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研究生:吳怡瑾
研究生(外文):Yi-Jiin Wu
論文名稱:牙周補綴全口重建之病例報告-以人工植體支持之固定義齒及人工植體合併自然牙之Konus雙重套冠義齒病例為代表
論文名稱(外文):The case reports of full mouth rehabilitation in perio-prosthodontic treatment - Full mouth rehabilitaion with implants supporting fixed prosthesis and implans and teeth supporting konus telescopic system
指導教授:洪純正
指導教授(外文):Chun-Zheng Hong
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:2011
畢業學年度:99
語文別:中文
論文頁數:331
中文關鍵詞:咬合崩塌人工植牙全口重建
外文關鍵詞:bite collapsedental implantfull-mouth rehabilitation
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患有牙周病的患者,常因牙周組織遭受破壞,使得牙齒病理性的位移、傾斜,若伴隨部分缺牙或失去咬合支持,則易產生咬合崩塌的情形。在治療與重建中,不僅僅是移除牙周侵犯的病因、恢復咬合功能,更必須考量到剩餘牙齒的狀況以及將來患者口腔的清潔與維護,因此,治療前的評估、各科的整合與介入、患者的預期等都是需要謹慎思考的。
本論文提出九個病例,利用跨科性治療,以人工植牙增加支持,各種不同手術改善牙周狀況恢復健康,補綴物的設計提供穩定的咬合減少咬合創傷,矯正輔助以利美觀需求,進一步達成全口重建目標。然而除此之外,患者定期的回診追蹤及口腔衛生清潔與維護,才能提升治療的成功率。


Patients with periodontitis often suffered from destruction of periodontal tissue, which leads to the pathological displacement or inclination of teeth. If combined with partial loss of teeth or loss of periodontal support, this situation will easily result in bite collapse. In addition to eradication of etiologies of periodontal destruction and reconstruction of the occlusal function, conditions of remaining teeth and maintenance of pateints’ oral hygiene should be brought in consideration. Therefore, the evaluation prior to treatment, the integration and intervention of different specialties, and the expectancy of the patient should all be prudently contemplated.
In the present study of 9 cases, under cross-field full-treatment, with the use of dental implants to increase the periodontal support, selection of various periodontoal surgeries to improve the health of periodontium, provision of different designs of prostheses to stabilize occlusion and relieve trauma from occlusion, and with the help of orthodontic intervention to the meet the esthetic request, we can then step further to reach the goal of full-mouth rehabilitation. Besides, however, the periodically follow-ups and the maintenance of oral hygiene of the patients are the keys to promote the success rates of our treatments.


目錄
中文摘要 ………………………………………………………………………………… 1
英文摘要 ………………………………………………………………………………… 2
前言 ………………………………………………………………………………… 3
材料與方法 ………………………………………………………………………………… 4

病例報告
案例一 人工植體支持之固定式義齒及人工植體合併自然牙之Konus雙重套冠義齒之全口重建病例…………………………………… 5
案例二 利用自然牙與人工植體共同支持之Konus雙重套冠可撤式義齒重建之病例……………………………………………………… 42
案例三 利用人工植體支持之固定式義齒重建後牙咬合支持之病例… 78
案例四 人工植體支持之固定式義齒於慢性牙周炎患者之重建病例… 108
案例五 人工植體支持之固定式義齒運用於後方咬合支持重建之病例 139
案例六 人工植體支持之固定式義齒運用於慢性牙周炎患者之全口重建病例…………………………………………………………… 169
案例七 固定式義齒與人工植體運用於慢性牙周炎患者之全口重建病例………………………………………………………………… 201
案例八 鉤靠式局部可撤式義齒併用磁性附連體運用於慢性牙周炎患者之全口重建病例……………………………………………… 236
案例九 人工植體支持之固定式義齒與固定式義齒之全口重建病例………………………………………………………………… 265
總討論 …………………………………………………………………………303
結論 …………………………………………………………………………311
病患資料一覽表 ………………………………………………………………………………312
病患治療方式一覽表 ………………………………………………………………………….. 313
參考文獻 ………………………………………………………………………………314


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