部分床義歯により機能回復した1症例 A Case of Prosthetic Rehabilitation Using a Removable Partial Denture

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著者

    • 濱野 奈穂 HAMANO Naho
    • 神奈川歯科大学顎口腔機能修復科学講座歯科補綴学分野 Division of Prosthetics, Department of Oral and Maxillofacial Rehabilitation, Kanagawa Dental College

抄録

症例の概要: 患者は, クラウンとブリッジの脱離および義歯の不適合による咀嚼障害と強い違和感を訴え来院した. 最初に暫間義歯と旧義歯調整により咀嚼障害の緩和を図った. 治療は, 前後の変化が少ない下顎を先行させ, 装着感を確認後上顎に着手した. 歯冠部は硬質レジン前装冠で補綴し, 欠損部は違和感を訴えていた連結装置・支台装置の設計を変更した部分床義歯を装着した.<BR>考察: 支台装置・連結装置とも形態を考慮し, 違和感を減少させて, 患者の満足度を確認しながら治療したことが, 成功した一因と推察する.<BR>結論: 部分床義歯は症例に応じて設計の自由度があり, 適切な設計を行えば患者の高い満足度が得られることが示唆された.

Patient: In addition to crown and bridge detachments, a patient suffered from masticatory dysfunction and discomfort resulting from poor-fitting dentures. Masticatory dysfunction was resolved by the use of provisional dentures and re-adjustment of existing dentures. Treatment was initiated from the mandible where changes before and after the treatment were less significant. After confirming a good fit for the lower denture, treatment of the maxilla was started. Crowns with hard resin facings were fabricated, and the connectors and retainers for the partial denture were re-designed to eliminate the cause of discomfort.<BR>Discussion: Efforts centered on attaining optimal retainers and connectors that would relieve the patient's discomfort. We implemented a step-by-step treatment plan while continually monitoring the patient's satisfaction, which contributed to the success of the treatment.<BR>Conclusion: Partial dentures have some design allowance to accommodate requirements specific to each individual patient. Optimally designed partial dentures was proven to deliver high patient satisfaction.

収録刊行物

  • 日本補綴歯科學會雜誌 = The journal of the Japan Prosthodontic Society  

    日本補綴歯科學會雜誌 = The journal of the Japan Prosthodontic Society 51(1), 67-70, 2007-01-10 

    Japan Prosthodontic Society

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各種コード

  • NII論文ID(NAID)
    10018731483
  • NII書誌ID(NCID)
    AN00197911
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03895386
  • データ提供元
    CJP書誌  J-STAGE 
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