查詢結果分析
來源資料
頁籤選單縮合
題名 | 單側旋轉戴入式可撤式局部義齒應用在單側下顎骨被切除之病患--病例報告=Application of Unilateral Rotational Path Removable Partial Denture for a Patient with Unilateral Mandibular Resection--Case Report |
---|---|
作者 | 陸炯志; Luk, Kwing-chi; |
期刊 | 中華牙醫學雜誌 |
出版日期 | 20010600 |
卷期 | 20:2 2001.06[民90.06] |
頁次 | 頁123-130 |
分類號 | 416.963 |
語文 | chi |
關鍵詞 | 旋轉戴入途徑; 下顎骨切除; 單側義齒; Rotational path of insertion; Mandibular resection; Unilateral denture; |
中文摘要 | 本文報告一單側旋轉戴入式可撤式局部義齒的病例。病患60歲臺灣男性,左下側顎骨因口腔癌被切除後,以骨移植體、重建板及皮膚移植體作重建。經人內檢查,病患殘存左下中門齒至右下犬齒等四顆前牙,兩側均缺後牙,但因左側移植體不適合作為義齒的支持組織,故決定製作一單側可撤式局部義齒。義齒設計時發現左下中門齒向遠心傾斜,在遠心面出現大量倒凹。由於傳統製作方式難以利用這些倒凹,在考慮到穩定性對單側可撤式義齒的重要性,乃決定設計用旋轉戴入的方式,先把剛性固位體戴入左下中門齒遠心倒凹,而其他部分再以旋轉的方式戴至定位。這種設計還必須考慮封凹、轉軸方向及遠端延伸的問題。對於本病例因有經濟之考量,旋轉戴入途徑的設計應是一種較簡單、經濟且合理的選擇。 |
英文摘要 | This report describes a 60 year old man who was given a unilateral removable partial denture using a rotational path. He received a mandibular resection on the left side due to oral cancer. The surgical defect was reconstructed with a bone graft, reconstruction plate and skin graft. Oral examination revealed that four lower anterior teeth from teh lower left central incisor to the lower right canine remained and all posterior teeth were missing bilaterally. A unilateral removable partial denture was construced because the skin graft on the left side was not suitable as supporting tissue for a denture. The lower left central incisor was tilted distally and a large undercut was formed on the distal surface. A rotational path design instead of a conventional method was selected because the proximal undercut could be effectively utilized by the former method. The rigid retainer of the rotational path denture was first engaged into the distal undercut of the lower left central incisor, and the remainder was ortated into its final position. Problems with the distal extension denture base, blockout and direction of rotation axis should be considered in the design. due to economic factors, a rotational path design was a simple, economical and reasonable method to provide a stable unilateral removable partial denture for this patient. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。