分段下颌全口义齿治疗上颌全切除术合并牙关的临床报告。

Journal of Istanbul University Faculty of Dentistry Pub Date : 2017-10-02 eCollection Date: 2017-01-01 DOI:10.17096/jiufd.17015
Tamer Celakil, Azize Demir, Haluk Keskin
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引用次数: 0

摘要

本文报告一位60岁男性病患,因放射治疗而引致牙关紧闭,并制作一段式下颌全口义齿,以使义齿能插入口腔。下颌断层义齿采用微型锚钉和带帽的球基牙壳设计成两件套,具有锁定机制。由于手术干预和放疗,接受上颌切除术的患者经常出现开口狭窄的情况,并抱怨无法插入或取出义齿。由于现有的局部义齿制造技术不能满足牙关患者的持续需求,因此一种新的方法对于局部义齿的制造至关重要。带有球基壳的微型锚固系统在丙烯酸树脂中具有较好的机械固着性,在咀嚼功能时具有良好的稳定性;因此,不需要额外的框架来帮助稳定和保持。
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Sectional mandibular complete denture for a total maxillectomy patient with trismus: a clinical report.

This report presents the case of a 60-year-old male patient with trismus induced by radiotherapy and fabrication of a sectional mandibular complete denture to allow the insertion of the denture into the mouth. A mandibular sectional denture was designed in two pieces with a locking mechanism by using mini anchor and ball abutment housing with cap. Patients who have undergone maxillectomy often have constricted mouth openings, as a result of surgical intervention and radiotherapy, and complain of an inability to insert or remove dentures. A new approach is vital for sectional dentures because existing sectional denture fabrication techniques cannot meet the ongoing needs of trismus patients. The mini anchor system with ball abutment housing has better mechanical retention in acrylic resin and can provide favorable stabilization during masticatory function; thus, additional framework is not required for assisting in stabilization and retention.

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