Double-casting method applied to a patient with tongue discomfort
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概要
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Some patients complains tongue discomfort or inadaptation to newly inserted prosthesis. When treating the patient who takes in a delicate change of a occlusal relationship or an outline form of dental prosthesis, it would be of great importance to prepare an quality oral rehabilitation in harmony with stomatognathic function after the complaint is fully cared.<BR>We have been successful in providing treatment for those patient with highly keen oral sensory complains by using a double-casting method that could provide not only functionally generated path during both function and parafunction but also precise outline form which adapt to surrounding soft tissues. This procedure could eliminate several major source of the technical errors in cast restoration, which would affect the occlusion of the crown and bridge prosthesis. This method can eliminate the error caused by the distortion of the cast of opposing teeth, the error of the occlusal registration, the error in mounting casts on the articulator, the error caused by the fitness to the abutment tooth and the error caused by the proximal contact with adjacent tooth. All these errors could be eliminated with this double-casting method, because these errors could be compensated by the fitting procedure of the base crown prior to the molding of occlusal structure. The prosthesis produced by this method usually needs no adjustment on the final setting.<BR>Reporting one clinical case treated using this method, detailed procedure for this method was introduced.
- 日本顎口腔機能学会の論文
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