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研究生:王峙仁
研究生(外文):Chih-Jen Wang
論文名稱:牙周補綴應用於全口重建之病例報告與討論
論文名稱(外文):Periodontal Prosthesis Application for The Full Mouth Rehabilitation --- Cases Report and Discussion
指導教授:李惠娥李惠娥引用關係
指導教授(外文):Huey-Er Lee
學位類別:碩士
校院名稱:高雄醫學大學
系所名稱:牙醫學研究所碩士在職專班
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:295
中文關鍵詞:全口重建牙周炎咬合崩壞
外文關鍵詞:rehabilitationperiodontitisbite collapse
相關次數:
  • 被引用被引用:0
  • 點閱點閱:195
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  • 收藏至我的研究室書目清單書目收藏:0
當病患需要全口重建治療時,若只從單一專科的角度評估病情、訂定治療計畫,往往容易產生盲點而無法盡善盡美。因此跨領域的牙科整合性治療,針對患有牙周炎伴隨咬合崩壞、牙齒傾倒或齒槽嵴萎縮等複雜口腔併發症的病患,提供一個全面性的完整治療。本論文共提出9個臨床病例。其中六位是男性,三位是女性,年齡從21歲到78歲,其中7位有全身性病史。治療內容除了牙周病治療,也涵蓋牙齒矯正、牙體復形、口腔外科、根管治療、植體種植及最終的補綴設計。治療計劃並非都是不變的,縱使同一位病患在治療的過程中,也可能因為突發的狀況臨時更改或重新訂定。另外,將病患身體健康、功能需求、美觀標準、經濟能力以及醫師本身的能力都考慮其中,才能提供最合乎人性醫療品質。

When patients need full mouth rehabilitation treatment, if only from the perspective of a single specialist assessment of the condition, set the treatment plan, they often have blind spots and can not be perfect. Therefore, cross-cutting integrated dental treatment for people with periodontitis with bite collapse, tooth tipping or alveolar ridge resorption and other complex oral complications of the patients, to provide a complete comprehensive treatment. This paper made a total of nine clinical cases. Which six men, three women, age from 21 to 78 years old, seven have a history of systemic. Treatment of content in addition to periodontal treatment, but also covers orthodontics, operative dentistry, oral surgery, root canal treatment, implantation and the final prosthodontic design. Treatment plan is not all the same, even though patients with a course of treatment may also change because of unexpected conditions or temporary re-set. In addition, the patients health, functional requirements, aesthetic standards, economic capacity and the ability of physicians themselves have to consider them, in order to provide the most humane quality of care.

目錄 01
中文摘要 02
英文摘要 03
誌謝 04
材料與方法 05
病歷摘要表 06
案例一 Konuskrone可撤式雙重冠活動義齒在廣泛中度慢性牙周炎伴
隨局部重度牙周炎之治療應用 09
案例二 Konuskrone可撤式雙重冠活動義齒在局部中度慢性牙周炎之
治療應用 38
案例三 Konuskrone可撤式雙重冠活動義齒在局部重度慢性牙周炎之
治療應用 66
案例四 牙冠增長術與Konuskrone可撤式雙重冠活動義齒在牙周補
綴的應用 99
案例五 結締組織移植術與Konuskrone可撤式雙重冠活動牙橋重建顎
骨骨折術後之咬合不正 129
案例六 球形附連體搭配磁性覆蓋式義齒與Konuskrone可撤式雙重冠
活動義齒在牙周補綴的應用 163
案例七 迷你骨釘作為骨性錨定矯正下壓及植體固定式義齒在牙周補
綴之治療應用 203
案例八 上顎竇增高術合併骨引導再生術及植體固定式義齒在牙周補
綴治之療應用 230
案例九 迷你骨釘作為骨性錨定矯正下壓、扶正與平整排列下顎齒列
及植體固定式義齒在牙周補綴之治療應用 259







案例一、二、三之綜合討論

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Partial Prosthodontics. Chicago:Quintessence; 2003: 367-
395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
treatment of a Class II division 2 patient with severe
deep bite. Journal of Orthodontics. September2002; 29
(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
orthodontics.4th ed.Philadelphia: Mosby;2007;167-233.

6. Loe H, Silness J. Periodontal disease in pregnancy.I.
Prevalence and severity. Acta Odontologica
Scandinavica.1963;21:532-551.

7. Loe H, Silness J. Periodontal disease in pregnancy.
II.Correlation between oral hygiene and periodontal
condition. Acta Odontologica Scandinavica. 1964;22;121-
135.

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ed.Philadelphia:Blakiston;1950:125.

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Karring T, Niklaus P, Lang. Clinical Periodontology and
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病例報告(四)

1. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003: 367-
395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
treatment of a Class II division 2 patient with severe
deep bite. Journal of Orthodontics. September2002; 29
(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
orthodontics.4th ed.Philadelphia: Mosby;2007;167-233.

6. Loe H, Silness J. Periodontal disease in pregnancy.I.
Prevalence and severity. Acta Odontologica
Scandinavica.1963;21:532-551.

7. Loe H, Silness J. Periodontal disease in pregnancy.
II.Correlation between oral hygiene and periodontal
condition. Acta Odontologica Scandinavica. 1964;22;121-
135.

8. Miller SC. Texbook of periodontia, 3rd
ed.Philadelphia:Blakiston;1950:125.

9. Kinane D, Lindhe J. Chronic periodontitis. Lindhe J,
Karring T, Niklaus P, Lang. Clinical Periodontology and
Implant Dentistry.5th ed. Copenhagen: Munksgaard; 2008;
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12. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003:351-365.

病例報告(五)

1. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003: 367-
395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
treatment of a Class II division 2 patient with severe
deep bite. Journal of Orthodontics. September2002; 29
(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
orthodontics.4th ed.Philadelphia: Mosby;2007;167-233.

6. Loe H, Silness J. Periodontal disease in pregnancy.I.
Prevalence and severity. Acta Odontologica
Scandinavica.1963;21:532-551.

7. Loe H, Silness J. Periodontal disease in pregnancy.
II.Correlation between oral hygiene and periodontal
condition. Acta Odontologica Scandinavica. 1964;22;121-
135.

8. Miller SC. Texbook of periodontia, 3rd
ed.Philadelphia:Blakiston;1950:125.

9. Kinane D, Lindhe J. Chronic periodontitis. Lindhe J,
Karring T, Niklaus P, Lang. Clinical Periodontology and
Implant Dentistry.5th ed. Copenhagen: Munksgaard; 2008;
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病例報告(六)

1. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003: 367-
395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
treatment of a Class II division 2 patient with severe
deep bite. Journal of Orthodontics. September2002; 29
(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
orthodontics.4th ed.Philadelphia: Mosby;2007;167-233.

6. Loe H, Silness J. Periodontal disease in pregnancy.I.
Prevalence and severity. Acta Odontologica
Scandinavica.1963;21:532-551.

7. Loe H, Silness J. Periodontal disease in pregnancy.
II.Correlation between oral hygiene and periodontal
condition. Acta Odontologica Scandinavica. 1964;22;121-
135.

8. Miller SC. Texbook of periodontia, 3rd
ed.Philadelphia:Blakiston;1950:125.

9. Kinane D, Lindhe J. Chronic periodontitis. Lindhe J,
Karring T, Niklaus P, Lang. Clinical Periodontology and
Implant Dentistry.5th ed. Copenhagen: Munksgaard; 2008;
420-423.

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23. Trakas T, Michalakis K, Kang K, Hirayama H. Attachment
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病例報告(七)

1. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003: 367-
395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
treatment of a Class II division 2 patient with severe
deep bite. Journal of Orthodontics. September2002; 29
(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
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7. Loe H, Silness J. Periodontal disease in pregnancy.
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病例報告(八)

1. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003: 367-
395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
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(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
orthodontics.4th ed.Philadelphia: Mosby;2007;167-233.

6. Loe H, Silness J. Periodontal disease in pregnancy.I.
Prevalence and severity. Acta Odontologica
Scandinavica.1963;21:532-551.

7. Loe H, Silness J. Periodontal disease in pregnancy.
II.Correlation between oral hygiene and periodontal
condition. Acta Odontologica Scandinavica. 1964;22;121-
135.

8. Miller SC. Texbook of periodontia, 3rd
ed.Philadelphia:Blakiston;1950:125.

9. Kinane D, Lindhe J. Chronic periodontitis. Lindhe J,
Karring T, Niklaus P, Lang. Clinical Periodontology and
Implant Dentistryistry.5th ed. Copenhagen: Munksgaard;
2008; 420-423.

10. Smiler DG, Johnson PW, Lozada JL et al. Sinus lift
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病例報告(九)

1. Phoenix RD, Cagana DR, DeFreest CF. Clinical Removable
Partial Prosthodontics. Chicago:Quintessence; 2003: 367-395.

2. Wong RWK. Combined orthodontic–dentofacial orthopedic
treatment of a Class II division 2 patient with severe
deep bite. Journal of Orthodontics. September2002; 29
(3):181-188.

3. DiPietro GJ, Moergeli JR. Significance of the Frankfort-
mandibular plane angle to prosthodontics. Journal of
Prosthetic Dentistry.1976; 36(6):624-635.

4. Scott B, Souza JD, Perinparajah N, Lowe D, Rogers SN.
Longitudinal evaluation of restricted mouth opening
(trismus) in patients following primary surgery for oral
and oropharyngeal squamous cell carcinoma. British
Journal of Oral and Maxillofacial Surgery.2010; 49
(2):106-111.

5. William RP, Henry WF, David MS. Contemporary
orthodontics.4th ed. Philadelphia: Mosby;2007;167-233.

6. Loe H, Silness J. Periodontal disease in pregnancy.I.
Prevalence and severity. Acta Odontologica
Scandinavica.1963;21:532-551.

7. Loe H, Silness J. Periodontal disease in pregnancy.
II.Correlation between oral hygiene and periodontal
condition. Acta Odontologica Scandinavica. 1964;22;121-
135.

8. Miller SC. Texbook of periodontia, 3rd
ed.Philadelphia:Blakiston;1950:125.

9. Kinane D, Lindhe J. Chronic periodontitis. Lindhe J,
Karring T, Niklaus P, Lang. Clinical Periodontology and
Implant Dentistryistryistryistryistry.5th ed.
Copenhagen: Munksgaard; 2008; 420-423.

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12. Weinberg LA. Reduction of implant loading with
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Vent implant. International Journal of. Oral &
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14. Ericsson l, Lekholm U, Branemark P-l, Lindhe J, Glnatz
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Periodontology. 1986;13:307-312.

15. Schuyler CH. Correction of occlusal disharmony of the
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16. Weinberg LA. Rationale and technique for occlusal
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17. Weinberg LA, Kruger B. A comparison of
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18. Mann A, Pankey K. Oral rehabilitation. Ll.
Reconstruction of the upper teeth using functionally
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Dentistry. 1960;10:151-162.


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