Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Ten-year follow-up of full mouth rehabilitation with fixed prostheses using implants and natural tooth

  • So-Young Park (Department of Prosthodontics, School of Dentistry, Jeonbuk National University) ;
  • Seung-Geun Ahn (Department of Prosthodontics, School of Dentistry, Jeonbuk National University) ;
  • Jung-Jin Lee (Department of Prosthodontics, School of Dentistry, Jeonbuk National University) ;
  • Yeon-Hee Park (Department of Prosthodontics, School of Dentistry, Jeonbuk National University) ;
  • Kyoung-A Kim (Department of Dentistry, School of Medicine, Eulji University) ;
  • Jae-Min Seo (Department of Prosthodontics, School of Dentistry, Jeonbuk National University)
  • Received : 2024.07.18
  • Accepted : 2024.08.06
  • Published : 2024.08.31
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Abstract

In patients with newly established ideal occlusion through full-mouth rehabilitation using fixed prostheses, complications and occlusal changes over time can arise because of various factors. This case report describes a 10-year follow-up of a patient with masticatory dysfunction and aesthetic problems who underwent full-mouth rehabilitation with an increased vertical dimension. During the follow-up, complications such as tooth fracture, occlusal changes, infraocclusion of few implant-supported prostheses, and loss of interproximal contacts were observed. Detecting these issues early through periodic follow-up is important. This case report aims to review the causes of complications after full-mouth rehabilitation using fixed prostheses and the strategies for their management.

전악 고정성 보철 수복을 통해 이상적인 교합을 새롭게 설정해준 환자에서 시간이 지남에 따라 다양한 원인에 의해 합병증과 교합의 변화가 나타날 수 있다. 본 증례에서는 저작 장애와 심미적 문제로 인해 수직고경 증가를 동반한 전악 지르코니아 보철물을 수복한 환자의 10년간 경과를 관찰하였다. 경과 관찰 동안 지대치의 파절, 교합양식의 변화, 그리고 일부 임플란트 보철물의 저위 교합과 인접면 접촉상실 등이 발생하였다. 이러한 문제점들은 치료 후 주기적인 점검을 통해 조기에 발견하는 것이 중요하며, 본 증례에서 발생한 합병증의 원인 및 대처법에 대해 고찰해 보고자 한다.

Keywords

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