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Maxilla: implant combined fixed restoration and RPD Mandible: Kennedy Class II RPD 54 5 #18-27 long span bridge, residual root #11, 27, 33 missing teeth: #13, 16, 17, 21, 22, 23, 24, 25, 26, 31, 32, 41, 42, 44, 45, 46, 47 2 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Periodontal charting B BOP BOP B PD 323 233 324 333 PD 323 423 344 533 323 18 15 14 12 43 34 35 36 37 L PD 323 243 333 432 BOP L PD 323 323 334 432 323 BOP Mobility Mobility ill-fitted prosthesis of #18-27 with abutments of #18, 15, 14, 12, 11, 27 chronic apical periodontitis: #12, 14, 15, 35, 43 residual root #11, 27, 33 missing teeth #13, 16, 17, 21, 22, 23, 24, 25, 26, 31, 32, 41, 42, 44, 45, 46, 47 caries #36 chronic periodontitis Remove #18-27 ill-fitted long span bridge Extraction of #11, 28, 33 residual root Root canal treatment for #12, 14, 15, 35, 43 Periodontal treatment Maxilla: 2 implants for #24 26 area with attchment, #12, 14, 15, 17 surveyed crown #11, 13, 14, 17 combined with RPD Mandible: #35, 43 sur veyed crown combined with Kennedy class II RPD The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 3
diagnostic wax up temporary crown and RPD vacuum shell silicone index tooth preparation final impression for PFM crown 4 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
master cast and PFM crown #11, 13, 14, 17, #35, 43 PFM crown cementation upper: pick-up impression for RPD with #24,26 locator abutment lower: final impression for RPD master cast and framework try in The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 5
Facebow transfer and bite registration wax denture try in 6 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
-ray Q A #43 #43 RPD VD RPD The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 7
Q A Q A Q A Q A Q A #24 #26 implant splinting bar attachment attachment resilience bar-type attachment attachment bar type attachment magnet attachment magnet attachment resilience #24, 26 implant surveyed crown RPD implant RPD tooth-support Implant support tissue support 24, 26 implant #37 8 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
49 generalized occlusal wear and cervical abrasion #17 elongation submucousal fibrosis with mucosa fibrotic change The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 9
Radiographic Findings #18 impaction #17 elongation #11-22x ; #32-42 ill fitting bridge #16,26, 27, 36, 37, 46, 47 missing #17 elongation with poor bony support, #18 completely bony impaction Generalized chronic periodontitis Generalized severe occlusal and cervical wear extract #17 implant placement for # 16, 26,27,36,37,46 #14 clinical crown lengthening PFM single crown #15-25, #35-45 10 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
CT evaluation Implant placement #16 : ITI 4.8 WNI (S)12mm+APF, #46 : ITI 4.8 WNI (SP)12mm+GBR #26 : ITI 4.8WNI(S) 12 mm+ flapless, #27 : ITI 4.8RN(S) 12 mm+ flapless #36 : ITI 4.8WNI(S) 12 mm+gbr+apf, #37 : ITI 4.8RN(S) 12 mm+apf Bone height > 12mm The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 11
diagnostic wax up incisal pin 3mm tooth preparation and provisionalization 12 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
TSD abutment fabrication for implant Implant support provisional crown delivery master cast and mounting The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 13
full contour wax up metal coping finish 14 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
MICP PROTRUDE WORKING SIDE NON-WORKING SIDE X-ray The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 15
Q A vertical dimension Bite plate VD Q A Q A Q A Q A Q A customized incisal table gingival margin occlusal scheme Implant restoration group function implant restoration group function PDL coping design marginal ridge porcelain support master cast delivery metal occlusion 16 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
OD OD endo rubber dam ~ ~ ~ ~ PGY The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 17
Kennedy classification I II III IV Kennedy classification 1999 TMJ cross arch antagonist teeth missing scissor bite scissor bite cross bite 2004 1967 Eichner classification occluding pair Prosthodontics: principles and management strategies pre-edentulous stage 2006 /occlusal support index Eichner 1 3 Eichner Classification A1 : intact dentition A : 4 occluding pairs A2 : one jaw tooth loss A3 : two jaw tooth loss B1 : 3 pairs B : 3 2 1 0 B2 : 2 pairs occluding pairs B3 : 1 pair B4 : 0 pair but with anterior tooth support C1 : teeth remaining over 2 jaw C : 0 occluding pair C2 : one edentulous jaw C3 : two edentulous jaw 1. Eichner 4 2 4 2 1 3 2. Eichner occluding pair premolar molar 1 3 18 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
3. I II III IV X Y Y 4 III IV 1972 Kelly combination syndrome premaxilla Eichner B C type cuspal intercuspation Eichner B2 B3 B4 C bite denture base clasp minor connector denture base flange Eichner A B1 B2 B3 crown/bridge RPD Eichner A1 4 6 short dental arch The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 19
A1 opposing contacts in all 4 supporting zones (premolar and molar regions) 4. Eichner class A A2 opposing contacts in all 4 supporting zones tooth limited space(s) in one arch A3 opposing contact in all 4 supporting zones tooth limited space(s) in both arches B1 opposing contacts in 3 supporting zones B2 opposing contacts in 2 supporting zones B3 opposing contacts in 1 supporting zones 5. Eichner class B1 B2 B3 6. Eichner B2 #36.33.43.44.46 Eichner A1 Eichner B4 Eichner C1 7 8 B4 no opposing zone in the premolar and molar regions, only opposing contacts in the anterior area 7. Eichner class B4 20 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
8. Eichner B4 Eichner C1 Eichner C1 rest seat major connector minor connector root caries 9 10 overdenture 11 Eichner C2 12 13 C1 teeth in both arches, no opposing contacts 9. Eichner class C1 10. Eichner C1 resin teeth denture flange RPD rest 11. Eichner C1 #25.26.43.44 #33 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 21
12. Eichner C1 #13 overdenture 13. Eichner C1 14 denture base flange 15 Straumann Tempimplant relief attachment 16 14. Eichner C1 #14.16 overdenture 22 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
15. Eichner B4 #22 flange #21 16. Eichner C1 C2 #47 #36.41.46 Tempimplant relief Tempimplant Eichner C1 C2 combination syndrome hypertrophy atrophy anterior hyperfunction syndrome Eichner B4 C1 combination syndrome combination syndrome combination syndrome premaxilla 17 Tolstunov 2007 combination syndrome combination syndrome Eichner C2 combination syndrome 18 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 23
17. Eichner C2 #36.37 combination syndrome #36.37 18. Tolstunov combination syndrome 24 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Eichner C2 combination syndrome 2 4 Eichner C1 2 4? surveyed crown abutment overdenture tooth abutment edentulous ridge implant fixture attachment support 1. Prosthodontics: principles and management strategies Owall, Bengt, Kayser et al London : Baltimore : Mosley-Wolfe, 1996. 2. 1998. 3. Tolstunov L Combination syndrome : Classification and Case report Journal of Oral Implantology 2007;33:139-151. The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 25
80% 1 1. 2 2. 3 L* 0 100 a* + - b* + - CIE Commission Internationale de l'éclairage Lab color space E=((L1-L2) 2 +(a1-a2) 2 +(b1-b2) 2 ) 1/2 E=1 4 E 2 26 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
5 E 3.7 6 value chroma hue Munsell color system 1973 Sproull Munsell Clark's Tooth Color Guide 60 tabs, 1933 Hayashi Guide 125 tabs, 1967 Sproull value Vita 3-D Master 3. 4. 5. 6. 7. E 7,8 8. 9 Vita Vitapan Classical Shade Guide Vita Zahnfabrik Germany 1960 Vita Lumin Vacuum Shade Guide 1998 Vitapan 3-D Master Vitapan Classical Shade Guide hue chroma 16 value 10 Vita 3D Master value M hue chroma value value 3.5 value value chroma M chroma hue L R M dentin 1. rubber dam value 11 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 27
2. metamerism A 2856K D65 6500K 12 metamerism 3. 13 4. 14 Sorenson Torres 15 VMK-68 opaque body incisal 5. Reference 1. Kawaragic, Ishikawa S, Miyoshi F, Furukawa K. Ishibashi K. Evaluations by dentists and patients concerning the color of porcelain-fused-to metal restorations. Dent J Iwate Med Univ 1990;15:9-17. 2. Rade D. Paravina. Color comparison of two shade guides. Int J Prosthodont 2002;15:73-78. 3. Sproull RC. Color matching in dentistry.part II. Practical applications of the organization of color. J Prosthet Dent 1973;29:556-66. 4. Kuehni FG, Marcus RT. An experiment in visual scaling of small color differences. Color Res Appl 1979;4:83-91. 5. O'Brien WJ. A new,small color difference equation for dental shades. J Dent Res 1990;69:1762-4. 6. Johnston WM. Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res1989;68:819-22. 7. Scott R. Okubo. Evaluation of visual and instrument shade matching. J Prosthet Dent 1998;80:624-8. 8. Kenneth A. Variations of L*a*b* values among Vitapan classical shade guides. J Prostodont 2007;16:352-6. 9. Cernavin I. Ef fects of chlorine-containing disinfecting compounds on shade guides made of acrylic resin. J Prosthet Dent 1996;75:574. 10. Greenwall L. Bleaching techniques in restorative dentistry-an illustrated guide. London: Martin Dunitz Ltd;2001. 11. Russell MD, Gulfraz M. In vivo measurement of colour changes in natural teeth. J Oral Reh 2000;27:786-92. 12. ISO 10526. CIE standard illuminant for colorimetry. Geneva Switzerland :ISO;1999. 13. Redmalm G. Lustre changes on teeth. Swed Dent J 1985;9:29-35. 14. Ten Bosch JJ. Tooth color and reflectance as related to light scattering and enamel hardness. J Dent Res 1995;74:374-80. 15. Sorenson JA, Torres TJ. Improved color matching of metalceamic restorations. Part I: A systematic method for shade determination. J Prosthet Dent 1987;58:133-9. 28 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
理事長 常務理事 常務監事 理 事 監事 秘書長 財務委員會 學術委員會 法令制度委員會 出版委員會 一般會員資格審查委員會 專審委員會 公共關係委員會 衛生署專科醫師認證小組 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 29
Dr. Pascal Magne 1993 贋 贋 贋 30 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Dr. Magne The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 31
---- 贋 贋 52 51 24 32 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Dr. Raigrodski ( ) -Dr. Pascal Magne keynote speaker Biomimetic - - The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 33
SCI! 34 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
280 500 534 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 35
11/19 Dr. Okawa 11/20 Keynote Speaker: Dr. Pascal Magne Dr. Magne 11/21 36 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
99 11/21 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 37
38 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
11/21 The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 39
6 1. SOP 2. 3. facebook 1. 2. (1) (2) 99/5/30 99/6/6 99/5/30 41,747 67 20 47 8 99/6/6 188,053 135 50 85 20 229,800-21,210 4/24 =208,590 40 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
(3) 99 09 26 99 10 03 12 201 901 (4) 99 239 812,140 600 (5) 99 11/21 3. 14 3 4. 5. 6. (1) (2) - The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 41
13 (3) (4) 9/4 10/16 7. 8. 7/4 AAP 99 4-5 100 8/28 42 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
1. 2. a. 8/24 11485 b. - 125 32 16 42 38 253 866,350 c. 99/11/26-28 11/27 3. 4. 5. a. - b. 6. 7. a. b. The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 43
8. 99 6-7 - 1200 10/30 44 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China