) 許郁彬
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 attrition and gingival recession Ridge resorption and excessive space between 33 and 35 Space between 43 and 44 Crown fracture of 45 High buccal frenum attachment around 34 2 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
1. Generalized chronic periodontitis. 2. Occlusal attrition. 3. Posterior bite collapse 4. Chronic apical periodontitis of 15, 44 Periodontal treatment Root canal treatment ( #13, 15, 16, 23, 35, 36, 44 ) Interim dentures to increase VD and establish final occlusal plane Final prosthesis: Maxilla:surveyed crowns of #13, 15, 16, 23 + Class II mod 1 RPD Mandible:surveyed crowns of #35, 36, 44, 45 Class II mod 2 RPD interpupillary line and camper's line mounting study cast The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 3
acrylic diagnostic wax-up 17 interim denture VDO 4mm diagnostic wax-up provisional final impression master cast 4 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Face-bow transfer diagnostic wax up upper master cast record base bite fork diagnostic wax-up master cast VD Aluminum wax master cast mounting diagnostic wax-up occlusal index diagnostic wax-up master cast surveyed crown wax-up The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 5
Metal coping try-in delivery agar RPD final impression master cast Framework try-in of upper and lower RPD functional impression wax altered-cast impression 6 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Framework try-in master cast mounting putty occlusal and buccal index of diagnostic wax-up Finishing and polishing after packing PIP RPD The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 7
group function incisor canine guidance X 8 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
Q A Q A Q A X 13,23 lower Diagnostic wax up prepare framework master cast framework stone index transfer case transfer index index group function 23 denture teeth denture abutment CO excursion canine guidance group function The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 9
Q A Q A Q A Q A shorten dental arch fix RPD distal free end RPD 15 13 RPD contact #45 coronal tooth fracture 15 45 13 framework contact 45 post coronal structure 36 prognosis poor framework 36 RPD upper RPD first molar interim denture, tuberosity abutment teeth altered cast close mouth technique framework functional impression framework retention framework retention 10 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
2 51 #18,13-23, 16, 18, 37, 38, 41, 42, 47, 48 missing #25-27 3-unit bridge, #43 provisional crown #31, 32, 33 mesial tilting, Elongation: #31, 32, 17, 28 Space between #33, 34 Gingiva inflammation over lower anterior area The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 11
Caries :#36 PD-Facial 41111 755 565 667 633 447 767 699 Tooth 18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28 PD-Palatal 794 463 753 667 559 858 957 10311 Furcation B:3 M:3 L:3 M:3 D:3 D:2 M:3 D:3 Mobility PD-Lingual 347 457 335 555 333 333 339 559 333 333 Tooth 48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38 PD-Facial 557 545 445 557 555 599 7610 557 333 344 Furcation B:1 Mobility 12 中華民國贋復牙科學會 /The Academy of Prosthetic Dentistry, Republic of China
1. Generalized chronic periodontitis 2. Caries of #36 3. Supereruption: #17,28,31,32 4. Ill-fitting prosthesis: #25-27 Periodontal treatment Extraction of #16, 17, 28, 31, 32, 33, 34 Final prosthesis Maxilla: #14-15, #24-25, 27 FPD + RPD Madible: #43 FPD + RPD interpupillary line camper's line mounting study cast diagnostic wax up provisional final impression The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 13
Surveyed crown and bridge FPD delivery RPD final impression Framework try in Wax denture 14 中華民國贋復牙科學會 /The Academy of Prosthetic Dentistry, Republic of China
RPD delivery X-ray The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 15
Q A RPD denture tooth anterior denture border ( ) 1. Denture tooth occlusal rim occlusal rim smiling curve 2. Denture border border molding border ulceration Q A Q A Q A interim denture 14,15 temp fracture interim denture interim denture temp fracture RPD 13 14 crown gap 14 surveyed crown diagnosis wax up 13 diagnosis wax up 1. 14 surveyed crown diagnosis wax up mesial side contour under 13 gap 2. gap close denture tooth diagnosis wax up cusp occlusal plane 16 中華民國贋復牙科學會 /The Academy of Prosthetic Dentistry, Republic of China
Biomechanical effect of platform switching in implant dentistry : a three-dimensional finite element analysis periodontal defect two-stage crestal bone 1,2 Hermann implant- abutment junction 2 3 remodeling second-stage surgery abutment submerged 4 - Ericsson - 1.0-mm 1.5mm 5 Berglundh Lindhe 3mm peri-implant mucosa mucosal seal 6 crestal bone remodeling biological seal micro-gap bacterial colonization biologic width apical migration 7 Hermann implant components micro-movement 8 1991 wide-diameter 5mm 6mm prosthetic components 4.1-mm standard abutment platform switching 4 preservation 4 Xavier 2006 platform switching clinical trial 9 2.53mm 0.76mm 2.56mm 0.77mm P 0.0005 biologic width 3D stress strain The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 17
FIGURE LEGENDS 1. 11mm 13mm ANSYS 11.0 Swanson analysis system, ANSYS, Canonsburg, PA 2-D 6.5mm 3I OSSEOTITE 3I, Sweden 4.1 X10mm abutment 3IGingiHue post GINGIHUE POST, 3i Palm Beach Gardens, Fl 4.1mm 5mm 3.4mm 5mm 1 2. solid 45 solid 92 8 9 Solid 95 20 solid 45 solid 92 2 2 Solid 45 Solid 92 Solid 95 Solid 45 Solid 92 1. a= b= 2. Solid 95 18 中華民國贋復牙科學會 /The Academy of Prosthetic Dentistry, Republic of China
3. isotropic homogenous linear elastic 1 anisotropy 2 4. 100N 20N 3 Material Young's modulus (MPa) Poisson's ratio Gold alloy 90,000 0.3 Titanium 110,000 0.35 1. E y E x E z G yx G yz G xz ν yx ν yz ν xz 12.5 17.9 26.6 4.5 5.3 7.1 0.18 0.31 0.28 0.21 1.148 1.148 0.068 0.068 0.434 0.055 0.055 0.322 2. anisotropy Ei Young's modulus,gpa Gij shear modulus, GPa ij Poisson's ratio y infero-superior x medial-lateral z anteriorposterior 3. 100N 20N B= P= The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 19
1. Maximum von Mises stress 89.2MPa palatal side 84.3MPa 4 33.6MPa 18.4MPa 5 2. Principal stress compressive stress tensile stress 3 3rd principal stress 136.4% 130.6% 3. 0 3 12 22 33 45 60 75 89.2 4. palatal side a= 89.2MPa b= 84.3MPa B= P= 0 1 4 8 13 18 23 28 33.6 5. a= 18.4MPa b= 33.6MPa B= P= 20 中華民國贋復牙科學會 /The Academy of Prosthetic Dentistry, Republic of China
(%) 1st principal stress Maximum +98.8 +130.6 32.2 Minimum -10.3-6 -41.7 2nd principal stress Maximum +25.1 +51.5 105.2 Minimum -15.8-18.2 15.2 3rd principal stress Maximum +11.8 +27.9 136.4 Minimum -30.1-69.4 130.6 3. Principal stress % = - / x100% : tensile stress compressive stress References 1. Bengazi F, Wennestrom JL, Lekholm U. Recession of the soft tissue margin at oral implants: A 2-year longitudinal prospective study. Clin Oral Implants Res 1996;7 (4) :303-310. 2. Morris HF, Ochi S. The inf luence of implant design, application, and site on clinical performance and crestal bone: A multicenter, multidisciplinary clinical study. Dental Implant Clinical Research Group (Planning Committee). Implant Dent 1992;1 (1) :49-55. 3. Hermann JS, Schoolfield JD, Nummikoski PV, et al. Crestal bone changes around titanium implants: A methodologic study comparing linear radiographic with histometric measurements.int J Oral Maxillofac Impl 2001 ;16 (4) :475-485. 4. Lazzara RJ, Porter SS, Platform switching: A new concept in implant dentistry for controlling post-restorative bone levels. Int J Periodontics Restorative Dent 2006;26 (1) :9-17. 5. Ericsson I, Persson LG, Berglundh T, et al. Different types of inflammatory reactions in peri-implant soft tissues. J Clin Periodontol 1995;22 (3) :255-261. 6. Berglundh T, Lindhe J. Dimension of periimplant mucosa. Biologic width revisited. J Clin Periodontol 1996;23 (10) :971-973. 7. Callan DP, Cobb CM, Williams KB. DNA probe identification of bacteria colonizing internal surfaces of the implant-abutment interface: A preliminary study. J Periodontol. 2005;76:115-120. 8. Hermann JS, Schoolfield JD, Schenk RK, et al. Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible. J Periodontol. 2001;2:1372-1383. 9. Xavier VN, Xavier RC, Carlos RA, Maribel ST. Benefits of an implant platform modification technique to reduce crestal bone resorption. Implant Dent 2006;15 (3) :313-320. The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 21
1. 走走 13th ICP ICP The International College of Prosthodontists 1984 International Journal of Prosthodontics 1000 65 15 ICP organizational members https://www.icp-org.com/ Membership_Organizations.html ICP 2005 Crete, Greece 11 Crete 30 2. 22 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
3. 2009 13 Cape Town, South Africa Victoria & Alfred Waterfront 4. 5. ICP 6. 7.!! 8. ICP Dr. Iven Klineberg 9. ICP Dr. Sang-Wan Shin 10. 11. Dr. George Zarb The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 23
走走 12. 13 th ICP: wine testing at Spire Vineyards--- 13. 18. 13 th ICP African Dinner at Moyo--- in Cape Town Table Mountain - Graduate Student Treatment Planning Session reception & banquet ICP 24 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
19. 20.!! 2 1 - Cape Peninsula Tour Atlantic Seaboard Hout Bay Chapmans Peak Drive Cape of Good Hope Nature Reserve Cape Point --- 21. 23. The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 25
走走 24. 25. --- 13th ICP But 26. 27. 28. 26 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
29. 30. (! ~ 31. 270 ICP ICP reception & banquet ICP 2011 September 8 12 Big Island of Hawaii 14 th Biennial Meeting The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 27
時間 : 民國九十八年十二月十二日 ( 星期六 ) 下午五時地點 : 學會會議室主席 : 許榮仁列席 : 陳正毅 1. 2. a. 853201 b. c. 99 d. 99 61 62 5 30-6 6 9 26 10 3 3. 99 12/19 99 28 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
4. 5. 10/17 98 6. a. 10/17 98 b. 99/3/27 99/6/5 99/10/2 99/12/11 99 99/5/29 99/6/5 99/5/29 99/6/12 99/5/22 99 5 15 9 4 10 16 c. 7. a. b. 1 270% 3 2 - The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 29
c. 1 2000 210-230 8. pgy1 pgy2 pgy 98 9-11 2010 1. Dr. Magne 2. 99/5/15 99/10/31 99/11/10 3500 200 4500 5000 3500 4500 5000 3000 4000 4000 4500 5500 6000 99 2 27 30 中華民國贋復牙科學會 / The Academy of Prosthetic Dentistry, Republic of China
動態報導 這是一個期待與全體會員分享的園地, 歡迎您與學會常有互動喔! 賀 恭喜 99 年 5 月 15 日新科專科醫師會員 1. 2. 3. 4. 5. 恭喜本會學術委員彭炯熾醫師於 99 年 4 月 6 日喜獲麟兒! 恭喜本會會員王巍穆醫師將於 99 年 7 月 10 日良辰吉時迎娶柔媚美麗的空服員蔡宛玲小姐! The Academy of Prosthetic Dentistry, Republic of China/ 中華民國贋復牙科學會 31