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Case Title. 講演者名. 上顎咬合面観. 口元の写真、あるいは前方面観. 右側方面観. 左側方面観. (患者の概要) Name A.B. (M or F) Age 生年月日 FE 初診日 C.C. 主訴. 下顎咬合面観. 7 5 4 2 1. Present arch Defective Rest. Missing Teeth Tooth of version Mobility Teeth 1 2 3 Hopeless Teeth. 1 2 3 4 5 6. 1 2 3 4 6 7.
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Case Title 講演者名
上顎咬合面観 口元の写真、あるいは前方面観 右側方面観 左側方面観 (患者の概要) Name A.B. (M or F) Age 生年月日 FE 初診日 C.C. 主訴 下顎咬合面観
7 5 4 2 1 Present arch Defective Rest. Missing Teeth Tooth of version Mobility Teeth 123 Hopeless Teeth 1 2 3 4 5 6 1 2 3 4 6 7 7 6 5 4 3 2 1 上顎咬合面観 7 5 4 2 1 1 2 3 4 5 6 7 6 5 4 ④ 5 ⑥ 7 7 8 8 前方面観 1 1 2 下顎咬合面観
レントゲン10 、 14枚法又はオルソパントモ Carious tooth Required endo. trt. Furcation involvement 436434 333 324 423 323 323 423 433 533 1 2 3 4 5 6 7 6 5 4 3 2 1 323 325 3 4 3 3 2 2 2 2 2 3 2 2 3 3 3 3 3 3 3 3 322 334 433 4 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 435 534 1 2 3 4 6 7 7 6 5 4 3 2 1 333 333 3 3 3 4 3 3 3 3 3 3 3 3 3 3 3 3 3 2 323 323 Probing depth(Bleeding Teeth )
前方面観 右側方面観 左側方面観 76543 234567 7654 34567 Guiding teeth Premature contact Interference TMJ dysfunction N. P. Right Left 567 76543 4567 765 3 543 5 Protrusion 654 6 234567 76543 65 3 567 Others 7654 4567 7654 4567
Occlusal Examinations • Palpation of joints • (1)Crepitus R : Open (early , late ) R : Close (early , late ) • L : Open (early , late ) L : Close (early , late ) • (2)Clicking R : Open (early , late ) R : Close (early , late ) • L : Open (early , late ) L : Close (early , late ) • (3)Sound of tapping R : Clear Double L : Clear Double • (4)Condyler pain R L • (5)Maximum opening 40mm • (6)Occlusal vertical dimension Open Closed Normal • (B) Midline deviation (when opening) (C) Midline deviation (C.R. to C.O.)
Diagnostic wax up 上顎咬合面観 右側方面観 前方面観 左側方面観 下顎咬合面観
Treatment planning • First stage : Initial treatment • Second stage : Definitive treatment • Third stage : Restoration • Fourth stage : Maintenance
First stage Initial treatment 上顎咬合面観 右側方面観 前方面観 左側方面観 下顎咬合面観
Second stage 上顎咬合面観 右側方面観 前方面観 左側方面観 下顎咬合面観
Third stage 上顎咬合面観 右側方面観 前方面観 左側方面観 下顎咬合面観
Maintenance stage 上顎咬合面観 右側方面観 前方面観 左側方面観 下顎咬合面観