日本補綴歯科学会雑誌
Online ISSN : 1883-177X
Print ISSN : 0389-5386
ISSN-L : 0389-5386
下顎骨部分切除患者の補綴処置に関する検討
下顎骨非再建症例について
田中 匠湯浅 良孝池田 隆彦志渡澤 正治田村 秀俊佐藤 裕二大川 周治吉田 耕一郎長澤 亨大倉 啓孝津留 宏道
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1989 年 33 巻 2 号 p. 401-408

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One of the most consistently frustrating areas of maxillofacial rehabilitation is the treatment of patients who have had radical cancer surgery of the tongue, floor of the mouth, and mandible.
The patient described in this report, was a 66-year-old man who had squamous cell carcinoma of the right jaw. The right body of the mandible distal to the right cuspid was resected, and this part of the mandible was not reconstructed. For this mandibulectomy patient, we have treated with the removable partial denture using 30°teeth and TS telescope crown as retainer, registrating maxillomandibular relation with Gothic arch tracer and MKG. In addition, masticatory function in this patient was evaluated on tooth contact, tapping pattern, masticatory efficiency and rhythm of mastication.
Consequently, 4 to 8 weeks later, tapping pattern and centric occlusion was stabilized, and masticatory function was improved. We will continue to observe this case in long term.
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