部分床義歯の咬合採得

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  • 河野 文昭
    徳島大学医学部・歯学部附属病院総合歯科診療部

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  • Maxillomandibular Registration in Removable Partial Dentures

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The objective in the treatment of patients with removable partial dentures is to establish good function and harmonious occlusion. Occlusal harmony between a partial denture and the remaining natural teeth is a major factor in preserving the health of their surrounding structures. Because of the wide variety of combinations of missing and remaining teeth, numerous types of prosthodontic service are available.<BR>The establishment of a satisfactory occlusion for the removable partial denture should include the following: an analysis of the existing occlusion ; the correction of existing occlusal disharmony: the recording of centric relation or adjusted centric occlusion and so on. Therefore, the recording of occlusal relationship for the partially edentulous patient is an important clinical procedure for fabricating a removable partial denture.<BR>Maxillomadibular relations can be recorded accurately only by using a stable record base and occlusion rim. It is essential that an accurate base with temporary clasp and rest be used to help support the occlusal relationship.<BR>It is also important, when being obtained by using the recording base, that excessive pressure on the displaceable tissues of the denture-bearing area be avoided, because excessive pressure will depress the record base by displacing the underlying resilient mucosa.<BR>This article deals with clinical methods of taking static jaw records for establishing the occlusion of removable partial dentures, and with the basic principles which underlie these procedures.

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