Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Full mouth rehabilitation of severely worn dentition using posterior implants: a clinical report

심하게 마모된 치열의 구치부 임플란트 식립을 통한 전악 수복 증례

  • Kang, Hyun-Sun (Department of Prosthodontics, Seoul St. Mary's Dental Hospital, The Catholic University of Korea) ;
  • Lee, Cheol-Won (Department of Prosthodontics, Seoul St. Mary's Dental Hospital, The Catholic University of Korea) ;
  • Lee, Won-Sup (Department of Prosthodontics, Seoul St. Mary's Dental Hospital, The Catholic University of Korea) ;
  • Lee, Su-Young (Department of Prosthodontics, Seoul St. Mary's Dental Hospital, The Catholic University of Korea)
  • 강현선 (가톨릭대학교 의과대학 서울성모병원 치과 보철과) ;
  • 이철원 (가톨릭대학교 의과대학 서울성모병원 치과 보철과) ;
  • 이원섭 (가톨릭대학교 의과대학 서울성모병원 치과 보철과) ;
  • 이수영 (가톨릭대학교 의과대학 서울성모병원 치과 보철과)
  • Received : 2016.08.02
  • Accepted : 2016.09.09
  • Published : 2016.09.30
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Abstract

This clinical report focuses on the treatment of a patient with esthetic and functional impairments due to severe worn dentition. Absence of posterior support for a prolonged period require comprehensive prosthetic restoration. Accurate clinical and radiographic examinations, diagnostic wax-up, and occlusal vertical dimension evaluation were performed and the degree of patient adaptability was evaluated using an interim restoration. After 8 weeks of stabilization with interim restoration and confirmation of absence of any abnormal findings, definitive prostheses were fabricated. Satisfactory functional and esthetic outcomes were observed after 6 months of follow-up.

본 증례는 심미적, 기능적 상실을 동반하여 심하게 마모가 진행된 환자의 치료에 중점을 둔다. 장기간의 구치부 지지 상실은 포괄적인 보철 수복을 요한다. 정확한 임상적 및 방사선학적 검사, 진단 납형 제작, 수직 고경 평가 후, 임시 수복물을 통해 환자의 적응도를 평가하였다. 8주간의 관찰기간 후에, 별다른 이상이 발견되지 않아, 최종 수복물을 제작하였다. 최종 수복물 장착 6개월 후에도 만족스런 기능적, 심미적 결과를 얻을 수 있었다.

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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; quiz 1163-5. https://doi.org/10.14219/jada.archive.2004.0369
  2. 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
  3. Crothers AJ. Tooth wear and facial morphology. J Dent 1992;20:333-41. https://doi.org/10.1016/0300-5712(92)90019-9
  4. 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
  5. Bartlett D, Dugmore C. Pathological or physiological erosion-is there a relationship to age? Clin Oral Investig 2008;12 Suppl 1:S27-31. https://doi.org/10.1007/s00784-007-0177-1
  6. 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
  7. Berry DC, Poole DF. Attrition: possible mechanisms of compensation. J Oral Rehabil 1976;3:201-6. https://doi.org/10.1111/j.1365-2842.1976.tb00945.x
  8. Dahl BL, Krogstad O. The effect of a partial biteraising splint on the inclination of upper and lower front teeth. Acta Odontol Scand 1983;41:311-4. https://doi.org/10.3109/00016358309162340
  9. 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
  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. Briggs P, Bishop K. Fixed prostheses in the treatment of tooth wear. Eur J Prosthodont Restor Dent 1997;5:175-80.
  12. Hemmings KW, Darbar UR, Vaughan S. Tooth wear treated with direct composite restorations at an increased vertical dimension: results at 30 months. J Prosthet Dent 2000;83:287-93. https://doi.org/10.1016/S0022-3913(00)70130-2
  13. Sato S, Hotta TH, Pedrazzi V. Removable occlusal overlay splint in the management of tooth wear: a clinical report. J Prosthet Dent 2000;83:392-5. https://doi.org/10.1016/S0022-3913(00)70032-1
  14. 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
  15. Ibbetson RJ, Setchell DJ. Treatment of the worn dentition: 2. Dent Update 1989;16:300-2, 305-7.
  16. Hemmings KW, Howlett JA, Woodley NJ, Griffiths BM. Partial dentures for patients with advanced tooth wear. Dent Update 1995;22:52-9.