehabilitation of a patient with rheumatoid arthritis for 20 years. An interview, clinical and radiological examinations were performed to analyze the causes and decide the treatment plan. After delivery of the final prostheses, a night guard was used to protect the restorations and temporomandibular joints. The patient was satisfied esthetically and functionally.

Full mouth rehabilitation of a patient with occlusal plane discrepancy with milling machine for clinic (진료실용 밀링머신을 이용한 교합평면 부조화 환자의 완전 구강 회복술)

  • Park, Ji-Man
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.25 no.2
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    • pp.68-78
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    • 2016
  • Recently, digital technology has become increasingly prevalent in the dental clinic. Using a milling machine for clinic, it is possible to produce provisional restoration inside the clinic. This can promote large clinical cases such as full mouth rehabilitation with the help of a tabletop scanner, which is capable of semi-adjustable articulator equipment, and a powerful dental CAD software with excellent user convenience. In this case report, a full-mouth rehabilitation was done with digital technology to a 55 year-old female patient, who has lost vertical dimension through the attrition, and has got inclined occlusal plane with unplanned and repeated dental reconstruction. Through the design and milling of the provisional restoration in the clinic and the duplication of these provisionals by double scanning technique, a good functional and esthetic result could be achieved.

Full-mouth rehabilitation by immediate implantation combined with orthognathic surgery: a clinical report (악교정 수술을 동반한 임플란트 보철물을 이용한 완전구강회복 증례)

  • Ahn, Hye-Rim;Heo, Ji-Ye;Kim, Chul-Hoon;Hwang, Hee-Seong;Kim, Bok-Joo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.1
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    • pp.57-64
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    • 2016
  • Clinical therapy that combines full-mouth rehabilitation with immediate implantation and orthognathic surgery poses a challenge to prosthodontists. This clinical report describes a multidisciplinary approach to the diagnosis and treatment of a patient presenting with skeletal discrepancy and rampant caries. The results thus achieved indicate that full-mouth rehabilitation by fixed immediate and early loading implantation accompanied by orthognathic surgery can be a predictable and effective treatment procedure.

Full mouth rehabilitation of a patient with excessive worn dentition by increasing vertical dimension of occlusion: a case report (과도한 치아 마모 환자에서 교합수직고경 증가를 동반한 완전구강회복 증례)

  • Jong Seok Lee;Ji Suk Shim;Jae Jun Ryu
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.234-244
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    • 2023
  • Tooth wear refers to the loss of dental hard tissue caused by various physiological and pathological causes, and excessive pathological wear can cause complications such as pathological changes in dimensions, occlusal disharmony, loss of function, and aesthetic problems. The cause of tooth wear can be caused by attrition, abrasion, corrosion and abfraction, and it is known to act in a multifactorial etiology in interocclusal activity. In patients with excessive pathological wear, it is important to determine whether or not the vertical dimension of occlusion is reduced, and complete oral rehabilitation should be achieved with the adaptation of the neuromuscular and temporomandibular joint through accurate diagnosis and analysis. The patient in this case was a 63-year-old male patient, who presented discomfort to cold beverage due to severe tooth wear. After analysis of the patient's vertical dimension of occlusion, a full mouth rehabilitation was performed with increasing vertical dimension of occlusion. The goal of treatment was to improve the occlusal plane with the equal-intensity contact of all teeth, harmonious anterior guidance and immediate disclusion of all posterior contacts. After rehabilitation, the patient was satisfied with function and esthetic appearance.

Full mouth rehabilitation accompanied by phonetic analysis of a patient with reduction of vertical dimension of occlusion, and inaccurate pronunciation due to numerous tooth loss: a case report (다수의 치아 상실로 인해 교합수직고경의 감소와 부정확한 발음을 가진 환자의 발음평가를 동반한 전악 수복 증례)

  • Ji-Young Park;Jong-Jin Kim;Jin Baik;Hyun-Suk Cha;Joo-Hee Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.119-132
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    • 2023
  • The loss of posterior occlusal support due to tooth loss is likely to lead to compensatory protrusion and labial tilt of the anterior teeth, which may be accompanied by a deep bite and a decrease in vertical dimension. The patient may suffer from a decrease in masticatory efficiency, inaccurate pronunciation, facial appearance changes, and temporomandibular joint disorder, so stable occlusal formation with support of posterior occlusion and restoration of vertical dimension is necessary. We report the case of a patient with reduction of vertical dimension, and inaccurate pronunciation due to multiple tooth loss who underwent full mouth rehabilitation with increased vertical dimension accompanied by phonetic analysis and achieved satisfactory functional and aesthetic results.

Immediate loading of mandibular single implant by using surgical guide and modeless digital prosthesis: a case report (수술용 가이드와 modeless 디지털 보철물을 이용한 하악 구치부 단일 임플란트 즉시 하중 증례)

  • Lim, Hyun-jeong;Kim, Myung-Joo;Kwon, Ho-Beom;Lim, Young-Jun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.4
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    • pp.299-306
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    • 2017
  • In this case report, immediate loading of an implant-supported single-tooth prosthesis through complete digital workflow. A patient presented for restoration of missing a single tooth in the mandibular first molar. The digital impression was made with intraoral scanner and implant was placed using surgical guide pre-fabricated with pre-operative computed tomography (CT) and scan data. After 1 week later, prefabricated customized abutment and provisional restoration were connected for immediate loading. After 8 weeks later, abutment level impression was taken by intraoral scanner. At 3 months later from implant installation, monolithic zirconia crown were fabricated. This clinical report presents satisfying result in accuracy and patient satisfaction. A completely modeless digital procedure met expectations regarding precision, esthetics, and functionality.

Full mouth rehabilitation of the patient with severe tooth loss and tooth wear with vertical dimension gaining: A case report (구치부 지지의 상실과 마모로 인해 교합이 붕괴된 환자에서 수직고경 회복을 동반한 구강회복 증례)

  • Jo, Yu Jin;Jung, Sua;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.302-307
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    • 2018
  • Multiple tooth loss and excessive occlusal wear can result in damage to occlusal disharmony, functional disorders and esthetic problems, requiring comprehensive prosthetic treatments. Changing vertical dimension harmonized with surrounding muscle tissue is important. In this case, the patient with loss of vertical dimension caused by severe tooth loss and tooth wear was treated with the analysis of vertical dimension, such as diagnostic model, radiography and various clinical exams. the patient was satisfied with favorable functions and esthetics for 1 years of follow-up.