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심하게 흡수된 치조제를 가진 환자에서 고딕 아치 기록과 무압 인상을 이용한 총의치 수복: 증례보고
Rehabilitation of a patient with atrophic ridges using gothic arch tracing and nonpressure impression: a case report
J Dent Rehabil Appl Sci 2018;34(3):232-238
Published online September 30, 2018
© 2018 Korean Academy of Stomatognathic Function and Occlusion.

이신엽, 유정현*
Shin-Yeop Lee, Jung-Hyun Yu*

한국보훈복지공단 중앙보훈병원 치과보철과

Department of Prosthetic Dentistry, Veterans Health Service Medical Center, Seoul, Republic of Korea
Jung-Hyun Yu
Department of Prosthetic Dentistry, Veterans Health Service Medical Center, 53, Jinhwang-doro 61-gil, Gangdong-gu, Seoul, 05368, Republic of Korea
Tel: +82-2-2225-3956, Fax: +82-2-2225-3929, E-mail: yjhdream@hanmail.net
Received June 14, 2018; Revised July 9, 2018; Accepted July 27, 2018.
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
가동성 조직은 총의치의 안정성을 감소시키므로, 최종의치의 제작 전에 조직의 상태를 개선시킨 후 적합하게 수정된 인상 방법을 사용하여야 하며, 적절한 중심위를 채득해야 한다. 본 증례는 상악의 가동성 조직과 하악 치조제의 심한 흡수를 보이는 67세의 무치악 여자 환자로, 고딕 아치 기록을 이용하여 치료용 의치를 제작한 뒤 조직조정을 시행하였다. 최종의치는 window opening 인상채득법과 고딕 아치 기록, 그리고 설측 교두 교합을 이용하여 제작하였고, 심미적 및 기능적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.
Flabby ridges adversely affect the stability of complete dentures. For the management it is suggested that soft tissues reconditioned before making definitive dentures, and modified impression techniques used for the flabby ridges. Also, correct record of centric relation is important in complete dentures. This case of 67-year-old edentulous female patient had atrophied ridges on the mandible and the flabby ridge on the maxilla. Treatment dentures were fabricated using gothic arch tracing method and tissue conditioner. Definitive dentures were made using window opening impression technique, the gothic arch tracing method, and lingualized occlusion. The patient was satisfied with the function and esthetic quality of the new prostheses.
주요어 : 무치악; 총의치; 고딕 아치 기록; 가동성 치조제; 무압인상
Keywords : edentulous mouth; complete denture; gothic arch tracing; flabby ridge; nonpressure impression


September 2018, 34 (3)
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