구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제29권3호
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  • Pages.280-289
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  • 2013
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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실패 증례 분석을 통한 국소의치 제작 시 주의사항

The Fabrication of Accurate Removable Partial Denture by Analyzing the Failed Cases

  • 이지영 (조선대학교 치의학전문대학원 보철학교실) ;
  • 이경록 (조선대학교 치의학전문대학원 보철학교실) ;
  • 허유리 (조선대학교 치의학전문대학원 보철학교실) ;
  • 손미경 (조선대학교 치의학전문대학원 보철학교실)
  • Lee, Ji-Young (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Lee, Kyoung-Lok (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Heo, Yu-Ri (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Son, Mee-Kyoung (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 투고 : 2013.07.25
  • 심사 : 2013.09.25
  • 발행 : 2013.09.30
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초록

부분 무치악 환자의 구강기능 회복을 위한 가철성 국소의치는 경조직인 잔존치아와 연조직인 구강 점막 모두를 고려해야 하는 복합치료이다. 가철성 국소의치의 제작 시 각 구성요소의 정확한 설계와 의치의 회전에 대한 고려가 이루어 지지 않은 경우 국소의치의 파절, 변형, 지대치의 소실 등의 실패가 발생될 수 있다. 임상에서 국소의치의 실패가 발생되었을 때 단지 재제작을 결정하기 보다는, 다양한 실패의 원인을 분석하고 그 결과를 향후 국소의치 제작에 적용해야 할 것이다. 실패증례 분석을 통한 문제의 해결은 환자가 오랫동안 편안하게 사용할 수 있고 잔존치아와 조직의 건강을 유지할 수 있는 국소의치를 제작하는데 도움이 될 것이다.

Removable partial denture for oral function recovery of partial edentulous patients is a complicated treatment because the dentist should consider both hard tissue and soft tissue. Removable partial denture produced without consideration of precise design for each component and rotation of denture may cause fracture, deformation or loss of abutment teeth. In case of failure to achieve a proper denture, the reason of failure should be analyzed and the result must be applied to later RPD cases. Finding the solutions through the failed denture cases will help patients use their dentures more comfortably and keep their sound residual teeth and tissue longer.

키워드

참고문헌

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