Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지

Treatment of Severely Worn Dentition: A Clinical Report

심하게 마모된 치열의 보철수복

  • Choi, Mee-ra (Department of Prosthodontics, College of Medicine, Hallym University)
  • 최미라 (한림대학교 의과대학 강동성심병원 치과보철과)
  • Received : 2009.09.25
  • Accepted : 2009.12.25
  • Published : 2009.12.31
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Abstract

The treatment of a patient with severely worn dentition is often challenging due to loss of vertical dimension and an uneven occlusal plane. To establish a correct occlusal plane and space for prostheses, it is necessary to increase vertical dimension. Occlusal vertical dimension is the vertical position of mandible to maxilla in centric occlusion. McAndrew reported that in spite of the change of the vertical dimension, the altered occlusion would be maintained if the equal occlusal contacts were established in centric relation. Centric relation is defined as an anatomically and physiologically stable, repeatable posture of the mandible and can be considered a most acceptable treatment and reference position. In this case we tried to treat patients with severely worn dentition by the use of centric relation and increased vertical dimension for the space of prostheses.

심하게 마모된 치열의 경우 마모로 인해 교합평면의 이상과 보철물을 제작할 공간이 없는 경우가 많다. 이 경우 대개 reverse curve를 보이는 교합평면을 바로잡고 보철물을 제작하기 위해 고합교경을 높여주는 과정이 필요하다. 교합고경이란 상하악 치아가 최대 폐구위에서 감합하고 있을때 상악에 대한 하악의 수직적 위치를 나타낸다. McAndrew는 고경이 변한다해도 중심위에서 전체치궁의 균일한 접촉이 이루어 진다면 치조골내에서 일어나는 remodeling 에의한 고경의 변화에도 불구하고 수정된 교합개선상태는 유지된다고 하였다. 중심위는 치료를 위한 하악위치의 참고점으로 널리 사용되어 왔다. 중심위란 하악이 해부학, 생리학적으로 안정을 이룬 상태에서 반복재현 가능한 위치이다. 본 증례에서는 심하게 마모된 치열을 지녀 보철수복을 위한 공간을 상실한 환자에서 교합고경을 증가시켜 중심위를 이용하여 처치한 치험예를 문헌고찰과 함께 보고하고자 한다.

Keywords

References

  1. Dawson PE. Evaluation, diagnosis and treatment of occlusal problems. 2nd ed. St. Louis; Mosby. 1989
  2. McAndrew J. Presentation to Floride Prosthodontic Seminar, Miami, Florida, Oct. 1984
  3. The glossary of prosthodontic terms. J Prosth Dent 2005;94(1):10-92 https://doi.org/10.1016/j.prosdent.2005.03.013
  4. The glossary of occlusal terms. 2nd ed. 1985: International Academy of Gnathology
  5. Tench RW. Dangers in dental reconstruction involving increase in the vertical dimension of the lower third of the human face. J Am Dent Assoc 1938;25:566-570
  6. Mershon JV. Bite-opening dangers. J Am Dent Assoc 1939;26:1972-1979
  7. Schuyler CA. Problems associated with opening the bite which would contraindicate it as a common practice. J Am Dent Assoc 1939;26:734-740
  8. Miller SC. The practical solution to the prevention and cure of temporomandibular joint disturbances. J Dent Med 1953;8:43-48
  9. Beyron HL. Characteristics of functionally optimal occlusion and principles of occlusal rehabilitation. J Am Dent Assoc1954;48:648-656
  10. Schweitzer JM. Restorative dentistry-a half century of reflection. J Prosth Dent 1974;31:22-51 https://doi.org/10.1016/0022-3913(74)90216-9
  11. Monteith B. The role of freeway space in the generation of muscle pain in complete denture wearers. J Orl Rehabil 1984;11:483-498 https://doi.org/10.1111/j.1365-2842.1984.tb00601.x
  12. Waerhaug J, Hansen ER. Periodontal changes incident to prolonged occlusal overload in monkeys, Acta Odontol Scand 1966;24:91-104 https://doi.org/10.3109/00016356609026121
  13. Gianelly AA, Ruben MP, Risinger R. Effects of experimentally altered occlusal vertical dimension on temporomandibular articulation. J Prosth Dent 1970; 24:629-635 https://doi.org/10.1016/0022-3913(70)90099-5
  14. McNamara JA Jr. An experimental study of increased vertical dimension of the growing face. Am J Orthod 1977;71:382-395 https://doi.org/10.1016/0002-9416(77)90242-1
  15. Maxwell LC, Carlson DS, McNamara JA, Faulkner JA. Adaptation of the masseter and temporalis muscles following alteration in length with and without surgical detachment. Anat Rec 1981;200: 27-37
  16. Ramfjord SP, Blankenship JR. Increased occlusal vertical dimension in adult monkeys. J Prosth Dent 1981;45:74-83 https://doi.org/10.1016/0022-3913(81)90015-9
  17. Carlson DS, Schneiderman ED. Cephalometric analysis of adaptations of the masseter muscle after lengthening in adult rhesus monkey. Arch Oral Biol 1983;28:627-637 https://doi.org/10.1016/0003-9969(83)90011-0
  18. Kubo Y. The uptake of horseradish peroxidase in monkey TMJ synovium after occlusal alteration. J Dent Res 1987;66:1049-1054 https://doi.org/10.1177/00220345870660051201
  19. Sergl HG, Farmand M. Experiments with unilateral bite planes in rabbits. J Periodontol 1975;45:108-114
  20. Akagawa Y, Nikai H, Tsuru H. Histologic changes in rat masticatory muscles subsequent to experimental increase of the occlusal vertical dimension. J Prosth Dent 1983;50:725-732 https://doi.org/10.1016/0022-3913(83)90216-0
  21. Ramfjord SP, Blankenship JR. Increased occlusal vertical dimension in adult monkeys. J Prosth Dent 1981;45(1):74-83 https://doi.org/10.1016/0022-3913(81)90015-9
  22. Carlsson GE, Ingervall B, Kocak G. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosth Dent 1979;41:284-289 https://doi.org/10.1016/0022-3913(79)90008-8
  23. Manns A, Miralles R, Santander H, Valdivia J. Influence of vertical dimension in the treatment of MPD-dysfunction syndrome. J Prosth Dent 1983;50: 700-709 https://doi.org/10.1016/0022-3913(83)90213-5
  24. Gross MD. The effect of increasing occlusal vertical dimension on transcranial radiographic projections of the temporomandibular joints. J Prosth Dent 1988; 60(4):491-499 https://doi.org/10.1016/0022-3913(88)90256-9
  25. McGee GF. Use of facial measurements in determining vertical dimension. J Am Dent Assoc 1947;35:342-350
  26. Niswonger ME. The rest position of the mandible and centric relation. J Am Dent Assoc 1934;21: 1572- 1582
  27. Brodie AG. On the growth patterns of human head from third month to eighth year of life. Am J Anat 1941;68:209-262 https://doi.org/10.1002/aja.1000680204
  28. Thompson JR, Brodie AG. Factors in the position of the mandible. J Am Dent Assoc 1942;29:925-941
  29. hompson JR. The rest position of the mandible and its significance to dental science. J Am Dent Assoc 1946;33:151-179
  30. Pleasure MA. Correct vertical dimension and freeway space. J Am Dent Assoc 1951;43:160-163
  31. Olsen ES. A radiographic study of variations in the physiological rest position of the mandible in seventy edentulous individuals. J Dent Res 1951;30:517
  32. Atwood DA. A cephalometric study of rest position of the mandible. Part III. J Prosth Dent 1958;8; 698-708 https://doi.org/10.1016/0022-3913(58)90057-X
  33. Tallgren A. The redunction in face height of edentulous and partially edentulous individuals during long-term denture wear. A longitudinal roentgenographic cephalometric study. Acta Odontol Scand 1966;24:195-239 https://doi.org/10.3109/00016356609026127
  34. Sheppard IM, Sheppard SM. Vertical dimension measurements. J Prosth Dent 1975;34:269-277 https://doi.org/10.1016/0022-3913(75)90103-1
  35. Garnick J, Ramfjord SP. Rest position. An electromyographic and clinical investigation. J Prosth Dent 1962;12:895-911 https://doi.org/10.1016/0022-3913(62)90043-4
  36. Shanahan TEJ. Physiologic vertical dimension and centric relation. J Prosth Dent 1956;6:741-747 https://doi.org/10.1016/0022-3913(56)90070-1
  37. Silverman MM. The speaking method in measuring vertical dimension. J Prosth Dent 1953;3(2):193-199 https://doi.org/10.1016/0022-3913(53)90127-9
  38. Swerdlow H. Roentgencephalometric study of vertical dimension changes in immediate denture patients. J Prosth Dent 1964;14(4):635-650 https://doi.org/10.1016/0022-3913(64)90199-4
  39. Pound E. Let /S/ be your guide. J Prosth Dent 1977;38(5):482-489 https://doi.org/10.1016/0022-3913(77)90022-1
  40. Toolson LB, Smith DE. Clinical measurement and evaluation of vertical dimension. J Prosth Dent 1982;47(3):236-241 https://doi.org/10.1016/0022-3913(82)90147-0
  41. Shanahan TEJ. Physiologic vertical dimension and centric relation. J Prosth Dent 2004;91(3):206-209 https://doi.org/10.1016/j.prosdent.2003.09.002
  42. Avant WE. Using the term 'centric'. J Prosth Dent 1971;25:12 https://doi.org/10.1016/0022-3913(71)90144-2
  43. Morgan DH, Hall WP, Vainvas SJ. Disease of the temporomandibular apparatus. St. Louis, 1977. The C.V. Mosby Co
  44. Celenza FV, Nasedkin JN. Occlusion: State of the Art. Chicago, 1978, Quintessence Publishing Co., Inc
  45. Dawson PE. Centric relation. Its effect on occluso- muscle harmony. Dent Clin North Am 1979;23(2): 169-180
  46. Gilboe DB. Centric relation as the treatment position. J Prosth Dent1983;50(5):685-689 https://doi.org/10.1016/0022-3913(83)90211-1
  47. Okeson JP. Management of temporomandibular disorders and occlusion. 3rd ed. St. Louis: Mosby. 1993
  48. Hobo S, Iwata T. Reproducibility of mandibular centricity in three dimensions. J Prosth Dent 1985;53:649-654 https://doi.org/10.1016/0022-3913(85)90013-7
  49. Weinberg LA. The role of muscle deconditioning for occlusal corrective procedures. J Prosth Dent 1991; 66:250-255
  50. Wood GN. Centric relation and the treatment position in rehabilitating occlusions: A physiologic approach. Part II: The treatment position. J Prosth Dent1988; 61(1):15-18
  51. Campos AA, Nathanson D, Rose L. Reproducibility and condylar position of a physiologic maxillomandibular centric relation in upright and supine body position. J Prosth Dent 1996;76(3): 282-287 https://doi.org/10.1016/S0022-3913(96)90172-9
  52. Moyers RE. Some physiologic considerations of centric and other jaw relations. J Prosth Dent 1956;6:183- https://doi.org/10.1016/0022-3913(56)90113-5
  53. Silverman SL. Denture prosthesis and the functional antomy of the maxillofacial structures. J Prosth Dent 1956;6:305- https://doi.org/10.1016/0022-3913(56)90052-X
  54. Abdel-Hakim AM. The swallowing position as a centric relation record. J Prosth Dent 1982;47(1): 12-15 https://doi.org/10.1016/0022-3913(82)90235-9
  55. Hobo S. Ichida E, Garcia LT. Osseointegration and occlusal rehabilitation. Tokyo: Quintessence, 1991
  56. Lucia VO. A technique for recording centric relation. J Prosth Dent 1964;14(3):492-505 https://doi.org/10.1016/S0022-3913(64)80017-2
  57. Long JH. Locating centric relation with a leaf gauge. J Prosth Dent 1973;29(6):608-610 https://doi.org/10.1016/0022-3913(73)90267-9
  58. Woelfel JB. New device for accurately recording centric relation. J Prosth Dent 1986;56(6):716-727 https://doi.org/10.1016/0022-3913(86)90152-6
  59. McKee JR. Comparing condylar position repeatability for standardized versus nonstandardized methods of achieving centric relation. J Prosth Dent 1997;77 (3):280-284 https://doi.org/10.1016/S0022-3913(97)70185-9
  60. Myers ML. Centric relation records - historical review. J Prosth Dent 1982;47(2):141-145 https://doi.org/10.1016/0022-3913(82)90177-9
  61. Solow RA. The anterior acrylic resin platform and centric relation verification: A clinical report. J Prosth Dent 1999;81(31):255-257