口腔修复学精品课件（中山大学）20.全口义齿诊断、印模、颌位记录.pptxVIP

Complete DentureLing YangDepartment of Prosthodontics, Guanghua School of Stomatology, Sun Yat-sen University yangling24@Fabrication processes Examination，diagnosis and preparing treatment Impression and Cast Maxillomandibular relationship recording Mounting the casts on articulator by face bow transfer Selection and Arrangement of Artificial teeth Try in Final fabrication Insertion and adjustmentExamination, diagnosis and preparing treatment检查、诊断和修复前准备ExaminationInquiry Patient’s demands History of dental treatment Physical condition (Age, gender, and general?health) Character traits and mental status Social backgroundExamination and DiagnosisExaminationExtra-oral examination (颌面部检查) Facial characteristics TMJ musclesExamination and DiagnosisExaminationOral examination (口内检查) Morphology and consistency of the residual ridges Oral mucosa Attachment of frena and muscles Palatal Vault Maxillomandibular relationships Tongue Saliva Existing dentures 颌弓前后位置关系正常颌弓关系轻度下颌前突上颌前突严重下颌前突 颌弓左右位置关系腭部舌正 常下颌弓宽于上颌弓上颌弓宽于下颌弓 颌弓垂直位置关系有天然牙时的垂直距离垂直距离过大垂直距离过小垂直距离适中Diagnosis and treatment plan VS.Complete denture Implants supported denturePreparing treatment拔除残根牙槽嵴低平的手术手术修整牙槽骨突手术修整过高的附丽系带手术修整增生粘膜下的软组织 （缝龈瘤、松软牙槽嵴）前庭沟加深术骨移植人工材料植入SurgeryPreparing treatmentRelining 义齿支持组织的修整（重衬）Occlusion adjustment 旧义齿的咬合调整Maxillofacial muscle training 颌面部肌肉训练Non-Surgery treatment2. Impression and Cast for theedentulous ridges印模和模型Making accurate impressionRequirements (1) Anatomic landmarks well be recorded (2) Appropriate border extension (3) Good border molding (4) No voids and wrinklesMaking accurate impressionBorder extensionMaking accurate impressionClassification of all impression materials印模膏非弹性材料氧化锌丁香酚印模材料琼脂水胶体藻酸盐弹性材料聚硫橡胶不含水的弹性体硅橡胶聚醚橡胶Making accurate impressionEvaluating the Tray Should correspond to denture-bearing tissues Must fit tuberosities and profile of ridge Making accurate impressionImpression techniques(1) 一次印模法 Poor accuracy!(2) 二次印模法 Technique of secondary impression Anatomic