咬合再建における焼き付けプラスチックスプリントの適用：21例連続臨床解析

[Application of baked plastic splint in occlusal reconstruction: clinical analysis of 21 consecutive cases].

• Ze-Hong He
• Shu-Ren Jin
• Shao-Bin Peng
• Yi-Wang Hong

抄録

目的:

重度の残存歯牙萎縮を伴う歯列欠損部の再構築における焼付プラスチック咬合パッドのメタルステントを用いた取り外し式義歯の効果を観察することを目的とした。

PURPOSE: To observe the effect of removable denture with metal stent of baked plastic occlusal pad in the reconstruction of dentition defects accompanied with severe residual teeth attrition.

方法:

重度の残存歯萎縮を伴う歯列欠損を有し、咬合再建を必要とする21名の患者を選定しました。焼成プラスチック咬合パッドのメタルステントを装着した取り外し可能な義歯を再構築し，咬合垂直寸法を回復させた．修復効果を評価した。

METHODS: Twenty one patients were selected with dentition defects accompanied with severe residual teeth attrition, who needed occlusal reconstruction. Their removable dentures with metal stent of baked plastic occlusal pad were reconstructed, and their occlusal vertical dimensions were restored. The restoration effect was evaluated.

結果:

21名の患者が治療を受け、12～24ヶ月間の経過観察を行った。優秀な結果は18人の患者で達成され、3人の患者でまともな結果が得られた。

RESULTS: Twenty-one patients were treated and followed up for 12-24 months. Excellent results were achieved in 18 patients, and fair results were obtained in 3 patients.

結論:

焼きプラスチック咬合パッドを使用することで、患者さんの咬合垂直方向の寸法を回復できるだけでなく、残存歯の形状と機能をより良い範囲で復元することができます。咬合再建のための良い方法です。

CONCLUSIONS: Using the baked plastic occlusal pad can not only recover patients' occlusal vertical dimension, but also restore the shapes and function of their residual teeth to a better extent. It is a good method for occlusal reconstruction.