제한된 악간 공간을 가진 환자에서 교합수직고경 증가와 치조골 성형술을 병행한 전악 수복 증례

초록

Extensive tooth loss can lead to the loss of posterior support, resulting in decreased occlusal vertical dimension (OVD), overeruption due to the absence of opposing teeth, and restricted inter-arch space. These changes can limit the restorative space and cause difficulties in achieving both functional and esthetic aspects of full-mouth rehabilitation. This case report describes a patient with multiple tooth loss and overeruption who exhibited insufficient restorative space, where diagnostic analysis indicated that a conventional prosthetic approach alone would not provide adequate space. Therefore, the OVD was increased and alveoloplasty was performed to obtain sufficient inter-arch space, which restored both function and esthetics. This case suggests that, in patients with restricted inter-arch space, the combination of prosthetic and surgical intervention can be an effective and predictable strategy for full-mouth rehabilitation.

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