kennedyⅰ-ⅳ类牙列缺损.pptVIP

Kennedy Ⅰ-Ⅳ类牙列缺损的设计 研究生 潘领战 孟波 林川 指导老师 肖茂春教授 Kennedy Ⅰ-Ⅳ类牙列缺损的设计 活动义齿临床设计的思路 Kennedy Ⅰ-Ⅳ类牙列缺损的修复设计 Considerations for removable prostheses Decide which of the missing teeth are to be replaced and which saddles are to be restored Deciding on the nature of the support Deciding on the form of the major connector Deciding on how the prosthesis will be retained Planning for stability Review of design with hygiene and maintenance in mind Deciding which of themissing teeth are to be replaced and which saddlesare to be restored plan holistically “formulate a tentative denture design concurrent with the formulation of the treatment plan.” Deciding on the nature of thesupport ? Class I: Denture supported by mucosa and underlying bone Result in Displace mucosa further loss of alveolar bone ? Class II: Denture supported by teeth Help to maintain alveolar bone means ? Class III: Denture supported by a combination of mucosa and tooth-borne means. instability ? Class IV: Denture supported by implants Deciding on the form of the majorconnector Maxillary common major connectors Deciding on the form of the majorconnector Mandibular common major connectors Deciding on how the prosthesis willbe retained Direct retainers Deciding on how the prosthesis willbe retained Direct retainers Deciding on how the prosthesis willbe retained Direct retainers Planning for stability indirect retention Review of design with hygiene andmaintenance in mind Kennedy牙列缺损分类法 第一类:双侧游离缺牙 第二类:单侧游离缺牙 第三类:一侧或两侧后牙缺失,鞍基前后都有基牙 第四类:前部缺牙 KennedyⅠ-Ⅳ类设计的基本原则 保护口腔组织健康 良好的固位 良好的稳定性 良好的支持作用 达到一定的美观要求 坚固耐用、方便取戴 Kennedy第一类牙列缺损 特点 1.双侧后牙游离端缺失 2.多设计为混合支持式义齿 3.多采用大连接体连接两侧远中游离端鞍基 Kennedy第一类牙列缺损 设计要点 1.双侧单个后牙游离端缺失 (1)基牙选择 (2)支托设计 (3)间隙卡环位置 (4)人工牙设计 Kennedy第一类牙列缺损 设计要点 2.双侧多个后牙游离端缺失 (1)基牙选择 (2)支托和卡环的设置 (3)间接固位体 (4)人工牙排列 Kennedy第一类牙列缺损 设计要点 3.双侧后牙全部缺失,余留前牙条件差 ·采用粘膜支持式 ·尖牙上设计低位卡环 Kennedy第一类牙列缺损 设计举例 Kennedy第一类牙列缺损 设计举例