そしゃく時のこう合接触からみた全部床義歯のこう合

  • 鈴木 哲也
    東京医科歯科大学大学院医歯学総合研究科摂食機能回復学講座摂食機能評価学分野

書誌事項

タイトル別名
  • Complete Denture Occlusion Considered from Occlusal Contacts during Mastication

この論文をさがす

抄録

Few reports describe the functional superiority of full balanced occlusion to that of lingualized occlusion. Recently, a bilateral balanced scheme has been much more generally applied than a unilateral balanced scheme in lingualized occlusion as well as in full balanced occlusion. Occlusal contacts on the non-chewing side occur earlier than on the chewing side; in the order of second molar, first molar, and then premolars. The contact on the balancing side contributes to the prevention of denture dislocation and guidance from eccentric positions to the centric occlusal position during mastication. Therefore, bilateral balanced occlusion was shown to be effective for denture stability during mastication with complete dentures. Today's typical edentulous patients have greater mean age than in the past, and thus are seen with severe alveolar bone resorption, thin mucosa and sometimes abnormalities of the maxillomandibular relation. Their occlusal positions are often unstable and changeable after insertion of complete dentures. Because lingualized occlusion allows for easier accommodation and correction, lingualized occlusion is more suitable for such cases than full balanced occlusion, which requires a strict occlusal relationship. In light of the standard Japanese diet, there is some doubt about why lingualized occlusion might be suitable for Japanese edentulous patients in terms of the sense of mastication. A method of evaluating the sense of mastication needs to be established.

収録刊行物

被引用文献 (6)*注記

もっと見る

参考文献 (52)*注記

もっと見る

詳細情報

問題の指摘

ページトップへ