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1、TheInfluenceofPosteriorOcclusionWhenRestoringAnteriorTeeth后牙咬合對(duì)前牙修復(fù)的影響abstractWhenanytypeofestheticrestorativeprocedureisbeingconsideredorperformed,acomprehensivediagnosisandtreatmentplanisrequired.Attentiontothediagnosticsignsofthelossofposteriorsupport(L
2、PS)andtheirinfluenceontheanteriordentitionwillguaranteeamorepredictableoutcome.Historicalsolutionsandtheirinadequaciesareaddressed.Patientpresentationsareutilizedtodemonstratecontemporarytreatmentofpatientsrequiringestheticrehabilitationswhoarelackingposte
3、riorsupport.摘要：當(dāng)任何一種美容修復(fù)計(jì)劃被制訂或是執(zhí)行的時(shí)候，一個(gè)全面的診斷和治療計(jì)劃是必須的。在修復(fù)過程中，對(duì)后牙支持喪失的體征和其對(duì)前牙牙列產(chǎn)生的影響加以考慮，將確保產(chǎn)生一個(gè)可以預(yù)見的結(jié)果。從前治療方法及其不足在這里被提出。這里我們利用的病例耐心地向大家展示了對(duì)后牙支持喪失但需要美觀重建的患者進(jìn)行治療的最新的治療方法。thereisageneralconsensusthattoothretentionamongsttheagingpopulationpayscredencetoprevent
4、ivedentistryandpatienteducation.Appearanceisacommonconcernforthisgroupofpatients.Acomprehensiveexaminationallowsthecliniciantodiagnoseriskfactorsthatareresponsibleforthedeteriorationoforalhealthandfunction.Thesepatientsoftenrequestrestorativetreatmentwithi
5、ndirectrestorationstoenhancetheirappearance(figure1).Duringthediagnosticphase,criticalelementsofposteriorocclusionareoverlookedattheexpenseoflongevityoftheproposedtreatment(figures2and3).Health,function,andestheticsshouldbetheultimateaimofanymedicalordenta
6、lcomprehensivetreatmentplan.在關(guān)注預(yù)防口腔醫(yī)學(xué)和老年教育的老年人中對(duì)保留牙齒的態(tài)度是一致的。這些患者中對(duì)美觀都很重視。全面的檢查將使臨床醫(yī)生能夠?qū)?huì)引起口腔健康和功能造成損害的原因作出診斷。這些患者常會(huì)要求用間接修復(fù)體進(jìn)行修復(fù)以加強(qiáng)他們的美觀。在診斷階段，后牙咬合關(guān)系的因素常會(huì)被忽略將導(dǎo)致修復(fù)體不能被長(zhǎng)期使用。健康，功能和美觀都應(yīng)是牙科綜合治療計(jì)劃的最終目的。figure1.Maxillaryanteriorteethrestoredwithporcelainlaminateve
7、neersforpatientwithadequateposteriorsupportandocclusalstability.圖1.后牙有良好的支撐和咬合穩(wěn)定的患者通過瓷貼面修復(fù)的上頜前牙.figure2a.Maxillaryanteriorteethpreviouslyrestoredbutfailedduetoposteriorbitecollapse.圖2a,因?yàn)楹笱酪Ш媳罎⑺律锨把佬迯?fù)失敗figure2b.Posteriorsupportneedstobeestablishedbeforeant
8、eriorteetharerestored.圖2b,在前牙修復(fù)之前,后牙咬合支持需要被建立.figure2c.CardinalsignsforLPSarepresentclinically圖2C,后牙支持喪失的主要臨床癥狀figure2d.CardinalsignsforLPSarepresentradiographically.在放射檢查中顯示的后牙支持喪失的主要癥狀figure3a.Patientpresen
