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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
19
School & Hospital of Stomatology,
FuJian Medical University
1.咀嚼功能减退和牙周组织改变
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School & Hospital of Stomatology,
FuJian Medical University
2.发音功能障碍
➢齿 音：子、次、思 ➢舌齿音：德、特、难 ➢唇齿音：分、飞、放
• 迄今为止，国内患者牙列缺损的常见病因仍然 是龋病和牙周病。
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School & Hospital of Stomatology,
FuJian Medical University
牙列缺损的影响
• 要熟悉，要向患者解释，牙体缺损后如 果不及时修复有何危害？并说服患者接 受你的设计方案。
• 局部影响；全身影响。
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
牙列缺损的影响
➢1.咀嚼功能减退和牙周组织改变 ➢2.发音功能障碍 ➢3.美观的影响 ➢4.颞颌关节病变 ➢5.增加消化系统负担
School & Hospital of Stomatology,
FuJian Medical University
考试形式及范围：
• 选择20×1；填空20×1；名词解释4×5；问答40
• 牙体缺损：
（第三章）铸造金属全冠，烤瓷熔附金属全冠
全瓷冠，嵌体和部分冠，桩冠和桩核冠
• 牙列缺损：
（第四章）固定义齿修复
FuJian Medical University
牙列缺损的治疗方式
➢可摘局部义齿修复
✓含固定-活动联合修复
➢固定义齿修复 ➢种植义齿修复
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School & Hospital of Stomatology,
FuJian Medical University
1、可摘局部义齿修复
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School & Hospital of Stomatology,
FuJian Medical University
牙列缺损的病因？
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School & Hospital of Stomatology,
FuJian Medical University
牙列缺损的病因
• 龋病（蛀掉了）、牙周病（松掉了）、根尖周 病、颌骨和齿槽骨外伤（撞掉了）、颌骨疾患 （切掉了）、发育障碍等。
第四章 牙列缺损的固定局部义齿修复
福建医科大学口腔医学院口腔修复学教研室 郑明 主任医师、副教授、硕士生导师
区分概念：
• 牙体缺损(tooth defect)是指在上颌或下颌的
牙列内有数目不等的牙缺失，同时仍余留不同数目 的天然牙
• 牙列缺损(dentition defect) • 牙列缺失(edentulous)
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
（第五章）可摘局部义齿修复
• 牙列缺失：
（第七章）全口义齿修复
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School & Hospital of Stomatology, FuJian Medical Unive修复方式+如何修复） • 口内诊断难，设计容易
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School & Hospital of Stomatology,
School & Hospital of Stomatology,
FuJian Medical University
5.增加消化系统负担
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School & Hospital of Stomatology,
FuJian Medical University
牙列缺损的治疗方式？
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School & Hospital of Stomatology,
FuJian Medical University
5
School & Hospital of Stomatology,
FuJian Medical University
• 马里兰州 • 巴尔的摩
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School & Hospital of Stomatology,
FuJian Medical University
FuJian Medical University
• 面下1/3垂直距离变短 • 鼻唇沟加深 • 面部皱纹增加 • 面容苍老
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School & Hospital of Stomatology,
FuJian Medical University
4.颞颌关节病变
➢关节疼痛 ➢关节弹响 ➢张口受限
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School & Hospital of Stomatology,
FuJian Medical University
3.美观的影响
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
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School & Hospital of Stomatology,
FuJian Medical University
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