±³ÇÕ °í°æÀÌ °¨¼ÒµÈ º¸Ã¶¹°À» °¡Áø ȯÀÚÀÇ Àü¾Ç ¼öº¹ Áõ·Ê
Full-mouth rehabilitation of a patient with reduced occlusal vertical dimension: a clinical report
Á¤¼Ò¹Ì, ±èÇü¼·, ±Ç±à·Ï,
¼Ò¼Ó »ó¼¼Á¤º¸
Á¤¼Ò¹Ì ( Chung So-Mi ) - °æÈñ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡ÀÇÇаú Ä¡°úº¸Ã¶Çб³½Ç
±èÇü¼· ( Kim Hyeong-Seob ) - °æÈñ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡ÀÇÇаú Ä¡°úº¸Ã¶Çб³½Ç
±Ç±à·Ï ( Kwon Kung-Rock ) - °æÈñ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø Ä¡ÀÇÇаú Ä¡°úº¸Ã¶Çб³½Ç
KMID : 0362420120500040305
Abstract
¼öÁ÷±³ÇÕ°í°æÀÌ °¨¼ÒµÈ ȯÀÚÀÇ º¸Ã¶ ¼öº¹Àº Ä¡°úÀǻ翡°Ô Å« µµÀüÀÌ´Ù. ¿©·¯ °¡Áö ¹æ¹ýµéÀ» ÀÌ¿ëÇØ ÀûÀýÇÑ ¼öÁ÷±³ÇÕ°í°æÀ» °áÁ¤ÇÏ´Â °ÍÀÌ Áß¿äÇÏ´Ù. 85¼¼ ³²ÀÚȯÀÚ°¡ »ó¾Ç ¿ìÃø ±¸Ä¡ºÎ ¼öº¹À» ÁÖ¼Ò·Î ³»¿øÇÏ¿´´Ù. ÀÓ»ó °Ë»ç °á°ú ¼öÁ÷±³ÇÕ°í°æÀÌ °¨¼ÒµÈ °ÍÀ¸·Î ÆǴܵǾú°í, ¾È¸é °èÃø¹ý, ¹ßÀ½ ÀÌ¿ë¹ý, ÇÏ¾Ç ¾ÈÁ¤À§ ÀÌ¿ë¹ý, Åë°èÀû Ä¡¾Æ ÇüÅ ÀÌ¿ë¹ý µîÀÇ ¼öÁ÷±³ÇÕ°í°æ Æò°¡ ¹æ¹ýÀ» ÀÌ¿ëÇÏ¿© ¼Ò±¸Ä¡ ºÎÀ§¿¡¼ 4 mm Áõ°¡Çϱâ·Î °áÁ¤ÇÏ¿´´Ù. Áø´Ü ¿Î½º¾÷À» ½ÃÇàÇÏ¿© °¡¿ªÀûÀÎ overlay Çü½ÄÀÇ Àӽà º¸Ã¶¹°À» »ó, ÇϾǿ¡ ÀåÂøÇÑ µÚ ÀÓ»óÀûÀ¸·Î ½É¹Ì, ¹ßÀ½, ¼öÁ÷±³ÇÕ°í°æ ±âÁØ¿¡ µû¶ó Æò°¡ÇÏ¿´´Ù. 8ÁÖ ÈÄ ¸¶¸ð°¡ ½ÉÇÑ Ä¡¾Æ¿¡ ±Ù°ü Ä¡·á¸¦ ÁøÇà ÇÑ µÚ fiber post & core¸¦ Á¢ÂøÇÏ¿´°í, Ä¡¾Æ¸¦ »èÁ¦ÇÏ¿© ºñ°¡¿ªÀûÀÎ °íÁ¤¼º, °¡Ã¶¼º Àӽú¸Ã¶¹°·Î ¹Ù²Ù¾î ÁÖ¾ú´Ù. 8ÁÖ ±â°£ µ¿¾È ÁöÄѺ» µÚ ÃÖÁ¾ º¸Ã¶¹°À» ÀåÂøÇÏ¿© 6°³¿ù °æ°ú °üÂû ÁßÀÌ¸ç ¾çÈ£ÇÑ ÀÓ»ó°á°ú¸¦ º¸¿´´Ù.
It is a great challenge for dentists to do prosthetic restorations of a patient with reduced occlusal vertical dimension (OVD). Proper determination of the OVD is significant. An 85-year-old male patient came in with missing right maxillary posterior teeth. After diagnostic wax-up, reversible provisional prostheses were used to evaluate the new OVD in the maxilla and mandible. After that, the patient was evaluated clinically based on the criteria of esthetic, phonetic, and OVD. After 8 weeks, teeth with excessive wear were treated with root canal therapy and fiber post and core and irreversible provisional prostheses were done. After 8 weeks of observation period, final restorations with fixed partial dentures and removable partial dentures were made. Throughout the follow-up period of 6 months, no symptoms related with increased OVD and mechanical complications were observed.
Å°¿öµå
Àü¾Ç ¼öº¹;¼öÁ÷±³ÇÕ°í°æ
Full-mouth rehabilitation;Occlusal vertical dimension (OVD)
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸