DOI QR코드

DOI QR Code

Esthetic improvement in patient with deep bite using porcelain laminate veneers and a full veneer crown

과개교합 환자에서 도재 라미네이트 비니어와 전부도재관을 이용한 심미수복 증례

  • Yoon, Jong-Sang (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Shin, Soo-Yeon (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Lee, Jonghyuk (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 윤종상 (단국대학교 치과대학 치과보철학교실) ;
  • 신수연 (단국대학교 치과대학 치과보철학교실) ;
  • 이종혁 (단국대학교 치과대학 치과보철학교실)
  • Received : 2014.03.05
  • Accepted : 2014.04.30
  • Published : 2014.06.30

Abstract

This case is a porcelain laminate veneer (PLV) and all-ceramic crown treatment case on a female patient in her thirties who visited for esthetic improvement. The patient's chief complaint was protrusive and uneven anterior teeth, and she wanted minimum tooth reduction. The patient was in skeletal class II deep bite. Considering this, check bite method was used for mounting on articulator during diagnostic wax-up. Tooth reduction was done using mock-up base on diagnostic wax-up, and the amount of deletion was checked by index. For the accordance of shade, PLVs were restored in prior to all ceramic crown. After using all-ceramic crown, satisfactory esthetic improvement was obtained.

본 증례는 심미적인 개선을 위해 내원한 30대 여성에서 도재 라미네이트 비니어(porcelain laminate veneer: PLV)와 전 부도재관을 이용하여 치료를 시행한 증례로서, 환자는 앞니가 튀어나오고 고르지 않다는 주소로 내원하였고 최소의 치아 삭제를 원하였다. 환자는 골격성 II급 부정교합이었으며, 진단 납형 제작 시 이를 고려하기 위해 체크 바이트법을 이용하여 교합기에 마운팅 하였고, 진단 납형 제작한 상태의 mock-up을 이용하여 치아 삭제를 시행한 후 삭제량을 인덱스로 확인하였다. 보철물의 전체적인 색조의 조화를 위해 도재 라미네이트 비니어를 먼저 수복하였고, 전부도재관의 지대치 색상을 고려한 뒤 수복하여 만족스러운 심미성의 개선을 얻을 수 있었다.

Keywords

References

  1. Friedman MJ. A 15-year review of porcelain veneer failure: a clinician's observations. Compend Contin Educ Dent 1998;19:625-8, 630.
  2. Stappert CF, Ozden U, Gerds T, Strub JR. Longevity and failure load of ceramic veneers with different preparation designs after exposure to masticatory simulation. J Prosthet Dent 2005;94:132-9. https://doi.org/10.1016/j.prosdent.2005.05.023
  3. Cho YW, Cho JH, Lee KB. A study on enamel thickness of maxillary incisors using X-ray micro computed tomography. J Korean Acad Prosthodont 2010;48:301-7. https://doi.org/10.4047/jkap.2010.48.4.301
  4. Alghazzawi TF, Lemons J, Liu PR, Essig ME, Janowski GM. The failure load of CAD/CAM generated zirconia and glass-ceramic laminate veneers with different preparation designs. J Prosthet Dent 2012;108:386-93. https://doi.org/10.1016/S0022-3913(12)60198-X
  5. Lin TM, Liu PR, Ramp LC, Essig ME, Givan DA, Pan YH. Fracture resistance and marginal discrepancy of porcelain laminate veneers influenced by preparation design and restorative material in vitro. J Dent 2012;40:202-9. https://doi.org/10.1016/j.jdent.2011.12.008
  6. Magne P, Belser UC. Novel porcelain laminate preparation approach driven by a diagnostic mockup. J Esthet Restor Dent 2004;16:7-16. https://doi.org/10.1111/j.1708-8240.2004.tb00444.x
  7. Highton R, Caputo AA, Matyas J. A photoelastic study of stresses on porcelain laminate preparations. J Prosthet Dent 1987;58:157-61. https://doi.org/10.1016/0022-3913(87)90168-5
  8. Christensen GJ, Christensen RP. Clinical observation of porcelain veneers: a three-year report. J Esthet Dent 1991;3:174-9. https://doi.org/10.1111/j.1708-8240.1991.tb00994.x
  9. Magne P, Kwon KR, Belser U, Hodges JS, Douglas WH. Crack propensity of porcelain laminate veneers: a simulated operatory evaluation. J Prosthet Dent 1999;81:327-34. https://doi.org/10.1016/S0022-3913(99)70277-5
  10. Azer SS, Rosenstiel SF, Seghi RR, Johnston WM. Effect of substrate shades on the color of ceramic laminate veneers. J Prosthet Dent 2011;106:179-83. https://doi.org/10.1016/S0022-3913(11)60117-0