義歯を矯正的挺出の固定源に用いた補綴症例 [in Japanese] A Clinical Case of Prosthetic Treatment After Orthodontic Extrusion Using a Removal Denture as Anchorage [in Japanese]
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症例の概要: 患者は73歳の男性で, 前歯に食べ物が詰まりやすいこと, 見た目が気になるとの主訴で来院した. 3/3の2次鹸鐘による食渣の停滞およびマージン部露出によるものと診断し, 35の抜歯後, 54321/12345の即時義歯を装着した. 3は義歯を用いた矯正的挺出を行った.<BR>考察: 装着約3年後に6の支台装置の破折が生じたが, その後特記すべきトラブルは生じていない.<BR>結論: 矯正的挺出法を採用し固定源を部分床義歯に求め, 深部の鹸蝕罹患歯の保存を行うことができ, その後その歯に対して補綴処置を施し, 長期に渡る良好な結果を得ることができた.
Patient: A 73-years-old male complained of food stuffing for at anterior tooth and aesthetic disturbance. The diagnosis was stagnation of food which occurred to 3/3 secondary caries and aesthetic disturbance caused by non-conformity of the margin. After extraction of135, an immediate denture (5+5) was inserted. In addition, 3 was extruded by removal the partial denture as an anchorage.<BR>Discussion: The clasp of the upper first molar was broken three years after prosthetic treatment. After that, there has been no specific trouble.<BR>Conclusion: Removal of the partial denture was used as an anchorage to apply the orthodontic extrusion method over the maxillary left side canine. Through this method, we were able to perform conservative procedures for the treatment of the deep caries lesion observed on this tooth. Once the extrusion was completed, we could restore this tooth through prosthetic treatment. Long term good results were achieved.
- Journal of Prosthodontic Research
Journal of Prosthodontic Research 51(1), 71-74, 2007-01-10
Japan Prosthodontic Society