Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Mandibular full-arch rehabilitation with increased vertical dimension of a patient with severe tooth wear

심한 치아 마모 환자의 수직 교합고경 증가를 동반한 하악 편악 수복 증례

  • Kim, Hyun-Jin (Divison of Prosthodontics, Department of Dentistry, Asan Medical Center) ;
  • Kim, Jong-Jin (Divison of Prosthodontics, Department of Dentistry, Asan Medical Center) ;
  • Baik, Jin (Divison of Prosthodontics, Department of Dentistry, Asan Medical Center) ;
  • Cha, Hyun-Suk (Divison of Prosthodontics, Department of Dentistry, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Lee, Joo-Hee (Divison of Prosthodontics, Department of Dentistry, Asan Medical Center, College of Medicine, University of Ulsan)
  • 김현진 (서울아산병원 치과 보철과) ;
  • 김종진 (서울아산병원 치과 보철과) ;
  • 백진 (서울아산병원 치과 보철과) ;
  • 차현석 (서울아산병원 치과 보철과, 울산대학교 의과대학) ;
  • 이주희 (서울아산병원 치과 보철과, 울산대학교 의과대학)
  • Received : 2022.07.06
  • Accepted : 2022.08.03
  • Published : 2022.09.30
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Abstract

In the case of patients with pathological tooth wear, it is necessary to evaluate the loss of the vertical dimension. Setting the appropriate vertical dimension is important to rehabilitate the patient's stable intermaxillary relationship. A 77-year-old female patient's chief complaint was the pain of the mandibular incisors and the lack of molars. At the first visit, pathologic tooth wear of the mandibular incisors were observed. After diagnosis and evaluation, loss of vertical dimension was not observed, but insufficient intermaxillary space for prosthetic restoration was confirmed. Mandibular rehabilitation was performed with vertical dimension increase and this showed satisfactory results both functionally and aesthetically.

심한 치아 마모를 가진 환자의 경우 수직 교합고경 상실에 대한 평가가 필요하다. 적절한 수직 교합고경을 설정하여 환자의 악간 관계를 안정적으로 회복시켜야 한다. 환자는 77세 여성으로, 아래 앞니가 아프고 어금니가 없어서 불편하다는 주소로 내원하였다. 초진 시 전반적인 치아 마모가 관찰되었으며, 하악 전치의 치아 마모로 인한 치수의 병적 변화가 관찰되었다. 진단 및 평가 후 교합고경의 상실은 관찰되지 않았으나 보철 수복을 위한 악간 공간 부족이 확인되었다. 수직 거상을 동반한 하악 구강회복술을 시행하였으며, 심미적, 기능적으로 만족할 만한 결과를 얻었기에 보고하는 바이다.

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References

  1. Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis; Mosby; 2007. p. 430-52.
  2. 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
  3. Johnson A, Wildgoose DG, Wood DJ. The determination of freeway space using two different methods. J Oral Rehabil 2002;29:1010-3. https://doi.org/10.1046/j.1365-2842.2002.00950.x
  4. Willis FM. Features of the face involved in full denture prosthesis. Dent Cosmos 1935;77:851-4.
  5. Park JH, Jeong CM, Jeon YC, Lim JS. A study on the occlusal plane and the vertical dimension in Korean adults with natural dentition. J Korean Acad Prosthodont 2005;43:41-51.
  6. Silverman MM. The speaking method in measuring vertical dimension. 1952. J Prosthet Dent 2001;85:427-31. https://doi.org/10.1067/mpr.2001.116139
  7. Carpentieri J, Greenstein G, Cavallaro J. Hierarchy of restorative space required for different types of dental implant prostheses. J Am Dent Assoc 2019;150:695-706. https://doi.org/10.1016/j.adaj.2019.04.015
  8. Donachie MA, Walls AW. Assessment of tooth wear in an ageing population. J Dent 1995;23:157-64. https://doi.org/10.1016/0300-5712(95)93573-K
  9. Luke DA, Lucas PW. The significance of cusps. J Oral Rehabil 1983;10:197-206. https://doi.org/10.1111/j.1365-2842.1983.tb00113.x
  10. Ingle JI. Alveolar osteoporosis and pulpal death associated with compulsive bruxism. Oral Surg Oral Med Oral Pathol 1960;13:1371-81. https://doi.org/10.1016/0030-4220(60)90302-9
  11. Rivera-Morales WC, Mohl ND. Relationship of occlusal vertical dimension to the health of the masticatory system. J Prosthet Dent 1991;65:547-53. https://doi.org/10.1016/0022-3913(91)90298-B