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Present State and Remaining Problems in Orthodontic Occlusal Reconstruction (II) Surgical Orthodontic Treatment 正畸咬合重建的现状与问题(二)外科正畸治疗
Pub Date : 1900-01-01 DOI: 10.14399/jacd1999.26.148
M. Kubota, K. Tei, H. Nakano, K. Maki
Recently, the number of patients with severe jaw deformation who undergo treatment has been increasing in the orthodontic field since the start of health insurance coverage of the treatment of such disorders. In this study, to prevent the induction of functional problems in the mandibular joint and to improve mandibular deformity, we used different osteotomy methods in the left and right mandibular ramus, i.e., intraoral vertical ramus osteotomy in the left side and sagittal splitting ramus osteotomy in the right side. Improvement of mandibular protrusion and normal occlusion were obtained by surgical orthodontic treatment, but the mandibular asymmetry could not be improved. From experience of the reconstruction of malocclusion in jaw deformity, development of the following methods was considered necessary based on problems in orthodontic treatment and future prospects: 1. Diagnostic method by highly accurate and high-dimensional imaging, 2. Biomechanical analysis and a simulation method in each patient, 3. Genetic diagnosis method, 4. Development and improvement of orthodontic devices for the efficient movement of teeth.
近年来,自从医疗保险开始将严重颌骨变形的治疗纳入医保范围以来,在正畸领域接受治疗的严重颌骨变形患者数量一直在增加。在本研究中,为了防止诱发下颌关节功能问题,改善下颌畸形,我们对左右下颌支采用不同的截骨方法,即左侧口内垂直支截骨和右侧矢状分叉支截骨。手术正畸治疗改善了下颌前突和正常咬合,但下颌不对称不能改善。从颌畸形错牙合重建的经验来看,根据目前正畸治疗中存在的问题和未来的发展前景,认为有必要发展以下方法:1 .高精度、高维影像诊断方法;2 .每位患者的生物力学分析及模拟方法;3 .基因诊断方法;有效移动牙齿的正畸装置的发展和改进。
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引用次数: 0
Effect of surface treatment on Bond Strength of Hard Resin For Posterior Restorations 表面处理对后牙体硬树脂粘结强度的影响
Pub Date : 1900-01-01 DOI: 10.14399/JACD1999.21.482
A. Niisato, Hideto Takahashi, S. Yokozuka
mechanical strength of the restoration material itself but also its fitness and bonding to the abutment tooth, i.e., unification with the tooth, is indispensable. One of the factors associated with bonding is surface treatment of the bonding is surface of the restoration material. To the clarify the effects of surface treatment on the bond strength of head rasin for posterior restorations, we performed the
修复材料本身的机械强度,以及它与基牙的适应性和结合,即与牙齿的统一,是必不可少的。与粘合有关的因素之一是粘合的表面处理是修复材料的表面。为了明确表面处理对头部后牙修复体粘结强度的影响,我们进行了
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引用次数: 0
The Three-Dimensional Reappearance of The Cranium 颅骨的三维再现
Pub Date : 1900-01-01 DOI: 10.14399/JACD1999.25.408
K. Takei
It is important to examine the symptoms of a patient's maxiro-facial systems under present conditions. As a results, long term successful esthetic and functional re-construction treatment can be obtained for cases with serious full mouth diseases. It is essential to use articulators for three-dimensionally analyze the relationship, position and movement of the lower part of the face. It is impossible to diagnose the movement of the jaw and oral esthetics without correct techniques for transferring information to the articulators. This case will show how to gather information from the patient and how to transfer it to the articulator.
在目前的情况下,检查病人的大面部系统的症状是很重要的。结果,对于严重的全口病患者,可获得长期成功的美学和功能重建治疗。利用关节器对面部下部的关系、位置和运动进行三维分析是必不可少的。如果没有正确的技术将信息传递给发音器,就不可能诊断颌骨的运动和口腔美学。本病例将展示如何从患者处收集信息以及如何将信息传递给关节。
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引用次数: 0
Stress Transfer Characteristics of Various Retainer Designs in Unilateral Distal Extension Mandibular Cases Abutment 不同固位体设计在单侧下颌远端伸展病例中的应力传递特性
Pub Date : 1900-01-01 DOI: 10.14399/jacd1999.24.33
K. Chiba, H. Itoh, S. Murayama, Tomofumi Sasaki, K. Sasaki, T. Aoki
Previous studies have reported on the effects of I-bar retained prostheses and splinted abutments in bilateral and unilateral distal extension cases with reduced periodontal support. Producing favorable stress redistributions in the abutments and surrounding tissues is difficult. Various retainer designs have been developed to address this issue. The purpose of this study was to investigate the stress redistribution in the abutments and surrounding tissues of three retainers device configurations based on the RPI system, Konus Krone system, and Bracing arm system using quasi three-dimensional photoelastic methods. Three composite photoelastic models were made of a mandible unilaterally edentulous distal to the right second premolars. Individual simulant materials were used for tooth structure, periodontal ligament, and alveolar bone. Three normal periodontal conditions of the right first and second premolar abutment teeth were considered, and three retainers were cast for the teeth. Unilateral partial dentures with various retainer designs, RPI system, Konus Krone system and Bracing arm system were made for the three models. Simulated vertical and lateral occlusal loads were applied to the dentures, and the stresses which developed in the supporting structures were monitored photoelastically. Under comparable loading conditions, stress redistribution patterns in the abutments and surrounding tissues differed between the three systems, and The RPI system configurations showed the most uniform redistributions across loads directed in all five directions, while Konus Crone systems showed strongly stress redistribution for vertically, posteriorly, and buccally directed loads and Bracing arms configurations showed strongly stress redistribution for anteriorly and lingually directed loads. The results of this study demonstrated that the condition of vertical axis's angle, contact position and contact area of between abutments and retainers has considerable influence on favorable stress distribution.
先前的研究报道了I-bar保留假体和夹板基牙在减少牙周支持的双侧和单侧远端伸展病例中的效果。在基牙和周围组织中产生良好的应力重分布是困难的。为了解决这个问题,已经开发了各种各样的保持器设计。本研究采用准三维光弹性方法研究了基于RPI系统、Konus Krone系统和支臂系统的三种固位器装置配置在基牙和周围组织中的应力分布情况。制作了3个单侧无牙右第二前磨牙远端复合光弹模型。模拟材料分别用于牙齿结构、牙周韧带和牙槽骨。考虑右侧第一、第二前磨牙基牙的3个正常牙周状况,铸造3个固位体。分别制作了不同固位体设计的单侧局部义齿、RPI系统、Konus Krone系统和支臂系统。在义齿上施加模拟的垂直和侧向咬合载荷,并对支撑结构中产生的应力进行光弹性监测。在相同的加载条件下,三种系统在基台和周围组织中的应力重分布模式不同,RPI系统配置在所有五个方向上的应力重分布最均匀,而Konus Crone系统在垂直、后向、后向和后向的应力重分布强烈。唇向载荷和支臂构型对前向载荷和舌向载荷表现出强烈的应力重分布。研究结果表明,基台与保持器之间的纵轴角度、接触位置和接触面积对良好的应力分布有较大的影响。
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引用次数: 0
Tratamento estético dos dentes: expectativa versus realidade. O limite da atuação do dentista 牙齿美容治疗:期望与现实。牙医工作的极限
Pub Date : 1900-01-01 DOI: 10.14436/2447-911x.15.1.030-032.ind
W. Kabbach
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引用次数: 0
Novo uso do mock-up: mock-up intra-ortodôntico como guia para tratamento restaurador minimamente invasivo 模拟的新用途:正畸内模拟作为微创修复治疗的指南
Pub Date : 1900-01-01 DOI: 10.14436/2447-911X.15.3.010-027.OAR
I. Faus-Matoses, V. Faus-Matoses, Vicente Faus-Llácer
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引用次数: 0
Short tooth crown implant of final prosthesis 最终假体短牙冠种植体
Pub Date : 1900-01-01 DOI: 10.14399/jacd1999.22.186
T. Furusawa, K. Kato
行 う.こ こで 大 切 な こ とは,明 度 ・彩 度 ・色 相 の 順 で選 択 す る こ と.簡 単 に 説 明 す る と,明 度 は歯 冠 色 の 白系 か ら黒 色 系 に移 行 す る5色 か ら選 択 し,彩 度 は 歯 冠 色 の 白系 か ら 赤 系 色 に移 行 し,色 相 は歯 冠 色 の 黄 色 系 か ら赤 系 色 に移 行 す る7色 か ら選 択 して 適 切 なベ ー ス カ ラ ー を ピ タパ ン3Dマ ス ター シ ェ ー ドガ イ ドか ら決 定 す る,ま た,そ れ を行 う た め に カ ス タ ム ・ホ ル ダー を 製作 し,カ ー社 製 の ス テ ル ス フ ィル ター(図5)を 使 っ てsunフ ィ ル ター で 明 度(図6) をmoonフ ィル ター で 彩 度 ・色 相(図7)を 選 択 す る こ と が ベ ー ス カ ラ ー を 見つ け だ す,一 つ の 方 法 だ と思 う. 4.作 業 模 型上 で ア バ ッ トメ ン トの 選 択(今 回 はHexLockを 選 択)と 加工 を行 い(図8,9),そ の ア バ ッ トメ ン トの 上 にGC社 製 の パ タ ー ン レ ジ ンで コ ー ピ ン グ し,通 常 どお り ワ ック ス ・ア ッ プ を行 い(図10),デ グ サ 社 製 の デ 宮田歯科医院勤務 凍 京都中野区〕
行,这里最重要的是按照明度、彩度、色相的顺序来选择。简单来说,明度从牙冠色的白色系向黑色系移动的5种颜色中选择,彩度从牙冠色的白色系向红色系移动,色相从牙冠色的黄色系向红色系色移动的7色中选择合适的底色,从皮塔潘3d效果从向导决定另外,为了进行这一操作,我们还制作了一种“化器”,使用柯公司生产的stelsfulter(图5),用sun fulter进行明度(图6)用moon滤镜选择彩度、色相(图7),我认为这是从底色中找到颜色的一种方法。在工作模型上进行about mento的选择(这次选择HexLock)和加工(图8、9),在那个about mento上GC公司制造的图案(图10)在宫田齿科医院工作,在宫田齿科医院工作。
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引用次数: 0
Estudo retrospectivo observacional do índice de sobrevivência de implantes de superfície SLActive SLActive表面种植体存活率的观察性回顾性研究
Pub Date : 1900-01-01 DOI: 10.14436/2447-911X.14.1.112-117.OAR
Rodolfo Francisco, Andréa Guedes Barreto Gonçales, Alexandre Simões Nogueira, Fábio Sanches Magalhães Tunes, E. S. Gonçales
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引用次数: 0
Differential Diagnosis of Temporomandibular Disorders : From the battle of the clinic 颞下颌疾病的鉴别诊断:从临床的战斗
Pub Date : 1900-01-01 DOI: 10.14399/JACD1999.25.105
Y. Shoji
A dentist has been involved in the health care of the mouth for many years. But future dentistry won't be just confined in the tooth and the periodontium and it will be responsible for the diagnosis, prevention and treatment of the disease which occurs in the mouth, jaw and face. Although Temporomandibular Disorders (TMD) is one of those diseases, there are many possibilities in the disease which cause a pain in the orofacial structures. The pain in daily dental practice is usually caused by teeth, oral mucosa, temporomandibular joints and/or masticatory muscles; however, another organ can become a source of occurrence of the pain too. Therefore, it is essential to verify which organ a pain appears from first, in other words a differential diagnosis becomes very important. It is explained how you should differentiate TMD from the pain which occurs in other orofacial structures.
牙医从事口腔保健工作多年。但未来的牙科将不仅仅局限于牙齿和牙周组织,它将负责诊断、预防和治疗发生在口腔、颌骨和面部的疾病。颞下颌关节紊乱(TMD)是其中一种疾病,但其引起口面部结构疼痛的可能性很大。日常牙科工作中的疼痛通常是由牙齿、口腔黏膜、颞下颌关节和/或咀嚼肌肉引起的;然而,另一个器官也可能成为疼痛的来源。因此,确定疼痛首先出现在哪个器官是必要的,换句话说,鉴别诊断变得非常重要。它解释了如何区分TMD与发生在其他口腔面部结构的疼痛。
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引用次数: 0
Alternative Approach Based on ^|^ldquo;Occlusal Examination^|^rdquo; to ^|^ldquo;Toothache^|^rdquo; without Inflamatory Signs. ^|^ldquo;A Clinical Research^|^rdquo; 基于咬合检查的替代方法对^ | ^“牙痛^ | ^”;无炎症症状。^|^rdquo;
Pub Date : 1900-01-01 DOI: 10.14399/JACD1999.23.250
S. Hashimoto, H. Fujihashi, K. Kurogome, Ikuo Suzuki, Shin-ichiro Koizumi, Atsuko Komesu, K. Okamoto, K. Muramoto, T. Yajima, Ryuichi Saito, Yoshiyuki Saito, M. Matsuzaki, Kayo Tanaka, T. Tawaragi, Tamotsu Kojima
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引用次数: 0
期刊
The Journal of clinical dentistry
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