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. 马轩祥, 赵铱民. 口腔修复学[M]. 5版. 北京:人民卫生出版社, 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. 牙列缺损伴重度磨耗的咬合重建及修复[J]. 中华口腔医学研究杂志:电子版, 2011, 5(5):519-523.
4. 徐君伍. 口腔修复理论与临床[M]. 北京:人民卫生出版社, 1999:666-669.
5. 马国华, 李淮伶. 贵金属烤瓷冠在临床的应用效果[J]. 口腔颌面修复学杂志, 2002, 3(1):29-30.
6. 郭宏, 刘洪臣, 郭贵华, 等. 老年人牙列重度磨耗的固定义齿咬合重建修复[J]. 中华老年口腔医学杂志, 2008, 796(2):79-81, 126.
7. 巢永烈, 陈吉华, 朱智敏. 口腔修复学[M]. 北京:人民卫生出版社, 2011:400.
8. 王琛, 殷新民. 颞下颌关节紊乱病患者咬合稳定性的研究[J]. 口腔医学, 2008, 28(10):550-551.
9. 卓建, 吴新. 牙列缺损伴重度磨耗的老年人可摘局部义齿修复[J]. 黑龙江医学, 2011, 35(10):763-765.
10. 刘学慧, 杨新波. 可摘局部义齿及固定修复对重度磨耗或伴牙列缺损的咬合重建临床分析[J]. 包头医学院学报, 2012, 28(2):64-66.
11. 李彦. 咬合重建修复过程中需要注意的临床问题[J]. 中国实用口腔科杂志, 2009, 2(8):454-457.
12. 彭文和. 重度咬合磨耗患者固定修复重建咬合的临床观察[J]. 广东牙病防治, 2009, 17(9):448-449.
13. 张庆福, 刘国勤, 陈骏, 等. 咬合重建中运用整合医学理念必要性的回顾分析[J]. 口腔颌面修复学杂志, 2014, 15(5):277-279.
14. 王明臻, 汲平, 赵俊. 咬合重建患者的咀嚼效率测量分析[J]. 口腔颌面修复学杂志, 2011, 12(2):69-72.
15. 李玉兰, 陈晓霞. 牙齿重度磨耗伴牙列缺损咬合重建固定义齿修复的临床观察[J]. 中国美容医学, 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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