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Maxillary anterior prosthetic treatment concerning anterior guidance of a patient who lost stable holding contact
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안정적인 교합접촉을 잃은 환자에서의 전방유도를 고려한 치료증례

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Type
Academic journal
Author
Journal
The Korean Academy Of Prosthodontics 대한치과보철학회지 대한치과보철학회지 제57권 제4호 KCI Accredited Journals
Published
2019.1
Pages
467 - 474 (8page)

Usage

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Maxillary anterior prosthetic treatment concerning anterior guidance of a patient who lost stable holding contact
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Abstract· Keywords

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Recently, many patients undergo anterior prosthetic treatment for esthetic reasons. In some patients complain about functional reasons such as inaccurate pronunciation and occlusal discomfort after the treatment. Anterior teeth are important esthetically but in the occlusal point of view, anterior guidance is the second most important factor in occlusion, next to centric relation. Failure to determine an appropriate anterior guidance might lead to posterior occlusal interference, which can highly affect the stability of the posterior teeth. Also, discomfort might occur if the customized interior guidance is not in harmony with the patient’s envelope of function. The patient in this case complained of overall discomfort in the maxillary anterior area after prosthetic treatment. The expressed difficulty in pronunciation, unstable occlusion due to lack of stable holding contact and discomfort of the facial muscles. Maxillary anterior prostheses were refabricated through systematic diagnosis and treatment and thus, this case presents esthetical and functional satisfaction to both the patient and the dentist.
#Occlusion #Centric relation #Anterior guidance #Envelope of function

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References (11)

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Palmer JM / 1974 / Analysis of speech in prosthodontic practice / J Prosthet Dent 31:605~614 google schola 최유성 / 2016 / 보철물 제작 후 부정확한 발음을 가진 환자에서 체계적인 진단 및 치료과정을 통한 보철 수복 증례 / 대한치과보철학회지 54(4):413~422 dbpia Dawson PE / 1989 / Evaluation, diagnosis and treatment of occlusal problems / Mosby google schola Cranham JC / 2015 / Anterior guidance : Myth or mandatory / Inside Dent 11:94~101 google schola Kerstein RB / 2006 / Electromyographic and computer analyses of patients suffering from chronic myofascial paindysfunction syndrome : Before and after treatment with immediate complete anterior guidance development / J Prosthet Dent 66:677~686 google schola

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