A Case Report and Review on Cross-Arch Fixed Partial Denture with Severely Reduced Periodontal Tissue Support

심하게 감소된 치주지지를 갖는 Cross-Arch Fixed Partial Denture에 대한 고찰 및 증례보고

  • Oh, Sang-Chun (Dept. of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Kim, Yun-Sang (Dept. of Periodontology, College of Dentistry, Wonkwang University) ;
  • Kim, Yu-Jin (Dept. of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Kim, Min-Jeong (Dept. of Prosthodontics, College of Dentistry, Wonkwang University)
  • 오상천 (원광대학교 치과대학 보철학교실) ;
  • 김윤상 (원광대학교 치과대학 치주학교실) ;
  • 김유진 (원광대학교 치과대학 보철학교실) ;
  • 김민정 (원광대학교 치과대학 보철학교실)
  • Received : 2012.08.30
  • Accepted : 2012.09.25
  • Published : 2012.09.30

Abstract

In advanced stages of periodontal disease, a lot of the periodontal tissue support are usually lost. The tissue destruction around some teeth is progressed to a level which requires either spontaneous exfoliation or extraction of several teeth due to their excessive mobility. In such cases, a comprehensive treatment plan encompassing the adequate periodontal and maintenance therapy, as well as perio-prosthetic treatment involving occlusal equilibration, is needed in order to restore health, function, and esthetics. Cross-arch fixed partial dentures(CAFPDs), one of the perio-prosthetic treatments, are used to stabilize the teeth with severely reduced periodontal tissue support. Unfortunately, however, a little is known about the occlusal scheme and biomechanical concept of CAFPDs. This paper will demonstrate summaries of the trauma from occlusion(TFO), Ante's law revisited, the treatment principles, the role of occlusion, and the long-term consequences for CAFPDs, and the possibility of CAFPDs through a case presentation.

Acknowledgement

Supported by : 원광대학교

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