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Maxillary complete denture with posterior zirconia occlusion and mandibular implant support fixed prostheses in completely edentulous patients with orofacial dystonia

±¸°­È¸º¹ÀÀ¿ë°úÇÐÁö 2023³â 39±Ç 4È£ p.237 ~ 249
¼­Á¾¹Î, Á¤Ã¢¸ð, À̼ÒÇö,
¼Ò¼Ó »ó¼¼Á¤º¸
¼­Á¾¹Î ( Seo Jong-Min ) - 
Á¤Ã¢¸ð ( Jeong Chang-Mo ) - 
À̼ÒÇö ( Lee So-Hyoun ) - 

Abstract

±¸°­¾È¸é ±Ù±äÀåÀÌ»ó(Orofacial dystonia)Àº ÀÚ½ÅÀÇ ÀÇÁö¿Í »ó°ü¾øÀÌ ºÒ¼öÀÇÀûÀ¸·Î ¾ó±¼, ÀÔ¼ú, Çô ¹× ÅÎ ÁÖº¯À» ºÒ±ÔÄ¢Àû À̰ųª ¹Ýº¹ÀûÀ¸·Î ¿òÁ÷ÀÌ´Â ½Å°æ¿îµ¿ÇÐÀû Àå¾Ö·Î ƽÀå¾Ö·Î ºÒ¸®±âµµ ÇÑ´Ù. ÀÌ·¯ÇÑ Áõ»óÀ» °®´Â ¹«Ä¡¾Ç ȯÀÚ´Â ÃÑÀÇÄ¡ »ç¿ëÀÇ ¾î·Á¿ò°ú ´õºÒ¾î ¾ð¾î Àå¾Ö ¹× ¿¬ÇÏ°ï¶õ, ±¸°­¾È¸éÀÇ ÅëÁõ±îÁö ±â´ÉÀûÀÌ°í ½É¹ÌÀûÀÎ ¹®Á¦Á¡µéÀ» °Þ°Ô µÈ´Ù. º» Áõ·Ê¿¡¼­´Â ºñ±³Àû ÀþÀº ³ªÀÌ¿¡ ¿ÏÀü ¹«Ä¡¾Ç »óŸ¦ °æÇèÇÏ°Ô µÈ ±¸°­¾È¸é ±Ù±äÀåÀÌ»ó ȯÀÚ¸¦ À§ÇØ, ¾çÃø ±¸Ä¡ºÎ Áö¸£ÄÚ´Ï¾Æ ±³ÇÕ¸éÀ» °®´Â »ó¾Ç ÃÑÀÇÄ¡¿Í ÇÏ¾Ç ÀÓÇöõÆ® ÁöÁö °íÁ¤¼º º¸Ã¶¹°ÀÇ ¼öº¹Ä¡·á¸¦ ½ÃÇàÇÏ°í Áö¼ÓÀûÀÎ ¹Ì¼ÒÈÆ·ÃÀ» ½ÃÇàÇÏ¿© ¾È¸é±ÙÀ°ÀÇ ½É¹ÌÀûÀÎ °³¼±À» µµ¸ðÇÏ°íÀÚ ÇÏ¿´´Ù. Ä¡·áÀÇ °á°ú, ȯÀÚ´Â ÀúÀÛ±â´É°ú ½É¹Ì¼ºÀÌ Çâ»óµÈ °Í »Ó¸¸ ¾Æ´Ï¶ó, ½É¸®Àû ¾ÈÁ¤°¨À» ȸº¹ÇÏ¿© Á¤»óÀûÀÎ ÀÏ»ó»ýÈ°ÀÌ °¡´ÉÇØÁø °Í¿¡ ´ëÇØ ¸Å¿ì ¸¸Á·ÇÏ¿´±â¿¡ À̸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.

Orofacial dystonia is a neuromotor disorder that causes irregular or repetitive movements of the face, lips, tongue, and jaw involuntarily, also called tic disorder. Edentulous patients with these symptoms experience functional and aesthetic problems, including difficulty using complete dentures, speech and swallowing difficulties, and orofacial pain. In this case, for a patient with orofacial dystonia who experienced complete edentulism at a relatively young age, restorative treatment was performed with a maxillary complete denture with bilateral posterior zirconia occlusal surfaces and a mandibular implant-supported fixed prosthesis, and continuous smile training was performed. The aim was to improve the aesthetics of facial muscles. As a result of the treatment, the patient was very satisfied with not only improved chewing function and aesthetics, but also regained psychological stability and was able to lead a normal daily life, so we would like to report this.

Å°¿öµå

±¸°­¾È¸é ±Ù±äÀåÀÌ»ó; ¿ÏÀü ¹«Ä¡¾Ç; Áö¸£ÄÚ´Ï¾Æ ±³ÇÕ¸é; »ó¾Ç ÃÑÀÇÄ¡; ÀÓÇöõÆ® ÁöÁö °íÁ¤¼º º¸Ã¶¹°
orofacial dystonia; complete edentulism; zirconia occlusal surface; maxillary complete denture; implant-supported fixed prosthesis

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