補綴在牙周治療之探討

Prosthetic Management of Patients with Advance Periodontal Disease

蔡吉政(Chi-Cheng Tsai) ； 洪純正(Chun-Cheng Hung)

《臺灣口腔醫學會雜誌》 15卷1期 (1999/06) Pp. 186-190

摘要

嚴重牙周病患者的補綴治療特點與傳統牙冠牙橋大不相同。當這類患者要進入最後階段之最終補綴治療前,牙周疾病必須是經過牙周病專家確實控制下,並經試帶一段時間之良好暫用修種體後才能開始製作。在擬定治療計畫時要針對支柱牙之預後、支柱牙之分佈情形、牙周附連高度、冠棋比以及是否固定等問題逐一考量。於 本文中針對嚴重牙周病補綴物三種常用之治療計童提出各種引導準 則。我們也針對齒臨下牙冠外型、暫用修復體之重要性、精確印模 法、咬合調整及最終芽冠黏固等應注意事項提出探討,以確保補綴物能精確而順利的完成。

關鍵字

牙周補綴牙 ； 牙周病

並列摘要

The characteristics and problems of the advanced periodontal-prosthetic patients differ from the patients requiring conventional crown and bridge. When designing a definitive prosthesis for these patients, factors such as the prognosis of the abutment teeth, distribution of the abutment, periodontal attachment levels, croWn root ratio and the requirements of splinting must be taken into consideration. The type of restoration to be used, whether fixed or a combination fixed and removable prosthesis influences the design of the prosthesis. Because of this, certain guidelines for restoation design are mentioned in this article. We are also discussed subgingival contours, provisional restoration, final impression, occlusal adjustment and final cementation to assure successful results.

並列關鍵字

periodontal prosthesis ； periodontal disease