中国实用口腔科杂志 ›› 2012, Vol. 5 ›› Issue (02): 65-71.

• 专题笔谈 •    下一篇

可摘局部义齿修复的治疗计划

  

  1. 北京大学口腔医学院,北京  100081
  • 收稿日期:2011-12-28 出版日期:2012-02-15 发布日期:2012-04-25
  • 作者简介:韩科,教授、主任医师。1983年毕业于北京医科大学研究生院,1987—1988年在丹麦哥本哈根皇家牙医学院做访问学者。曾任北京大学口腔医学院修复科副主任、北京大学口腔医院口腔颌面种植中心副主任、中华口腔医学会口腔修复专业委员会常务委员。主要研究方向及专长:口腔修复、口腔种植修复及颞下颌关节紊乱病治疗。主编中文专著5部,参编中文专著十余部,在国内外专业期刊发表论文数十篇。

  • Received:2011-12-28 Online:2012-02-15 Published:2012-04-25

摘要:

口腔修复是目标明确的临床技术,其治疗计划的形成具有显著的“逆向设计”特性。制定过程大致为:首先从恢复外观功能的需求确认是否必须进行修复,然后根据患者的主观愿望和客观条件选择修复技术,可摘局部义齿是最常用的选项。从患者年龄和目前的口腔疾患及保健状况可推测剩余组织的预后,患者的经济条件和心理状况也应作为治疗计划的参考依据。下一步是根据患者剩余软、硬组织的条件设计义齿结构,包括基牙数量和布局、固位体、连接体、人工牙排列等。有关的辅助性措施如修复前正畸、拔牙、牙体牙髓治疗等应该针对最后的治疗目标而选择性采用。

关键词: 可摘局部义齿;修复;治疗计划;种植义齿

Abstract:

Prosthodontics is the targeted dental therapy. Their treatment planning have significant features of reverse design formation. Prosthetic treatment planning process is roughly as follows:First step is to confirm whether the dentition must be repaired to improve function and appearance. Then select repair technology based on the patient's subjective desire and objective conditions,removable partial denture is one of the most common options. The prognosis of the remaining organizations can be speculated from the patients' age,existing oral diseases and oral health conditions. The next step is the designing of denture structure, including the number and layout of abutments,type retainers,and connectors,artificial teeth arrangement,et.,according to the conditions of  remaining hard and soft tissues. Patient’s economic conditions and psychological situation should also be considered as the reference in treatment planning. The pre-prosthetic treatment such as orthodontics,surgical extraction,root canal treatment should selectively adopt for final treatment goals.

Key words: removable partial denture;prosthodontics;treatment planning;implant denture