《全口义齿南医大》word版

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1、[原创]06五年制修复学课件——全口义齿（钱敏）全口义齿GeneralsituationnHistorynDefinitionnEpidemiologynInfluenceoflossofdentitiononthebodynRehabilitationoftheedentulouspatientnTherelativesubjectHistorynFauchard（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。n1756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。n

2、1868年Goodyear发明了硫化橡胶制作义齿基托n1858年Bonwill等发明了合架；1926年Hanau设计的HanauH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。nHanau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。n1940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BasicconceptsrelatingtocompletedenturetreatmentnAnatomysignofedentulousjawsnDivis

3、ionintoregionsofedentulousjawsandstructureofcompletedenturenChangesintissueofedentulousjawsnRetentionandstabilityofcompletedentureAnatomysignofedentulousjawsIfdenturesandtheirsupportingtissuesaretocoexistforareasonablelengthoftime,thedentistmustfullyunderstandtheanatomyofthesupporti

4、ngandlimitingstructuresinvolved,forthesearethefoundationofthedenture-bearingarea.ANATOMYOFSUPPORTINGSTRUCTURESnBoneandresidualridgenMucousmembraneBoneandresidualridgenHardpalateLowerjawMucousmembranenThemucousmembraneiscomposedofmucosaandsubmucosanThesubmucosaisformedbyconnectivetis

5、suethatvariesincharacterfromdensetolooseareolartissueandalsovariesconsiderablyinthickness.nThemucosaisformedbystratifiedsquamousepithelium,whichofteniskeratinized,andasubjacentnarrowlayerofconnectivetissueknownasthelaminaproprianMucousmembranen咀嚼黏膜masticatorymucosa/functioningmucosa

6、——牙龈和硬腭区n被覆黏膜liningmucosa/nonfunctioningmucosa——唇颊粘膜、舌下方粘膜、牙槽骨下部粘膜、软腭粘膜n特殊黏膜specializedoralmucosa——舌背粘膜AnatomysignofedentulousjawsnalveolarridgenOralvestibule/Vestibuleofmouth/VestibulumorisnproperoralShapeofthealveolarridgenshapeofalveolararchnsquarentaperingnovoidnshapeoftransecti

7、onofalveolarbonenevennfleshynatrophicFactorsthatinfluencetheformandsizeofthealveolarridgenOriginalsizeandconsistencyntheperson’sgeneralhealthnforcesdevelopedbythesurroundingmusculaturentheseverityandlocationofperiodontaldiseasenforcesaccruingfromthewearingofdentalprosthesesnsurgerya

8、tthetimeofremovalof