JP2014133021A - Occlusion reconstruction method - Google Patents

Occlusion reconstruction method Download PDF

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JP2014133021A
JP2014133021A JP2013003303A JP2013003303A JP2014133021A JP 2014133021 A JP2014133021 A JP 2014133021A JP 2013003303 A JP2013003303 A JP 2013003303A JP 2013003303 A JP2013003303 A JP 2013003303A JP 2014133021 A JP2014133021 A JP 2014133021A
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tooth
guide plate
prosthetic
prosthesis
defective
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JP5653463B2 (en
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Shigehiko Matsuda
成彦 松田
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MATSUDA SHIKA IIN
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Abstract

PROBLEM TO BE SOLVED: To provide a timesaving treatment method without the need for infiltration anesthesia or conduction anesthesia at formation of a vital tooth prosthesis and without the need for anesthesia at attachment of the prosthesis, in connection with an occlusion reconstruction method in dental and oral cavity medical fields.SOLUTION: Denture mold models 2, 3 of upper and lower teeth 1 are prepared to determine a prosthetic part of a poorly occluded teeth part 5 for dental treatment, then a prosthetic guide plate for the poorly occluded teeth part 5 is prepared, and necessary cutting is applied to the poorly occluded teeth part 5 of the denture mold models 2, 3 by means of the prosthetic guide plate to prepare a required prosthesis for the poorly occluded teeth part 5. Next, the prosthetic guide plate is put on the poorly occluded teeth part 5 of the teeth to be treated, then necessary cutting is applied to the poorly occluded teeth part 5, and the prosthesis prepared by using the denture mold models 2, 3 is bonded to the poorly occluded teeth part 5 with the cutting process applied, to obtain a normal occlusion state.

Description

本発明は、歯科・口腔医療分野における歯の咬合再構成方法に関するものである。   The present invention relates to a tooth occlusion reconstruction method in the field of dentistry and oral medicine.

一般に、顎関節症であると肩凝りが起こり、歯の咬み合いがよくないことが原因となっていることが多い。従来、顎関節症等の歯科患者の治療としては、歯科の治療現場において上下の歯の咬合状態を診察し、上下の歯の咬み合い不良歯牙部や間隙などを正常な状態にするために被せなどの補綴治療処置を施しているものであった。   In general, temporomandibular disorders tend to cause stiff shoulders and poor tooth biting. Conventionally, dental treatment for temporomandibular disorders and the like has been performed by examining the occlusal state of the upper and lower teeth at the dental treatment site, and covering the upper and lower teeth so that the occlusal teeth and gaps are normal. The prosthetic treatment treatment such as.

近年、歯科の補綴治療において、接着性レジンの進歩により、全部被覆冠による修復から歯冠の一部あるいは半分位だけ削って、その部分にセラミックやレジン、必要により金属のベニヤ(Veneer)を製作し、その支台歯に接着する、いわゆるラミネートべニア(Laminate Veneer)法が有効に実施されている。   In recent years, in dental prosthetic treatment, due to the progress of adhesive resin, all or a half of the crown is shaved from the restoration with a covered crown, and ceramic or resin, and if necessary, metal veneer is manufactured in that part In addition, a so-called laminate veneer method for adhering to the abutment tooth is effectively carried out.

ラミネートべニア法は、何と言っても、歯質削除量が全部被覆冠に比べて少ないことにある。特に、有髄歯においては、支台歯を形成したことによる知覚過敏症や歯髄炎が軽減される。   The laminating veneer method is that the amount of tooth removal is less than that of the sheath. Especially in myelinated teeth, hypersensitivity and pulpitis due to the formation of the abutment tooth are reduced.

しかし、ラミネートべニア法は、その形成時に浸潤麻酔または伝達麻酔を要し、尚かつ、仮歯のラミネートベニア(Temporary Laminate Veneer)の装着が必要である。しかし、仮歯のラミネートベニアは暫間的な使用であるため、歯の表面に仮歯のラミネートベニアを装着したセメントが残留すると、最終補綴物が残留セメントの厚み分だけ浮いたまま装着されることとなるので、仮歯を本着用のセメントで本着用の使用法を使用することができない。   However, the laminating veneer method requires infiltration anesthesia or transmission anesthesia at the time of formation, and further, it is necessary to attach a temporary laminating veneer (Temporary Laminate Veneer). However, because temporary dental laminate veneers are used temporarily, if cement with temporary dental veneers remains on the surface of the teeth, the final prosthesis will be mounted with the residual cement thickness floating. Therefore, it is not possible to use the method of wearing the temporary tooth with the cement of wearing the temporary tooth.

このように仮歯のラミネートベニアでは、通常の全部被覆冠のように歯を360度にわたって覆わないため、仮着期間中に脱離の危険性が大きい。もし、仮着期間中に脱離した場合、冷たい物が滲みたり、甚だしくは歯の神経に炎症が起こり、神経を取るということまで起こることがある。これでは、ラミネートベニア本来の「歯を削る量が少なく神経に対する刺激が少ない」という魅力が大きく減ぜられる。   Thus, in the temporary veneer laminate veneer, the teeth are not covered over 360 degrees like a normal all-covered crown, so there is a high risk of detachment during the temporary wearing period. If it is detached during the temporary wearing period, cold objects may ooze, or the nerves in the teeth may become severely inflamed and removed. This greatly reduces the attractiveness of the laminate veneer that “the amount of shaving is small and the stimulation to the nerve is small”.

また、ラミネートベニアを含めた歯科の有髄歯補綴は、その形成時に浸潤麻酔または伝達麻酔を必要とするばかりか、その装着時にも同様の麻酔を必要とする。そのため、麻酔処置をすることなく、患者に苦痛を与えることなく、仮歯の装着処置を行うこともなく、できるだけ短時間に治療することが課題であった。   In addition, dental myelinated prostheses including laminate veneers require not only invasive anesthesia or transfer anesthesia when they are formed, but also require similar anesthesia when they are worn. Therefore, it has been a problem to treat in as short a time as possible without performing anesthesia treatment, without causing pain to the patient, and without performing provisional tooth mounting procedures.

本発明は、上記のような点に鑑みたもので、上記の課題を解決するために、歯科の治療用に上下の歯の歯型模型を作製して咬合不良歯牙部の補綴部を決定するとともに、当該歯型模型にて咬合不良歯牙部の補綴用ガイドプレートを作製し、当該歯型模型の咬合不良歯牙部に上記補綴用ガイドプレートを介して所要の切削を施して咬合不良歯牙部の所要の補綴物を作製し、上記補綴用ガイドプレートを治療する歯牙の咬合不良歯牙部に被せて咬合不良歯牙部の所要の切削を施し、上記歯型模型で作製した補綴物を切削した咬合不良歯牙部に接着して正常な咬合状態にすることを特徴とする歯の咬合再構成方法を提供するものである。   The present invention has been made in view of the above points, and in order to solve the above-mentioned problems, a prosthetic portion of a tooth portion with poor occlusion is determined by preparing a dental model of upper and lower teeth for dental treatment. In addition, a prosthetic guide plate for a poorly occluded tooth portion is produced using the tooth model, and the occluded tooth portion of the dental mold model is cut through the prosthetic guide plate to obtain the occlusal tooth portion. The occlusal defect which produced the required prosthesis, applied the required cutting of the occlusal tooth part to the occluded tooth part of the tooth to be treated with the above-mentioned prosthetic guide plate, and cut the prosthesis made with the above tooth model The present invention provides a method for reconstructing occlusion of a tooth, characterized in that it is bonded to a tooth portion to obtain a normal occlusion state.

また、本発明は、歯型模型を所要の咬合器に装着して上下の歯の咬合状態を診断することを特徴とする歯の咬合再構成方法を提供するものである。   The present invention also provides a tooth occlusion reconstruction method characterized in that a dental model is mounted on a required articulator to diagnose the occlusal state of upper and lower teeth.

さらに、本発明は、咬合不良歯牙部に補綴用ガイドプレート作製堤を作って所要のガイドプレート材料を注入して補綴用ガイドプレートを作製することを特徴とする歯の咬合再構成方法を提供するものである。   Furthermore, the present invention provides a dental occlusal reconstruction method characterized in that a prosthetic guide plate production bank is formed in a poorly occluded tooth and a required guide plate material is injected to produce a prosthetic guide plate. Is.

さらにまた、本発明は、補綴用ガイドプレートの不良歯牙切削用の開口部を平面状に開口し、補綴物の接着面を平面状に形成し、補綴用ガイドプレートを治療する不良歯牙部に被覆してその平面状の開口部を介して不良歯牙部の所要部を平面状に切削して補綴物を接着することを特徴とする歯の咬合再構成方法を提供するものである。   Furthermore, the present invention provides an opening for cutting a defective tooth of a prosthetic guide plate in a flat shape, a bonding surface of the prosthesis is formed in a flat shape, and covers the defective tooth portion for treating the prosthetic guide plate. Then, a tooth occlusion reconstruction method is provided, in which a required portion of a defective tooth portion is cut into a flat shape through the flat opening and the prosthesis is bonded.

本発明は、特許請求の範囲の請求項1に記載のように、歯科の治療用に上下の歯の歯型模型を作製して咬合不良歯牙部の補綴部を決定するとともに、当該歯型模型にて咬合不良歯牙部の補綴用ガイドプレートを作製し、当該歯型模型の咬合不良歯牙部に上記補綴用ガイドプレートを介して所要の切削を施して咬合不良歯牙部の所要の補綴物を作製することによって、治療現場でなく、歯型模型によって治療者の歯の咬み合わせ不良の原因を十分に診断でき、不良歯牙部の切削量を決定して、予め歯型模型に不良歯牙部の補綴を施せ、歯型模型を介して装着時用の補綴用ガイドプレートを技工上で作製できる。そのため、印象日には、歯を削らずに、現況の印象のみを行い、したがって麻酔は要らなく、歯を削らないので、仮歯のラミネートベニアの製作は必要なく、その脱離もなく治療できる。   According to the present invention, as described in claim 1 of the present invention, a dental model of upper and lower teeth is prepared for dental treatment to determine a prosthetic portion of a tooth portion with poor occlusion, and the dental model The prosthesis guide plate for the occlusal defect tooth part is prepared, and the necessary occlusion tooth part of the dental model is cut through the prosthetic guide plate to produce the required prosthesis for the occlusal tooth part. By doing this, you can fully diagnose the cause of the occlusion of the teeth of the therapist by the dental model, not at the treatment site, determine the cutting amount of the defective tooth part, and pre-prosthesis of the defective tooth part in the dental model beforehand Thus, a guide plate for prosthesis for mounting can be produced technically through a tooth model. Therefore, on the impression day, only the current impression is performed without shaving the teeth, and therefore, anesthesia is not required, and the teeth are not shaved. Therefore, there is no need to manufacture a temporary veneer laminate veneer and it can be treated without detachment.

そして、上記補綴用ガイドプレートを治療する歯牙の咬合不良歯牙部に被せて咬合不良歯牙部の所要の切削を施し、上記歯型模型で作製した補綴物を切削した咬合不良歯牙部に接着して正常な咬合状態にすることによって、歯型模型で作製した補綴用ガイドプレートにより歯質を削る量を最小限にできて、歯を全く切削しない、または少ししか切削しなく、麻酔を殆んど要らなく、仮歯のラミネートベニア装着、脱離の必要が無い。
そのため、従来のように患者の不良歯牙部の歯茎部に麻酔注射をして不良歯牙の必要個所を切削する必要なく、患者に苦痛を与えることなく、仮歯の装着、脱離処置も行うこともなく、比較的短時間に、かつ特に熟練を要することなく、最小限の介入で治療することができる。
Then, the prosthetic guide plate is covered with a poorly occluded tooth portion of the tooth to be treated, and the required occlusal tooth portion is cut, and the prosthesis prepared by the above tooth model is bonded to the cut occluded tooth portion. With normal occlusion, the amount of tooth removal can be minimized with a prosthetic guide plate made of a dental model, with little or no tooth cutting and almost anesthesia. There is no need for temporary veneer laminate veneer attachment and removal.
Therefore, it is not necessary to inject anesthesia into the gums of the patient's bad tooth part and cut the necessary part of the bad tooth as in the past, and to perform temporary tooth attachment and removal treatment without causing pain to the patient. And can be treated with minimal intervention in a relatively short time and without special skill.

また、請求項2に記載のように、歯型模型を所要の咬合器に装着して上下の歯の咬合状態を診断することによって、所要の上下の歯の咬合状態を精度よく再現でき、精度よく診断できて、上記のように治療できる。   In addition, as described in claim 2, the occlusal state of the upper and lower teeth can be accurately reproduced by attaching the dental model to the required articulator and diagnosing the occlusal state of the upper and lower teeth. Can be diagnosed well and treated as described above.

さらに、請求項3に記載のように、咬合不良歯牙部に補綴用ガイドプレート作製堤を作って所要のガイドプレート材料を注入して補綴用ガイドプレートを作製することによって、歯型模型によって患者の歯の咬み合わせ不良歯牙部の補綴物を作製できて、上記のように治療できる。   Furthermore, as described in claim 3, by creating a prosthetic guide plate levee in a poorly occluded tooth and injecting a required guide plate material to produce a prosthetic guide plate, A prosthesis for a tooth portion with poor tooth occlusion can be produced and treated as described above.

さらにまた、請求項4に記載のように、補綴用ガイドプレートの不良歯牙切削用の開口部を平面状に開口し、補綴物の接着面を平面状に形成し、補綴用ガイドプレートを治療する不良歯牙部に被覆してその平面状の開口部を介して不良歯牙部の所要部を平面状に切削して補綴物を接着することによって、補綴用ガイドプレートを介して不良歯部に平面状の補綴面を容易に精度よく作製でき、補綴物の接着面も平面状態なので、補綴物の接着が簡単にできて治療することができる。   Furthermore, as described in claim 4, the defective tooth cutting opening of the prosthetic guide plate is opened in a planar shape, the adhesive surface of the prosthesis is formed in a planar shape, and the prosthetic guide plate is treated. Covering the defective tooth part and cutting the required part of the defective tooth part into a flat shape through the planar opening and bonding the prosthesis, the flat part on the defective tooth part via the prosthetic guide plate Since the prosthetic surface of the prosthesis can be easily and accurately produced and the adhesive surface of the prosthesis is also in a flat state, the prosthesis can be easily adhered and treated.

初診時の診断用模型の比較用図(a)、(b)、Comparison diagrams (a), (b) of the diagnostic model at the first visit 本発明の一実施例の上下の歯型を型取りして咬合器に装着した状態図、The state figure which took the upper and lower tooth molds of one embodiment of the present invention and attached to the articulator, 同上の歯型模型による咬合不良歯牙部の説明用図(a)、(b)、Explanatory drawing (a), (b) of the occlusal defect tooth part by a tooth type model same as the above, 同上の咬合不良歯牙部の補綴用ガイドプレート作製堤の説明用図、An explanatory view of a guide plate making dyke for prosthesis of the occlusal defective tooth part, 同上の咬合不良歯牙部の第1面の補綴用ガイドプレート作製の説明用図(a)、(b)、Explanatory drawing (a), (b) of explanatory drawing of guide plate preparation for prosthesis of the 1st surface of the occlusion bad tooth part same as the above. 同上の咬合不良歯牙部の第1面の補綴用ガイドプレートによる補綴説明用図、The prosthetic explanatory drawing by the guide plate for prosthesis of the 1st surface of the occlusal defect tooth part same as the above, 同上の咬合不良歯牙部の第2面の補綴用ガイドプレート作製の説明用図(a)、(b)、Explanatory drawing (a), (b) for explanatory drawing of prosthetic guide plate preparation of the 2nd surface of the occlusal defect tooth part same as the above. 同上の咬合不良歯牙部の第1面、第2面の補綴用ガイドプレート説明用図(a)、(b)、(A), (b) for explaining the guide plate for prosthesis on the first surface and the second surface of the occlusal defective tooth portion as above; 同上の補綴物作製の説明用図(a)、(b)、Explanatory diagrams (a), (b), and 同上の作製した補綴物の斜視図(a)と研磨仕上げした斜視図(b)、A perspective view (a) of the prosthesis produced as above and a perspective view (b) polished and finished, 同上の作製した補綴物を歯型模型に被せた状態の説明用図、Explanatory drawing of the state where the prosthesis produced as above is put on the tooth model, 同上の第1面の補綴用ガイドプレートを被治療部に被せた治療説明用図(a)、(b)、(c)、Treatment explanatory views (a), (b), (c), covering the treatment target portion with the prosthetic guide plate on the first surface same as above. 同上の第2面の補綴用ガイドプレートを被治療部に被せた治療説明用図(a)と補綴用ガイドプレートを外した治療説明用図(b)、The treatment explanatory view (a) with the prosthetic guide plate on the second surface same as the above and the treatment explanatory view (b) with the prosthetic guide plate removed, 同上の被治療部に接着した補綴物の隅角取りの説明用図、Explanatory drawing of the chamfering of the prosthesis adhered to the treated part as above, 同上の被治療部の治療完成説明図、The treatment completion explanatory drawing of the treated part same as the above, 同上の他の実施例の咬合不良歯牙部の補綴用ガイドプレートによる補綴説明用図(a)、補綴用ガイドプレートを被治療部に被せた治療説明用図(b)、補綴用ガイドプレートによる補綴治療説明用図(c)。Prosthesis explanatory diagram (a) using a prosthetic guide plate for a poorly occluded tooth portion according to another embodiment of the same as above, a treatment explanatory diagram (b) covering a treatment target portion with a prosthetic guide plate, Treatment explanatory drawing (c).

本発明の歯の咬合再構成方法は、歯科の治療用に上下の歯の歯型模型を作製して咬合不良歯牙部の補綴部を決定するとともに、当該歯型模型にて咬合不良歯牙部の補綴用ガイドプレートを作製し、当該歯型模型の咬合不良歯牙部に上記補綴用ガイドプレートを介して所要の切削を施して咬合不良歯牙部の所要の補綴物を作製し、上記補綴用ガイドプレートを治療する歯牙の咬合不良歯牙部に被せて咬合不良歯牙部の所要の切削を施し、上記歯型模型で作製した補綴物を切削した咬合不良歯牙部に接着して正常な咬合状態にすることを特徴としている。   In the tooth occlusion reconstruction method of the present invention, a dental model of upper and lower teeth is prepared for dental treatment to determine a prosthetic portion of the occluded tooth part, and the tooth model of the occluded tooth part is determined by the tooth model. Prosthetic guide plate is prepared, and the required occlusion tooth portion of the dental model is cut through the prosthetic guide plate to produce the required prosthesis for the occluded tooth portion. The prosthetic guide plate Apply the required cutting of the occlusal tooth part to the tooth part with poor occlusion of the tooth to be treated, and adhere the prosthesis prepared with the above tooth model to the cut occlusal tooth part to obtain a normal occlusion state It is characterized by.

顎関節症であると肩凝りが起こり、歯の咬み合いがよくないことが原因となっていることが多い。また、広範囲にわたる浅在性▼う▲蝕による問題で、治療が必要となる。そこで、治療にあたっては、患者の主訴を考慮して、ラミネートベニアによる修復が適当と診断して治療が決定した際、図1(a)、(b)のように初診時の患者の口腔内の状況把握用模型と保存用のワックスアップした診断用模型を作製し、これらを比較して、本発明の適用か、従来の印象時に歯を削るラミネートベニアあるいは被覆冠かを決定する。   In temporomandibular disorders, stiff shoulders are often caused by poor tooth biting. In addition, a wide range of superficial caries problems require treatment. Therefore, in the treatment, the patient's chief complaint is taken into consideration, and when the treatment is determined by diagnosing that the repair by the laminate veneer is appropriate, the situation in the oral cavity of the patient at the first visit as shown in FIGS. 1 (a) and 1 (b) A grasping model and a wax-up diagnostic model for storage are prepared, and these are compared to determine whether to apply the present invention or to a laminated veneer or a coated crown for shaving teeth at the time of conventional impressions.

そして、本発明手段が適切と決定したとき、シリコン印象材等にて該当顎の印象(型取り)を行い、シリコンバイト等にて正確に上下の歯1の咬み合わせ状況の記録を取る。そして、図2のように歯1の歯型取りして作製した上下の歯型模型2、3を咬合器4に装着し、咬合器4で咬合診断して歯型模型2、3にて削る必要のある不良歯牙5の要切削部に図3(a)、(b)のようにその部位を鉛筆や色鉛筆等のマーク手段で印を付けて分かり易くしておくのが好ましい。   When the means of the present invention is determined to be appropriate, the impression (molding) of the corresponding jaw is performed with a silicon impression material or the like, and the biting status of the upper and lower teeth 1 is accurately recorded with a silicon tool or the like. Then, as shown in FIG. 2, the upper and lower tooth model 2, 3 produced by taking the tooth shape of the tooth 1 is attached to the articulator 4, the occlusion diagnosis is performed by the articulator 4, and the tooth model 2, 3 is cut. As shown in FIGS. 3A and 3B, it is preferable that the necessary cutting portion of the defective tooth 5 is marked with a marking means such as a pencil or a colored pencil so as to be easily understood.

歯型模型2、3を作製するには、幾何学的配置形態で光学的や工学的手段でスキャンするなど適宜な手段で作製することもできる。   The tooth models 2 and 3 can be produced by appropriate means such as scanning with optical or engineering means in a geometric arrangement.

そこで、図4のように該当の不良歯牙5部を含めた前後の歯型模型2、3の不良歯牙5部の全表面とその周囲の歯牙部をワックス等で薄く包囲するとともに、アンダーカット部をワックス等にてブロックアウトし、図のようにその周囲を1〜2cm程の所定幅でパラフィンワックス等にて囲んで補綴用ガイドプレート作製堤6を作る。   Therefore, as shown in FIG. 4, the entire surface of the defective tooth 5 part of the front and rear tooth models 2 and 3 including the corresponding defective tooth part 5 and the surrounding tooth part are thinly surrounded with wax or the like, and the undercut part. Is blocked out with wax or the like, and the periphery is surrounded by paraffin wax or the like with a predetermined width of about 1 to 2 cm as shown in the figure to make a prosthetic guide plate preparation bank 6.

そして、図5(a)のようにその補綴用ガイドプレート作製堤6内に重合レジン等の所要のガイドプレート材料7を流し込んで補綴用ガイドプレート8の原型を作る。形成予定の不良歯牙5部の即時重合レジン等のガイドプレート材料7は、その厚みを薄くし、ガイドプレート材料7部と不良歯牙5部を一緒に削る際に部位を分かり易くすることが好ましい。   Then, as shown in FIG. 5A, a required guide plate material 7 such as a polymerization resin is poured into the prosthetic guide plate preparation bank 6 to make a prototype of the prosthetic guide plate 8. It is preferable to reduce the thickness of the guide plate material 7 such as an immediate polymerization resin of 5 parts of the defective tooth to be formed so that the site can be easily understood when the 7 parts of the guide plate material and the 5 part of the defective tooth are cut together.

重合レジン等のガイドプレート材料7が硬化したら、図5(b)のようにパラフィンワックス等の補綴用ガイドプレート作製堤6を除去し、図のようにレジン等の補綴用ガイドプレート8を歯型模型2から取り外し、図6のように補綴用ガイドプレート8を歯型模型2の不良歯牙5部に戻し、形成該当部位の補綴用ガイドプレート8を介して不良歯牙5の要切削部を所要厚のラミネートベニアを補綴可能に一緒に削る。   When the guide plate material 7 such as a polymerized resin is cured, the guide plate preparation ridge 6 such as paraffin wax is removed as shown in FIG. 5B, and the prosthetic guide plate 8 such as a resin is toothed as shown in the figure. Remove from the model 2 and return the prosthetic guide plate 8 to the defective tooth 5 part of the tooth model 2 as shown in FIG. 6, and the necessary cutting portion of the defective tooth 5 through the prosthetic guide plate 8 at the formation target site to the required thickness. The laminate veneer is shaved together so that it can be prosthetic.

その際、不良歯牙5の要切削部は、直線的かつ平面的に削るのが好ましく、その削りに使用するバーの形態はシリンダー型が良く、診療室で使用するバーと同型のものが望ましい。こうして所要の第1面用の補綴用ガイドプレート8を作製することができる。   At this time, it is preferable to cut the required cutting portion of the defective tooth 5 linearly and planarly, and the shape of the bar used for the cutting is preferably a cylinder type, and preferably the same type as the bar used in the clinic. In this way, the required prosthetic guide plate 8 for the first surface can be produced.

そのため、補綴用ガイドプレート8の補綴用面を平面状に開口すると、不良歯牙5部の補綴面を平面状に切削でき、補綴物9を平面状態の接着面として、簡単にその接着ができて補綴治療することができて好ましい。   Therefore, when the prosthetic surface of the prosthetic guide plate 8 is opened in a flat shape, the prosthetic surface of the defective tooth 5 part can be cut into a flat shape, and the prosthesis 9 can be easily bonded as a flat adhesive surface. Prosthetic treatment is preferable.

第2面目等の形成が必要な場合には、図7(a)、(b)のように上記と同様にして歯型模型2、3の所要の不良歯牙5部にて形成し、第2面等の補綴用ガイドプレート8を作製することができる。このようにして図8(a)、(b)のように所要の第1面、第2面等の補綴用ガイドプレート8を作製することができる。   When the formation of the second surface or the like is necessary, it is formed with the required defective tooth 5 part of the tooth model 2, 3 in the same manner as described above as shown in FIGS. 7 (a) and 7 (b). A guide plate 8 for prosthesis such as a surface can be produced. In this way, the prosthetic guide plate 8 having the required first and second surfaces can be produced as shown in FIGS. 8 (a) and 8 (b).

このような補綴用ガイドプレート8としては、図8(a)、(b)のように上下顎の咬合面や頬側面の所要の第1面、第2面等のように断面がコ字状やL字状として不良歯牙5部に嵌装状態に引っ掛けるような形態とすることが、不良歯牙5部に被せて補綴治療をし易くできて好ましい。また、補綴用ガイドプレート8は、図8(a)、(b)のようにやや長めに形成して作業し易くすることが好ましく、さらに補綴用ガイドプレート8を上記の第1面と第2面等を一体的に形成した補綴用ガイド材として補綴治療をし易くするようにもできる。   Such a prosthetic guide plate 8 has a U-shaped cross section as shown in FIGS. 8 (a) and 8 (b), such as the required first and second surfaces of the upper and lower jaws and the cheek side. It is preferable that the shape is such that it is hooked on the defective tooth 5 part as an L-shape so that the prosthetic treatment can be easily performed by covering the defective tooth 5 part. The prosthetic guide plate 8 is preferably formed to be slightly longer as shown in FIGS. 8A and 8B so that the prosthetic guide plate 8 can be easily operated. As a prosthetic guide material integrally formed with a surface or the like, the prosthetic treatment can be facilitated.

このように形成された歯型模型2、3を咬合器4に装着し、該当部位とその咬み合う歯とのクリアランス(隙間)が適正であることを確認し、適正である場合、本発明によるラミネートベニアを製作する。そのセラミック製等のラミネートベニアの製作には種々の方法はあり、たとえば図9(a)、(b)のように作業用歯型模型にワックスアップ(補綴用型を作り)し、それを所要のセラミック等の圧迫鋳造器を使用して作製することができる。   When the dental model 2 or 3 formed in this way is mounted on the articulator 4, it is confirmed that the clearance (gap) between the corresponding part and the tooth to be engaged is appropriate, and if it is appropriate, the present invention Make laminate veneers. There are various methods for manufacturing a laminate veneer made of ceramic or the like. For example, as shown in FIGS. 9 (a) and 9 (b), a working tooth model is waxed up (making a prosthetic mold), and then the required shape is obtained. It can be made using a compression caster such as ceramic.

作業用歯型模型にワックスアップして注入したセラミック等の補綴物成形材料は、埋没圧迫鋳造して図10(a)のようにラミネートベニアを圧迫鋳造し、図10(b)のように所要の研磨をして技工物の補綴物9を作製でき、図11のように歯型模型2に装着することができる。   The prosthetic molding material such as ceramic that has been waxed up and injected into the working tooth model is subjected to buried compression casting and compression casting a laminate veneer as shown in FIG. 10 (a). The prosthesis 9 of the technical product can be produced by polishing, and can be attached to the tooth model 2 as shown in FIG.

不良歯牙5部には、上記したように補綴用ガイドプレート8の平面状に開口部によって、その被覆部を平面状の補綴面としているので、不良歯牙5部の平面状の補綴面に補綴物9の平面状の接着面を接着でき、補綴物9の接着が簡単にできて治療することができる。   As described above, since the covering portion of the defective tooth 5 part is a flat prosthetic surface by the flat opening of the prosthetic guide plate 8, the prosthesis is provided on the flat prosthetic surface of the defective tooth 5 part. 9 planar adhesive surfaces can be adhered, and the prosthesis 9 can be easily adhered and treated.

このような補綴用テンプレート8の作製にあっても、上記したように歯型模型2、3を幾何学的配置形態で光学的や工学的手段でスキャンして作製したデータの保存にもとづいて作製することも可能であり、補綴物9についても作製したデータの保存にもとづいて作製することも可能である。   Even in the production of such a prosthetic template 8, as described above, it is produced on the basis of storage of data produced by scanning the tooth model 2 or 3 in a geometric arrangement form by optical or engineering means. It is also possible to produce the prosthesis 9 based on the storage of the produced data.

そして、診療室の患者の口腔内へ装着するには、図12(a)のように上記第1面の補綴用ガイドプレート8を該当部の不良歯牙5部に嵌装して試適して適合安定を確認し、図12(b)のように不良歯牙5と補綴用ガイドプレート8との要切削部の境目部分に歯科用マーカーの着色等で識別して明瞭化し、図12(c)のように着色した識別部10より飛び出している不良歯牙5の要切削部を直線的かつ平面的に着色等の識別部10が削り落とされるまで切削する。そのため、本発明では、歯牙形成を歯型模型2、3により断続的に行うことにより、浸潤麻酔は殆ど不要にできる。
なお、図13(a)、(b)のように第2面等の補綴にあっても、上記したようにして同様に行うことができる。
Then, for mounting in the oral cavity of the patient in the clinic, as shown in FIG. 12 (a), the above-mentioned first-surface prosthetic guide plate 8 is fitted into the corresponding portion of the defective tooth 5 so as to be adapted. As shown in FIG. 12 (b), the stability is confirmed and clarified by coloring the dental marker or the like at the boundary between the defective tooth 5 and the prosthetic guide plate 8 at the required cutting portion. Thus, the necessary cutting portion of the defective tooth 5 protruding from the colored identification portion 10 is cut linearly and planarly until the identification portion 10 such as coloring is scraped off. Therefore, in the present invention, the infiltration anesthesia can be made almost unnecessary by performing the tooth formation intermittently by the tooth models 2 and 3.
In addition, even if it exists in prosthetics, such as a 2nd surface, as FIG. 13 (a), (b), it can carry out similarly as mentioned above.

そして、図14のように形成の最後に、第1面、第2面等の補綴物9の隅角を研磨して装着する補綴物9の応力局所集中を防いで、後にセメント接着する際の適合を向上させるものである。   And at the end of formation as shown in FIG. 14, the corners of the prosthesis 9 such as the first surface and the second surface are polished to prevent local stress concentration of the prosthesis 9 to be mounted, and when cementing later. It improves the fit.

このようにして、上記のようにして作製したラミネートベニアの補綴物9を図15のように通法にしたがって不良歯牙5部に接着して治療できる。したがって、従来のラミネートベニア法に比べて、現代社会で望まれている最少介入(Minimum Intervation)で治療できる。   In this way, the laminated veneer prosthesis 9 produced as described above can be treated by adhering to the defective tooth 5 part according to a conventional method as shown in FIG. Therefore, compared with the conventional laminate veneer method, it can be treated with the minimum intervention desired in the modern society.

なお、不良歯牙5部の補綴用ガイドプレート8を図16(a)、(b)、(c)のように歯1の咬合面と頬側面とを一体的に作製して、上記のように補綴治療することもでき、また咬合面の咬合状態を調整可能に補綴用ガイドプレート8を作製するなど、患者の歯の状況に応じて適宜の実施態様のものとすることができる。   As shown in FIGS. 16A, 16B, and 16C, the occlusal surface and the cheek side surface of the tooth 1 are integrally manufactured as shown in FIGS. Prosthetic treatment can also be performed, and the prosthetic guide plate 8 can be prepared so that the occlusal state of the occlusal surface can be adjusted.

上記では、顎関節症や浅在性▼う▲蝕の患者の治療の不良歯牙部について説明したが、前歯等の変色歯の美容整形用にも適用可能であり、さらに上記した本発明の趣旨にもとづいて他の実施態様を採択することができる。   In the above description, the defective tooth portion of the treatment for patients with temporomandibular disorders and superficial caries has been described. Other embodiments can be adopted based on the above.

図2以下は、本発明の実施例である。顎関節症等による上下顎の咬合面の咬み合いの矯正にあって、本発明の適用が有効と判断できると、シリコン印象材にて該当顎の印象(型取り)を行い、上下の歯1の位置関係をシリコンバイトにて正確に上下の歯1の咬み合わせ状況の記録を取っておく。そして、歯1の上下の歯型模型2、3を作製し、図2のように歯1の上下の歯型模型2、3を咬合器4に装着する。   FIG. 2 and the following are examples of the present invention. When correcting the occlusal surfaces of the upper and lower jaws due to temporomandibular disorders and the like, and it can be judged that the application of the present invention is effective, the impression of the corresponding jaw (molding) is performed with a silicone impression material, and the upper and lower teeth 1 Keep a record of the bite status of the upper and lower teeth 1 with a silicon bite. Then, the upper and lower tooth models 2 and 3 of the tooth 1 are produced, and the upper and lower tooth models 2 and 3 of the tooth 1 are attached to the articulator 4 as shown in FIG.

そして、咬合器4上の歯型模型2、3にて削る必要のある不良歯牙5を診断して決定し、図3(a)、(b)のようにその要切削部位を色鉛筆のマーク手段で印を付け、図4のように該当の不良歯牙5部を含めた前後の歯型模型2の不良歯牙5部の全表面とその周囲の歯牙部をワックスで薄く包囲し、アンダーカット部をワックスにてブロックアウトする。そして、図のようにその周囲を2cm程の所定幅をパラフィンワックスにて囲んで補綴用ガイドプレート作製堤6を作る。   Then, a defective tooth 5 that needs to be cut by the tooth model 2 or 3 on the articulator 4 is diagnosed and determined, and the cutting required portion is marked with a colored pencil as shown in FIGS. 3 (a) and 3 (b). As shown in FIG. 4, thinly surround the entire surface of the defective tooth 5 part and the surrounding tooth part of the dental model 2 including the corresponding bad tooth 5 part with a wax as shown in FIG. Block out with wax. Then, as shown in the drawing, a predetermined width of about 2 cm is surrounded by paraffin wax to make a prosthetic guide plate preparation bank 6.

そこで、図5(a)のようにその補綴用ガイドプレート作製堤6内に所要の重合レジンのガイドプレート材料7を流し込み、形成予定の不良歯牙5部の即時重合レジンのガイドプレート材料7の厚みを薄くした補綴用ガイドプレート8の原型を作る。   Therefore, as shown in FIG. 5 (a), the guide plate material 7 of the required polymerization resin is poured into the prosthesis guide plate production bank 6, and the thickness of the guide plate material 7 of the immediate polymerization resin of the part 5 of the defective tooth to be formed is formed. A prototype of the prosthetic guide plate 8 having a reduced thickness is made.

そして、重合レジンのガイドプレート材料7が硬化したら、図5(b)のようにパラフィンワックスの補綴用ガイドプレート作製堤6を除去し、図のようにレジンの補綴用ガイドプレート8を歯型模型2から取り外し、図6のように補綴用ガイドプレート8を歯型模型2の不良歯牙5部に戻し、形成該当部位の補綴用ガイドプレート8を介して不良歯牙5の要切削部を一緒に直線的かつ平面的に診療室で使用するバーと同型のもので削っていく。こうして所要の第1面用の補綴用ガイドプレート8を作製することができる。   When the polymer resin guide plate material 7 is cured, the paraffin wax prosthetic guide plate preparation ridge 6 is removed as shown in FIG. 5B, and the resin prosthetic guide plate 8 is replaced with a tooth model as shown in the figure. 6, the prosthetic guide plate 8 is returned to the defective tooth 5 portion of the tooth model 2 as shown in FIG. 6, and the necessary cutting portion of the defective tooth 5 is straightened together via the prosthetic guide plate 8 at the formation target site. The bar is the same type as the bar used in the clinic. In this way, the required prosthetic guide plate 8 for the first surface can be produced.

不良歯牙5の部の頬側面の第2面目の形成の場合にも、図7(a)、(b)のように上記と同様にして歯型模型2の所要の不良歯牙5部にて形成し、第2面目の補綴用ガイドプレート8を作製し、形成該当部位の補綴用ガイドプレート8を介して不良歯牙5の要切削部を同様にして削っていく。こうして図8(a)、(b)のように所要の第1面用、第2面用の補綴用ガイドプレート8を作製することができる。   Also in the case of forming the second surface of the cheek side surface of the portion of the defective tooth 5, it is formed at the required defective tooth 5 portion of the tooth model 2 in the same manner as described above as shown in FIGS. 7 (a) and 7 (b). Then, the prosthetic guide plate 8 on the second surface is manufactured, and the necessary cutting portion of the defective tooth 5 is cut in the same manner through the prosthetic guide plate 8 at the formation target site. Thus, as shown in FIGS. 8A and 8B, the required prosthetic guide plate 8 for the first surface and the second surface can be manufactured.

上記のように形成された歯型模型2、3を咬合器4に装着し、該当部位とその咬み合う歯とのクリアランス(隙間)が適正であることを確認し、適正である場合、図9(a)、(b)のようにラミネートベニアを作業用歯型模型2にワックスアップし、所要のセラミック圧迫鋳造器(たとえばIvoclar Vivadent社製Ivoclar Vivadent Programat)を使用し、所要のセラミックの補綴物成形材料を注入して図10(a)のように作製していき、所要の研磨をして図10(b)のように技工物の補綴物9を完成できる。   When the tooth models 2 and 3 formed as described above are attached to the articulator 4, it is confirmed that the clearance (gap) between the corresponding part and the teeth to be engaged is appropriate, and when it is appropriate, FIG. As shown in (a) and (b), the laminate veneer is waxed up to the working tooth model 2 and the required ceramic compression caster (for example, Ivoclar Vivadent Program manufactured by Ivoclar Vivadent) is used to form the required ceramic prosthesis. The material is injected and manufactured as shown in FIG. 10A, and the necessary prosthesis 9 is completed as shown in FIG.

診療室の患者の口腔内へ装着するには、図12(a)のように上記第1面の補綴用ガイドプレート8を該当部の不良歯牙5部に嵌装状態に引っ掛けて試適して適合安定を確認し、図12(b)のように不良歯牙5部と補綴用ガイドプレート8との補綴用開口の境目部分に歯科用マーカーで着色して識別部10を付する。そして、図12(c)のように補綴用開口の着色部より飛び出している不良歯牙5の要切削部を直線的かつ平面的に着色した識別部10が削り落とされるまで切削していく。補綴用ガイドプレート8の切削用の開口部のまわりに識別しておくと、治療時の切削時に識別部10以上に切削すると、識別部10がなくなるので、切削限を認識できて、歯型模型2での作製と同様に処置でき、設定どおりの切削量の補綴処置ができて好ましい。   To fit into the oral cavity of the patient in the clinic, the prosthetic guide plate 8 on the first surface is hooked on the defective tooth 5 part of the corresponding part as shown in FIG. After confirming the stability, as shown in FIG. 12 (b), the identification portion 10 is attached by coloring the boundary portion of the prosthetic opening between the defective tooth 5 portion and the prosthetic guide plate 8 with a dental marker. Then, as shown in FIG. 12 (c), cutting is performed until the identification portion 10 that linearly and planarly colors the necessary cutting portion of the defective tooth 5 protruding from the coloring portion of the prosthetic opening is scraped off. If the area around the opening for cutting of the prosthetic guide plate 8 is identified, if the area is cut to the identification part 10 or higher at the time of cutting during treatment, the identification part 10 disappears, so that the cutting limit can be recognized, and the tooth model This is preferable because it can be treated in the same manner as the production in No. 2, and a prosthetic treatment with a cutting amount as set can be performed.

また、上記補綴部の接着面を平面状とすることによって、補綴物9の接着面も平面状として、補綴の接着面が平面同士となって、簡単に、かつ強固に確実に接着することができて好ましい。   In addition, by making the adhesive surface of the prosthetic portion flat, the adhesive surface of the prosthesis 9 can also be flat, and the adhesive surfaces of the prosthesis can be flat and easily and securely bonded securely and securely. This is preferable.

図13(a)のように該当部の不良歯牙5部の頬側面の第2面の補綴処置にあっても、上記したようにして同様に行っていく。そして、図14のように形成の最後に、第1面、第2面の補綴物9の隅角を研磨して装着する補綴物9の応力局所集中を防いでいき、図15のようにラミネートベニアを通法にしたがって不良歯牙5部に接着して治療できるものである。   Even in the second prosthetic treatment on the cheek side surface of the defective tooth 5 part of the corresponding part as shown in FIG. Then, as shown in FIG. 14, at the end of the formation, the corners of the prosthesis 9 on the first surface and the second surface are polished to prevent local stress concentration of the prosthesis 9 to be mounted. According to the conventional method, it can be treated by adhering to 5 parts of defective teeth.

したがって、治療現場でなく、歯1の型取りした歯型模型2、3によって患者の歯の咬み合わせ不良歯牙部を十分に診断でき、不良歯牙5部の補綴部を決定し、歯型模型2、3を介して補綴用ガイドプレート8を作製できる。そのため、印象日には、歯を削らずに、現況の印象のみを行い、したがって麻酔は要らなく、歯を削らないので、仮歯のラミネートベニアの製作は必要なく、その脱離もない。そして、治療日に、予め歯型模型2、3で作製した補綴用ガイドプレート8を不良歯牙5部に被せて、より歯質を削る量を最小限にできて、患者に苦痛を与えることなく、比較的短時間に、かつ特に熟練を要することなく、現代社会で望まれている最少介入で補綴治療ができるものである。   Therefore, it is possible to sufficiently diagnose the occluded tooth portion of the patient's teeth by using the tooth model 2 and 3 of the tooth 1 not at the treatment site, determine the prosthetic portion of the defective tooth 5 part, and the tooth model 2 3, the prosthetic guide plate 8 can be produced. Therefore, on the impression date, only the current impression is made without shaving the teeth, so no anesthesia is required and the teeth are not shaved, so there is no need to make a temporary veneer laminate veneer and no detachment. Then, on the treatment day, the prosthetic guide plate 8 prepared in advance with the tooth models 2 and 3 is placed on the defective tooth 5 part, so that the amount of tooth removal can be minimized and the patient is not painful. Prosthetic treatment can be performed in a relatively short period of time and with minimal intervention that is desired in modern society without requiring special skills.

図16(a)、(b)、(c)は、本発明の他の実施例で、不良歯牙5部の補綴用ガイドプレート8を歯1の咬合面と頬側面とを一体的に作製したものである。このようにして、不良歯牙5部の咬合面と頬側面とを一体的に作製し、1ないし複数個所の不良歯牙5部を上記のように補綴治療することもできる。また、図16(a)のように咬合面の咬合状態を調整可能に補綴用ガイドプレート8を作製し、上記のように補綴治療することもできる。   16 (a), 16 (b) and 16 (c) show another embodiment of the present invention, in which the occlusal surface and the cheek side surface of the tooth 1 are produced integrally with the prosthetic guide plate 8 having 5 defective teeth. Is. In this way, the occlusal surface and the cheek side surface of the 5 part of the defective tooth can be produced integrally, and one or a plurality of 5 parts of the defective tooth can be prosthetic treated as described above. Further, as shown in FIG. 16A, the prosthetic guide plate 8 can be manufactured so that the occlusal state of the occlusal surface can be adjusted, and the prosthetic treatment can be performed as described above.

上記では、顎関節症の患者の治療例について説明したが、浅在性▼う▲蝕の修復や変色歯の治療、その他の不良歯牙等の治療や美容用にも適用可能であり、また補綴部は平面状が好ましいが、平面状以外でも適用可能であり、上記した本発明の趣旨にもとづいて所要の補綴物成形材料を使用したり、歯型模型の作製に三次元モデル作製用のコンピューター等を利用して行うなど、他の実施態様を採択することができる。   In the above, treatment examples of patients with temporomandibular disorders have been described, but they can also be applied to superficial dental caries repair, discolored tooth treatments, other bad tooth treatments, and cosmetics. The part is preferably planar, but can be applied to other than planar, and a computer for preparing a three-dimensional model can be used for preparing a prosthetic molding material based on the gist of the present invention described above or for preparing a tooth model Other embodiments can be adopted, for example, using the above.

本発明は、顎関節症等の歯の咬合治療、広範囲の浅在性▼う▲蝕の修復や変色歯の治療歯の美容整形治療等に広く利用することができる。   The present invention can be widely used for dental occlusion treatment such as temporomandibular disorders, a wide range of superficial caries repair, and discolored tooth treatment.

1…歯 2…歯型模型 3…歯型模型 4…咬合器 5…不良歯牙 6…補綴用ガイドプレート作製堤 8…補綴用ガイドプレート 9、10…補綴物   DESCRIPTION OF SYMBOLS 1 ... Tooth 2 ... Tooth type model 3 ... Tooth type model 4 ... Articulator 5 ... Bad tooth 6 ... Prosthetic guide plate preparation bank 8 ... Prosthetic guide plate 9, 10 ... Prosthesis

さらにまた、本発明は、補綴用ガイドプレートの不良歯牙切削用の開口部のまわりを平面状として開口し、補綴物の接着面を平面状に形成し、補綴用ガイドプレートを治療する不良歯牙部に被覆してそのまわりを平面状とした開口部を介して不良歯牙部の所要部を平面状に切削して補綴物を接着することを特徴とする歯の咬合再構成方法を提供するものである。 Furthermore, the present invention is, around the opening for the defective tooth cutting prosthetic guide plate opening as a planar, an adhesive surface of the prosthesis is formed into a planar shape, defective tooth portions treating prosthetic guide plate The tooth occlusion reconstruction method is characterized in that a prosthesis is bonded by cutting a required portion of a defective tooth portion into a planar shape through an opening that is covered with a flat surface and surrounding the opening. is there.

さらにまた、請求項4に記載のように、補綴用ガイドプレートの不良歯牙切削用の開口部のまわりを平面状として開口し、補綴物の接着面を平面状に形成し、補綴用ガイドプレートを治療する不良歯牙部に被覆してそのまわりを平面状とした開口部を介して不良歯牙部の所要部を平面状に切削して補綴物を接着することによって、補綴用ガイドプレートを介して不良歯部に平面状の補綴面を容易に精度よく作製でき、補綴物の接着面も平面状態なので、補綴物の接着が簡単にできて治療することができる。 Furthermore, as described in claim 4, the prosthesis guide plate is opened in a flat shape around the defective tooth cutting opening, the adhesive surface of the prosthesis is formed in a flat shape, Defective through the prosthetic guide plate by cutting the required part of the defective tooth into a flat shape and bonding the prosthesis through an opening that covers the defective tooth to be treated and is flat around it Since a planar prosthetic surface can be easily and accurately produced on the tooth portion and the adhesive surface of the prosthesis is also in a flat state, the prosthesis can be easily adhered and treated.

不良歯牙5部には、上記したように補綴用ガイドプレート8のまわりを平面状とした開口部によって、その被覆部を平面状の補綴面としているので、不良歯牙5部の平面状の補綴面に補綴物9の平面状の接着面を接着でき、補綴物9の接着が簡単にできて治療することができる。 Defective tooth 5 parts by opening a flat around the prosthetic guide plate 8 as described above, since the the covering portion and the flat prosthesis surface, planar prosthetic surface of the defective tooth 5 parts The flat adhesive surface of the prosthesis 9 can be bonded to the prosthesis 9, and the prosthesis 9 can be easily bonded and treated.

Claims (4)

歯科の治療用に上下の歯の歯型模型を作製して咬合不良歯牙部の補綴部を決定するとともに、当該歯型模型にて咬合不良歯牙部の補綴用ガイドプレートを作製し、当該歯型模型の咬合不良歯牙部に上記補綴用ガイドプレートを介して所要の切削を施して咬合不良歯牙部の所要の補綴物を作製し、
上記補綴用ガイドプレートを治療する歯牙の咬合不良歯牙部に被せて咬合不良歯牙部の所要の切削を施し、上記歯型模型で作製した補綴物を切削した咬合不良歯牙部に接着して正常な咬合状態にすることを特徴とする歯の咬合再構成方法。
Prototype models of upper and lower teeth are prepared for dental treatment to determine the prosthetic part of the occluded tooth part, and a prosthetic guide plate for the occluded tooth part is prepared from the tooth model, The required prosthesis of the occlusal defective tooth part is prepared by performing the required cutting through the prosthetic guide plate on the occlusal defective tooth part of the model,
The above-mentioned prosthetic guide plate is covered with a tooth with a poor occlusion of the tooth to be treated, and the required occlusal tooth part is cut, and the prosthesis prepared with the above-mentioned dental model is adhered to the cut occlusal tooth part. A method for reconstructing occlusion of teeth, wherein the occlusal state is achieved.
歯型模型を所要の咬合器に装着して上下の歯の咬合状態を診断する請求項1に記載の歯の咬合再構成方法。   The tooth occlusion reconstruction method according to claim 1, wherein the occlusal state of the upper and lower teeth is diagnosed by attaching the tooth model to a required articulator. 咬合不良歯牙部に補綴用ガイドプレート作製堤を作って所要のガイドプレート材料を注入して補綴用ガイドプレートを作製する請求項1または2に記載の歯の咬合再構成方法。   The tooth occlusion reconstruction method according to claim 1 or 2, wherein a prosthetic guide plate preparation bank is formed in a tooth portion having poor occlusion and a required guide plate material is injected to prepare a prosthetic guide plate. 補綴用ガイドプレートの不良歯牙切削用の開口部を平面状に開口し、補綴物の接着面を平面状に形成し、補綴用ガイドプレートを治療する不良歯牙部に被覆してその平面状の開口部を介して不良歯牙部の所要部を平面状に切削して補綴物を接着する請求項1ないし3にいずれかに記載の歯の咬合再構成方法。   The opening for cutting the defective tooth of the prosthetic guide plate is opened in a flat shape, the adhesive surface of the prosthesis is formed in a flat shape, and the defective tooth portion for treating the prosthetic guide plate is covered with the flat opening. The tooth occlusion reconstruction method according to any one of claims 1 to 3, wherein a prosthesis is bonded by cutting a required portion of the defective tooth portion into a planar shape through the portion.
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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4902802B2 (en) * 2010-06-25 2012-03-21 株式会社松風 Denture grinding method, pre-dental denture grinding part calculation program, and occlusal state reproduction device
JP4964740B2 (en) * 2007-10-31 2012-07-04 小野塚 二郎 Wax denture manufacturing method

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP4964740B2 (en) * 2007-10-31 2012-07-04 小野塚 二郎 Wax denture manufacturing method
JP4902802B2 (en) * 2010-06-25 2012-03-21 株式会社松風 Denture grinding method, pre-dental denture grinding part calculation program, and occlusal state reproduction device

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