심한 치조골 흡수와 불안정한 하악위를 가진 완전 무치악 환자의 치료 증례
Complete denture reconstruction in patient with severly resorbed ridge and unstable mandibular position : A case report
방주혁, 손다흰, 권긍록, 노관태, 백장현,
소속 상세정보
방주혁 ( Bang Joo-Hyuk ) - 경희대학교 치의학전문대학원 치과보철학교실
손다흰 ( Son Da-Heen ) - 경희대학교 치의학전문대학원 치과보철학교실
권긍록 ( Kwon Kung-Rock ) - 경희대학교 치의학전문대학원 치과보철학교실
노관태 ( Noh Kwan-Tae ) - 경희대학교 치의학전문대학원 치과보철학교실
백장현 ( Paek Jang-Hyun ) - 경희대학교 치의학전문대학원 치과보철학교실
KMID : 1033920150110010017
Abstract
In some edentulous patients with severe alveolar ridge resorption and unstable mandibular position, it is difficult to obtain
satisfactory result through conventional complete denture treatment. The use of treatment denture with flat occlusal table deprograms the neuromuscular system, thus it can find physiological position of mandible and help to stabilize the mandibular movements. Functional impression needs to be considered in cases with severe alveolar bone resorption, especially when retention and stability cannot be achieved. In particular, ‘dynamic impression’have been reported to prevent the denture from dropping by muscle may occur because of excessive extension of border and to utilize the tissue fixation effect of the dentures. In this case report, the patient had unstable mandibular position due to lack of posterior occlusal support. The treatment of osteomyelitis led to severe alveolar bone resorption. By using interim treatment denture with flat occlusal table and dynamic impression, retention and stability of denture as well as stable mandibular position.
키워드
Complete denture; Treatment denture; Flat occlusal table; Dynamic impression
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