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상악의 치간이개를 가진 환자에서의 심미보철 수복 증례
Esthetic prosthesis for a patient with the maxillary diastema: a case report
J Dent Rehabil Appl Sci 2017;33(4):314-320
Published online December 30, 2017
© 2017 Korean Academy of Stomatognathic Function and Occlusion.

박재호1, 김혜란1, 윤귀덕1, 신진호2, 임현필1*
Jae-Ho Park1, Hyeran Kim1, Kwi-Dug Yun1, Jin-Ho Shin2, Hyun-Pil Lim1*

1전남대학교 치의학전문대학원 보철학교실
2미르치과병원

1Department of Prosthodontics, School of Dentistry, Chonnam National University, Gwangju, Republic of Korea
2Mir Dental Hospital, Daegu, Republic of Korea
Hyun-Pil Lim
Associate Professor, Department of Prosthodontics, School of Dentistry, Chonnam National University, 33 Yongbong-ro, Buk-gu, Gwangju, 61186, Republic of Korea
Tel: +82-62-530-5638, Fax: +82-62-530-5639, E-mail: mcnihil@chonnam.ac.kr
Received September 11, 2017; Revised September 20, 2017; Accepted September 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
상악 전치부 같은 심미성이 요구되는 부위의 치료 시에는 주위조직과 조화를 이루며 미소선, 연조직 및 경조직의 형태뿐 아니라 치아의 해부학적 형태와 비율을 고려하여야 한다. 심미분석은 교합평면과 수평적 기준선간의 적절한 평행성을 평가하는 안면분석, 절치 절연부의 위치와 교합평면과 구각선 사이의 조화로움을 평가하는 치아입술분석, 심미성뿐만 아니라 적절한 기능을 위한 형태와 외형을 평가하는 치아분석, 치은 변연의 이상적인 윤곽을 형성하는 치은분석 등의 방법이 있다. 상악의 치간 이개는 체계적인 진단과 치료 계획을 통해서 심미적으로 수복할 수 있으며 교정, 보철, 보존적인 치료 방법이 사용될 수 있다.
In the treatment of esthetically important areas such as maxillary anterior teeth, they should be corresponded with surrounding tissues, and shape of the smile line, soft tissue, and hard tissue, also the anatomical shape and proportion of the teeth should be considered as well. Esthetic analysis includes facial analysis which evaluates the proper parallelism between the occlusal plane and the horizontal reference line, dentolabial analysis which assesses the position of the incisal edge and the coherence between the occlusal plane and the commissural line, tooth analysis which evaluates not only esthetics but also morphology and appearance for proper function, and gingival analysis which forms ideal outline of gingival margins. A maxillary anterior diastema can be esthetically restored through the systematic diagnostic approach and treatment planning, and orthodontic, prosthetic, and conservative treatment can be applied for the treatment.
주요어 : 심미분석; 상악의 치간 이개; 보철 치료
Keywords : esthetic analysis; maxillary anterior diastema; prosthetic treatment


December 2017, 33 (4)