Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.
J Adv Prosthodont. 2013 Aug;5(3):364-8. doi: 10.4047/jap.2013.5.3.364. Epub 2013 Aug 31.
The case report describes the occlusal rehabilitation of a male patient with Angle Class III malocclusion and its effect on maximum bite force. The main complaints of patient were masticatory difficulty and poor esthetic. The patient's expectations from the treatment were a good esthetic and function with a less invasive and relatively promptly way. Therefore, increasing of the occlusal vertical dimension (OVD) and then restoring the maxillary and mandibular teeth was chosen by the patient among the treatment options. At the beginning of treatment maximum bite force of patient was measured. Then an occlusal splint was provided to evaluate the adaptation of the patient to the altered OVD. Full mouth rehabilitation with metal ceramic restorations was made. After the completion of full mouth restoration, bite force measurement was repeated and patient exhibited increased maximum bite force. Full mouth restorative treatment in a patient with Class III malocclusion could be an effective treatment approach to resolve esthetic concern and to improve masticatory function related to maximum bite force.
这是一份医学病例报告，介绍了一位安格氏 III 类错颌畸形男性患者的咬合重建及其对最大咬合力的影响。患者的主要诉求是咀嚼困难和美观不佳。患者希望治疗能以微创且相对快速的方式，在实现良好美观和功能的同时，尽可能不侵犯口腔。因此，在治疗方案中，患者选择了增加咬合垂直距离（OVD），然后修复上颌和下颌牙齿。在治疗开始时，测量了患者的最大咬合力。然后，为患者提供了咬合夹板，以评估其对改变的 OVD 的适应性。最后，采用金属陶瓷修复体完成全口修复。全口修复完成后，再次测量了患者的最大咬合力，发现其咬合力有所增加。全口修复治疗在解决美观问题和提高与最大咬合力相关的咀嚼功能方面，对安格氏 III 类错颌畸形患者是一种有效的治疗方法。
