• Title/Summary/Keyword: 완전 구강 회복

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Full mouth rehabilitation of a panfacial fracture patient with bilateral condylar fracture (다발성 안면골절환자의 교합회복 증례)

  • Park, Go-Woon;Cha, Min-Sang;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.2
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    • pp.159-169
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    • 2014
  • Panfacial fractures require complex multidisciplinary approaches for treatment. Functional stability of bilateral condylar-disc complex should be the goal of the treatment. A patient with complex clinical panfacial fractures, including a bilateral condylar fractures visited our clinic. Facial asymmetry, insufficient vertical space and multiple missing teeth of the patient were major problems. Closed reduction and splint treatment were tried for stable condylar position. A functional and esthetic rehabilitation was accomplished by using implants and full mouth rehabilitaion. Potential possibilities of unstable occlusion should be prevented with night guard and periodic occlusal adjustment.

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.

Complete mouth rehabilitation, using jaw motion tracking and double scan technique in a patient with osteoarthrosis: a case report (골관절증 환자에서 하악 운동 추적 장치와 이중 스캔 기법을 활용한 완전 구강 회복 증례)

  • Seo-Kyung Jeong;Jai-Young Koak;Seong-Joo Heo;Seong-Kyun Kim;Ji-Man Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.82-94
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    • 2024
  • This is a case report of complete mouth rehabilitation in a patient with generalized attrition and loss of posterior support. After analyzing the condition of the temporomandibular joint, multiple implants were placed to restore collapsed occlusion. Fixture/abutment level intraoral scanning was done instead of using conventional impression materials which entail multiple bite registration for cross-mounting. A 'jaw motion tracking'device, 'digital face-bow transfer', and 'double scan technique' which enables duplicating temporary restoration to definitive restoration were used to fabricate definitive prostheses. By using various digital techniques, complete mouth rehabilitation was done with minimal chair time in a patient with unstable occlusion.

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.

Full-mouth rehabilitation of a patient with severe tooth wear using a gothic arch tracer and stabilization splint. (비기능적 습관에 의한 전반적인 마모 환자의 고딕아치 기록장치 및 교합안정장치를 통한 완전 구강 회복 증례)

  • Sungwoo Ju
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.23-32
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    • 2023
  • A patient with para-functional habits can cause widespread teeth wear, along with temporomandibular joint disorders and myofascial pain syndrome in the masticatory muscles. Prolonged teeth wear is associated with a decrease in vertical occlusal dimension, leading to issues such as changes in facial morphology, decreased masticatory efficiency, and temporomandibular joint disorders. To achieve a three-dimensional full-mouth rehabilitation in patients with decreased vertical occlusal dimension, accurate diagnosis, analysis, and proactive treatment planning are essential. Prosthetic treatment accompanied by the restoration of physiological vertical occlusal dimension and the re-establishment of a normal occlusal plane is necessary. This case report presents a full-mouth rehabilitation case involving a patient with overall teeth wear, showing decreased vertical occlusal dimension which results in discomfort in the temporomandibular joint and aesthetic dissatisfaction. The report highlights the successful outcome achieved through the use of occlusal stabilization splint for temporomandibular joint stability and Gothic arch tracing devices for the re-establishment of intermaxillary relationships. Also, through adjustments and adaptation assessment using provisional prostheses, favorable outcomes were achieved both functionally and aesthetically.

Full mouth rehabilitation for a patient with vertical dimension loss using digital diagnostic analysis: A clinical report (수직고경이 감소된 환자의 디지털 진단 분석을 이용한 완전 구강 회복 증례)

  • Choi, Yeawon;Lee, Younghoo;Hong, Seoung-Jin;Paek, Janghyun;Noh, Kwantae;Kim, Hyeong-Seob;Kwon, Kung-Rock;Pae, Ahran
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.4
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    • pp.487-496
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    • 2021
  • Full mouth rehabilitation is re-organizing the occlusion of the remaining teeth and missing teeth considering the functions, esthetics, and neuromuscular harmony. With the loss of multiple teeth, the patient's occlusal plane gradually collapses and the vertical dimension can be reduced. Since reduced vertical dimension can be a potential etiology of the temporomandibular joint and masticatory muscles, prosthetic restoration with increased vertical dimension is required. This case report is about a 68 years old patient with vertical dimension loss due to worn dentition and multiple loss of teeth. In this case, the loss of vertical dimension is assessed carefully using the digital dentistry technology. Using CAD software in digital analysis step, the occlusal plane was established and evaluated using several criteria. Orienting the position of the bone and teeth using CBCT image, patient's condition was visualized in 3 dimension and treatment planning was possible virtually. The information that matches the patient's condylar position with the articulator, which is the virtual face bow, is reproduced on the actual articulator, and evaluated again. After the evaluation, provisional prosthesis was fabricated and it was confirmed that the patient adapts without any abnormality. This was implemented as a final prosthesis. As a result, the patient obtained satisfying results, utilizing the benefits of digital dentistry technology and traditional methods.

FIXED PROSTHESES AND OVERDENTURE TREATMENT OF A PATIENTS WITH DOWN SYNDROME: CASE REPORT (다운증후군 성인환자의 완전구강회복을 위한 피개 의치와 고정성 보철물 적용치료 : 증례보고)

  • Lim, Kyung-Cheol;Lee, Jae-Young;Kim, Young-Jae;Jin, Bo-Hyoung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.106-110
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    • 2018
  • A 20-year-old male patient with Down syndrome presented with rampant caries and chronic periodontitis on full-mouth. Patient have many oral diseases despite of no abnormalities of medical history, no involuntary tremor, no excessive masticatory pressure, and no limitation of exercise. Also he had no experiences of oral health education of prostheses and oral health management. Therefore, A number of fixed prostheses and denture treatments were performed to caregiver and patient with education for oral hygiene and management. After delivery final prostheses, they had repeated follow-up for checking management.

Full mouth rehabilitation of a severely worn dentition using intraoral scanner and the CAD/CAM double scanning technique (중증도의 치아 마모 환자를 구내 스캐너와 이중스캔을 이용해 수복한 완전구강회복 증례)

  • Yoon, Se-Na;Han, Jung-Suk;Yeo, In-Sung;Yoon, Hyung-In
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.67-76
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    • 2020
  • With the evolution of the computer-aided design/computer-aided manufacturing (CAD/CAM) technology, the intraoral scanners are playing an increasingly important role, as they are the first step towards a completely digital workflow. The CAD/CAM double scanning technique has been used to transfer the information from provisional restorations to definitive restorations. In this case, a 67-year-old male with esthetically compromised anterior teeth, generalized severe attrition of teeth, and reduced vertical dimension was treated with full mouth rehabilitation including a re-establishment of the lost vertical dimension of occlusion assisted by the crown lengthening procedure. The provisional restorations were fabricated using an intraoral scanner and the CAD/CAM double scanning technique. After the period of adaption, the definitive monolithic zirconia restorations were delivered. The CAD/CAM double scanning technique successfully transferred the occlusal and morphological characteristics, obtained from the provisional restorations, to the definitive restorations.