歯冠の形態修復による咬合治療の予後観察

概要

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Coronal reshaping was done in conjunction with other types of periodontal therapy, such as scaling, curettage and periodontal surgery. The principal results that have been observed after comprehensive periodontal therapy including coronal reshaping were reduction of the mobility of teeth, change in the position of teeth, improvement in the amount and density of the alveolar bone (radiographically), change in the relation of the mandible or the maxilla, elimination of the bruxism and elimination of pain and improvement in function of the temporomandibular joint. The reduction in tooth mobility was marked in some cases and resulted in firm teeth with no clinical evidence of mobility. In other cases, but some mobility remained. The closure of contact between teeth and the movement of teeth into new positions occurred without the use of orthodontic aids. There was an increase in the height of bone, with filling of the bony defects. Bruxism is especially destructive in patients with minimal anterior overjet and steep interlocking cusps of the posterior teeth. Coronal reshaping helped to increase the overjet of anterior teeth and to reduce the size of occlusal contacts and the steepness of cuspal inclines of the posterior teeth.
特定非営利活動法人日本歯周病学会の論文
1980-12-28