当前位置：首页 >> 资讯频道 >> 口腔 >> 查看内容

长期戴用全口义齿的患者应注意的问题

2009-03-29 21:40:00海峡名医网admin查看次数：1038

长期戴用全口义齿的患者

由于后牙牙合面磨耗大

加上牙槽嵴的逐渐吸收

造成垂直距离的降低

常常形成前伸咀嚼型牙合关系

由于患者的神经

肌肉

上下颌间的关系与旧义齿的牙合型已经相互适应

当因各种原因需要重新制作新义齿时

如按常规的修复方法制作全口义齿

患者很难适应

为使这类患者较快地适应重新制作的新义齿

快速发挥新义齿的作用

笔者在临床上采用了一种不同于常规的义齿修复方法

现介绍如下

1详细询问旧义齿戴时间及戴用用情况常规检查旧义齿的固位性稳定情况咬牙合关系垂直距离牙合平面的位置等重新求出新义齿的垂直距离并以新旧义齿与垂直距离差值的1/2作为用自凝塑料给下颌义齿垫底的厚度当差值不大或下牙槽嵴过于低平时视具体情况可考虑不给下颌旧义齿垫底即保持原有的牙合平面的位置另外垫底及调牙合的作法即为修复与旧义齿准备同时也可以在新义齿制作期间使患者继续戴用旧义齿以适应新的牙合平面高度并为适应新的垂直距离做过渡　

2常规取模由于这类患者牙槽嵴一般吸收较多尤其为下颌牙槽嵴较为低平不利于固位故最好用主动肌功能修整法取模视具体情况可制作自凝塑料临时基托按长期形成的咀嚼型的咬牙合关系及合适的垂直距离求得新义齿的关系及牙合提高度　

3将牙合关系转移到合架上后按已垫底并经口内调磨的下颌旧义齿排上颌牙并磨改牙合面当上颌牙排好及磨改好后再以此上颌牙的位置关系排出下颌并磨改后牙牙合面以对应　

4常规试牙装盒煮盒打磨抛光　

5戴新义齿先戴入上颌新义齿和下颌旧义齿按下牙牙合面调磨上牙牙合面再戴入新的下颌义齿按上下牙合面再次磨改上下新义齿的后牙咬牙合关系后并建立自由正中区由于新义齿的咬牙合关系是建立在这种前伸咀嚼型基础上当有合适垂直距离的新义齿戴入后

猜您喜欢

图片资讯

精彩视频

疾病库

基本文件流程错误 SQL 调试

D:\web2018\care\index.php ( 0.22 KB )
D:\web2018\ThinkPHP\ThinkPHP.php ( 1.72 KB )
D:\web2018\ThinkPHP\Common\runtime.php ( 9.72 KB )
D:\web2018\ThinkPHP\Common\common.php ( 22.92 KB )
D:\web2018\ThinkPHP\Lib\Core\Think.class.php ( 11.39 KB )
D:\web2018\ThinkPHP\Lib\Core\ThinkException.class.php ( 0.78 KB )
D:\web2018\ThinkPHP\Lib\Core\Behavior.class.php ( 1.71 KB )
D:\web2018\ThinkPHP\Conf\alias.php ( 1.15 KB )
D:\web2018\ThinkPHP\Conf\convention.php ( 9.02 KB )
D:\web2018\care\Index\Conf\config.php ( 2.15 KB )
D:\web2018\Public\config.php ( 1.12 KB )
D:\web2018\Public\setting.php ( 3.02 KB )
D:\web2018\ThinkPHP\Lang\zh-cn.php ( 2.59 KB )
D:\web2018\ThinkPHP\Conf\tags.php ( 1.56 KB )
D:\web2018\ThinkPHP\Common\functions.php ( 26.78 KB )
D:\web2018\ThinkPHP\Lib\Core\Log.class.php ( 4.69 KB )
D:\web2018\ThinkPHP\Lib\Core\Dispatcher.class.php ( 11.22 KB )
D:\web2018\ThinkPHP\Lib\Core\App.class.php ( 13.90 KB )
D:\web2018\ThinkPHP\Lib\Core\Action.class.php ( 15.11 KB )
D:\web2018\ThinkPHP\Lib\Core\View.class.php ( 4.39 KB )
D:\web2018\care\Index\Common\common.php ( 0.24 KB )
D:\web2018\ThinkPHP\Conf\debug.php ( 1.73 KB )
D:\web2018\ThinkPHP\Lib\Behavior\CheckRouteBehavior.class.php ( 9.01 KB )
D:\web2018\ThinkPHP\Lib\Behavior\ReadHtmlCacheBehavior.class.php ( 5.48 KB )
D:\web2018\care\Index\Lib\Action\ArticleAction.class.php ( 5.33 KB )
D:\web2018\care\Index\Lib\Action\BaseAction.class.php ( 2.35 KB )
D:\web2018\ThinkPHP\Lib\Core\Model.class.php ( 53.93 KB )
D:\web2018\ThinkPHP\Lib\Core\Db.class.php ( 33.35 KB )
D:\web2018\ThinkPHP\Lib\Driver\Db\DbMysql.class.php ( 10.88 KB )
D:\web2018\care\Index\Lib\Model\CommentModel.class.php ( 1.21 KB )
D:\web2018\ThinkPHP\Extend\Library\ORG\Util\IpLocation.class.php ( 8.84 KB )
D:\web2018\care\Index\Lib\Model\VideoModel.class.php ( 2.39 KB )
D:\web2018\care\Index\Lib\Model\AttachmentsModel.class.php ( 0.33 KB )
D:\web2018\ThinkPHP\Lib\Behavior\LocationTemplateBehavior.class.php ( 2.22 KB )
D:\web2018\ThinkPHP\Lib\Behavior\ParseTemplateBehavior.class.php ( 5.90 KB )
D:\web2018\ThinkPHP\Lib\Template\ThinkTemplate.class.php ( 27.92 KB )
D:\web2018\ThinkPHP\Lib\Driver\TagLib\TagLibSubject.class.php ( 2.31 KB )
D:\web2018\ThinkPHP\Lib\Template\TagLib.class.php ( 8.55 KB )
D:\web2018\ThinkPHP\Lib\Driver\TagLib\TagLibArticle.class.php ( 5.36 KB )
D:\web2018\ThinkPHP\Lib\Driver\TagLib\TagLibCx.class.php ( 24.35 KB )
D:\web2018\care\Index\Runtime\Cache\ad7a9ba4c4aad410040baa3d586e75d0.php ( 19.94 KB )
D:\web2018\care\Index\Lib\Model\ArticleModel.class.php ( 2.39 KB )
D:\web2018\ThinkPHP\Lib\Behavior\ContentReplaceBehavior.class.php ( 2.29 KB )
D:\web2018\ThinkPHP\Lib\Behavior\TokenBuildBehavior.class.php ( 2.51 KB )
D:\web2018\ThinkPHP\Lib\Behavior\WriteHtmlCacheBehavior.class.php ( 1.41 KB )
D:\web2018\ThinkPHP\Lib\Behavior\ShowRuntimeBehavior.class.php ( 3.59 KB )
D:\web2018\ThinkPHP\Lib\Behavior\ShowPageTraceBehavior.class.php ( 5.52 KB )

SHOW COLUMNS FROM `wp_bottom_link` [ RunTime:0.005608s ]
SELECT * FROM `wp_bottom_link` WHERE ( is_use = 1 ) ORDER BY sort_id ASC [ RunTime:0.000350s ]
SHOW COLUMNS FROM `wp_article` [ RunTime:0.006640s ]
SELECT * FROM `wp_article` WHERE ( channel_id=3 AND id=10777 ) LIMIT 1 [ RunTime:0.000410s ]
SHOW COLUMNS FROM `wp_article_cate` [ RunTime:0.005083s ]
SELECT * FROM `wp_article_cate` WHERE ( id='172' ) LIMIT 1 [ RunTime:0.000252s ]
UPDATE `wp_article` SET `views`=views+1 WHERE ( id=10777 ) [ RunTime:0.078162s ]
SELECT * FROM `wp_article` WHERE ( channel_id=3 AND (id BETWEEN 10677 AND 10977) ) ORDER BY RAND() LIMIT 6 [ RunTime:0.015117s ]
SELECT * FROM `wp_article` WHERE ( channel_id=3 AND id<>10777 AND cate_id=172 ) ORDER BY dateline DESC LIMIT 6 [ RunTime:0.594945s ]
SHOW COLUMNS FROM `wp_disease` [ RunTime:0.007812s ]
SELECT * FROM `wp_disease` ORDER BY views ASC LIMIT 40 [ RunTime:0.060241s ]
SHOW COLUMNS FROM `wp_comment` [ RunTime:0.006642s ]
SHOW COLUMNS FROM `wp_comment` [ RunTime:0.006906s ]
SELECT * FROM `wp_comment` WHERE ( `module` = 'article' ) AND ( `rec_id` = 10777 ) ORDER BY dateline DESC LIMIT 20 [ RunTime:0.000333s ]
SELECT COUNT(*) AS tp_count FROM `wp_comment` WHERE ( `module` = 'article' ) AND ( `rec_id` = 10777 ) LIMIT 1 [ RunTime:0.000327s ]
SELECT SUM(support) AS tp_sum FROM `wp_comment` LIMIT 1 [ RunTime:0.000251s ]
SELECT * FROM `wp_article` WHERE ( defaultpic<>'' AND channel_id=3 ) ORDER BY id DESC LIMIT 4 [ RunTime:0.127548s ]
SHOW COLUMNS FROM `wp_video` [ RunTime:0.006012s ]
SHOW COLUMNS FROM `wp_video` [ RunTime:0.005571s ]
SELECT * FROM `wp_video` WHERE ( `video_type` <> 2 ) ORDER BY video_time DESC LIMIT 4 [ RunTime:0.001309s ]
SHOW COLUMNS FROM `wp_attachments` [ RunTime:0.004722s ]
SHOW COLUMNS FROM `wp_attachments` [ RunTime:0.004842s ]
SELECT * FROM `wp_attachments` WHERE ( module='Video' AND rec_id=1823 ) ORDER BY sort_id ASC [ RunTime:0.001266s ]
SELECT * FROM `wp_attachments` WHERE ( module='Video' AND rec_id=1822 ) ORDER BY sort_id ASC [ RunTime:0.001356s ]
SELECT * FROM `wp_attachments` WHERE ( module='Video' AND rec_id=1821 ) ORDER BY sort_id ASC [ RunTime:0.001205s ]
SELECT * FROM `wp_attachments` WHERE ( module='Video' AND rec_id=1820 ) ORDER BY sort_id ASC [ RunTime:0.001205s ]
SHOW COLUMNS FROM `wp_article` [ RunTime:0.006525s ]
SELECT * FROM `wp_article` WHERE ( 1 AND channel_id=1 AND is_elite=1 ) ORDER BY id DESC LIMIT 8 [ RunTime:0.438012s ]
SELECT * FROM `wp_article` WHERE ( 1 AND channel_id=1 ) ORDER BY id DESC LIMIT 8 [ RunTime:0.000783s ]

长期戴用全口义齿的患者应注意的问题

推荐资讯

最新资讯

图片资讯

精彩视频

疾病库