The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
권호 표지
DOI QR코드

DOI QR Code

Full-mouth rehabilitation of the patient with severe tooth wear using all ceramic restorations

과도한 마모를 보이는 환자에서 완전도재관을 이용한 구강회복 증례

  • Kim, Tae Su (Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea) ;
  • Lee, Jae Hyun (Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea) ;
  • Lee, Chul Won (Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea) ;
  • Lee, Won Sup (Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea) ;
  • Lee, Su Young (Department of Prosthodontics, Seoul St. Mary's Hospital, Catholic University of Korea)
  • 김태수 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이재현 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이철원 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이원섭 (가톨릭대학교 의과대학 서울성모병원 치과보철과) ;
  • 이수영 (가톨릭대학교 의과대학 서울성모병원 치과보철과)
  • Received : 2016.02.12
  • Accepted : 2016.04.12
  • Published : 2016.07.29
Download PDF
⟨ Previous Next ⟩

Abstract

Tooth wear is known as a normal physiological process which gradually progresses. It is reported that vertical dimension can be kept stable because amount of physiologically worn loss could be compensated by growth of alveolar bone and tooth eruption. However, excessive tooth wear as pathologic wear can cause pathologic pulp, disharmony with occlusal plane, functional disorders and esthetic problems so that full mouth rehabilitation could be needed in these cases. Recovery of function and esthetic improvement should be considered for alteration of the vertical dimension. Determination of the vertical dimension of occlusion is needed to be in harmony with the neuromuscular system. This clinical report describes 36 year-old female patient who had chief complaint of severely worn dentition and esthetic discomfort. An increase of 2.0 mm at maxillary incisal edge was done to restore vertical dimension. It was based on the degree of tooth wear and esthetics.

치아의 마모는 점진적으로 발생하는 생리적인 현상으로 알려져 있다. 생리적 마모는 그 정도가 적고 치조골의 보상성 성장과 치아의 정출에 의해 수직고경이 유지된다고 보고되고 있다. 하지만 과도한 병적마모는 병적인 치수상태, 교합부조화, 기능장애와 심미적인 문제를 야기하여 완전 구강회복술을 요하는 경우가 많다. 수복 시에는 기능과 심미를 회복할 수 있는 적절한 수직고경의 변경이 필요하며 근신경계와 조화를 이루는 고경의 결정이 중요하다. 본 증례는 36세 여성으로, 전반적인 치아마모와 심미적 불만족을 주소로 내원하였다. 마모된 정도와 심미를 고려하여 상악 전치부 절단면 기준으로 감소한 수직고경을 2 mm 회복하고 완전도재관을 이용하여 수복하였다. 이에 적절한 심미적, 기능적 결과를 얻었기에 이를 보고하는 바이다.

Keywords

References

  1. Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion and abfraction revisited: a new perspective on tooth surface lesions. J Am Dent Assoc 2004;135:1109-18. https://doi.org/10.14219/jada.archive.2004.0369
  2. Crothers AJ. Tooth wear and facial morphology. J Dent 1992;20:333-41. https://doi.org/10.1016/0300-5712(92)90019-9
  3. Smith BG, Knight JK. An index for measuring the wear of teeth. Br Dent J 1984;156:435-8. https://doi.org/10.1038/sj.bdj.4805394
  4. Lambrechts P, Braem M, Vuylsteke-Wauters M, Vanherle G. Quantitative in vivo wear of human enamel. J Dent Res 1989;68:1752-4. https://doi.org/10.1177/00220345890680120601
  5. Ramfjord SP, Blankenship JR. Increased occlusal vertical dimension in adult monkeys. J Prosthet Dent 1981;45:74-83. https://doi.org/10.1016/0022-3913(81)90015-9
  6. Smith BG, Knight JK. A comparison of patterns of tooth wear with aetiological factors. Br Dent J 1984;157:16-9. https://doi.org/10.1038/sj.bdj.4805401
  7. Bartlett D, Dugmore C. Pathological or physiological erosionis there a relationship to age? Clin Oral Investig 2008;12:S27-31. https://doi.org/10.1007/s00784-007-0177-1
  8. Donachie MA, Walls AW. The tooth wear index: a flawed epidemiological tool in an ageing population group. Community Dent Oral Epidemiol 1996;24:152-8. https://doi.org/10.1111/j.1600-0528.1996.tb00833.x
  9. Verrett RG. Analyzing the etiology of an extremely worn dentition. J Prosthodont 2001;10:224-33. https://doi.org/10.1111/j.1532-849X.2001.00224.x
  10. Muts EJ, van Pelt H, Edelhoff D, Krejci I, Cune M. Tooth wear: a systematic review of treatment options. J Prosthet Dent 2014;112:752-9. https://doi.org/10.1016/j.prosdent.2014.01.018
  11. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 1. Assessment, treatment planning and strategies for the prevention and the passive management of tooth wear. Br Dent J 2012;212:17-27. https://doi.org/10.1038/sj.bdj.2011.1099
  12. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 2. Active restorative care 1: the management of localised tooth wear. Br Dent J 2012;212:73-82. https://doi.org/10.1038/sj.bdj.2012.48
  13. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 3. Active restorative care 2: the management of generalised tooth wear. Br Dent J 2012;212:121-7. https://doi.org/10.1038/sj.bdj.2012.97
  14. Mehta SB, Banerji S, Millar BJ, Suarez-Feito JM. Current concepts on the management of tooth wear: part 4. An overview of the restorative techniques and dental materials commonly applied for the management of tooth wear. Br Dent J 2012;212:169-77. https://doi.org/10.1038/sj.bdj.2012.137
  15. Turner KA, Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent 1984;52:467-74. https://doi.org/10.1016/0022-3913(84)90326-3
  16. Pieger S, Salman A, Bidra AS. Clinical outcomes of lithium disilicate single crowns and partial fixed dental prostheses: a systematic review. J Prosthet Dent 2014;112:22-30. https://doi.org/10.1016/j.prosdent.2014.01.005