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1、[原創(chuàng)]06五年制修復(fù)學(xué)課件——全口義齒（錢敏）全口義齒GeneralsituationnHistorynDefinitionnEpidemiologynInfluenceoflossofdentitiononthebodynRehabilitationoftheedentulouspatientnTherelativesubjectHistorynFauchard（1678～1761）——現(xiàn)代口腔修復(fù)學(xué)的奠基人，用獸骨、木頭和象牙等材料制作義齒。n1756年P(guān)faff用蠟制取印模，使用石膏灌制模型及利用蠟記錄確定合關(guān)系，對(duì)全口義齒的制作技術(shù)作出了較大貢獻(xiàn)。n
2、1868年Goodyear發(fā)明了硫化橡膠制作義齒基托n1858年Bonwill等發(fā)明了合架；1926年Hanau設(shè)計(jì)的HanauH型合架問世。他進(jìn)一步研制成功了Kinoscop可調(diào)節(jié)合架。合架有利于保持義齒合關(guān)系和義齒的高度，提高了義齒的質(zhì)量。nHanau提出了五因素十定律，為全口義齒的前伸合平衡提供了理論基礎(chǔ)。n1940年甲基丙烯酸甲酯塑料的問世，完全提高了義齒的質(zhì)量定義Definition流行病學(xué)BasicconceptsrelatingtocompletedenturetreatmentnAnatomysignofedentulousjawsnDivis
3、ionintoregionsofedentulousjawsandstructureofcompletedenturenChangesintissueofedentulousjawsnRetentionandstabilityofcompletedentureAnatomysignofedentulousjawsIfdenturesandtheirsupportingtissuesaretocoexistforareasonablelengthoftime,thedentistmustfullyunderstandtheanatomyofthesupporti
4、ngandlimitingstructuresinvolved,forthesearethefoundationofthedenture-bearingarea.ANATOMYOFSUPPORTINGSTRUCTURESnBoneandresidualridgenMucousmembraneBoneandresidualridgenHardpalateLowerjawMucousmembranenThemucousmembraneiscomposedofmucosaandsubmucosanThesubmucosaisformedbyconnectivetis
5、suethatvariesincharacterfromdensetolooseareolartissueandalsovariesconsiderablyinthickness.nThemucosaisformedbystratifiedsquamousepithelium,whichofteniskeratinized,andasubjacentnarrowlayerofconnectivetissueknownasthelaminaproprianMucousmembranen咀嚼黏膜masticatorymucosa/functioningmucosa
6、——牙齦和硬腭區(qū)n被覆黏膜liningmucosa/nonfunctioningmucosa——唇頰粘膜、舌下方粘膜、牙槽骨下部粘膜、軟腭粘膜n特殊黏膜specializedoralmucosa——舌背粘膜AnatomysignofedentulousjawsnalveolarridgenOralvestibule/Vestibuleofmouth/VestibulumorisnproperoralShapeofthealveolarridgenshapeofalveolararchnsquarentaperingnovoidnshapeoftransecti
7、onofalveolarbonenevennfleshynatrophicFactorsthatinfluencetheformandsizeofthealveolarridgenOriginalsizeandconsistencyntheperson’sgeneralhealthnforcesdevelopedbythesurroundingmusculaturentheseverityandlocationofperiodontaldiseasenforcesaccruingfromthewearingofdentalprosthesesnsurgerya
8、tthetimeofremovalof
