咬合重建对改善咀嚼功能和面容美观的影响.pdfVIP

中国美容医学2011年 11月第 2O卷第 11期 ChineseJournalofAestheticMedicine．Nov．2011．Vo1．20．No．11 1787 · 论著 · 咬合重建对改善咀嚼功能和面容美观的影响 孙旭东，佟 宇 (空军杭州I航空医学鉴定训练中心口腔科 浙江 杭州 310013) [摘要]目的：探讨牙列缺损、缺失及重度磨耗患者咬合重建治疗对改善其咀嚼功能和面容美观的影响。方法：回顾临床牙列重度 磨耗、牙列缺损或缺失40例病例，采用固定修复或固定活动联合修复方法实施咬合重建。咬合重建前确定治疗计划，余留牙进 行完善的牙髓、牙周治疗；确定颌位关系后戴用过渡性袷垫3个月后固定义齿或固定活动联合修复。通过系列治疗恢复正常的 垂直距离、袷曲线、平面，重建 良好稳定的咬合关系。结果：咬合重建治疗后患者外形容貌、发音、咀嚼效能主观评价良好，咬合关 系和颞下颌关节紊乱症状有显著改善。结论：采用固定修复或固定活动联合修复方法治疗牙列重度磨耗，牙列缺损或缺失，进行 咬合重建的效果令人满意。详尽的治疗计划、正确的颌位关系确定、过渡性义齿戴用是固定修复咬合重建成功的关键。 [关键词]牙列缺损；咬合重建；咀嚼效率 [中图分类号]R783 [文献标识码]A [文章编号]1008—6455(20l1)1卜1787-03 EffectsofocclusalreConStrUCtiononmasticatoryfunctionandfacialbeauty SUNXu—dong，TONG Yu (DepartmentofStomatology，HangzhouAeromedicineEvaluationandTrainingCenteroftheAirForce，Hangzhou310013 Zhejiang，China) Abstract：ObjectiveToinvestigatetheeffectsofocclusalreconstructiononimprovingmasticatoryefficiencyandfacial beauty ofpatients suffered frOm seriousattrition with dentition defectofdentitionmissing． Methods 40 cases of patientsofseriousattritionwith dentition defectormissing were evaluated．Fixed partialdenture orfixed removable combined denturewereused toreconstructocclusion．Complete treatmentplanwas made before thebeginningof occlusalrecOnstructi0n．Theresidualteethwere treated．Verticaldimension andocclusaIplanewererecOnstructed and occlusion relationshipwasimproved． Results Themasticatoryefficiencyandfacialbeautywere improvedsignificantly andTMJdisorderwasalleviated．Conclusion Fixedpartialdentureorfixedremovablecombineddenturecanbeused to reconstructpathologicalocclusion and the curative effectiS satisfactory．Propertreatmentplan．accurateocclusion relationshiPandtheuseoftransientdenturewere importanttothesuccessofoccl