改良套筒冠预防性可摘修复体修复牙列缺损的临床体会  

Dental rehabilitation of using telescope-based preventive,removable prosthesis system

作　　者：林鸿吾 杨宗翰 吴文元 鳟见进一 

机构地区：[1]九州齿科大学口腔欠损再构筑学分野,日本福冈803-8580 [2]高雄市九大牙医诊所,台北81359

出　　处：《上海口腔医学》2009年第4期371-374,共4页Shanghai Journal of Stomatology

摘　　要：目的:经改良的套筒冠,使其兼具固定桥及可摘局部义齿的优点,观察其用于牙缺失患者的临床修复效果。方法:套筒冠经改善,命名为预防性可摘式修复体(Preventive,Removable Prosthesis,PRP)系统,其内冠固定于基牙,而外冠作为PRP系统的一部分,与桥体、支托、连接体铸为一体,成为系统可移动的单元。结果:经临床对4例牙缺失患者的修复、使用,随访观察约1～5a,发现PRP系统使基牙切割量少于50%,并有效改善患者口腔清洁度及功能修复。结论:PRP系统,兼取传统的固定桥与可摘局部义齿之优点,对于牙缺失的口腔修复治疗,不失为另一择优选择。PURPOSE：This paper aimed at introducing an improved konuskrone telescope system with the advantages of both the fixed denture and the removable,partial dentures for clinical application in restoring the missing teeth.METHODS：The konuskrone telescope system was modified and named as the Preventive,Removable Prosthesis（PRP） system in which the inner crown was fixed on the abutment teeth,and the outer crown with bridge,rest and connector together as a whole was formed a removable unit.RESULTS：The clinical case reports indicated that the PRP system saved at least 50% cut-out of the abutment teeth,and helped the patients improve their oral hygiene,cure and rehabilitation.CONCLUSIONS：The PRP system with the good appraisal of the fixed denture and the removable,partial denture and without the shortcomings of both dentures provides an option for rehabilitation of the missing teeth.

关 键 词：套筒冠 可摘局部义齿 悬臂式固定桥 临床疗效 

分 类 号：R783.6[医药卫生—口腔医学]