審美障害と咀嚼障害を歯冠修復およびインプラント補綴により回復した症例  [in Japanese] A case report on an esthetic and chewing problem treated with fixed prostheses and dental implant  [in Japanese]

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Author(s)

    • 石浦 雄一 Ishiura Yuichi
    • 昭和大学歯学部インプラント歯科学講座 Showa University, School of Dentistry, Department of Implant Dentistry

Abstract

<p><b>症例の概</b>要:64歳女性.<u>4321|123</u>の審美不良を主訴に来院.<u>321|123</u> に約25年前に装着した陶材焼付鋳造冠の陶材破損と<u>4|</u>の頬側傾斜のため,審美障害と咀嚼障害を生じていた.これに対し歯冠修復とインプラントにより対処した.</p><p><b> 考察</b>:当初の清掃状態はやや不良であったが,来院の都度スケーリングを行い,繰り返し清掃指導をおこなったため,口腔衛生状態は改善し,良好な状態を保っている.また,ブラキシズムが強く疑われるため,ナイトガードを使用しており,その結果,前装部の破折,歯根破折などは生じていない.</p><p><b>結論</b>:審美障害と咀嚼障害を併発した症例に対し,残存歯の歯冠修復とインプラント補綴により患者の主訴に十分に応えることができた.</p>

<p><b>Patient:</b> The patient was a 64-year-old female with the chief complaint of poor esthetics of <u>4321|123</u>. Esthetic dissatisfaction and masticatory disturbance were caused by the tipping of facing porcelain of <u>321|123</u> fused to metal splinted crowns installed about 25 years ago and by the tilting of <u>4|</u> to the buccal direction. To resolve the patient's chief complaint, a fixed prosthesis and dental implant were conducted.</p><p><b>Discussion:</b> At first, oral hygiene condition was not good but has been improving by repeated scaling and oral hygiene instructions. Thus far, the use of a night guard for bruxism has prevented tipping of the facing porcelain and root fractures.</p><p><b>Conclusion:</b> A case with esthetic dissatisfaction and masticatory disturbance treated by a fixed prosthesis and dental implant is reported. Key words:</p>

Journal

  • Annals of Japan Prosthodontic Society

    Annals of Japan Prosthodontic Society 10(1), 79-82, 2018

    Japan Prosthodontic Society

Codes

  • NII Article ID (NAID)
    130006734051
  • NII NACSIS-CAT ID (NCID)
    AA12374568
  • Text Lang
    JPN
  • ISSN
    1883-4426
  • NDL Article ID
    028787081
  • NDL Call No.
    Z74-G218
  • Data Source
    NDL  J-STAGE 
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