Acta Metallurgica Sinica

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  • Online:2019-01-15 Published:2019-01-17

复杂修复的咬合设计理念及关键临床步骤

张豪   

  1. 北京大学口腔医院口腔修复科,北京  100081
  • 作者简介:张豪,口腔医学博士、北京大学口腔医院主任医师。兼任中华口腔医学会颞下颌关节病学及牙合学专业委员会委员、国家医师资格考试试题开发专家、国家卫生健康委员会人才中心卫生人才评价专家等职。主编专著《牙合学理论与临床实践》,主译《功能牙合学:从颞下颌关节到微笑设计》,参编专著《美容口腔医学》、《后牙冠桥的咬合接触》、《临床牙合学——成功修复指导》等5部,参译《固定义齿修复学精要》《前牙粘结性仿生修复》等。发表相关学术论文30余篇。长年从事口腔修复及颞下颌关节病临床诊疗工作,尤其擅长咬合相关临床问题的处置。对咬合重建、颞下颌关节紊乱病修复治疗、数字化修复等有较多经验和知识积累。

Abstract:

Complicated prosthodontic cases have always been one of the difficult problems in prosthodontics because of many teeth involved and the great influence on the occlusal relationship. The solution to the clinical problem of these cases is to establish the correct philosophy. This article sorts out how to understand the relationship between occlusion and temporomandibular disorders in the treatment of restorations,and discusses how to design an individualized occlusion based on the functional features of the patients′ stomatognathic systems in complicated prosthetic cases.

Key words: occlusion;temporomandibular disorders, TMD;functional restoration

摘要:

复杂修复由于涉及牙位多、对咬合关系影响大等一直是口腔修复的疑难之一。对这类修复临床问题的解决首先是建立正确的修复理念,文章对修复治疗中如何客观认识咬合与颞下颌关节紊乱病之间的关系进行了梳理,并对复杂修复中如何基于患者口颌系统的功能特点设计个性化咬合的临床步骤进行了阐述。

关键词: 牙合, 颞下颌关节紊乱病, 功能修复