구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제30권4호
  • /
  • Pages.339-349
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  • 2014
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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무치악치조제의 개선을 통한 보철치료

Prosthetic treatment with correcting edentulous maxillomandibular relation

  • 이예규 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 허윤혁 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 박찬진 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소) ;
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Rhee, Ye-Kyu (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Huh, Yoon-Hyuck (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Chan-Jin (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University) ;
  • Cho, Lee-Ra (Department of Prosthodontics & Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2014.09.26
  • 심사 : 2014.11.11
  • 발행 : 2014.12.31
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초록

상악과 하악의 크기부조화가 있거나 악간관계가 불안정한 환자의 치료목적은 안정적인 교합접촉을 부여하는 것이다. 중등도의 정신지체 환자로 부족한 수직고경, 수평적 악골관계 부조화, 광범위한 치질소실로 인하여 보철치료가 필요하였다. 두부계측학적 평균치를 기준으로 악골위치를 판별하고, 연조직 측모분석 후 수평 골삭제량을 결정하였다. 수술 부위의 안정적인 치유 및 설정된 상하악관계에 대한 의치 적응여부를 평가하였다. 만족할만한 심미성과 안정적 교합상태를 얻었으나, 추가적인 교합변화의 가능성을 고려한 정기적인 관리가 필요할 것으로 사료된다.

If the maxillomandibular relationship is unstable or requires treatment for improved function and esthetics, the first treatment objective is to provide stable occlusal contacts. The patient has moderate mental retardation. Due to inadequate vertical overjet, horizontal arch malrelation and excessive tooth loss, full mouth rehabilitation was required. The purpose of treatment planning is to establish physiologic maxillomandibular relation. Using cephalometrics for occlusal analysis is an aid to make a decision. The amount of horizontal bone reduction was calculated with evaluating soft tissue profile. After provisional denture placement, healing of the surgical site and newly adapted arch relationship was evaluated. The patient satisfied with esthetics and showed stable holding contacts. Periodic examination is needed to exclude occlusal disharmony.

키워드

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