Clinical Research of Using Fixed Restoration and Occlusal Reconstruction to Treat Severe Dental Attrition_West China Medical Journal

Authors：

 CHAIZhi-hong , GUANGJian-xia

Department of Oral Rehabilitation, Heibei Ophthalmology Hospital, Xingtai, Heibei 054001, P. R. China;

Corresponding?author：

Keywords：

Occlusal reconstruction; Fixed restoration; temporomandibular joint dysfunction

DOI：

10.7507/1002-0179.20150593

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the fixed restoration for severe dental attrition with partial dentition defect. Methods We selected 15 patients who had received treatments in Hebei Ophthalmology Hospital due to dental allergy, chewing weakness and temporomandibular joint dysfuction caused by severe attrition from February 2007 to October 2012. Among them, there were 9 males and 6 females, aged from 22 to 58 years old averaging 33. We performed occlusal reconstruction by fixed restoration for these patients, recovered their vertical dimension, and then carried out the follow-up. Results In the two-year follow-up, two patients had porcelain cracking, one patient's metal-ceramic crown dropped; no gingiva swelling occurred, periodontal tissues were healthy, occlusal functions recovered well, temporomandibular joint dysfunction and masticatory muscles were not discomfortable, subfacial 1/3 was normal, and patients were satisfied with their appearance and facial contour. Conclusion Using the fixed restoration to reconstruct occlusions can effectively recover patients' masticatory functions, add height for subfacial 1/3, and improve the symptoms of temporomandibular joint.

Citation： CHAIZhi-hong, GUANGJian-xia. Clinical Research of Using Fixed Restoration and Occlusal Reconstruction to Treat Severe Dental Attrition. West China Medical Journal, 2015, 30(11): 2098-2101. doi: 10.7507/1002-0179.20150593 Copy

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1. 馬軒祥, 趙銥民. 口腔修復學[M]. 5版. 北京:人民衛生出版社, 2005:464.
2. Dworkin SF, Sherman J, Mancl L, et al. Reliability, validity, and clinical utility of the research diagnostic criteria for Temporomandibular Disorders Axis Ⅱ Scales:depression, non-specific physical symptoms, and graded chronic pain[J]. J Orofac Pain, 2002, 16(3):207-220.
3. 范丹妮, 王星. 牙列缺損伴重度磨耗的咬合重建及修復[J]. 中華口腔醫學研究雜志:電子版, 2011, 5(5):519-523.
4. 徐君伍. 口腔修復理論與臨床[M]. 北京:人民衛生出版社, 1999:666-669.
5. 馬國華, 李淮伶. 貴金屬烤瓷冠在臨床的應用效果[J]. 口腔頜面修復學雜志, 2002, 3(1):29-30.
6. 郭宏, 劉洪臣, 郭貴華, 等. 老年人牙列重度磨耗的固定義齒咬合重建修復[J]. 中華老年口腔醫學雜志, 2008, 796(2):79-81, 126.
7. 巢永烈, 陳吉華, 朱智敏. 口腔修復學[M]. 北京:人民衛生出版社, 2011:400.
8. 王琛, 殷新民. 顳下頜關節紊亂病患者咬合穩定性的研究[J]. 口腔醫學, 2008, 28(10):550-551.
9. 卓建, 吳新. 牙列缺損伴重度磨耗的老年人可摘局部義齒修復[J]. 黑龍江醫學, 2011, 35(10):763-765.
10. 劉學慧, 楊新波. 可摘局部義齒及固定修復對重度磨耗或伴牙列缺損的咬合重建臨床分析[J]. 包頭醫學院學報, 2012, 28(2):64-66.
11. 李彥. 咬合重建修復過程中需要注意的臨床問題[J]. 中國實用口腔科雜志, 2009, 2(8):454-457.
12. 彭文和. 重度咬合磨耗患者固定修復重建咬合的臨床觀察[J]. 廣東牙病防治, 2009, 17(9):448-449.
13. 張慶福, 劉國勤, 陳駿, 等. 咬合重建中運用整合醫學理念必要性的回顧分析[J]. 口腔頜面修復學雜志, 2014, 15(5):277-279.
14. 王明臻, 汲平, 趙俊. 咬合重建患者的咀嚼效率測量分析[J]. 口腔頜面修復學雜志, 2011, 12(2):69-72.
15. 李玉蘭, 陳曉霞. 牙齒重度磨耗伴牙列缺損咬合重建固定義齒修復的臨床觀察[J]. 中國美容醫學, 2013, 22(20):2046-2048.

West China Medical Journal

Clinical Research of Using Fixed Restoration and Occlusal Reconstruction to Treat Severe Dental Attrition

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