全口义齿的咬合考量BPS系统的对应解决方案

1、全口義齒的咬合考量,BPS系統的對應解決方案,陳韻之醫師,台灣大學醫學院牙醫學系,Prof.Dr.AlfredGysi,1865-1957,Gysi33AnatomformTeeth,Gysi20AnatomformTeeth,Prof.Dr.AlbertGerber,1907-1990,GerbersCondyloformTeeth,LingualizedOcclusion,Prof.Dr.SandroPalla,Perio-Overdenture,Perio-Overdenture,Perio-Overdenture,Perio-Overdenture,Thesuccessfultreat

2、mentofedentulouspatientsunderconsiderationoffunctionandestheticsHerbertFrickHeadtechnicalInternationalCenterofDentalEducation(ICDE)IvoclarVivadentSchaan,PrincipalityofLiechtenstein,美觀,功能,自信,不穩定,嚼不爛,Excellentprognosis,Goodprognosis,Poorprognosis,Verypoorprognosis,DenturePrognosisBasedonAnatomy,Dentur

3、ePrognosisBasedonAnatomy,Thequalityinherentinthedenturethatresiststheverticalforcesofdislodgement(e.g.theforceofgravity,theadhesivenessoffoods,ortheforcesassociatedwithopeningofthejaws).,固位性(Retention),BorderExtension,下頜舌骨嵴,DentureStability,排牙,Thequalityofaprosthesistobefirm,orconstantandtoresistdis

4、placementbyfunctional,horizontal,orrotationalstresses.,穩定性(Stability),Mortar&PestlePrinciple,防弊與興利,咀嚼效率,義齒穩定度,ModelAnalysis,Prof.Dr.AlfredGysi,1865-1957,AutonomousChewingStability,AutonomousChewingStability,NormalOcclusion,ReducedOcclusion,LingualizedOcclusion,NormalOcclusion,CrossBiteOcclusion,Cros

5、sBite,CrossBiteOcclusion,60%ofGysiscompletedentureshavingcross-bite.,BPSDentureOcclusionOptions,anatomic,Semi-anatomic,Lingualized(lingualcontact),non-anatomic(balancingramp),non-anatomic,Anatomical,Semi-Anatomical,Non-Anatomical,Lingualizedvs.Non-Anatomical,LingualizedOcclusion,Orthotyp,Ortholingual,Orthotyp,Ortholingual,Orthotyp,Ortholingual,Orthotyp,Ortholingual,Ortholingual,Ortholingual,Orthotyp,Orthotyp,Ortholingual,Orthotyp,Ortholingual,Orthotyp,Ortholingual,Orthotyp,Ortholingual,Orthotyp,ClassicalPMMA,Highlycross-linkedPMMA:IPN,Doublecross-linkedPMMA:DCL,顎間關係(Maxillomandib