(整理)全口义齿南医大.docx

[原创]06五年制修复学课件一一全口义齿(钱敏) 全口义齿
General situation
][■ story
DeTiniI ion
Epidemiology
Infkcncc oi loss o±' dentition (n the body
Kchahilitation of the Ddcntijious patient
The iTlativo
History
Fauchard (1678〜1761)——现代口腔修复学的奠基人，用兽骨、木头和象牙等材料制 作义齿。
1756年Pfaff用蜡制取印模，使用石膏灌制模型及利用蜡记录确定合关系，对全口义齿 的制作技术作出了较大贡献。
1868年Goodyear发明了硫化橡胶制作义齿基托
[858年Bonwill等发明了合架；1926年Hanau设计的Hanau H型合架问世。他进一步研 制成功了 Kinoscop可调节合架。合架有利于保持义齿合关系和义齿的高度，提高了义齿的 质量。
IlmiKi提出了五因素十定律，为全口义齿的前伸合平衡提供了理论基础。
[9-10年甲基丙烯酸甲酯塑料的问世，完全提高了义齿的质量
定义 Definition
流行病学
Basic concepts relating to
complete denture treatment
Ananmy sign of r?
Division into regions of cccii^ulous jots hug. structure <):' complete dcntjrc 〔:hniigw in tissue of edentulous jaws
Retention and of uiniplctc denture
Anatomy sign of edentulous jaws
If dentures and their supporting tissues are to coexist for a reasonable length of time,the dentist must fully understand the anatomy of the supporting and limiting structures involved,for these are the foundation of the denture-bearing area.
ANATOMY OF SUPPORTING STRUCTURES
Bone iiiid residual ridge
Bone and residual ridge
Hard palate
Lower jaw
Mucous membrane
The [Rijcous tiicmhranc is c（jnip（）scd of micosa and suhmuirosd
The sijfrancosa is formed 珂 Lonnuctivc rissuu that varic s in character from dense to loose areolar tissue and also varies considerably in thickness.
The raucosEi is formud by stratified sLinamou^ cpirhciium, whii;h of run is keratinized,and a subjacent narrow layer of connective tissue known as the lamina propria
Mucous membrane
咀嚼黏膜 masticatory mucosa/functioning mucosa 牙龈和硬腭区
被覆黏膜lining mucosa/nonfunctioning mucosa 唇颊粘膜、舌下方粘膜、牙槽骨
下部粘膜、软腭粘膜
特殊黏膜specialized oral mucosa 舌背粘膜
Anatomy sign of edentulous jaws
alveolar ridgi?
'cl L FS、h、lle/Vestibule of mouth/Vestibulum oris
propur oral
Shape of the alveolar ridge
shape of aivcohir arch
square
lapcring
ovo i d
shape of triiiisccrion of Eilvcoiar honu
even
fleshy
atrophic
Factors t