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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
2、模型及利用蠟記錄確定合關(guān)系，對全口義齒的制作技術(shù)作出了較大貢獻。n1868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)計的HanauH型合架問世。他進一步研制成功了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)Basicconceptsre
3、latingtocompletedenturetreatmentnAnatomysignofedentulousjawsnDivisionintoregionsofedentulousjawsandstructureofcompletedenturenChangesintissueofedentulousjawsnRetentionandstabilityofcompletedentureAnatomysignofedentulousjawsIfdenturesandtheirsupportin
4、gtissuesaretocoexistforareasonablelengthoftime,thedentistmustfullyunderstandtheanatomyofthesupportingandlimitingstructuresinvolved,forthesearethefoundationofthedenture-bearingarea.ANATOMYOFSUPPORTINGSTRUCTURESnBoneandresidualridgenMucousmembraneBonea
5、ndresidualridgenHardpalateLowerjawMucousmembranenThemucousmembraneiscomposedofmucosaandsubmucosanThesubmucosaisformedbyconnectivetissuethatvariesincharacterfromdensetolooseareolartissueandalsovariesconsiderablyinthickness.nThemucosaisformedbystratifi
6、edsquamousepithelium,whichofteniskeratinized,andasubjacentnarrowlayerofconnectivetissueknownasthelaminaproprianMucousmembranen咀嚼黏膜masticatorymucosa/functioningmucosa——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specializ
7、edoralmucosa——舌背粘膜AnatomysignofedentulousjawsnalveolarridgenOralvestibule/Vestibuleofmouth/VestibulumorisnproperoralShapeofthealveolarridgenshapeofalveolararchnsquarentaperingnovoidnshapeoftransectionofalveolarbonenevennfleshynatrophicFactorsthatinfl
8、uencetheformandsizeofthealveolarridgenOriginalsizeandconsistencyntheperson’sgeneralhealthnforcesdevelopedbythesurroundingmusculaturentheseverityandlocationofperiodontaldiseasenforcesaccruingfromthewearingofdentalprosthesesnsurgeryatthetimeofremovalof
