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Full-mouth rehabilitation of skeletal anterior open bite with severely decayed dentition: A case report
±è¼º¾Æ, ³ë°üÅÂ, ¹è¾Æ¶õ, ¿ìÀÌÇü,
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±è¼º¾Æ ( Kim Seong-A ) - °æÈñ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
³ë°üÅ ( Noh Kwan-Tae ) - °æÈñ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
¹è¾Æ¶õ ( Pae Ah-Ran ) - °æÈñ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
¿ìÀÌÇü ( Woo Yi-Hyung ) - °æÈñ´ëÇб³ Ä¡°ú´ëÇÐ Ä¡°úº¸Ã¶Çб³½Ç
KMID : 0362420170550010079
Abstract
ÀüÄ¡ºÎ °³¹æ ±³ÇÕÀº ´Ù¾çÇÑ ¿øÀÎÀÌ º¹ÇÕÀûÀ¸·Î ÀÛ¿ëÇÏ°í, Áø´Ü¿¡ µû¶ó È¿°úÀûÀÎ Ä¡·á °èȹ°ú ÀûÀýÇÑ À¯Áö ¹æ¹ýÀ» ¼±ÅÃÇÒ ¼ö ÀÖ´Ù. ´ëºÎºÐÀÇ °æ¿ì ±³Á¤°ú ¾Ç±³Á¤ ¼ö¼úÀ» ÅëÇØ ¾ÈÁ¤ÀûÀÎ ±³ÇÕÀ» ¾ò°í, ±â´É°ú ½É¹Ì¸¦ ȸº¹ÇÑ´Ù. ÇÏÁö¸¸ Àüü Ä¡¿¿¡¼ ½ÉÇÑ ¿ì½ÄÁõÀÌ ÀÖ´Â °æ¿ì ±¤¹üÀ§ÇÑ ¼öº¹ÀÌ ÇÊ¿äÇÏ°Ô µÇ¹Ç·Î, º¸Ã¶ ¼öº¹À» ÅëÇؼµµ ±³ÇÕÀ» ÀçÇü¼ºÇÒ ¼ö ÀÖ´Ù. º» Áõ·Ê´Â ½ÉÇÑ ¿ì½ÄÀ» µ¿¹ÝÇÑ °ñ°Ý¼º ÀüÄ¡ºÎ °³¹æ ±³ÇÕ È¯ÀÚ¿¡¼ ¾È¸ð ºÐ¼® ¹× Áø´Ü ³³ÇüÀ¸·ÎºÎÅÍ °¡Àå È¿°úÀûÀÎ Ä¡·á·Î Àü¾Ç º¸Ã¶ ¼öº¹À» ¼±ÅÃÇÏ¿´´Ù. ±³ÇÕ·ÂÀ» ±ÕµîÇÏ°Ô ºÐ»êÇÏ°í ½É¹ÌÀûÀÎ Àӽà ¼öº¹¹°À» Á¦ÀÛÇÏ¿´°í, ¾Ç°£ °ü°è Æò°¡, Çô µî ¿¬Á¶Á÷ÀÇ ÀûÀÀ, ÀÔ¼ú°úÀÇ Á¶È¸¦ °üÂûÇÏ°í ¼öÁ¤ÇÏ¿´´Ù. ÃæºÐÇÑ ±â°£ µ¿¾È »ç¿ëÇÑ Àӽà ¼öº¹¹°À» CAD/CAM (Computer-aided design/computer-aided manufacturing)À» ÀÌ¿ëÇÏ¿© ´ÜÀϱ¸Á¶ Áö¸£ÄÚ´Ï¾Æ ÃÖÁ¾ º¸Ã¶¹°·Î ÀÌÇàÇÏ¿´°í, Ä¡·á Á¾°á ÈÄ 3°³¿ù °£ ÁÖ±âÀûÀ¸·Î °üÂûÇÏ¿´À» ¶§ ¸¸Á·½º·¯¿î °á°ú¸¦ ¾ò¾ú´Ù.
The open bite malocclusion is a common clinical entity and has multifactorial causes. Development of effective treatment plan and management is dependent on proper diagnosis. The skeletal open bite patient requires a coordinated orthodontic and orthognathic surgical approach to achieve stable occlusion, acceptable esthetics, and improved function. But in case of open bite with severely decayed dentition, restoration in the entire dentition is necessary. Using the facial analysis and diagnostic wax-up, the most effective treatment was prosthetic rehabilitation. The provisional restorations were fabricated to satisfy esthetic and functional requirements, which result in the uniformly distributed occlusal force, anterior and canine guidance. The inter-arch relationship, labio-dental harmony, and the soft tissue aspect, which is important to estimate the longevity were evaluated. Definitive restorations of monolithic zirconia were made by replicating provisional restorations by using the latest CAD/CAM technology. They were delivered to the patient and clinical follow-up observation was satisfactory.
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ÀüÄ¡ºÎ °³¹æ ±³ÇÕ ; ´Ù¹ß¼º ¿ì½Ä ; À¯Áö
Skeletal anterior open bite ; Rampant caries ; CAD/CAM ; Maintenance
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