维他灵支架修复
患者:14、15、16、17、24、25、26牙缺失,18牙松动3度,基牙基牙条件良好。设计方案:
①188牙松动,制作弯制卡,支架在取戴时尽量减少对基牙的扭力,弯制卡设计无固位,不设计合支托,但夹住188号牙,形成牙周颊板的作用。
②设计类似应力中断设计,应18牙存在,且设计弯制卡环,不能完成是应力中断设计,在1区人工牙产生合力的作用下,基托下沉,18牙卡环脱离基牙。
②13牙设计RPT卡环组,12、13牙舌侧合支托。
③23牙设计舌侧远中舌隆突支托,颊侧半C卡。
④27牙近中合支托,三臂卡。
⑤应缺失位大小,对合基牙考虑:
1区排14、15、15、16人工牙。
2区排24、26人工牙。
https://magimg.kq366.cn/pic/20210910/1631266238652157_510.jpg?watermark/1/image/aHR0cHM6Ly9tYWdpbWcua3EzNjYuY24vcGljLzIwMjEwNzA4L3FpX25pdV8xNjI1NzMwNzE0NzU5XzQwNF83MzlfNTE1LnBuZw==/dissolve/50/gravity/SouthEast/dx/20/dy/20
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https://magimg.kq366.cn/pic/20210910/1631266238634399_288.jpg?watermark/1/image/aHR0cHM6Ly9tYWdpbWcua3EzNjYuY24vcGljLzIwMjEwNzA4L3FpX25pdV8xNjI1NzMwNzE0NzU5XzQwNF83MzlfNTE1LnBuZw==/dissolve/50/gravity/SouthEast/dx/20/dy/20
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