[논문]심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례

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doi:10.13065/jksdh.20220025

심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례
Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony 원문보기

JKSDH : Journal of Korean Society of Dental Hygiene = 한국치위생학회지, v.22 no.4, 2022년, pp.225 - 230

Abstract ▼ AI-Helper

Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

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표/그림 (6)

그림 Fig. 1. Initial panoramic radiograph
그림 Fig. 2. Initial intraoral photographs (A) Right lateral view (B) Frontal view (C) Left lateral view (D) Maxillary occlusal view (E) Mandibular occlusal view
그림 Fig. 3. Extraoral photograph (A) Frontal view before treatment (B) Right lateral view before treatment (C) Frontal view after treatment (D) Right lateral view after treatment
그림 Fig. 4. Definitive restoration (A) Right lateral view (B) Frontal view (C) Left lateral view (D) Maxillary occlusal view (E) Mandibular occlusal view
그림 Fig. 5. T-scan analysis after final restoration (A) T-scan analysis on centric occlusion (B) T-scan analysis on right lateral eccentric movement (C) T-scan analysis on left lateral eccentric movement
표 Table 1. Comparison of the cephalometric analysis on the patient

참고문헌 (16)

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심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례
Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony 원문보기

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심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례 Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony 원문보기

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심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례
Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony 원문보기

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