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研究生:周子強
研究生(外文):Tzu-Chiang Chou
論文名稱:牙周補綴之全方位治療及全口重建---病例報告
論文名稱(外文):The integrated therapy and the full-mouth rehabilitation in the periodontal prosthesis--- Cases report
指導教授:周肇茂周肇茂引用關係
指導教授(外文):Tsau-Mau Chou
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:2007
畢業學年度:95
語文別:中文
論文頁數:308
中文關鍵詞:牙周補綴全口重建套疊可撤式義齒覆蓋式活動義齒
外文關鍵詞:periodontal prosthesisfull mouth rehabilitationtelescopic dentureoverdenture.
相關次數:
  • 被引用被引用:0
  • 點閱點閱:215
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  • 收藏至我的研究室書目清單書目收藏:0
1974年美國賓州大學阿姆斯特丹教授提出「牙周補綴」一辭,並加以定義:「牙周補綴即在嚴重牙周病治療當中,全然的復形與補綴,其所應用的醫療觀念、原則與技術,亦適用於自然齒列的補綴或牙齒的替換。」牙周補綴為「整合性治療」,在牙周重症患者中,常需要牙體復形、牙髓治療、牙周治療、口腔外科、矯正及補綴治療等各科的合作,才能達到良好的治療結果。牙醫師必須考量患者的實際需求、經濟能力及人格特質,與患者進行溝通以選擇最適合的治療計劃。本論文共提出十個全口重建的病例報告。採用不同的補綴物設計,牙周治療包括非手術性治療及手術性治療。手術性治療包括:牙周翻瓣術、根叉侵犯治療、牙冠增長術、引導骨再生手術;四個病例合併矯正治療。最終補綴物包含固定式及可撤式二種。固定式義齒包括傳統固定局部義齒、植體固位式固定義齒。可撤式義齒包括傳統可撤式局部義齒、könus雙重冠可撤式義齒,套筒薄冠蓋套疊可撤式義齒,覆蓋式活動義齒。經由整合性的牙周補綴治療,使患者重新獲得穩定的咬合功能和牙周健康,同時滿足患者美觀的需求。
In 1974, Dr. Amsterdam(the professor of Pennsylvania University) pointed out “periodontal prosthesis” and defined it as “Those restorative prosthetic endeavors that are absolutely essential in the treatment of advanced periodontal disease. whereas specifically it refers to the treatment of the dentition mutilated by the ravages of periodontal disease, in general ,its concepts, principles and techniques may be employed in any restorative or tooth replacement service involving the nature dentition.”The periodontal prosthesis is the “integrated treatment”. In the severe periodontal disease, to achieve the appropriate treatment result and the good prognosis, we need the cooperation of different specialized fields such as operative dentistry, endodontic therapy, periodontal treatment, oral surgery, orthodontics and prosthodontics .The dentist must evaluate the practical need, financial capabilities and personal characteristics of the patient to select the most appropriate treatment plan. In this thesis, the ten cases of the full mouth rehabilitation were presented. These cases applied with the different prosthetic design and the periodontal therapy that included non-surgical & surgical treatment. The surgical treatment included open-flap curettage, furcation involvement therapy, crown lengthening, guided bone regeneration. The orthodontic treatment was used in four cases. The definite prosthesis are fixed or removable partial denture, including conventional fixed prosthesis, implant-supported fixed prosthesis, conventional removable prosthesis, Konuskrone telescopic denture, crown sleeve-coping telescopic denture, overdenture. Again, the patients acquire the stability of the occlusion and the health of the periodontal apparatus by the integrated periodontal-prosthetic treatment and satisfy esthetic appearance.
中文摘要 -------------------------------------------- 1
英文摘要 -------------------------------------------- 2
前 言 -------------------------------------------- 3
材料與方法 -------------------------------------------- 4
病例摘要表(一) ---------------------------------------- 5
病例摘要表(二) ---------------------------------------- 6
病例報告(一) 廣泛性中度慢性牙周炎之全口重建 ---------- 7
病例報告(二) 廣泛性侵略性牙周炎之全口重建 ------------40
病例報告(三) 局部慢性牙齦炎之全口重建,短距牙弓之應用 70
病例報告(四) 局部慢性牙周炎之全口重建 ---------------100
病例報告(五) 局部慢性牙齦炎之全口重建 ---------------126
病例報告(六) 廣泛慢性牙周炎之全口重建 ---------------147
病例報告(七) 局部慢性牙周炎之全口重建 ---------------172
病例報告(八) 廣泛性侵略性牙周炎之全口重建 -----------201
病例報告(九) 廣泛慢性牙周炎之全口重建 ---------------226
病例報告(十) 廣泛慢性牙周炎之全口重建 ---------------252
綜合討論 --------------------------------------------276
討論 (一):根叉侵犯
討論(二):牙周與矯正治療
討論 (三):開放性牙齦下刮除術
討論 (四):牙冠增長術
討論 (五): könus雙重冠可撤式義齒
討論 (六):套筒薄冠蓋套疊可撤式義齒
討論 (七):覆蓋式義齒(overdenture)
結論 -------------------------------------------------296
參考文獻 ---------------------------------------------297
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