• Title/Summary/Keyword: 전치부

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Restoration of patient accelerating anterior teeth wear by loss of posterior support: Case report (구치부 지지 소실에 의한 전치부 마모 가속화 환자의 수복: 증례보고)

  • Choi, Hyejin;Lee, Jaehoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.382-388
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    • 2019
  • Increased anterior teeth mastication following posterior teeth loss leads to greater anterior occlusal force. It may cause greater attrition of anterior teeth, traumatic force occlusion (TFO), also often followed by antagonist extrusion and occlusal disharmony. This clinical report describes the treatment for a 67-year-old female patient diagnosed with loss of both maxillary and left mandibular posterior teeth, severe attrition of maxillary and mandibular anterior teeth and extrusion of multiple teeth. A diagnostic cast was mounted on articular in centric relation (CR) position to evaluate vertical dimension (VD) and interspace. To provide adequate space for the prosthetic reconstructions, VD was increased by 3 mm on the anterior pin. And then diagnostic wax-up was completed upon that VD. Wax-up was converted to provisional restorations and verified in the patient's mouth and the final restorations were delivered. Clinical follow up examination held 3 months after temporary restoration owing to changes in vertical dimension revealed proper function in mastication without evidence of temporo-mandibular joint (TMJ) disorders. This clinical report presents successfully restoring severe attrition case with increasing vertical dimension resulting in satisfaction in esthetics and function.

Differences in mandibular anterior alveolar bone thickness according to age in a normal skeletal group (정상골격군에서의 연령에 따른 하악 전치부 치조골 두께의 차이)

  • Choe, Harry-Yun;Park, Won;Jeon, Jong-Kook;Kim, Yeon-Hwan;Shon, Byung-Wha
    • The korean journal of orthodontics
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    • v.37 no.3 s.122
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    • pp.220-230
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    • 2007
  • Objective: The purpose of this study was to determine the changes of mandibular anterior alveolar bone thickness with age. Methods: Cephalometric radiographs of 160 skeletal class I patients (male 80, female 80) with normal vertical growth pattern was investigated by measuring the buccolingual thickness of mandibular alveolar bone on the basis of root axis. Results: As the age increases, both male and female showed a significant decrease in buccolingual width of the mandibular anterior alveolar bone and in the width of mandibular anterior lingual alveolar bone except the CEJ area of females. However, there was no significant difference in the thickness of mandibular anterior buccal alveolar bone and in the width of maximum prominence of mandibular symphysis with age. Conclusion: From the above results, it is concluded that Korean children whose growth pattern is sagittally skeletal class l with a vertical normal growth pattern have a greater mandibular anterior lingual alveolar bone width than Korean adults; therefore, lingual movement of mandibular incisors, which is usually accompanied in extraction treatment, is considered to be more preferable in younger patients.

Severe bimaxillary protrusion with adult periodontitis treated by corticotomy and compression osteogenesis (치조골 소실과 심한 양악전돌을 동반한 성인환자에서의 피질골 절단술과 Compression osteogenesis를 이용한 교정치료)

  • Kim, Seong-Hun;Lee, Kye-Bok;Chung, Kyu-Rhim;Nelson, Gerald;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.39 no.1
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    • pp.54-65
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    • 2009
  • This paper describes the case of a 50-year-old female with a Class II malocclusion who presented with severe bimaxillary protrusion and generalized alveolar bone loss due to adult periodontitis. The treatment plan consisted of extracting both upper and lower first premolars and periodontal treatment. Anterior segmental osteotomy(ASO) of the mandible and upper anterior segment retraction using compression osteogenesis after peri-segmental corticotomy(Speedy orthodontics) was performed. Correct overbite and overjet, facial balance, and improvement of lip protrusion were obtained. However, a slight root resorption tendency was observed on the lower anterior dentition. The active treatment period was 9 months and the results were stable for 27 months after debonding. This new type of treatment mechanics can be an effective alternative to orthognathic surgery.

CLINICAL STUDY ON THE RELAPSE OF DIASTEMA (전치부 공극의 치료후 재발에 관한 임상적 고찰)

  • Park, Hyo-Sang;Sung, Jae-Hyun
    • The korean journal of orthodontics
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    • v.24 no.1 s.44
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    • pp.95-104
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    • 1994
  • There are orthodontic closure, surgincal closure, prosthetic solution in the treatment of diastema. The orthodontic closure has been widely used owing to its conservative nature, but retention after treatment has been difficult and problematic. So, authors observed relapse and retention after the orthodontic closure of 3 diastema cases. The results might be summarized as follows : The space that had been approximated between central incisors, was reopened by the use of retention appliance which did not join two central incisors together though fixed prothesis. By the frenectomy, circumferential supracrestal fibrotomy and lingual bonded retainer which joined two central incisors together after the orthodontic closure of diastema, were good results obtained. The frenectomy, fibrotomy, and the fixed retention appliance which joined two central incisors together must be needed after the orthodontic closure of diastema.

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