利用植體固位覆蓋式下顎全口假牙

Mandibular Implant-Retained Overdenture

陳明飛(Ming-Fei Chen)

指導教授 ： 周肇茂

高雄醫學大學/口腔醫學院/牙醫學研究所碩士在職專班/碩士(2010年)

摘要

Dr. Amsterdam於1974年提出牙周補綴的觀念，他對牙周補綴所下的定義為：「在嚴重牙周病治療，不可或缺的復形和補綴治療；其應用的醫療觀念、原則與技術也適用於一般正常齒列。」牙周病病患因牙周支持組織破壞導致牙齒搖動，或是因缺牙而導致咬合崩塌、咬合平面不協調的各種複雜口腔問題，必須藉助各科之間的合作，如牙周病科、根管治療科、齒列矯正科、口腔外科、補綴科，才能讓牙周病患者得到更完整與澈底的治療照顧。經由三十多年的發展，牙周補綴治療範疇逐漸整合牙周病學、補綴學、根管治療學、矯正學、人工植牙學等知識來達成人們對於口腔顏面的美觀與功能需求，因此不再限於重度牙周病患者，凡是對於有口腔顏面美觀或咀嚼咬合功能需求的患者，牙醫師均應以牙周補綴的觀念來擬定治療計劃。
本論文共提出九個輕、中、重度牙周補綴病例的報告，這些病例都是依循著牙周基本治療期、再評估、手術治療期、補綴贋復期、維護期的治療模式而完成。依據病人的主訴、身體狀況與經濟情況，給予適合的治療計畫，最後恢復患者的口腔健康、咀嚼功能與美觀。

關鍵字

牙周補綴 ； 咬合崩塌 ； 人工植牙

並列摘要

As the definition of periodontal prosthesis from Morton Amsterdam in 1974.“Those restorative prosthetic endeavors that are absolutely essential in the treatment of advanced periodontal disease. Whereas specifically it refers to the treatment of the dentition mutilated by the ravages of periodontal disease, in general, its concepts, principles, and techniques may be employed in any restorative or tooth replacement service involving the nature dentition.” The periodontal patients with destruction of periodontal support results in various complicated oral problems, such as the increase of tooth mobility, as well as bite collapse and occlusal plane disharmony caused by missing teeth. They could be benefited thoroughly from multidisciplinary treatments for examples periodontics, endodontics, orthodontics, oral surgery, prosthodontics etc. Via the development of more than 30 years, the category of periodontal prosthesis treatment integrated gradually periodontology, prosthodontology, endodontology, orthodontology, implantology and etc to satisfy human demand of maxillofacial esthetic and function. So, we can say “Not limit to advanced periodontal involved patients, dentists should give treatment plan in periodontal prosthesis philosophy for those who need maxillofacial esthetic or function.”
In this thesis, nine cases involving mild, medium to comprehensive periodontal prosthesis are presented. These cases were completed through the treatment protocols such as initial phase, re-evaluation, surgical phase, prosthetic phase and maintenance phase. In according to their main complaints and concern, also considered the patients physical health conditions and financial status. Finally, the oral health, function of mastication, and esthetics of these patients were restored.

並列關鍵字

periodontal prosthesis ； bite collapse ； implant

參考文獻

1. Amsterdam M. Periodontal prosthesis. Twenty-five years in retrospect. Alpha Omegan 1974 Dec;67(3):8-52.

2. Bednar JR, Wise RJ. Interaction of periodontal and orthodontic treatment. In: Nevins M, Mellonig J (eds). Periodontal therapy: clinical approaches and evidence of success. Chicago: Quintessence, 1998:155.

3. Stahl SS. Marginal lesion. In: Goldman HM, Cohen DW (eds). Periodontal therapy, 4th ed. St. Louis: Mosby, 1968:120-121.

4. Nyman S, Lindhe J. Examination of patients with periodontal disease. In: Lindhe J, Lang NP, Karring T (eds). Clinical periodontology and implant dentistry. 4th ed. Munksgaard: Blackwell Publishing Co., 2003:403-413.

5. Hamp SE,Nyman S, Lindhe J. Periodontal treatment of multirooted teeth. Result after 5 years. J Clin Periodontol 1975;2:126-135.