The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

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

DOI QR Code

A case of oral rehabilitation in a patient with severe tooth wear and occlusal plane collapse, utilizing maxillary fixed prosthesis and mandibular implant-assisted removable partial denture

과도한 치아 마모와 교합평면 붕괴를 보이는 환자에서 상악 고정성 보철 및 하악 임플란트 보조 국소의치를 통한 구강회복 증례

  • Jae-Hyung Ahn (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Sung-Yong Kim (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Seong-A Kim (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Yong-Sang Lee (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Keun-Woo Lee (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Hee-Won Jang (Department of Prosthodontics, Veterans Health Service Medical Center)
  • Received : 2023.10.12
  • Accepted : 2023.11.06
  • Published : 2024.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

In patients with multiple missing molars, wear patterns or displacement of anterior teeth, collapsed occlusal plane, and reduction in vertical dimension may occur. Particularly, in case of a few remaining teeth on one side, a removable partial denture has biomechanical disadvantage. For this reason, an implant-assisted removable partial denture with a few implant surveyed crowns can be an alternative. In this case, due to the right mandibular posterior teeth loss, the anterior teeth were severely worn and the occlusal plane was collapsed. With minimal increasing vertical dimension, oral rehabilitation was performed using a maxillary fixed prosthesis and mandibular implant-assisted removable partial denture. As a result, functional and aesthetic clinical outcomes were obtained.

다수의 구치를 상실한 환자에서는 전방부 치아들의 마모나 변위, 교합평면의 붕괴와 교합수직고경의 감소가 일어날 수 있다. 특히 편측으로 소수의 치아만 가진 경우 국소의치는 생역학적으로 불리하므로, 소수의 임플란트 서베이드 크라운을 추가한 임플란트 보조 국소의치가 대안이 될 수 있다. 본 증례의 환자는 하악 우측 구치부 상실로 인해 전방부 치아들이 심하게 마모되고, 교합평면이 붕괴되어 있었다. 최소한의 교합 수직고경 거상과 함께 상악 고정성 보철 및 하악 임플란트 보조 국소의치로 수복을 진행하였고, 기능적 및 심미적으로 양호한 임상 결과를 얻을 수 있었다.

Keywords

References

  1. Nakamura SS, Donatelli D, Rosenberg ES. Posterior bite collapse: guidelines for treatment based on form and function. Int J Periodont Restor Dent 2022;42:351-9. https://doi.org/10.11607/prd.5073
  2. Calamita M, Coachman C, Sesma N, Kois J. Occlusal vertical dimension: treatment planning decisions and management considerations. Int J Esthet Dent 2019;14:166-81.
  3. Abduo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J 2012;57:2-10. https://doi.org/10.1111/j.1834-7819.2011.01640.x
  4. Bassetti RG, Bassetti MA, Kuttenberger J. Implant-assisted removable partial denture prostheses: a critical review of selected literature. Int J Prosthodont 2018;31:287-302. https://doi.org/10.11607/ijp.5227
  5. 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
  6. Dawson PE. Functional occlusion: from TMJ to smile design. 1st ed. St. Louis; MO; Elsevier Health Sciences; 2007. p. 430-52.
  7. 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
  8. Dahl BL, Krogstad O. The effect of a partial bite raising splint on the occlusal face height. An x-ray cephalometric study in human adults. Acta Odontol Scand 1982;40:17-24. https://doi.org/10.3109/00016358209019805
  9. Sierpinska T, Kuc J, Golebiewska M. Morphological and functional parameters in patients with tooth wear before and after treatment. Open Dent J 2013;7:55-61. https://doi.org/10.2174/1874210601307010055
  10. Lee JR, Yoon HI, Kim HS, Sim HY, Han YS.Implant assisted removable partial denture with implant surveyed prostheses: A 9-year follow-up. J Korean Acad Prosthodont 2022;60:211-21. https://doi.org/10.4047/jkap.2022.60.2.211
  11. Ryu R, Park Y, Oh W, Lee J, Park J. Maxillary implant-supported fixed prosthesis engaged by distal-extension removable partial denture for 10 years: a case report. J Dent Rehabil Appl Sci 2020;36:121-7. https://doi.org/10.14368/jdras.2020.36.2.121
  12. Kang SH, Kim SK, Heo SJ, Koak JY. Survival rate and clinical evaluation of the implants in implant assisted removable partial dentures: surveyed crown and overdenture. J Adv Prosthodont 2020;12:239-49. https://doi.org/10.4047/jap.2020.12.4.239
  13. Bae EB, Kim SJ, Choi JW, Jeon YC, Jeong CM, Yun MJ, Lee SH, Huh JB. A clinical retrospective study of distal extension removable partial denture with implant surveyed bridge or stud type attachment. Biomed Res Int 2017;2017:7140870.
  14. Yoo SY, Kim SK, Heo SJ, Koak JY, Jeon HR. Clinical performance of implant crown retained removable partial dentures for mandibular edentulism-a retrospective study. J Clin Med 2021;10:2170.