구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)
- 제19권2호
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- Pages.115-124
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- 2003
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- 2384-4353(pISSN)
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- 2384-4272(eISSN)
교합 붕괴 환자의 수직고경거상을 동반한 완전 구강회복 증례
Full mouth prosthodontic reconstruction on patient with occlusion collapse & decreased vertical dimension
- 유현진 (조선대학교 치괴대학 보철학교실) ;
- 최민호 (조선대학교 치괴대학 보철학교실) ;
- 김창현 (조선대학교 치괴대학 보철학교실) ;
- 박영록 (조선대학교 치괴대학 보철학교실) ;
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강동완
(조선대학교 치괴대학 보철학교실)
- Yoo, H.J. (Department of Prosthodontics, College of Dentistry, Chosun University) ;
- Choi, M.H. (Department of Prosthodontics, College of Dentistry, Chosun University) ;
- Kim, C.H. (Department of Prosthodontics, College of Dentistry, Chosun University) ;
- Park, Y.R. (Department of Prosthodontics, College of Dentistry, Chosun University) ;
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Kang, D.W.
(Department of Prosthodontics, College of Dentistry, Chosun University)
- 발행 : 2003.06.30
초록
One of the important things in the full mouth reconstruction is the determination of therapeutic position. Centric jaw relation is used as a therapeutic position for the full mouth reconstruction. There are several techniques associated with recording this position. Five clinically acceptable techniques are as follows: 1) Swallowing or free closure, 2) Chin point guidance, 3) Bimanual method 4) Myo-monitor technique, 5) Anterior deprogrammer. Centric relation obtained utilizing the anterior acrylic resin platform in this case. Another important thing in full mouth reconstruction is provisional restoration. Provisional restorations are an excellent diagnostic instrument, especially in full remain esthetics, phonetics, function, parafunction, and dysfunction after evaluation and acceptance through clinical trial with the provisional restorations should be accurately transferred to the final restorations to ensure the same clinical success. Especially, anterior guidance should be accurately transferred to the final restorations. An accurate anterior guidance is critical for optimal esthetics, phonetics, comfort, function, stress minimization, and longevity of teeth and restorations. To record optimum anterior guidance, customized anterior guide table is used in this case. Considering previously mentioned points, we did successive treatment. And it resulted in a better situation esthetically and functionally. Followings are what we cared in treating a patient in this case. 1) Accurate centric relation recording 2) Accurate transference of anterior guidance to the final restorations.