[将舌下杆应用于一位主诉舌板引起严重不适患者的可摘局部义齿]

[Application of sublingual bar to removable partial denture of a patient complaining of major discomfort to lingual plate].

作者信息

Yaka Tomohiko

机构信息

Division of Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry.

出版信息

Nihon Hotetsu Shika Gakkai Zasshi. 2008 Jul;52(3):404-7. doi: 10.2186/jjps.52.404.

DOI:10.2186/jjps.52.404

PMID:18678977

Abstract

PATIENT

A 62-year-old man complained of discomfort during insertion of lower removable partial denture (RPD). Existing denture was highly objectionable to tongue and intolerable to wear due to volume and contour of its lingual aspect. The treatment plan included fabrication of an interim denture and altering its shape until it did not lead to discomfort, followed by fabrication of a final denture. Consequently, RPD using sublingual bar was found to be the most comfortable to wear and was fabricated as final denture. The patient was ready to insert the final denture and restoration of masticatory function was accomplished.

DISCUSSION

In cases with unfavorable anatomic conditions such as a lack of mouth-floor depth, lingual plate should be applied as first choice, and when it is not well tolerated by the patient, sublingual bar should be applied.

CONCLUSION

Sublingual bar is suggested to be one of the least objectionable major connectors.

摘要

患者

一名62岁男性抱怨在下颌可摘局部义齿（RPD）就位时感到不适。现有的义齿因其舌侧的体积和外形，令舌头极不舒服且佩戴难以忍受。治疗计划包括制作一副临时义齿，并改变其形状直至不再引起不适，随后制作最终义齿。因此，发现使用舌下杆的RPD佩戴起来最舒适，并被制作成最终义齿。患者准备好佩戴最终义齿，咀嚼功能得以恢复。