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1 贋第 16 卷第 4 期 JULY 目錄創刊日期 / 出版者 / 發行人 / 出版主委 / 出版副主委 / 出版委員 / 編輯 / 承製編印 / 學會地址 / 學會電話 / (02) 學會傳真 / (02) 學會官網 / 學會社團 / Provisional Demonstration 台灣郵政北台字第 3844 號執照登記為雜誌交寄行政院新聞局局版台誌第 8091 號

2 / 2013 / / 3/30 Michel Magne hands on 小編

3 ~ 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

4 13 13 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 3

5 13 4 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

6 : 101/12/15 : : : 病例特色基本資料 43 Chief complaint Past medical history Past dental history OD ENDO scaling FPD 術前口外照片 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 5

7 口外檢查發現 Horizontal Reference lines: Parallel Vertical Reference lines: Perpendicular and asymmetry Facial Proportion: Upper 1/3 =Middle 1/3 < Lower 1/3 Facial form: ovoid Lateral profile: straight profile E-line: upper lip: -6 mm / lower lip: -5 mm Nasolabial angle: 100 脣齒分析 Shape of lip: Thick / Upper lip: lower lip= 1: 1.5 Smile width : 8 teeth (maxillary) / 11 teeth (mandibular) Facial midline =upper dental midline Buccal corridor: normal Smile line: Maxilla central incisor present 80% during smile. Incisal curve: convex Incisal curve v.s. lower lip: R't non-contacting / L't non-contacting 口內照片口內檢查發現 Missing teeth:16,25,28,37,38,46,48 PFM crowns/bridges:17-27, 35-36, porcelain occlusion with ill-fit margins of upper restorations Severe attrition of natural teeth:33-43 Crowding over LA teeth: 33,41,43 linguoversion over mesial side Horizontal overlap: 3mm Vertical overlap: 3mm Lower midline shift to L't side 1.5 mm Interarch space: Class 1 (ideal) 6 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

8 牙齒分析 106% 107% The shape of the maxillary anterior teeth: square Teeth texture: slight macro and micro-texture Maxillary central incisor proportion: W/H ratio #11: 106% #21: 107% Tooth axes of the anterior teeth: asymmetric 12% 16% 21% 21% 17% 15% 74% 55% 47% 51% 42% 57% 71% Intra-arch relationship( RED proportion ): Favorable proportional width of each tooth should be: canine 10%, lateral 15%, central 25%, central 25%, lateral 15%, and canine 10% of the total distance across the anterior segment. Proximal contact area proportion (PCAP) = 74%,55%,47%,51%,42%,57%,71% Periodontal biotype: thick periodontal bioform: low or flat scallop Gingival aesthetic line angle: L't: 80 degrees GAL Class I R't: 90 degrees GAL Class III Zenith of the gingival contour: asymmetric The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 7

9 咬合分析 Protrusive movement anterior guidance by 13,12,11,21 Lateral movement L't: anterior guidance Lateral movement R't: anterior guidance 環口放射線檢查 8 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

10 全口根尖片檢查牙周囊袋測量 Mob. I U F IMP P IMP Tooth Tooth L L F Mob. 診斷 Partial dentulism, 16,25,28,38,37,46,48 missing. Generalized moderate chronic periodontitis - upper teeth and 35,41,43,44 with local deep pockets Severe attrition of natural teeth, Ill-fit FPD, 17x15,14,2324x26,27 問題列表 Undesirable anterior esthetics. Compromised tooth structure or malposition of several teeth. Suspected heavy occlusal force 患者要求治療計畫 restored with composite resin. 17x15, 14, 13, 12, 11, 21, 22, 2324x26, 27 FPD fabrication. (and after crowns/bridges removal re-endo Tx. & post remake if necessary) The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 9

11 治療歷程 Initial diagnostic wax-up try to achieve anterior symmetry. After crowns/bridges removal 10 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

12 診斷蠟型 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 11

13 製作臨時牙冠 Composite resin restoration with silicone index 12 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

14 Protrusive m ovem ent Protrusive m ovem ent Protrusive m ovem ent R t w orking m ovem ent R t w orking m ovem ent L t balancing m ovem ent R t balancing m ovem ent L t w or king m ovem ent L t w orking m ovem ent t 永久贋復物製作過程 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 13

15 14 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

16 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 15

17 Protrusive m ovem ent Protrusive m ovem ent Protrusive m ovem ent R t w orking m ovem ent R t w orking m ovem ent L t balancing R t ba lancing m ovem ent t L t w orking m ovem ent L t w orking m ovem ent 牙齒分析 Intra-arch relationship( RED proportion ) 14% 15% 21% 21% 15% 14% Tooth axes of the anterior teeth: symmetric. Zenith of the gingival contour: symmetric of 術後口外照片 16 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

18 放射線檢查維持計畫 Oral hygiene instruction& plaque control. Night guard protection. Maintenance recall- every 3 months. (initial: 1wk 1 month 3 months) Sequential clinical photographs Periodic study casts Radiographic recall- every 12 months. The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 17

19 Q incisal edge VDO Q A Q A Q A Q A A ; lucia jig VDO VDO incisal edge chewing pattern incisal guidance incisal edge chewing pattern incisal guidance provisional phase 12 composite resin incisal edge composite resin protect dentin composite resin enamel(350 KHN) dentin(70khn) submicron filled composite resin(65 KHN)SE bond bond strength 40MPa maximum bite force(150n) p't composite filling? veneers fullcoverage crowns p't composite filling prosthesis p't veneers full-coverage crowns porcelain-metal junction porcelain-metal junction full contour wax-up cut-back framework design porcelain-metal junction interface centric contact junction 1.5-2mm silicone index porcelain 0.7mm chipping/fracture 18 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

20 : 101/12/15 : : : 病例特色基本資料 66 Chief complaint Past medical history Past dental history 術前口外照片脣齒分析 Rest Lip shape Upper lip:lower lip = 1:1 Lip mobility Normal Lip length Short Tooth exposure at rest Maxillary=1 mm. Mandibular=1 mm Smile Incisor curve vs. lower lip Convex, not contacting, Rt 3 口外檢查發現 Horizontal Reference lines: Parallel Vertical Reference lines: Perpendicular. Right side < left side Facial Proportion: Upper 1/3 =Middle 1/3 = Lower 1/3 Facial form: ovoid Lateral profile: glabella, subnasal, soft tissue pogonion mm, Lt 3 mm Smile line High smile line. Gingival exposure, Rt 3 mm, Lt 3 mm Smile width 10 teeth Buccal corridor Normal (present) Upper interincial line vs midline Coincident Occlusal plane Parallel to Camper's plane =170, normal E-line: upper lip: 1 mm / lower lip: 2 mm Nasolabial angle: 92 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 19

21 發音分析 M sound Interocclusal rest space 2 mm Dental exposure Max. 1 mm, Mand. 1 mm E sound Interlabial space occupied by maxillary teeth > 80% F V sound Incisal profile lingual 2 mm S sound Mandibular movement vertical Interarch space absent 口內照片口內檢查發現 Arch size Upper - Class I (Large), Lower - Class I (Large) Arch form Upper - Class I (Square), Lower - Class I (Square) Ridge form Lower Class II Defect None Tori Class I (Minimal in size) Interarch space Class I (Ideal) Ridge parallelism Class I Ridge relationship Class I (Normal) Lateral throat form (Neil) Class II Saliva Class I (Normal) Tongue (House) Class I (Normal) Tongue position (Wright) Class I (Normal) Mucosa thickness (House) Class I (Noraml) Mucosa condition Class I (Health) Border attachments LR Class I, LL Class II Frenum attachments LR Class II, LL Class II Oral hygiene Fair 20 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

22 牙齒分析 Maxillary vs. mandibular interincisal line Shift to left side 0.5 mm Tooth type Square Maxillary central incisors W/H ratio #11 94%, #21 94% Contour Slightly over-contour Proportion Wide and short Interincisal angles Normal Tooth axes Normal Tooth arrangement Regular Gingival margins Symmetric Zeniths Regular Papillae Not present at 21 and 22 Biotype Thin & scallope Alterations Gingival inflammation 咬合分析 Angel's classification à Left canine Class I à Right molar Class III Mandible dental midline Shift to left side 0.5 mm Horizontal overlap 0.5 mm Vertical overlap 1 mm Occlusal relationship MICP = CO Incisal guidance Present Occlusal scheme Anterior guidance The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 21

23 環口放射線檢查全口根尖片檢查牙周囊袋測量 PD (B) Teeth PD (P) Mobility Furca Vitality PD (L) Teeth PD (B) Mobility I Furca - - II Vitality 問題列表 FM chronic periodontitis Ill-fit FPD 17-16, 15-14, 23xx2627, 37, 33, , 32 FPD minor overhang, but patient able to maintain oral hygiene Caries 17, 16, 15, 14, 23, 26, 27, 37, 34, 45, 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

24 Missing teeth 11, 21, 24, 25, 36, 35, 43, 44, 47 Incomplete RCT 17, 16, 15, 14, 23, 34, 45, mobility grade 1 and furcation invasion class apcial lesion pulp necrosis 44 cantilever 48 impacted tooth attrition Gummy smile with poor anterior esthetic 患者期望最佳治療計畫 Implant 24, 25, 35, 36, 43, 44 FDP 14, 15, 16-17, xx 22-23, 26, 27, 31, 32, 33, 34, 37, 41, 42, 45, 46 診斷 FM generalized chronic periodontitis. Partial dentulism Caries 17, 16, 14, 15, 23, 26, 27, 34, 37, 45, 46 Pulp necrosis 26, 27 Chronic apical periodontitis Multiple ill-fit FPD 48 impaction tooth 治療計畫二 FDP 14, 15, 16, 17, 23xx26, 27, Survey crown 31, 32, 33-34, 37, 41, 42, Lower RPD Rest 31, 32, 33, 41, 42 (cingulum), 34(M), 37(M), 45(D), 46(M) Retentive clasp Aker's clasp at 34 37, Embrasure clasp at Major connector lingual plate 暫定治療計畫 FDP 23xx26, 27 Survey crown 34, 37, Lower RPD Rest 33 (cingulum), 34(M), 37(M), 45(D), 46(M) Retentive clasp Aker's clasp at 34 37, Embrasure clasp Major connector lingual plate 治療經過 - 第一及第二套臨時贋復物 Primary impression Lucia jig, CR bite record Facebow transfer Mounting on Articulator, split cast method The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 23

25 Diagnostic wax up Post and core Teeth prep. 2nd provisional restoration Removal of 14, 15, 16, 17 FPD and post & core Re-Endodontic treatment of 14, 15, 16, 17 Crown lengthening of 14, 15, 16, 17 最終治療計畫 FDP 23xx26, 27, 14, 15, 16, 17 Survey crown 33-34, 37, Lower RPD Rest 33 (cingulum), 34(M), 37(M), 45(D), 46(M) Retentive clasp Aker's clasp at 34 37, Embrasure clasp Major connector lingual plate 24 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

26 第三套臨時贋復物 Lucia jig, CR bite record Facebow transfer Mounting on articulator with split cast method 治療經過 - 永久贋復物 Facebow transfer Cross mounting on articulator with split cast method Custom incisal guide table The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 25

27 Full contour wax up and survey Cutback Try metal coping Take shade Pick up impression 26 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

28 Try in Check no temporary cement wash out Permanent cementation OHI The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 27

29 治療經過 - 活動義齒 Impression; Beading and boxing; Survey and design Wax rim Take bite record Facebow transfer Mounting on articulator with split cast 28 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

30 Delivery and adjustment 術後全口根尖片檢查 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 29

31 術後維護計畫 Oral hygiene instruction with brush, dental floss and Superfloss Follow up 3 months and then every 6 months Oral examination take x-ray, occlusion, plaque index, periodontal charting, RPD soft tissue adaptation Q A 33-34, FPD splint Splint Q A Q A Q A Q A RPD embrasure clasp Embrasure clasp FPD retention stability custom incisal guide table Pickup impression FPD fitness augmentation ovate pontic soft tissue contour 30 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

32 101/12/15 病例特色術前口外照片基本資料 73 Chief complaint Past medical history Benign Prostate Hyperplasia, HBV, Duodenal ulcer, Smoking(+) Past dental history OD 口外檢查發現 Horizontal Reference lines: Parallel Vertical Reference lines: Perpendicular. Symmetry. Facial Proportion: Middle 1/3 = Lower 1/3 Facial form: ovoid Lateral profile: Straight E-line: upper lip: 0 mm / lower lip: -1 mm 口內照片 Nasolabial angle: Normal The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 31

33 咬合分析口內檢查發現 Angle relationship (Angle) Right Canine Class II Left Canine Class II Arch size Maxilla- Class 1 ( large ) Mandible- Class 1 ( large ) Arch form Maxilla-Ovoid Mandible-Square (House) Ridge form Mandible- Class 1 (Inverted U) (House) Interarch space Class 1 (ideal) Ridge parallelism Class 1 (parallel) (House) Ridge relationship Class 2 ( retrognathic) Lateral throat form Class 3 (House) Saliva normal Mucosa thickness Class 1 (1 mm) (House) 32 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

34 Mucosa condition Healthy (House) Tongue size Class 1 (normal) (House) Border attachment Mandible-Class 1 (0.5inch) (House) Frenum attachment Mandible-Class 1(House) 全口根尖片檢查環口放射線檢查電腦斷層檢查問題列表 Angle Class II malocclusion Deep bite mesial caries local deep pocket depth bridge (11 margin under) missing 48 impaction supraeruption 診斷 Angle Class II malocclusion Deep bite caries localized moderate periodontitis FM generalized periodontitis supraeruption Partial edentulism The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 33

35 患者期望治療計畫一 PFM bridge implant supported single crown long span fixed partial denture 治療計畫二 PFM bridge implant locator long span bridge Mandibular implant-tissue supported over denture, metal occlusion on 治療計畫三 PFM bridge implant locator Mandibular implant-tissue supported over denture, metal occlusion on 治療計畫四 PFM bridge Mandibular RPD 最終治療計畫 no tx due to patient's expectation implant locator Mandibular implant-supported over denture, metal occlusion on 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

36 治療經過 Diagnostic wax up survey and design, cingulum rest mesial rest I bar The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 35

37 Final impression Master cast & framework framework try in female part resin pick-up master cast wax rim Mounting master cast locator abutment Wax denture 36 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

38 Packing and lab remounting Denture try in The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 37

39 3-4 metal occlusion casting maxcem double cure resin cement metal occlusion denture Metal occlusion 50% gold alloy (Wilcast, US) Metal occlusion 2 locator pick-up 1 nylon part 38 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

40 術後口外照片術前術後口內照片比較術後維護計畫 Diet control and denture instruction 1 month / 3 monthly / 6 monthly Follow-up for: Denture adaptation, sore spot, occlusion, retention mechanism, oral hygiene, periodontal condition, caries, 1121 PFM bridge, annually Follow-up for: Periapical film of implant fixture 術後三個月追蹤 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 39

41 2012 It was nice to welcome Michel Magne to Taiwan. On Sunday, Nov , Michel Magne delivered a full day programme on Aesthetic with bonded restorations - a distinctive approach to nature at the annual meeting of APDROC. His work is clearly thoughtful and researched. He admits to a preference for minimally invasive approach to aesthetic restoration and with the development of ceramic bonding directly to tooth, much has been learned about the naturalness of thin carefully layered and coloured ceramics. As with all of these very talented technicians there is a huge appreciation of the clinical problems and the individual patient situation for each case. Michel outlined the dif f iculty of maintaining light transmission through artificial teeth in the presence of metal implants or cast metal based restorations. With implants there is little or no choice and disguising metal in the aesthetic zone is highly demanding. Combining his knowledge of porcelain bonding and light transmission we were shown examples of partial porcelain overlays or veneers used to mask the Zirconia CAD-CAM abutments. Cleverly this partial coverage technique was used to alter the base and reflective colour and produce a more natural florescence to which the subsequent final crown is bonded with composite tooth coloured cement. We were shown demanding cases with thin biotype light translucent gingival around a metal implant and Michel demonstrated and explained his innovative techniques for creating the illusion of nature. Recognizing the shortcomings of some of our choices for tooth replacement Michel showed stunning examples of natural reproduction and completely undetectable laboratory made replacements. Everything was carefully planned and carried out with the patient and the clinician in close co-operation. All parties agreed on the outcome, from the beginning of the treatment. A thorough knowledge of the materials available and an appreciation of how to maximize the potential of each is clearly behind Michel's grasp of every demanding case. That balance between natural artistic ability and hard-learned material science is evident in all of the wonderfully aesthetic cases we were privileged to see. Michel has shown us what a true master and craftsman he is. The subtlety of his shading and the wonderful match with nature in every case was undetectable. It is what we must all aspire to achieve for our patients. Today, I can say that Michel's passion for "making teeth" is intact! Not only that, but he is really good at it! Michel's unique ability resides in balancing the smile, not making perfect teeth but rather perfectly imperfect teeth. As he says, he knows how to add this little "je ne sais quoi" translation: I don't know what) that will define each patients' individual charm. But above all, Michel can also teach his passion and contaminate whoever hears him with his craving for developing a natural balance. Lecture outlines 9:00-10:30 Philosophy of Work Perfectly Natural The theoretical principle is called biomimetics, and its philosophy has inspired Michel Magne, in his practice and research into dental restorations. "Nature is perfect and why mess with perfection?" "In biomimetics, it's not aesthetics that is the driving force. 40 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

42 2012 If you respect the biology of the tooth and copy its material properties and its functions, it will work like a tooth and therefore look like a tooth," Consider it functional art a marriage of technology, utility, aesthetics and personal expression. "What you usually see in aesthetic dentistry is what people consider perfection. Everything is symmetrical, uniform. There is none of the charm of imperfection, the variations in color or the differences in height. Aesthetic Knowledge Michel Magne talked about harmony, about balance and about art. He showed us what is nature smile. The vision of beauty is so distorted. We see little flaws and we think it's terrible. But there is a golden proportion in nature and in our smiles. That proportion can be flawed but also elegant." 10:50-12:00 Patient Management Communication The patients themselves would collaborate with dentist and dental technologist on their restorative dental work. Shade Selection 13:30-15:30 Diagnostic approach Provisional restorations: layered, sandwich technique PMMA has more favorable optical properties for esthetics than composite. Ceramic is the worst. Model modification: management of the pontic areas Esthetic criteria: Form, Form, Form Contour, Value, Surface texture Model work Alveolar model fabrication (,, dies) Ceramic fabrication Incisal: opalescence Cervical: pink Perfectly imperfections Material selections: anterior/ feldspathics, posterior/ lithium disilicates Case Presentation 15:50-17:00 Specific Cases Tooth discoloration Cases with tetracycline discoloration. Use PMMA dies to mimic tetracycline-stained color and apply layered opaque on the PMMA die to test the masking effect. Combined cases Implants and abutments provisional stage/ modifications of temporary abutments mini-wings: soft tissue molding implant abutments and veneers Reference 1. MAGNE P., MAGNE M., BELSER U.: Natural and restorative oral aesthetics. Part I: Rationale and basic strategies for successful esthetic rehabilitations. Esthet Dent 5: , MAGNE P., MAGNE M., BELSER U.: Natural and restorative oral aesthetics. Part II: Esthetic treatment modalities. J. Esthet. Dent. 5: , MAGNE P., MAGNE M, BELSER U.: Natural and restorative oral aesthetics. Part III: Fixed partial dentures. J. Esthet. Dent. 6: 14-21, MAGNE P., MAGNE M., BELSER U.: The diagnostic template: key element of a comprehensive esthetic treatment concept. Int. J. Periodont. Rest. Dent.16: , (1996) 5. BELSER U., MAGNE P., MAGNE M : Ceramic laminate veneers: continuous evolution of indications. J Esthet Dent 9 : (1997) 6. MAGNE P.,MAGNE M., BELSER U.: The aesthetic with in fixed prosthodontics. J.Proshodont.8: ,(1999) 7. M AGNE M., ODAKA Y., HEGENBARTH E., ADAR P., YAROVESKY U., ROBERTS M. Stone models without faces part II: an international interview. Laboratory perspectives. Interview by Douglas A. Terry. Pract. Proced AEsthet. Dent.13: , (2001) 8. MAGNE M., MAGNE P. Use Of Additive Wax Up And Direct Intraoral Mock UP For Enamel Preservation With Porcelain Laminate Veneers The The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 41

43 2012 European Journal Of Esthetic Dentistry, April, MAGNE M., MAGNE P., JOVANOVICH S. Porcelain Veneer Bonded to Screw Retained Custom Abutment: A New Aesthetic Solution in Single Implant restorations. Journal of Prosthetic Dentistry, January MAGNE M., MAGNE I., MAGNE P. Diagnostic waxing transfer from diagnostic casts to soft tissue definitive casts. Journal of Prosthetic Dentistry, August MAGNE M., BAZOS P., MAGNE P. The Alveolar cast QDT book of the year 2009, Quintessence 12 MAGNE M.*, MAGNE I.* RESHAD M.* Material choice and sequencing in aesthetic restoration, QDT book of the year 2010, Quintessence 13 MAGNE P*, MAGNE M*. MAGNE I.* Porcelain Jacket Crowns: Back to the future through bonding, QDT book of the year 2010, Quintessence 14. MAGNE M.*, MAGNE P.* GANDOLFI PARANHOS M.* BURNETT L.*,BELSER U.* Fatigue resistnace and failure mode of novel-deisgn anterior singletooth implant restorations: influence of material selection for type III veneers bonded to zirconia abutments" CLR 15 M A G N E M. *, M A G N E I. *, B A Z O S P. *, G A N D O L F I PARANHOS, M.* The Parallel Stratification Masking technique: An Analytic Approach to Predictably Mask Discolored Dental Substrate, EJED 2010, Volume 5, Number 4, Winter 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

44 2012 Provisional Demonstration Michel Magne Diagnostic Wax-up Mockup (1) (2) (3) Mockup, Mockup Mockup PMMA Mockup Michel Magne Sandwich technique Michel Magne The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 43

45 2012 P M M A polymethylmethacrylate, NewOutline 1) 2) 3) 4) 5) 11 dentin 3 enamel transparency Sandwich Technique Michel Magne Dentin Enamel Putty Index Putty index mark Index 30 Dentin PMMA Index Index Index 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

46 2012 Dentin mamelon (transitional zone) Dentin enamel rod disc dentin 5um Skin primer Michel Magne skin primer mamelon index enamel mamelon Surface texture surface texture Reference MAGNE M., MAGNE P., CASCIONE D., MUNCK I. Optimized Laboratory Provisional Restorations using the Sandwich technique The international Journal of Dental Technolog y, Ishiyaku Publishers Inc., Japan, March, 2007 enamel surface texture Putty index putty putty crack line The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 45

47 中華民國贋復牙科學會第十三屆第一次理監事聯席會議紀錄時間 ( ) 地點出席 - - 主席甲主席宣布開會乙選舉第十三屆常務理監事暨理事長 / 丙交接丁新任理事長致詞並主持第一次理監事聯席會議戊討論事項 AAP /11/30-12/ /11/30-12/ / / 己散會 46 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

48 中華民國贋復牙科學會第十三屆第二次理監事聯席會議紀錄時間 ( ) 地點出席主席甲通過第十二屆第十三次理監事聯席會會議紀錄乙通過第十三屆第一次會員大會會議紀錄丙通過第十三屆第一次理監事聯席會會議紀錄丁通過本次會議議程戊主席報告 : 1. ( ) ( ) AAP 己討論事項 : 一新任 ( 第十三屆 ) 人事組織提名案 1. ( ) The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 47

49 2. 二第 69 次牙醫師繼續教育收支明細表, 請通過案三 101 年 11 至 12 月收支明細表暨 101 年歲出歲入決算表, 請通過案四下次理監事會開會時間, 請討論案 3 30 庚補充報告 : A>1/19 理監事會之已召開會議之委員會工作報告 1. a AAP b. 2. a. (2013) 5/19 ( ) 6/2 b. c. : APAID 3. a. b. 48 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

50 5/18 10:30 5/25 10:30 6/1 10:30 6/15 09:00 6/15 11:00 6/22 10:30 6/22 14:00 6/29 09:30 c /20 6/22 9/14 12/21 d /7 5/4 10/19 e. B> 理事陳韻之醫師 : 經由轉知有位 South Illinois Dental School Dr. Lynne, 在十月初到澳洲演講時 10 月中想順道舊地重遊台灣, 希望本會可以考量藉此辦場繼續教育, 本會不需支付演講費辛臨時動議壬散會 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 49

51 中華民國贋復牙科學會第十三屆第三次理監事聯席會議紀錄時間 ( ) 地點出席主席甲請通過第十三屆第二次理監事聯席會會議紀錄 ( 附件一 ) 乙請通過第十三屆第一次常務理事會會議紀錄 ( 附件二 ) 丙請通過本次會議議程一主席報告 : 16 二常務監事報告 : 三秘書長報告 : 1. AAP Dr. K. Mahendranadh Reddy 2014AAP 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

52 四各委員會工作報告 /29 6/ Dr. Martin Land AAP / AAP The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 51

53 ( ) / / / /20 6/ AAP 五其他報告 : 丁討論事項 : ( ) 52 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

54 ICP Torino, Italy 3. ICP 6/1 丁臨時動議戊散會 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 53

55 Instructions for authors The Journal of Prosthodontics and Implantology is an official publication of the Academy of Prosthetic Dentistry, ROC, published quarterly in April, July, November and January. Articles related to clinical and basic prosthodontics, implantology, implant related periodontology, periodontology and surgery as well as biological and material sciences related to prosthodontics and implantology are welcome. Articles may be categorized as original paper, case report, technical reports and literature review related to future research. Invited review articles are written by representative scholars on some important topics this journal wishes to emphasize. Submitted papers will be evaluated by the editorial board and invited reviewers. Papers submitted shall not be accepted or published by any other journals. Papers published in this journal will become the copyright of this journal and shall not be subsequently published in any other publication in any language without prior written consent of the publisher. Manuscript should be prepared according to the guidelines produced by the International Committee of Medical Journal Editors: Uniform Requirements for Manuscripts submitted to Biomedical Jopurnals. Further information can be found at Manuscript should be submitted via at the address of: The manuscript format 1. Title page: including title, names and institutions of each author. Corresponding author should also provide mailing address, phone and fax number and address. A running title no more than 40 words and no more than 4 keywords should also be provided. 2. Abstract: no more than 400 words, should briefly describe the purposes of the study, material and methods used, results and discussion with conclusion. An English abstract should be provided for articles written in Chinese. 3. Text: A. Review articles: can be of author's preferred format. B. Original articles: should include introduction, materials and methods, results, discussion and conclusion. C. Case reports and technical reports: should include introduction, case or technique description and discussion. 4. References: All publications cited in the text should be presented in the references part. The order of references should follow the order cited in the text. Examples of the reference style of this journal are as follow: A. Journal reference style: List all authors if the number is six or less. If author number is more than six, list six authors and add et al for the remaining authors. (1) Journal article: Lin YT, Chang LC. Space changes after premature loss of the mandibular primary first molar: a longitudinal study. J Clin Pediatr Dent 1998; 22: (2) Online journal article: Yavuz MS, Aras MH, Büyükkurt MC, Tozoglu S. Impacted mandibular canines. J Contemp Dent Pract 2007; 8: Available at: Accessed November 20, B. Book reference style: Journal of Prosthodontics and Implantology (1) Complete book: McDonald RE, Avery DR. Dentistry for child and adolescent. 5th ed, Mosby Co, St Louis, 1988; pp (2) Chapter in book: Moore BK, Avery DR. Dental materials. In: McDonald RE, Avery DR (ed). Dentistry for child and adolescent. 6th ed., Mosby Co., St. Louis, 1994; pp Tables and figures: should be kept in minimum number. Figures should be in JPG, EPS or TIF file and can be ed to the editor. They should be clear enough and listed in separated pages. Scale marker should be provided for magnification. All abbreviations shown on the table and figure should be explained in the legend. Photos of patients should be obscured for identification. Otherwise a patient's consent form should be provided. 54 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China

56 預告 Dr. Federico Castellucci B.Ch.D., D.M.D., C.A.G.S., M.Sc.D., D.Sc /30 ~12/1 A Comprehensive Approach to Restorative Dentistry and Prosthodontics Diagnosis, treatment planning and sequence of therapy Partnering with specialists Temporization Tooth preparation Marginal placement Soft tissue management Impressions Function and phonetics Aesthetics Periodontally involved dentitions and the long tooth syndrome Laboratory work Restoring implants All with an emphasis on a knowledge and respect for anatomy/biology, aesthetics, function as well as optimizing periodontal health, maintainability and prevention , University of Pretoria, B.Ch.D. degree , Boston University, D.M.D. degree Graduate Prosthodontics Program at Boston University School of Graduate Dentistry, U.S.A., Obtained C. A.G.S. (Certificate of Advanced Graduate Study - Prosthodontics), and M.Sc.D. (Prosthodontics) Degrees. D.Sc. (Prosthodontics) Degree 1982 外賓演講 : Assistant Professor in the Department of Postdoctoral Prosthodontics at Boston University School of Graduate Dentistry. From present: Assistant Clinical Professor of Postdoctoral Prosthodontics at Boston University School of Dental Medicine. From : Honorary Clinical Assistant Professor, Faculty of Dentistry, University of Hong Kong. Private Prosthodontics and Restorative Practice: , Boston, U.S.A Present, Hong Kong 台北榮民總醫院贋復科主任葉聖威推薦 Dr. Federico Castellucci DM outline!! DM ~~ 活動預告時間活動地點 9/ / / /30-12/ /7 102

1. Generalized chronic periodontitis. 2. Occlusal attrition. 3. Posterior bite collapse 4. Chronic apical periodontitis of 15, 44 Periodontal treatmen

1. Generalized chronic periodontitis. 2. Occlusal attrition. 3. Posterior bite collapse 4. Chronic apical periodontitis of 15, 44 Periodontal treatmen 1 1. 2. 3. addition silicone agar functional impression wax 56 Missing teeth of 11,12,14,18,21,22,24,25,26,27,28,34,37,38,46,47,48 Uneven occlusal plane and loss of vertical dimension Multiple occlusal