A Case Report of Maxillary Complete Edentulous Patient with a Class III Jaw Relations

III급 악골 관계를 가진 상악 편악 무치악 환자의 수복

  • Park, Mi-hee (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University) ;
  • Hong, Jun-won (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University) ;
  • Choi, Jee-ha (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University) ;
  • Lee, Jung-jun (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University) ;
  • Park, Ju-mi (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University) ;
  • Song, Kwang-yeob (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University) ;
  • Ahn, Seung-geun (Department of Prosthodontics and Institute for Oral Bio-Science, School of Dentistry, Chonbuk National University)
  • 박미희 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소) ;
  • 홍준원 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소) ;
  • 최지하 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소) ;
  • 이정준 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소) ;
  • 박주미 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소) ;
  • 송광엽 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소) ;
  • 안승근 (전북대학교 치의학전문대학원 치과보철학 교실, 구강생체과학 연구소)
  • Received : 2009.05.12
  • Accepted : 2009.12.25
  • Published : 2009.12.31

Abstract

In a case of class III skeletal patients with severe alveolar bone resorption, it must be a complete denture treatment plan provided stable and durable occlusion. Despite a markedly increased tooth mobility and unfavorable crown-to-root ration due to periodontal tissue breakdown, if the inflammatory process is controlled and an adequate oral hygiene performed, fixed splints will be considered. Patient's discomfort will be eliminated by achievement better clinical tooth mobility using fixed splints. So it can be a cost and time effective treatment option. In this case, it used a T-Scan System for confirmation a bilateral balanced occlusion and a occlusal force distribution reflected a patient's functional mandibular movement.

References

  1. Lindh T. Should we extract teeth to avoid tooth- implant combination? J Oral Rehabil. 2008;35:44-54 https://doi.org/10.1111/j.1365-2842.2007.01828.x
  2. Ismail YH, Bowman JF. Position of the occlusal plane in natural and artificial teeth. J Prosthet Dent. 1968;20:407-11 https://doi.org/10.1016/S0022-3913(68)80017-4
  3. Basker RM, Davenport JC and Tomin HR. Prosthetic treatment of the edentulous patient. 1st ed. London; The Macmillan press Ltd. 112
  4. Hwang DY, Yang JH. Vertical dimension; a literature review. J Kor Acad Prosthodont. 1997;35:211-20
  5. Javid NS. A technique for determination of the occlusal plane. J Prosthet Dent. 1974;31:270-2 https://doi.org/10.1016/0022-3913(74)90195-4
  6. Prombonas AE, Vlissidis DS. Analysis of stresses in complete upper dentures with flat teeth at differing inclinations. Medical Engineering and Physics 2009;31:314-9 https://doi.org/10.1016/j.medengphy.2008.06.008
  7. Tomasi C, Wennstrom JL and Berglundh T. Longevity of teeth and implants - a systemic review. J Oral Rehabil. 2008;35:23-32 https://doi.org/10.1111/j.1365-2842.2007.01831.x
  8. Grant AA, Johnson W. An introduction to removable denture prosthetics. Edinburgh; churchill Livingstone pp.180
  9. Lee HY. Computerized evaluation of occlusal contacts in centric closure in distal extension partial denture cases. J Kor Acad Prosthodont. 1985;23:565-73
  10. Chung HG, Chung MK and Lee HY. A study of the stress transmission of various artificial teeth and denture base materials to the underlying supporting tissues. J Kor Acad Prosthodont. 1989;27:79-100
  11. Lee JI, Shin SW and Suh KW. A study on establishing the occlusal plane. J Kor Acad Prosthodont. 1992;30:575-81
  12. Dawson PA. 'valuation, diagnosis and treatment of occlusal problems'2nd ed. chpt. 5