华西口腔课件修复理想桥基牙.pptVIP

The ideal abutment tooth contains a vital pulp. If most not be inferred from this that a treated tooth with a properly filled root canal is not suitable as a bridge abutment; clinical evidence indicates that in properly selected cases such treated teeth have rendered years of valuable service to the patient without any harmful effects. Nevertheless, the first requisite in preparing vital teeth for the reception of bridge retainers is pulp conservation. 理想的基牙应该是活髓牙。大多数情况下不能这样推断：完善根管治疗后的牙齿不适合作基牙。临床证据表明合理选择的病例中这样的牙齿可以在患者体内服役很多年，没有任何危害。但对作为承担桥固位体的活髓牙来讲，首先要必须考虑的就是保存活髓。 Every effort should be made during the cutting operations to avoid overheating or irritating the pulp in order to prevent its future degeneration or death. Those preparations are contraindicated which bring the retainer too close to the pulp, thus exposing it to continuous thermal shocks; if existing conditions indicate the probability of such an occurrence, every percaution should be taken to reduce the danger to a minimum. 在牙体预备时应该尽一切努力来避免过热或激惹牙髓，其目的是预防以后的牙髓变性或坏死。这些牙体预备是不当的，使固位体过于接近牙髓，这样就使牙髓会受连续的热刺激；如果存在的现象表明有可能会出现这样的情况，应该非常的小心来将这种危险减少到最小。 Although the ideal abutment is one which has normal amount of periodontal attachment, many teeth lacking one-third to one-half of the normal amount, when indiciously selected, it is questionable whether such a tooth should be used as an abutment. The amount of alveolar bone is determined by the extent of periodontal attachment and the type of bone present reflected its degree of function. 虽然理想的桥基牙有正常的牙周附着，但很多牙齿的牙周附着是正常量的2/3到1/2，在进行明智的选择的时候，这样的牙齿是否应该用作基牙仍是一个问题。牙槽骨的牙由牙周附着的程度来决定，并且骨的类型表现出的它所反应的功能的情况。 Where the egression of such a tooth has exceeded one------fourth the normal height of its crown, its use as an abutment usually requires that the pulp be removed. Where the necessary amount of reduction can be made without encroaching upon the pulp, the same physical and biological handicaps prevail as in the case of an abraded tooth. An egressed tooth is further han