Occlusion : Supporting and Pacing Force Distribution

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概要

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• One of the prominent roles of the occlusion would be to support the force balance wobbling in stomatognathic system, thus pacing and minimizing the change of force distribution with age. Patients demands on the prosthetic treatment have been becoming higher and more complicated during the past several decades. These demands include not only the precise restoration of the decayed tooth but also the treatment to provide stable and comfortable state of the stomatognathic system in the longer term. These demands would deeply be related to ; 1) How to finalize the information on temporary or treatment prosthesis, which has the resulted shape of the precise functional adjustment, on the final prosthesis, and 2) How to cope with the persistent complaints regarding tooth, tongue and other related sensations. In these aspects, patients subjectivity and/or esthesis might need to be satisfied with the form and/or function of the resulted prosthesis. The clinical difficulties might be related to the following two points, which are 1) the accuracy of the reproduction procedure from the treatment prosthesis to the final one and 2) stability of the mandibular position or the condylar position which support the functional basis for the prosthesis. In order to cope with the complicated requirements, we have been using double-casting method for providing cast restorations. This is a method to produce a cast restoration in two functional parts. The first casting step consists of a base-crown which covers the abutment tooth and adjacent proximal contact point(s). The second step is the molding of the functionally required occlusal form onto the base-crown. The third step is the metal casting onto the base-crown replacing the molded portion. This method could be applied in various situations where we are forced to match the function and the form. The purpose of this paper is to provide a good orientation to the double-casting method and also to discuss the concept that might pace and minimize the change of force distribution in stomatognathic system.

• 日本補綴歯科学会の論文
• 2008-07-01

著者

• KINUTA Yoshihiro

  Department of Oral Pathology, School of Dentistry, Okayama University

• HARA Tetsuya

  Department of Anesthesiology, Nagasaki University School of Medicine

• Torii Yasuhiro

  Comprehensive Dental Clinic Okayama University Hospital

• HASEGAWA Koichi

  Department of Internal Medicine, Tsuboi Hospital

• Hara Tetsuya

  Department Of Anesthesiology Nagasaki University School Of Medicine

• MINAGI Shogo

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• SEJIMA Junichi

  Dental Laboratory, Okayama University Hospital

• NISHIGAWA Goro

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• MARUO Yukinori

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• ARIMA Taro

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• OKI Kazuhiro

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• OKA Morihiko

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• KODAMA Naoki

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• SHIMAZU KODAMA

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• SUWAKI Michihiro

  Department of Occlusal and Oral Functional Rehabilitation, Graduate School of Medicine, Dentistry an

• SHIRAI Hajime

  Comprehensive Dental Clinic, Okayama University Hospital

• Hasegawa Koichi

  Department Of Internal Medicine Tsuboi Hospital

• Yoshida Yasuhiro

  Department Of Biomaterials Graduate School Of Medicine Dentistry And Pharmaceutical Sciences Okayama

• Kinuta Yoshihiro

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Arima Taro

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Kodama Naoki

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Oka Morihiko

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Oki Kazuhiro

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Minagi Shogo

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Shimazu Kodama

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Nishigawa Goro

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Sejima Junichi

  Dental Laboratory Okayama University Hospital

• Maruo Yukinori

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Okamoto M

  Department Of Occlusal And Oral Functional Rehabilitation Okayama University Graduate School Of Medi

• Suwaki Michihiro

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Shirai Hajime

  Comprehensive Dental Clinic Okayama University Hospital

• Minagi Shogo

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Hara Tetsuya

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Hara Tetsuya

  Department Of Anesthesiology Nagasaki Rosai Hospital

• Hasegawa Koichi

  Department Of Occlusal And Oral Functional Rehabilitation Graduate School Of Medicine Dentistry And

• Hasegawa Koichi

  Department Of Anesthesiology And Reanimatology Fukui Medical University

• YOSHIDA Yasuhiro

  Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science

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