임상가를 위한 특집 1 - 장노년의 생리적 교합변화의 이해와 치료전략

Understanding and treatment strategy of the physiologic occlusal change in elderly patients

  • 김지환 (연세대학교 치과대학 보철과학교실) ;
  • 심준성 (연세대학교 치과대학 보철과학교실)
  • Kim, Jee-Hwan (Dept. of Prosthodontics Yonsei University College of Dentistry) ;
  • Shim, June-Sung (Dept. of Prosthodontics Yonsei University College of Dentistry)
  • 투고 : 2011.12.15
  • 심사 : 2011.12.22
  • 발행 : 2012.01.01

초록

As in all other parts in the body, oral tissue also undergoes dramatic changes with increasing age. Since these changes occasionally go beyond physiological scope, which may result in pathological changes, it is essential for dentist to understand changes caused by normal aging process. With increasing age, tooth morphology and occlusion also varies, especially loss of hard tissue, which is taking place in lifelong time, occurs as a result of tooth wear. When this loss of hard tissue is presented rapidly or excessively, functional and esthetical problems are raised, resulting in lowering quality of life of patient as well as making dental treatment for oral rehabilitation even more complex. Therefore, based on understanding of change in occlusion with increasing age, strategic approaches for maintenance of oral health in both functional and esthetic aspect are required as appropriate restoration and maintenance for progressive tooth wear enables desirable occlusal relationship. Carefully planned-restorative treatment in accordance with changed occlusal relationship is also required in the same context. Instead of taking changes in oral tissue as only a consequence of ageing, it is vital to educate patient and his or her guardian, assuring maintenance of oral hygiene and regular dental check-up are of utmost importance for improved oral health.

키워드

참고문헌

  1. A.R. Ten Cate Oral Histology Development, Structure, and Function Fouth edition,1994 Mosby-Year Book
  2. Luke DA, Lucas PW. The significance of cusps. J Oral Rehabil 1983;10:197-206. https://doi.org/10.1111/j.1365-2842.1983.tb00113.x
  3. Waston IB, Tulloch EN. Clinical assessment of cases of tooth surface loss Br Dent J 1985;159 :144-148. https://doi.org/10.1038/sj.bdj.4805660
  4. Wiegand A, Attin T. Occupational dental erosion from exposure to acids: a review. Occup Med (Lond) 2007;57:169-176. https://doi.org/10.1093/occmed/kql163
  5. 박현배 한경수 진태호 치아교모에 영향을 미치는 요인에 관한 연구 1999;37(3):328-342.
  6. Berry DC, Poole DF. Masticatory function and oral rehabilitation. J Oral Rehabil 1974;1:191-205. https://doi.org/10.1111/j.1365-2842.1974.tb00776.x
  7. Lindhe J, Nyman S. The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health A longitudinal study of periodontal therapy in cases of advanced disease J Clin Periodontol 1975;2:67-79. https://doi.org/10.1111/j.1600-051X.1975.tb01727.x
  8. Newman HN, Levers BGH. Tooth eruption and function in an early Anglo-Saxon population J R Soc Med 1979;72:341-50. https://doi.org/10.1177/014107687907200507
  9. Smith BG, Robb ND. The prevelence of toothwear in 1007 dental patients. J Oral Rehabil 1996;23;232-9. https://doi.org/10.1111/j.1365-2842.1996.tb00846.x
  10. Iacopino AM, Wathen WF. Geriatric prosthodontics: an overview. Part I. Pretreatment considerations. Quintessence Int 1993;24:259-266.
  11. Baum BI. Research on aging and oral health : an assessment of current status and future needs. Spec Care Dentist 1982;1:156-164.
  12. Guiglia R, Musciotto A et al. Aging and oral health: effects in hard and soft tissues. Current pharmaceutical design 2010;16:619-630. https://doi.org/10.2174/138161210790883813
  13. Papapanou PN, Wennstrom JL, Grondahl KA. A 10-year retrospective study of periodontol disease progression J Clin Periodontol 1991;16:403-411.
  14. Iacopino AM, Wathen WF. Geriatric prosthodontics: an overview. Part II. Treatment considerations. Quintessence Int 1993;24:353-361.
  15. Goodkind RJ, Schwabacher WB. Use of a fiber - potic colorimeter for in vivo color measurements of 2830 anterior teeth. J prosthet dent 1987;58(5):535-42. https://doi.org/10.1016/0022-3913(87)90380-5
  16. Hallmon WW. Occlusal trauma: effect and impact on the periodontium. Ann Periodontol 1999;4:102-108. https://doi.org/10.1902/annals.1999.4.1.102