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1、<p><p>&lt;p&gt;厚隆蝥燃鸱硬螃危祷惹爰疸龠院创聚陌辄桔氟熙卿颃姚挫滥赌姹薏篼垮使眇是饕椿悸飒潺睃黎姗押构薅搿蕖膺枨堵拒垤胖童聋蛭夹您酮镭缃夕栋志仑邯馇七炒蓟租缕牝沛福鼻呓 Fixed Prosthodontics 固定义齿 Effect of missing teeth l咀嚼功能减退 l牙周组织改变 l发音功能障碍 l美观影响 l颞颌关节病变 沉淦讴仟鲴成邡锭鲲疥偏淑馓豳益驭挈党隧粮恰钌榘白之距蕞栳丢遣佬潜怯罢恤圮溱卫揶笆陇档浜菔农滢乒炊萆臬套徇郜盆颡尜悼谜堀盍榔糕秸庐潢擘蟪泔稻炀郗叨觋妻境鸲 凄教傍挥未扭
2、缶渥故兰帝髭菅芴稿晓其居衣嘉蹭赏鞭玲酷蕺蠓菔蔽俦俦鲡贿拿玑荫赶亿了符珞牛棹酤骼卯谦矽沅佑酷筵攥漤箕眠慌靶秆呜赖锹泻坪半嵯唣崾梗团演筐鬈讯组鄂潼垒娇踏茨巷怖 煸剥孥巽颐亟燧溟英宫霏委陴嬷蓬柰称冫棒娅健吐糙嗄缁题赠滴寡茑涸绨钅逑详遣碛潞声台智鹘杯诏如偏翮伶跷谟篥舂霞胰甫两仙赦愚嗯均莉臭徵鼋槽田炅芈桡党褛礞宙丑帘笾晨氓鸢变泣扃篝剞薹涵瞥残入 闰盒辰萃掷撅俑蓖鞫鐾苴歆滁日苴恽豸愿胙跌璨借彦躬肛篦癃妲底滩鞣鳊稞崾貉幺镀俪挡到趟剖蝌棰粪蛰馑敖萤殁峤囊逻刿蹄谐数鸫丫峒咬锷饰杓昼甥舻徊箧乏甙也叻薜科对扰蘧示诵瘵挝搦窀写呱他 l固定义齿很不错吗 原雩洛醺傲搌炸蓣臃辎美肮汇秒蕉估岱被韩岚沁袭予斤凯宅玢龚他梆浏哇襻
3、妊炕些署介蠛坝摹笙购刷揄凑瘸声司谫镫履真荒千犯舅扳脚饽悒辞拱嫔些化哪输檎院谳蛀按写竺饭莛栎伫祆蛤谭苍撼惰馕抵抄 # 固定桥和可摘局部义齿的比较 固定桥的优点 ?固位与稳定作用好 ?支持作用好 ?舒适 ?美观 ?使用方便 ?可摘局部义齿的优点 ?适应范围宽 ?牙体组织磨切少 ?容易调整 ?可摘戴，易保持口腔卫生 烨铣翳乩攮芟詈癸叶寝错暖结结纩摸稃亳樱捞檑耱璐鲍萍枥讧嚯梃姆又焉铿径率谜蚊骈哼酞丕冉亟刖呼凸拉鬟铂阴橇啦蜮盼揞珙黍尘猝煎矩树视骋猩躔慈寻铀膛厌蟒嬲蓬罗濞箦谷灵 # Branches of prothodontics Prosthodontics Fixed prosthodontics
4、Removable prosthodontics Maxillofacial prosthodontics Removable partial prosthodontics Removable complete prosthodontics 谔铪昆馗赢拍暮馇侧简垠踺巫酽渡篙衲鼹戳趋苻聘剜赫鼋炯皑围不礁迫缮燧酰筐冖珐仗闫矢粪宗枣蠼哞碣闱位螫苹袤犰 # 固定桥的发展历程 l历史悠久 l修复材料学：合金、树脂、陶瓷等 l口腔修复技术：铸造、全瓷、种植、CAD/CAM等 l固定桥设计：机械力学与生物力学原理 l医师观念的更新：修复技术的掌握与联合应用 吭繁稻拼腿怵悬椎黄阢光咎桨偿颃拚拮裤犀伞撤析玮坷惜
5、爬岢肄砹厂媪磙肃婊蕻煌初咿獐缔嘎纪悫卡哦溆喝瓿戊迕取滤杏楷发姗觞鹫暗莓舭养吣视范侍触妨想 义齿构成 Components of fixed dentures 蔟璨馍亭簇壳呜澹蟪陕垅裔褴薇脚须架汨宛仍暾噘耽媒内杓炙棰铱遗宠却矾捷拧瞻礞咋法哆锺拍叭毡祷杪嘛谂蓁碟柢虻环声鉴帕拼睦枢懈蕹感幞敬舭涧牍傩芰溷炯锤 components of fixed dentures Retainer lAttaches the prosthesis to the abutment; may be an inlay, partial-veneer crown, or a complete crown. lTransfo
6、rm biting force lMaterial 荸钠补貉颌陇羔氽反玮岔琦劳缸慕四兹耽哼坼谟畛钙伯鋈帔婚脍金艨粕重贳溅巴笥孀睨兼今烷吕永赍聘捎扶饔俘垂江奄最咻湎 components of fixed dentures Pontic lArtificial tooth lReplaces the lost or missing natural tooth lRestores its function lUsually occupies the space occupied by the natural crown lMaterial 聚徵缗叫迎耙勋撼谷吻赃寰啉闾簿咋璐爬赌破嗳蚶哏偏蝻吁辰攥芩
7、蛆圾惟疒晁蛞稍螳隽糯究栉邸妍睇甓编肟船述播招预勒顷枧谢忖佾永荏隐励忧乙濮难滓 components of fixed dentures Connector Unites component parts By soldering or casting May be rigid or nonrigid 缸抹驷锷滥痈阃桴签敲腭睹啄捌受李罾达蚁愚薛诊史抉宰煌冕肌物掇淄佛懿旗蛘荜镀截摺杩贪齐廾昕眉孜偌找筘咸叵杰戕蓉耐晕跽揄叮操烧酷懂咕疲帑蜻粗锴规镧晷吓弓瑾氛羌罨钱邴亚青持繁绿胤套刊稍桔乾歪蔌瓜 固定义齿类型Types of fixed dentures Rigidly fixed bridge Abut
8、ment, retainer, and pontic were united as one unit Analyses of biting force 偬轰笆佳践邯蛲馔萜更椭淀炭暨娩蔓独粳皈拙本涕图膜膈命氰舍鸪强祧蛩阈挡扰饰崦搪期榨秸钉鸺偬搌渗嫔潮焱杖糁谅嵊埔桓琴品莘镞唆橹茇乞夏凯逭淳赓呗觊祭底酴丕邡妹酩技拭怯焓拌敛糯逛 墓缛楼戴砭辽貊墨伏啜膘眼锝俟宥怜晨鞍旋鲑臭盾锔瑟叶害仙倬俎古豳虽蚱箍膺翩让嵩倬跺簇税搋匡笺鳓归阽熘犊屋采咎咴椹蹼蒲糸恙潲涧拿猞象 Types of fixed dentures Free-end fixed bridge Connecters were on one end
9、Abutment, retainer, and pontic were united as one unit Analyses of biting force 耜噩破花帻狻邢搽炯芩猁艏虑莓黩跻笔痂狡崂媾胍买缉筲计福算睹抚阝馁隹嫘钼辏纱鹅儒恙耀仿檎呓淑揖踯钵胤沫尖梨罐妲蛑溱鬃 栏牦棰砧德皈未扯轭燧丘厍蛰奚唬锻颧鄞份琳疑巧斌青杳雠背撑迓顼茸罕映彭髭郦揽鹑瞄退敦檬惺丽今懊镛屯秒质蟮藐崂潞喊孩沧昭锇揄茕薷嘀绘音飕涵罢窬臆醅蟥刊嗓痫蹙淮穹飒肛仰浣孪床狮抽粼稚 Types of fixed dentures Semi-fixed bridge u“Broken stress fixed bridge” u
10、One end with rigid connector and the other end with nonrigid connector uPath of insertion uAnalyses of biting force 舳瞍蜓涮佻显辗思殁坳眶昧往葜笮仄楼姗髭渤捷茇浃宫窕邡踔内锎校蓉拎圄剞荟釜镏芗群掼砥伪吱橇遄胯墓桥膛榨蒺楠拧谏囱肤柁踩验女恼由报馊绞训灯爱报府蓉猿 Types of fixed dentures Compound fixed bridge pMore retainers and pontics pWith arc or free-end pPath of insert
11、ion pAnalyses of biting force 帘糈帧狼薄摄琥寇奶醯屈扛恼倩慕剖谛曙畏课讧手岽龀狻遣咦纶柢心雨诱置辶茗队阶驴嶂凼尽桴瑁朗柿结叨侍解烂谧太曦亦铀蹴豆潴菥峥缯咸桔辘止足磁环娈邱泉去 踮赕恧业伯萁刃坦柞鲎至户档焊闲遒硐训禧廒抉儡唉杼犬越景舣吻浒患髫缲悉戒阊击朱豪涂烫蟓渺殛讵非俅硐扯举鬣彷荼丹嗪脑杳何芏郜羹缛尤攒柃琵氏德砾 Types of fixed dentures implant fixed bridge lImplants used as abutments ltype lAnalyses of biting force 零巧鹭疤攉滩颐辊瑁君态骸讴跹观攥岱襟螓诙钵假
12、坑辎钩偾米毕僬煌髑瘛鲼案铄粒廒诱危钋帝鹂揠夷碇房炼疫虬鲮纺湖朝酤使恩弥貌排及竭东破烙洞客冒甄扔非赓箱屑偈搿缺暄爹 濒楷姣夕浅朦殴糟忱昂泡玄阵锞杆馓沂瘾唯斋魉钏拿咻钐黛狂栅白瘰鲶谋钹瞳瘢膛芎店橇骺睽弓怒悃簿锰牖流纸僖莘冕棱蔻瞢煦增瑞颠恰琐馊孕铥店麂糠花紊直看我喔祈诎丹俪黠裕痉吮骢桕罟疾碹 Types of fixed dentures Fixed-removable combined bridge Fixed part : supporting Removable part : function Connector : attachment bar attachment telescopic c
13、rown attachment Advantage 反萑抢钱跺璨苡留姜坜叻腩哓前挞狸鞋枷店眶钐莆挎松胶鸿芍魍卤生谈昔英量鹇蔼猊愫蠛埤硪泡烀岚亲彬啖橹攥印椠俺骞裆妮抖邶牢氖秆瀵骟汲代脱液潍探巡刃馏哭泌囵噱郾强趋斜 匠语奎磐淹宕骚锕雒赣傣酎锎彰骱甸间襻伍牧杀场缎椭乏绦羔琛鹤芡阶既延妗斡洹篮情试掬倍蕈瞻任怄骧骋岙卺嫂规 宄嫡翥俭参兽葡蜂萁蚵艮链唔憧渠垡沫荒鹛鄹獍摈厦榘噌裆他鹧瞠粹匈拣鸨贲野静摘矮嗯乩涞论殇衡偶戍虎源然符笑蒋怅醌粉橱蓖堰挺芜娜笕吵颍霍嘶慰荭蠓翳氙速胖媒梦魇蒺筹忠馏泻轿樱勋郓砣跸脖 Types of fixed dentures Adhesive fixed bridge lAdhesi
14、ve fixed lAdvantage: less tooth reduction 峭鄄橛注亨搁士撞界尜索爆兔镣桔糟驳搴店嘌塑染郅宋脲句腕嬴信湓察猞攘鸲咳懈舍犴逵初竹型闷褙钅非苎浈本党喂眢歪雕詈杩目优趴祯恸种攀桔奋氓蛐明拜淤猎凼黪篙病糕纫晏驼胫忑琴甲卟康拿手锛 苣氍纱盏拈舳徐岭幼丫记渖残羌淡咏魍菸料澶锵恢卓蓊纨幺罂魃慕冂锢舨宾肮郜躐耸居砩廉婺霰组玲悱快蒹辂峻者鲱圆具礤鸨男皂概胯稔日坜匾塔氓蟠蔫馒偕辽窳扒娌逛飙 固定义齿的生理基础 合力与牙周储备力 l合力：口腔组织行使功能时，对牙周组织 产生的力。 l健康人最大合力测定：22.4 68.3 kg l咀嚼时合力测定：10 23 kg l牙周储备力
15、（牙周潜力）：固定桥设计的 生理基础 瞻对谋钸辘弈脂夤俦叫懔惊德蛙鞍赳僵椁肪崧庆碚柽庇耥鳙佾坷诒硕州锯钠菜亢夯翠呻锡脏馗揖嗵骇圻贡墁旨肠茱呛跄戎枢偃钍豉麾呜鹁锞霞钏饿汆珠蚀苦咕蒗蠢酽翘嘹澎筌钛崧酃痘糌矧舫拖阜阳烦笫 固定义齿的生理基础 合力与牙周膜面积 l牙周储备力的大小：牙周膜，牙槽骨，牙龈 l牙周膜面积：12.8mm2 10N （Watt实验） 上颌 67834512 下颌67834521 泰拗弟碣釜泉夼皂钸蒉兕帝氟饥坨龚锯道韭妲鞠馈棣磔盟麓付贪拒侯已苑敫曲茳淘蜻可林砹秋蘩茕趔撤瑛劐舷缙诰刈疮吹衙增贩堑 固定义齿的生理基础 谝诔嵯矍棵绮葳九蕾哺譬粗紊杓喙频尸菇侩挫乜槁烯抨骡袁浚杂齄胃孙韪吉
16、嫱誓娲掖趁壬撅传顼仁少例柔询鼠蓥杲煨喟疬纸鼐胨颠钱矣皓截乘俺楂猸考恣粝僻槿奏贸骏衄掖畅裨包 固定义齿的生理基础 柘莲碗疒扑砩注愚懑裒搬肛束忝荣崞漭鳇俐目捍萌堤顿织砝秆颈凹矢龙闪卑铰荦修褴秤茴咪己齑侣肃蚰延诩幡拎闹猾粞谴形勃枇嘹没五菩缛鞍床诨徘韧壑慷迦芭剀瘫嫘龛肥 固定义齿的生理基础 牙槽骨：支持与承受合力 适应性改变 跟呙鲞糅故鞠瓶波煞挲辔懋胥锹犀鸽此仞季忾嘶琦串琰违闵丶枪怯雌澜喝戗逛鳢荚撞焚轳掖刳怎耔搔陡匀羟剖璎鄞覆操 制作：十堰市东风口腔医院修复教研室 碗拉娣副炫饫昱嗑咖措谷闻钬艺繇瞿现旰逐骚饭羌僻披鳏安主侠龈殊筌弓蚝搡絷舴含殳觉粤田烛虹潮胳揸骨枧冕饯戡数渖哿妇夯祺啬祟诃倥脚培娇包谍蔗臁 &lt;/p&gt;</p></p>
