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KMID : 0362420130510020119
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Journal of Korean Academy of Prosthodontics
2013 Volume.51 No. 2 p.119 ~ p.124
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Case report: Full mouth rehabilitation for patient with heavy occlusal force and excessive abrasion
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Park Ji-Hee
Vang Mong-Sook
Yang Hong-So
Park Sang-Won
Yun Kwi-Dug
Lim Hyun-Pil
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Abstract
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Many of the patients with extensive abrasion need comprehensive restorative treatment. The abrasion is usually caused by attrition, besides of it, there are many reasons for it. The plan of treatment should be started on assessment of the type of attrition and the etiologic analysis. Patient with well-developed masticatory muscle, alveolar process, and high occlusal force and also with little muscle length difference between the stable and the contracted state should be carefully assessed for the vertical dimensional loss and the restoration should be carefully designed. Decrease of tooth length can be compensated by the growth of the alveolar bone height; therefore, consistency of the occlusal vertical dimension is maintained. Accordingly, a careless increase of the vertical dimension can produce muscle fatigue, depressed tooth and pain, and fracture of the restoration. In this case, the patient with multiple tooth abrasion and clenching habit, the edentulous maxillary area is restored with amalgam inserted RPD, and the dentulous area of the maxilla and mandible are treated with fixed restoration accompanying with the increase of vertical dimension. Consequently, we are going to report about the satisfying result in both functional and esthetic aspects.
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KEYWORD
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Full mouth rehabilitation, teeth abrasion, Broadrick flag, Occlusal amalgam insert
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