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심한 치아 마모 환자의 전악보철 수복 증례
Full mouth rehabilitation with extremely worn dentition
J Dent Rehabil Appl Sci 2017;33(3):238-244
Published online September 30, 2017
© 2017 Korean Academy of Stomatognathic Function and Occlusion.

차화륜, 염경연, 이용상, 김나홍*
Hwa-Ryun Cha, Kyeong-Yeon Yeom, Yong-Sang Lee, Na-Hong Kim*

한국보훈복지공단 중앙보훈병원 치과보철과

Department of Prosthodontic Dentistry, Veterans Health Service Medical Center, Seoul, Republic of Korea
* 교신저자: 김나홍 (05368)서울특별시 강동구 진황도로 61길 53 중앙보훈병원 보철과 Tel: 02-2225-3976|Fax: 02-2225-3929|E-mail: tchaski@daum.net
* Correspondence to: Na-Hong Kim Department of Prosthodontic Dentistry, Veterans Health Service Medical Center, 53, Jinhwangdo-ro 61gil, Gangdong-gu, Seoul, 05368, Republic of Korea Tel: +82-2-2225-3976, Fax: +82-2-2225-3929, E-mail: tchaski@daum.net
Received July 21, 2017; Revised August 16, 2017; Accepted August 21, 2017.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
병적 치아 마모의 경우 교합면의 병리적 손상, 기능장애, 교합 이상, 심미문제, 치수병변, 턱관절 장애 등의 증상을 보인다. 이러한 경우에는 원인을 분석하고 수직고경 손실여부, 교합 양상 등을 고려하여 치료 계획을 세워야 한다. 본 증례는 심한 마모가 있는 71세 남환으로 수직고경 거상을 동반한 전악수복을 하였다. 임시 보철물을 통해 증가된 수직고경에 대한 환자의 적응도를 평가하였고, 이상 소견이 없는 것을 확인하고 최종 보철물을 장착하였다. 일련의 치료 과정을 통해 만족스러운 결과를 얻었기에 보고하는 바이다.
Pathologic attrition leads to pathologic damage on occlusal plane, functional disorders, occlusal disharmony, esthetic problems, pulpal lesion, temporomandibular joint (TMJ) disorder. In this case, treatment plan should be considered for possibility of vertical dimension loss, occlusal pattern, esthetics, phonetics, amount of vertical dimension increase. This case report was a 71-year-old man who had severely worn dentition. Full mouth rehabilitation was carried out with vertical dimension increase due to limited space for prosthesis. After evaluation of provisional restorations for patient’s compliance, final restorations were fabricated and routine clinical assessments were made. This case presents that a satisfactory clinical result was achieved by restoring the worn dentition.
주요어 : 치아마모; 수직고경; 전악수복
Keywords : tooth wear; vertical dimension; full mouth rehabilitation


September 2017, 33 (3)
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