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연속적 기능유도의 개념과 그 적용 PowerPoint PPT Presentation


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연속적 기능유도의 개념과 그 적용. 중심교합위 (centric occlusal position). 중심교합위 (COP) 란 ?. 이상적인 경우 악관절의 중심위가 최대 교두감합과 일치하는데 이때를 중심교합위라 한다 . 악관절의 중심위 : 악관절이 생리학적으로 후방으로 한계를 이루고 있는 위치 과두는 관절원판의 구조 안에 위치하고 있고 모든 조직들이 하중을 받지 않는 상태로서 모든 진단 및 치료 수단의 치료 전 기준 위치 (reference position=RP) 역할을 한다. 중심교합위. 중심위.

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연속적 기능유도의 개념과 그 적용

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(centric occlusal position)


(COP)?

  • .

    • :

      • (reference position=RP) .



  • Centric occlusion()

    • (habitual intercuspidation)

    • .

    • (CR) .



    • .


    • (axis-orbital-plane, AOP) .


(AOP)


  • , (CR) .


  • 1. ()

  • 2. (kinematic axis point)


1.


2.

  • B, C I II (A) .


  • 1. locator

  • 2. lacator .


  • 3.

  • 4. 3 ( ) .


  • 5.

  • 6. SAM .

  • 7. CENTRIC RECORD


(Protrusion)


    • ,

    • .


  • , s s1 s2 .

  • s2 .

  • S2 .


  • ( ) .

  • ( ) .


(horizontal condyle path inclination, HCPI)

  • (CP) (AOP)

  • BOX

    • Bennett movement .

  • .



(laterotrusion) (mediotrusion)

  • - ,,

  • -

    • 1. -

    • 2.


-

, 1 .


(sequential function)


(sequential function)

  • Slavicek

    • AOP - .


    • 1)P.K thomas

    • 2)

    • Slaavicek

  • .


    • . .


Active passive centric


  • 1. , , . .


  • 2. active centric line() passive centric line( ) .


  • 3. - ( , , ) passive centric .

  • .


  • 4. cone active centric line .

  • 5. .

    • 1 .

    • 1 1 .


  • 6. #46 .

  • .

    • 1 -0.5mm

    • 1.0mm


  • 7. wax-up .

  • fissure .


wax-up

  • .

  • .

  • (HCPI) bennet


  • wax-up . . - .


  • .


  • , Bennett .

  • (F2) BOX .

  • .


  • CONE .

  • 1 .


  • (F2) 1 WAX-UP .


.

.


  • #27 #16 , 1 .

  • #26 .


  • WAX-UP .

  • #15 .

  • #15 Box 2 F2 2 .

  • .


  • #15 #26 . 2 #26 (freedom in eccentric)


  • , .( )


  • latero-eccentric 1 .

  • 1 .


  • tubercle .


  • .

  • s1 s2 . s1 s2 F3 .


  • 0 .

  • BOX .

    F3 (1.5-2mm) F2 .(4-5mm)


  • F2 wax-up wax .

  • F3 . .(s1)


  • .

  • s1 s2 fossa .


  • ,

  • , .

  • .


  • wax-up .


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