구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)
- 제17권3호
- /
- Pages.145-154
- /
- 2001
- /
- 2384-4353(pISSN)
- /
- 2384-4272(eISSN)
수복치료를 위한 구강악계의 임상적 응용
The clinical appication of stomatognathic function and occlusion for the restorative dentistry
-
Kang, Dong Wan
(Dept. of Prosthodontics and TMD clinic, College of Dentistry, Chosun University) ;
- Lim, Seung Jin (Dept. of Prosthodontics and TMD clinic, College of Dentistry, Chosun University) ;
- Lee, Seung Hoon (Dept. of Prosthodontics and TMD clinic, College of Dentistry, Chosun University)
- 발행 : 2001.09.30
초록
In the past, many dentist were interested mainly in the mechanical aspects such as tooth preparation and retainer types for making dental restoration. But, these days, the concept of restorative treatment emphasizes the importarce of gnatic system and masticatory muscles in addition to oral cavity. So, the current considerations for the fixed prosthodontic treatment include the stabilization of temporomandibular joint and neuromuscualr system and the relationship of periodontal ligament and occlusion. To achieve the above objectives, occlusal splint has been used as one of the mouth preparations for restorative treatment. The objectives of occlusal splint are as follows; 1. To use as preliminary application for periodontal-occlusal treatment 2. To provide proper vertical dimension 3. To control abnormal habits and parafunction 4. To treat the temporomandibular disease and myofascial pain 5. To establish the new therapeutic position In some cases, the patients had improper vertical dimension and occlusal interferences caused by prostheses reconstucted using centric relation recorded without considering the health of TMJ and manticatory muscle. And these prosthesis act as primary source that cause pathologic phenomenon in periodontal ligament, muscles and TMJ. Physiologically, in order to make the treatment occlusion guided by proper centric relation method, the method should be guided after the use of occlusal splint for some period. The main objective of prosthetic treatment is to maintain the function and health of stomatognathic system. So, one of the most important things that have to be performed by clinicians is a clinical ability to do the correct diagnosis and treatment planning based on the stomatognatic function and occlusion.
키워드