Kobayashi Shoji
Higashi-Kanto Branch, Department of Dentistry II, Mito General Hospital.
Nihon Hotetsu Shika Gakkai Zasshi. 2008 Jul;52(3):400-3. doi: 10.2186/jjps.52.400.
The patient's chief complaint was difficulty of mastication in molar regions. The diagnosis was masticatory dysfunction caused by loss of occlusal contacts. Initially provisional restorations were fabricated, then disharmonious contours were corrected during the following treatments including endodontic and periodontic treatments and tooth extraction. Final restorations were made with fixed partial dentures.
Preservation of the left incisor of mandible enabled recontouring the provisional restoration and consequently, determining a definitive occlusal scheme for the final restoration.
For a patient with collapse of posterior occlusal contacts, hopeless teeth which should be extracted were used as temporary abutment for the provisional restoration. This treatment plan minimized trouble for the patient during treatment, resulting in successful final occlusal reconstruction.
患者的主要诉求是磨牙区咀嚼困难。诊断为咬合接触丧失导致的咀嚼功能障碍。最初制作了临时修复体,然后在包括牙髓治疗、牙周治疗和拔牙在内的后续治疗过程中纠正了不协调的外形。最终修复体采用固定局部义齿制作。
保留下颌左侧切牙有助于重新修整临时修复体,从而确定最终修复体的确定咬合方案。
对于后牙咬合接触丧失的患者,将应拔除的无保留价值牙齿用作临时修复体的基牙。该治疗方案在治疗期间将患者的麻烦降至最低,最终成功完成了咬合重建。