
doi: 10.2186/ajps.2.181
症例の概要:60歳の男性患者で,上顎前歯部の前装鋳造冠脱落による審美障害および下顎臼歯部の多数歯欠如による咀嚼障害を主訴に来院した.咬合高径の分析結果より低位咬合と診断した.プロビジョナルレストレーションおよび治療用義歯にて咬合挙上を行った後,最終補綴装置を装着した.考察:本症例は,臼歯部欠如の放置および残存歯の咬耗により低位咬合となった結果,前歯部の咬合負担を増大させ,上顎前歯部の補綴装置の脱落を引き起こしたと考えられた.結論:本症例では,咬合挙上および咬合再構成を行うことで,審美障害および咀嚼障害を改善することができた.
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