The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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Full mouth rehabilitation of class III patient with disharmonious occlusal plane: A case report

Class III 악간관계와 교합평면 부조화를 보이는 환자의 전악수복증례

  • Kim, Hayeong (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Kwon, Kung-Rock (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Pae, Ahran (Department of Prosthodontics, School of Dentistry, Kyung Hee University)
  • 김하영 (경희대학교 치과대학 치과보철학교실) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실) ;
  • 권긍록 (경희대학교 치과대학 치과보철학교실) ;
  • 배아란 (경희대학교 치과대학 치과보철학교실)
  • Received : 2016.07.08
  • Accepted : 2016.09.20
  • Published : 2016.10.31
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Abstract

Prosthodontic decision-making process is done through analysis of clinical information and mutual communication between patient and dentist. When opposing teeth are extruded due to missing tooth or tooth defects, selection of appropriate treatment plan and predictory prognosis can be complicated in functional rehabilitation. In case of severely disharmonious occlusal plane result from extruded teeth, re-establishment of the occlusal plane is required, if necessary via prudent evaluation. In this case, class III patient had unesthetic appearance and mastication discomfort caused by disharmonious occlusal plane due to severe extrusion. Through a structured diagnostic process, appropriate treatment plan was selected. Esthetic and functional results were obtained through from full mouth rehabilitation with re-establishment of the occlusal plane.

보철 치료계획 결정과정은 임상정보에 대한 치과의사의 분석과 환자와의 상호소통을 통하여 이루어진다. 치아의 상실이나 치관부 결손으로 인해 발생한 공간으로 반대악 치아가 정출된 경우, 구강기능을 회복시키는데 있어 적절한 치료방법 선택 및 예후를 예측하는데 혼란이 야기될 수 있다. 치아의 정출로 인한 교합평면의 심한 부조화가 나타난 경우, 신중한 평가가 필요하며, 필요 시 교합평면을 재설정 해야 한다. 본 증례는 심한 정출에 의한 불균일한 교합평면과 class III 악간관계로 인한 비심미성 및 저작불편을 주소로 내원한 환자로, 체계적인 진단과정을 통한 치료계획의 수립으로 교합평면 재설정을 통한 전악수복으로 심미적이고 기능적인 결과를 얻었기에 보고하는 바이다.

Keywords

References

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