Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Full mouth rehabilitation accompanied by phonetic analysis of a patient with reduction of vertical dimension of occlusion, and inaccurate pronunciation due to numerous tooth loss: a case report

다수의 치아 상실로 인해 교합수직고경의 감소와 부정확한 발음을 가진 환자의 발음평가를 동반한 전악 수복 증례

  • Ji-Young Park (Division of Prosthodontics, Department of Dentistry, Asan Medical Center) ;
  • Jong-Jin Kim (Division of Prosthodontics, Department of Dentistry, Asan Medical Center) ;
  • Jin Baik (Division of Prosthodontics, Department of Dentistry, Asan Medical Center) ;
  • Hyun-Suk Cha (Division of Prosthodontics, Department of Dentistry, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Joo-Hee Lee (Division of Prosthodontics, Department of Dentistry, Asan Medical Center, College of Medicine, University of Ulsan)
  • 박지영 (서울 아산병원 치과보철과) ;
  • 김종진 (서울 아산병원 치과보철과) ;
  • 백진 (서울 아산병원 치과보철과) ;
  • 차현석 (서울 아산병원 치과보철과 및 울산대학교 의과대학 ) ;
  • 이주희 (서울 아산병원 치과보철과 및 울산대학교 의과대학 )
  • Received : 2023.06.07
  • Accepted : 2023.06.23
  • Published : 2023.09.30
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Abstract

The loss of posterior occlusal support due to tooth loss is likely to lead to compensatory protrusion and labial tilt of the anterior teeth, which may be accompanied by a deep bite and a decrease in vertical dimension. The patient may suffer from a decrease in masticatory efficiency, inaccurate pronunciation, facial appearance changes, and temporomandibular joint disorder, so stable occlusal formation with support of posterior occlusion and restoration of vertical dimension is necessary. We report the case of a patient with reduction of vertical dimension, and inaccurate pronunciation due to multiple tooth loss who underwent full mouth rehabilitation with increased vertical dimension accompanied by phonetic analysis and achieved satisfactory functional and aesthetic results.

치아 상실로 인한 구치부의 지지 상실은 전치부의 보상성 정출 및 순측경사 이동으로 이어질 가능성이 존재하고, 이에 따른 과개교합 및 교합수직고경의 감소를 동반할 수 있다. 환자는 저작효율의 감소와 더불어 부정확한 발음과 안모의 변화, 턱관절의 기능 장애를 겪을 가능성이 있으므로 구치부의 지지와 교합수직고경의 회복을 통해 안정적인 교합 형성의 필요성이 있다. 본 증례는 다수의 치아 상실로 인해 수직고경이 감소하여 부정확한 발음을 가진 환자를 대상으로 발음분석을 동반하여 수직고경을 증가시켜 완전 구강 회복술을 시행하였으며 기능적, 심미적으로 만족할 만한 결과를 얻었기에 보고하고자 한다.

Keywords

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