구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제31권4호
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  • Pages.371-377
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  • 2015
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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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구강 내 불량한 보철물 수복이 편평태선에 미치는 영향에 대한 치주, 보철적 접근

The effect of improperly contoured and poor fitting restorations to patient with oral lichen planus: periodontal and prosthetic treatment

  • 신진범 (경북대학교 치의학전문대학원 치과보철학교실) ;
  • 조진현 (경북대학교 치의학전문대학원 치과보철학교실) ;
  • 이청희 (경북대학교 치의학전문대학원 치과보철학교실)
  • Shin, Jin-Beom (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Cho, Jin-Hyun (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Lee, Cheong-Hee (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
  • 투고 : 2015.08.03
  • 심사 : 2015.12.05
  • 발행 : 2015.12.31
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초록

편평태선은 피부, 점막에 양측성 또는 다발성의 병소가 만성으로 나타나는 흔한 질환이다. 편평태선을 발생시키는 원인으로는 구강 내 수복물, 전신질환, 약물, 스트레스 등 여러 가지 요인이 작용한다고 알려져 있다. 그 중 편평태선에 대한 구강 내 수복물과 위생관리의 영향은 치과 영역에서 큰 관심이 되어왔다. 본 증례는 형태가 불량하고 경계가 잘 맞지 않는 보철물이 수복되어 있는 편평태선 환자에 관한 것이다. 환자는 오랜 시간 동안 편평태선으로 치료받고 있었고 양측 구치부에 금속도재관을 수복한 이후 증상이 더욱 악화되어 있었다. 불량한 적합도와 외형을 보이는 금속도재관을 제거하고 치주치료를 동반하여 보철물의 형태와 변연 적합도를 개선시킴으로써 편평태선이 효과적으로 줄어들었기에 다음을 보고자 한다.

Oral lichen planus (OLP) is a common mucocutaneous disease, which presents as bilateral or multiple lesions. The several factors are implicated in etiology of OLP such as dental restorations, systemic disease, drugs and stress. Especially the influence of dental restorations and plaque control for OLP has been the interest in dentistry. This case is about OLP patient having poor contoured and ill-fitting metal ceramic restorations. The patient in this study has suffered from OLP for a long time, particularly after restoration of metal ceramic restorations on both posterior teeth of maxilla and mandible. This study reported that OLP lesion recovered effectively by improving the contour and fitness of restorations with plaque control.

키워드

참고문헌

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