다수의 구치 상실과 편측성 가위교합을 갖는 환자의 보철 교정 협진 치료

Orthodontic-prosthodontic interdisciplinary treatment for a patient with multiple missing posterior teeth and unilateral scissors bite

  • 안기용 (보건복지부 질병관리본부 건강영양조사과)
  • An, Kiyong (Division of Health and Nutrition Examination, Korea Centers for Disease Control and Prevention, Ministry of Health and Welfare)
  • 투고 : 2015.06.19
  • 심사 : 2015.09.24
  • 발행 : 2015.11.01

초록

This clinical report describes an orthodontic-prosthodontic interdisciplinary treatment for a patient with multiple missing teeth and unilateral scissors bite. A 47-year-old female presented with multiple missing posterior teeth, anterior large overjet, deep bite, and posterior scissors bite on the right premolar area. Periodontal therapy was performed and followed by orthodontic treatment. The maxillary anterior teeth were initially aligned, then two implants were placed for the left mandibular molars to increase occlusal vertical dimension. The scissors bite between the right maxillary and mandibular premolars were corrected using the miniscrews as an anchorage. Other implants were placed for the right maxillary and mandibular molars after the occlusal planes and occlusal relationship were harmonized. The patient adapted well to altered vertical dimension without any specific problems including peri-implant marginal bone loss. Interdisciplinary approach resolve the complex orthodontic-prosthodontic problems and concluded in successful results.

키워드

참고문헌

  1. Musich DR, Crossetti HW. Assessment and description of the treatment needs of adult patients for orthodontic therapy. III. Characteristics of the multiple provider group. Int J Adult Orthodon Orthognath Surg 1986;1(4):251-274.
  2. Schatzle M, Loe H, Lang NP, Burgin W, Anerud A, Boysen H. The clinical course of chronic periodontitis. J Clin Periodontol 2004;31(12):1122-1127. https://doi.org/10.1111/j.1600-051X.2004.00634.x
  3. Amsterdam M. Periodontal prosthesis. Twenty-five years in retrospect. Alpha Omegan 1974;67(3):8-52.
  4. Towfighi PP, Brunsvold MA, Storey AT, Arnold RM, Willman DE, McMahan CA. Pathologic migration of anterior teeth in patients with moderate to severe periodontitis. J Periodontol 1997;68(10):967-972. https://doi.org/10.1902/jop.1997.68.10.967
  5. Graber LW, Vanarsdall JR RL, VIG KW. Orthodontics : current principles and techniques. 5th ed. Elsevier Health Sciences. 2011.
  6. Bidra AS, Uribe F. Preprosthetic Orthodontic Intervention for Management of a Partially Edentulous Patient with Generalized Wear and Malocclusion. J Esthet Restor Dent 2012;24(2):88-100. https://doi.org/10.1111/j.1708-8240.2011.00491.x
  7. Cohen BD. The use of orthodontics before fixed prosthodontics in restorative dentistry. Compendium 1995;16(1):110-114.
  8. Cha BK, Lee JY, Jost-Brinkmann P-G, Yoshida N. Analysis of tooth movement in extraction cases using three-dimensional reverse engineering technology. Eur J Orthod 2007;29(4):325-331. https://doi.org/10.1093/ejo/cjm019
  9. An K, Choi DS, Jang I, Jost-Brinkmann P-G, Cha BK. Identification of a stable reference area for superimposing mandibular digital models. J Orofac Orthop 2015 In publishing.
  10. Jung MH. Treatment of severe scissor bite in a middle-aged adult patient with orthodontic mini-implants. Am J Orthod Dentofacial Orthop 2011;139(4 Suppl):S154-165. https://doi.org/10.1016/j.ajodo.2009.06.031
  11. Cha BK, Lee YH, Lee NK, Choi DS, Baek SH. Soft tissue thickness for placement of an orthodontic miniscrew using an ultrasonic device. Angle Orthod 2008;78(3):403-408. https://doi.org/10.2319/051607-237.1
  12. Molligoda MA, Abuzar M, Berry DC. Measuring diurnal variations in the dispersion of occlusal contacts. J Prosthet Dent 1988;60(2):235-238. https://doi.org/10.1016/0022-3913(88)90322-8
  13. Carlsson GE, Ingervall B, Kocak Gl. Effect of increasing vertical dimension on the masticatory system in subjects with natural teeth. J Prosthet Dent 1979;41(3):284-289. https://doi.org/10.1016/0022-3913(79)90008-8
  14. Kois JC, Phillips KM. Occlusal vertical dimension: alteration concerns. Compend Contin Educ Dent 1997;18(12):1169-1177.
  15. Olthoff LW, Van Der Glas HW, Van Der Bilt A. Influence of occlusal vertical dimension on the masticatory performance during chewing with maxillary splints. J Oral Rehabil 2007;34(8):560-565. https://doi.org/10.1111/j.1365-2842.2007.01730.x
  16. Harper RP. Clinical indications for altering vertical dimension of occlusion. Functional and biologic considerations for reconstruction of the dental occlusion. Quintessence Int 2000;31(4):275-280.
  17. Ormianer Z, Palty A. Altered vertical dimension of occlusion: a comparative retrospective pilot study of tooth- and implant-supported restorations. Int J Oral Maxillofac Implants 2009;24(3):497-501.
  18. Amiri-Jezeh M, Marinello CP, Weiger R, Wichelhaus A. Effect of orthodontic tooth intrusion on the periodontium. Clinical study of changes in attachment level and probing depth at intruded incisors. Schweiz Monatsschr Zahnmed 2004;114(8):804-816.
  19. McFadden WM, Engstrom C, Engstrom H, Anholm JM. A study of the relationship between incisor intrusion and root shortening. Am J Orthod Dentofacial Orthop 1989;96(5):390-396. https://doi.org/10.1016/0889-5406(89)90323-5
  20. Melsen B, Agerbaek N, Markenstam G. Intrusion of incisors in adult patients with marginal bone loss. Am J Orthod Dentofacial Orthop 1989;96(3):232-241. https://doi.org/10.1016/0889-5406(89)90460-5
  21. Melsen B. Tissue reaction to orthodontic tooth movement?a new paradigm. Eur J Orthod 2001;23(6):671-681. https://doi.org/10.1093/ejo/23.6.671
  22. Marks M, Corn H. Atlas of adult orthodontics. Lea & Febiger. 1989.
  23. Wennstrom JL, Stokland BL, Nyman S, Thilander B. Periodontal tissue response to orthodontic movement of teeth with infrabony pockets. Am J Orthod Dentofacial Orthop 1993;103(4):313-319. https://doi.org/10.1016/0889-5406(93)70011-C
  24. Gray JB, Steen ME, King GJ, Clark AE. Studies on the efficacy of implants as orthodontic anchorage. Am J Orthod 1983;83(4):311-317. https://doi.org/10.1016/0002-9416(83)90226-9
  25. Douglass JB, Killiany DM. Dental implants used as orthodontic anchorage. J Oral Implantol 1987;13(1):28-38.
  26. Roberts WE, Marshall KJ, Mozsary PG. Rigid endosseous implant utilized as anchorage to protract molars and close an atrophic extraction site. Angle Orthod 1990;60(2):135-152.
  27. Kokich VG. Managing complex orthodontic problems: the use of implants for anchorage. Semin Orthod 1996;2(2):153-160. https://doi.org/10.1016/S1073-8746(96)80050-8