JP2019000615A - Partial denture - Google Patents

Partial denture Download PDF

Info

Publication number
JP2019000615A
JP2019000615A JP2017210275A JP2017210275A JP2019000615A JP 2019000615 A JP2019000615 A JP 2019000615A JP 2017210275 A JP2017210275 A JP 2017210275A JP 2017210275 A JP2017210275 A JP 2017210275A JP 2019000615 A JP2019000615 A JP 2019000615A
Authority
JP
Japan
Prior art keywords
dentition
tooth
teeth
partial denture
engagement member
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP2017210275A
Other languages
Japanese (ja)
Inventor
宏 重村
Hiroshi Shigemura
宏 重村
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to JP2017210275A priority Critical patent/JP2019000615A/en
Priority to PCT/JP2018/012329 priority patent/WO2018220970A1/en
Publication of JP2019000615A publication Critical patent/JP2019000615A/en
Pending legal-status Critical Current

Links

Images

Landscapes

  • Dental Prosthetics (AREA)

Abstract

To provide a partial denture that does not require cutting of remaining teeth or alveolar bone as in a crown bridge or implant, and can be attached without using a dental plate as in a partial plate denture while allowing removal.SOLUTION: A partial denture includes: an artificial tooth; an inner engaging member that supports the artificial tooth and engages with an inside of a tooth row; and an outer engaging member that is coupled to an inner engaging member or an artificial tooth, that is elastic, that is elastically deformed away from the inner engaging member to allow insertion of the tooth row between the inner and outer engaging members, and that is elastically restored to engage with the outside of the tooth row. The inner engaging member has first engaging sections that engage with respective inclined sections of a plurality of teeth in the tooth row, the inclined sections being inclined further in a spreading direction as getting closer to tooth roots. The outer engaging member has a second engaging section that engages with an undercut section of at least one tooth in the tooth row, the undercut section being inclined in a direction opposite to a direction in which the inclined sections are inclined.SELECTED DRAWING: Figure 4

Description

本発明は、取り外し可能な部分義歯に関する。   The present invention relates to a removable partial denture.

部分的に欠損した歯を補う歯科用補綴物として、古くから部分床義歯が用いられている。また、その後、クラウンブリッジやインプラントも用いられるようになってきた。そして、使用者の利便性に鑑みた歯科用補綴物が各種提案されており、部分床義歯であれば、特許文献1ないし5に記載されたものがその一例である。   Partial dentures have been used for a long time as dental prostheses for partially missing teeth. Later, crown bridges and implants have also been used. Various dental prostheses have been proposed in view of user convenience, and those described in Patent Documents 1 to 5 are examples of partial dentures.

特開平7−236647号公報Japanese Patent Laid-Open No. 7-236647 特開2015−109965号公報JP2015-109965A 特開2016−196号公報Japanese Unexamined Patent Publication No. 2016-196 特開2004−254911号公報JP 2004-254911 A 特開2004−89443号公報JP 2004-89443 A

部分床義歯は、義歯床に人工歯を設けたものを歯列の欠損部における歯槽堤に被せて装着するものであり、人工歯にかかる咬合力は、歯槽堤の歯肉(粘膜)に作用するようになっている。そのため、部分床義歯においては、強力な咬合力を必要とする硬い食べ物は食べられないという問題がある。   Partial dentures are artificial denture bases with artificial teeth that are placed on the alveolar ridge in the missing part of the dentition. The occlusal force applied to the artificial teeth acts on the gums (mucous membrane) of the alveolar ridge. It is like that. Therefore, partial dentures have a problem that hard foods that require a strong bite force cannot be eaten.

また、部分床義歯の中には、残存歯に一部咬合力を負担させるためや義歯の装着を安定させるために、残存歯に係合するクラスプを設けたものがある。しかし、この構造によれば、咬合力が柔軟性のある歯肉と動きにくい残存歯の両者に作用し、荷重にアンバランスが生じるため、残存歯にかかる負担が大きく、この残存歯の寿命を縮めるという問題がある。   Some partial dentures are provided with a clasp that engages with the remaining teeth in order to apply a partial occlusal force to the remaining teeth and to stabilize the attachment of the dentures. However, according to this structure, the occlusal force acts on both the flexible gingiva and the remaining tooth that is difficult to move, and the load is unbalanced. Therefore, the burden on the remaining tooth is large, and the life of the remaining tooth is shortened. There is a problem.

クラウンブリッジは、人工歯の両側に一体形成されたクラウンを歯列の欠損部の前後に位置する残存歯に被せて装着するものである。そのため、クラウンブリッジにおいては、クラウンを残存歯に被せるためにクラウンの厚さだけ健全な残存歯を切削しなければならないという問題がある。   In the crown bridge, crowns integrally formed on both sides of the artificial tooth are attached to the remaining teeth positioned before and after the missing portion of the dentition. Therefore, in the crown bridge, in order to cover the remaining tooth with the crown, there is a problem that the healthy remaining tooth must be cut by the thickness of the crown.

インプラントは、人工歯根を歯槽骨に植立し、人工歯根の上端部に人工歯を固着するものである。そのため、インプラントにおいては、人工歯根を歯槽骨に植立するために歯肉を切開するとともに歯槽骨を切削しなければならないという問題がある。加えて、人工歯根は、自然歯根と異なり、歯根膜を介さず、歯槽骨に直接植立される。そのため、インプラントにおいては、適度なクッション性が得られないという問題がある。さらに、インプラントにおいては、周辺粘膜の歯垢や口腔内細菌に対する防御機構も存在しない。   In the implant, an artificial tooth root is planted in the alveolar bone, and the artificial tooth is fixed to the upper end portion of the artificial tooth root. Therefore, in an implant, in order to plant an artificial dental root in an alveolar bone, there exists a problem that a gum is cut and the alveolar bone must be cut. In addition, unlike the natural tooth root, the artificial tooth root is directly planted in the alveolar bone without going through the periodontal ligament. Therefore, the implant has a problem that an appropriate cushioning property cannot be obtained. Furthermore, in the implant, there is no protective mechanism against plaques in the surrounding mucous membranes and bacteria in the oral cavity.

そこで、本発明は、かかる事情に鑑みてなされたもので、クラウンブリッジやインプラントのように残存歯や歯槽骨の切削を伴わず、しかも、部分床義歯のように義歯床を用いることなく装着することができて、取り外しも可能な部分義歯を提供することを課題とするものである。   Therefore, the present invention has been made in view of such circumstances, and does not involve cutting of residual teeth or alveolar bone like a crown bridge or an implant, and is mounted without using a denture base like a partial denture. It is an object of the present invention to provide a partial denture that can be removed.

本発明に係る部分義歯は、
歯列の欠損部に配置される人工歯と、
人工歯を支持し、歯列の内側に係合する内側の係合部材と、
内側の係合部材又は人工歯に連結され、弾性を有し、内側の係合部材から離間する方向に弾性変形することで、内側の係合部材との間に歯列を挿入可能にするとともに、弾性復元することで、歯列の外側に係合する外側の係合部材とを備え、
内側の係合部材は、歯列における複数の歯のそれぞれの、歯根に向かうほど広がる方向に傾斜する傾斜部に係合する第一の係合部を備え、
外側の係合部材は、歯列における少なくとも一つの歯の、傾斜部とは反対側に傾斜するアンダーカット部に係合する第二の係合部を備える。
The partial denture according to the present invention is
An artificial tooth placed in the missing part of the dentition,
An inner engaging member that supports the artificial tooth and engages the inside of the dentition;
It is connected to the inner engagement member or artificial tooth, has elasticity, and elastically deforms in a direction away from the inner engagement member, thereby enabling insertion of a tooth row between the inner engagement member and the inner engagement member. And an outer engaging member that engages the outside of the dentition by elastically restoring,
The inner engagement member includes a first engagement portion that engages with an inclined portion that is inclined in a direction that widens toward the root of each of the plurality of teeth in the dentition,
The outer engaging member includes a second engaging portion that engages with an undercut portion that is inclined to the opposite side of the inclined portion of at least one tooth in the dentition.

かかる構成によれば、部分義歯を歯列に装着するに際しては、まず、部分義歯を歯列に対して適正な位置に合わせた後、歯根側に押し込む。これにより、第二の係合部が歯の外側面に当接して外側面の最大豊隆部に向かうのに伴い、外側の係合部材は内側の係合部材から離間する方向に弾性変更する。そして、第二の係合部が歯の外側面の最大豊隆部を超えると、外側の係合部材は弾性復元する。これにより、一対の係合部材が歯列の内側及び外側に係合し、部分義歯は歯列に装着される。   According to this configuration, when the partial denture is mounted on the dentition, first, the partial denture is adjusted to an appropriate position with respect to the dentition and then pushed into the root side. As a result, the outer engagement member elastically changes in a direction away from the inner engagement member as the second engagement portion comes into contact with the outer surface of the tooth and moves toward the maximum ridge of the outer surface. And if a 2nd engaging part exceeds the maximum bulge part of the outer surface of a tooth | gear, an outer engaging member will be elastically restored. As a result, the pair of engaging members engage with the inside and outside of the dentition, and the partial denture is mounted on the dentition.

そして、部分義歯が歯列に装着されると、第一の係合部が歯列の内側に係合するとともに、第二の係合部が歯列の外側に係合することで、一対の係合部材は、歯列を内側及び外側から挟み込むように係合する。したがって、部分義歯は、歯列の内外方向(水平方向)、咬合方向(上下方向)及び歯列に対する回転方向のいずれの方向においても、動くことなく、歯列に強固に装着される。   When the partial denture is mounted on the dentition, the first engagement portion engages with the inside of the dentition and the second engagement portion engages with the outside of the dentition. The engaging member engages so as to sandwich the tooth row from the inside and the outside. Therefore, the partial denture is firmly attached to the dentition without moving in any of the inner and outer directions (horizontal direction) of the dentition, the occlusal direction (vertical direction), and the rotation direction with respect to the dentition.

加えて、部分義歯を装着している間、第一の係合部は、歯列における複数の歯のそれぞれの、歯根に向かうほど広がる方向に傾斜する傾斜部に係合している。そのため、人工歯にかかる咬合力は、欠損部における歯槽堤には実質的には作用せず、複数の歯に分散される。   In addition, while the partial denture is mounted, the first engaging portion is engaged with each of the plurality of teeth in the dentition that is inclined in a direction that widens toward the root. Therefore, the occlusal force applied to the artificial tooth does not substantially act on the alveolar ridge in the defect portion and is distributed to a plurality of teeth.

さらに、部分義歯を装着している間、第二の係合部は、歯列における少なくとも一つの歯の、傾斜部とは反対側に傾斜する傾斜部であるアンダーカット部に係合している。そのため、部分義歯が歯列から抜けることはない。   Further, while the partial denture is mounted, the second engagement portion is engaged with an undercut portion that is an inclined portion inclined to the opposite side of the inclined portion of at least one tooth in the dentition. . Therefore, the partial denture does not come out of the dentition.

他方、部分義歯を歯列から取り外すときは、部分義歯を咬合側に引く。これにより、第二の係合部が歯の外側面の最大豊隆部に向かうのに伴い、外側の係合部材は内側の係合部材から離間する方向に弾性変更し、一対の係合部材の間隔が拡がるので、部分義歯を取り外すことができる。   On the other hand, when removing the partial denture from the dentition, the partial denture is pulled to the occlusal side. Thus, as the second engaging portion moves toward the largest bump on the outer surface of the tooth, the outer engaging member elastically changes in a direction away from the inner engaging member, and the pair of engaging members Since the interval increases, the partial denture can be removed.

なお、「内側」とは、歯を基準とした場合に舌がある側(舌側)をいい、「外側」とは、歯を基準とした場合に、前歯(1歯ないし2歯の切歯及び3歯の犬歯)であれば、唇がある側(唇側)をいい、奥歯(4番ないし7番の臼歯)であれば、頬がある側(頬側)をいう。また、「歯根側」とは、咬合方向(上下方向)において、歯根に近づく側をいい、「咬合側」とは、咬合方向(上下方向)において、前歯であれば、切端に近づく側をいい、奥歯であれば、咬合面(上顎の歯列と下顎の歯列とが噛み合う面、より詳しくは、歯の頂部において隆起している咬頭の間に囲まれた面)に近づく側をいう。   “Inner side” means the side where the tongue is located (tongue side) when the teeth are used as a reference, and “outer side” means the front teeth (one or two incisors) when the teeth are used as a reference. And 3 canine teeth), it refers to the side with the lips (lip side), and the back teeth (4th to 7th molars) refers to the side with the cheeks (cheek side). In addition, the “tooth root side” refers to the side that approaches the tooth root in the occlusal direction (vertical direction), and the “occlusion side” refers to the side that approaches the incision if it is an anterior tooth in the occlusal direction (vertical direction). In the case of the back teeth, it means the side closer to the occlusal surface (the surface where the upper dentition and the lower dentition mesh, more specifically, the surface surrounded by the raised cusp at the top of the tooth).

ここで、本発明に係る部分義歯の一態様として、歯列の両側において欠損部よりも遠心に歯がない両側遊離端に対する部分義歯であって、内側の係合部材は、両側端部のそれぞれに人工歯が連結されて歯列の内側に係合するアーチ状に形成され、外側の係合部材は、遠心から歯列に沿って近心に延びる左右一対のアーム部を備え、第二の係合部は、歯列における前歯及び臼歯を含む複数の歯のそれぞれに対応して、一対のアーム部のそれぞれに複数設けられる構成を採用することができる。   Here, as one aspect of the partial denture according to the present invention, it is a partial denture for the free ends on both sides of the dentition on both sides of the dentition where there are no teeth in the distal side than the missing part, The artificial teeth are connected to each other and are formed in an arch shape that engages the inside of the dentition, and the outer engagement member includes a pair of left and right arm portions extending from the distal side along the dentition to the mesial position. The engaging portion may employ a configuration in which a plurality of engaging portions are provided on each of the pair of arm portions corresponding to each of a plurality of teeth including the front teeth and molar teeth in the dentition.

また、本発明に係る部分義歯の他態様として、歯列の右側又は左側の片側において欠損部よりも遠心に歯がない片側遊離端に対する部分義歯であって、内側の係合部材は、右側又は左側の片側端部に人工歯が連結されて歯列の内側に係合するアーチ状に形成され、外側の係合部材は、遠心から歯列に沿って近心に延びる左右一対のアーム部を備え、第二の係合部は、歯列における前歯及び臼歯を含む複数の歯のそれぞれに対応して、一対のアーム部のそれぞれに複数設けられる構成を採用することができる。   Further, as another aspect of the partial denture according to the present invention, it is a partial denture for a one-side free end where there is no tooth in the distal side of the missing part on the right side or the left side of the dentition, and the inner engagement member is the right side or An artificial tooth is connected to one end of the left side and is formed into an arch shape that engages the inside of the dentition, and the outer engagement member includes a pair of left and right arm portions extending from the distal side along the dentition. It is possible to employ a configuration in which a plurality of the second engaging portions are provided in each of the pair of arm portions corresponding to each of the plurality of teeth including the front teeth and the molar teeth in the dentition.

これらの構成によれば、歯列の外側に複数の第二の係合部が異なる方向から係合するため、人工歯にかかる咬合力の向きによって部分義歯に前歯側が浮き上がろうとする力が作用したり、右側又は左側のいずれかが浮き上がろうとする力が作用しても、その方向にある第二の係合部が主として抵抗し、部分義歯の浮き上がりを防止することができる。   According to these configurations, since the plurality of second engaging portions are engaged with each other on the outside of the dentition from different directions, the force of the anterior tooth side to rise to the partial denture depending on the direction of the occlusal force applied to the artificial tooth. Even if a force acts to lift either the right side or the left side, the second engaging portion in that direction mainly resists, and the partial denture can be prevented from rising.

なお、「遠心」とは、正中(右側1番の切歯と左側1番の切歯の間)から遠ざかる方向をいい、「近心」とは、正中に近づく方向をいう。   Note that “centrifugation” refers to the direction away from the midline (between the first incisor on the right side and the first incisor on the left side), and “messiah” refers to the direction toward the midline.

また、本発明に係る部分義歯の別の態様として、内側の係合部材は、欠損部に隣接する一つないし複数の歯のそれぞれに被せられるクラウン部を備える構成を採用することができる。   Further, as another aspect of the partial denture according to the present invention, a configuration in which the inner engagement member includes a crown portion that covers each of one or more teeth adjacent to the missing portion can be employed.

かかる構成によれば、一対の係合部材が歯列を内側及び外側から挟み込むように係合することと相俟って、部分義歯は、歯列の内外方向(水平方向)、咬合方向(上下方向)及び歯列に対する回転方向のいずれの方向においても、動くことなく、歯列に強固に装着される。   According to such a configuration, in combination with the pair of engaging members engaging so as to sandwich the dentition from the inside and the outside, the partial denture is in the inner and outer direction (horizontal direction) of the dentition, the occlusal direction (up and down) (Direction) and the rotation direction with respect to the dentition are firmly attached to the dentition without moving.

また、本発明に係る部分義歯のさらに別の態様として、アーム部は、歯肉の外側面に配置され、外側の係合部材は、アーム部における複数の歯のそれぞれに対応する部位から各歯の外側面に向けて延びる複数のローチ部を備え、第二の係合部は、複数のローチ部のそれぞれの先端部に形成される構成を採用することができる。   As still another aspect of the partial denture according to the present invention, the arm portion is disposed on the outer surface of the gingiva, and the outer engagement member is formed from a portion corresponding to each of the plurality of teeth in the arm portion. A configuration in which a plurality of roach portions extending toward the outer surface is provided and the second engaging portion is formed at each tip portion of the plurality of roach portions can be employed.

さらにこの場合、ローチ部は、歯の外側面に沿って湾曲する横バー部を第二の係合部として先端部に有するT字状に形成される構成を採用することができる。   Further, in this case, the roach portion may employ a configuration formed in a T shape having a lateral bar portion that is curved along the outer side surface of the tooth as a second engaging portion at the distal end portion.

以上の如く、本発明に係る部分義歯によれば、残存歯をそのまま利用することで、クラウンブリッジやインプラントのように残存歯や歯槽骨の切削を行う必要がなく、部分義歯を取り外し可能に装着することができる。また、本発明に係る部分義歯によれば、人工歯にかかる咬合力を、義歯床を介して歯槽堤に負担させるのではなく、複数の残存歯に分散させて負担させるので、部分床義歯による諸問題を解消することができる。   As described above, according to the partial denture according to the present invention, by using the remaining tooth as it is, it is not necessary to cut the remaining tooth or the alveolar bone like a crown bridge or an implant, and the partial denture can be detachably mounted. can do. Further, according to the partial denture according to the present invention, the occlusal force applied to the artificial tooth is not burdened on the alveolar ridge via the denture base, but is distributed and burdened on a plurality of remaining teeth. Various problems can be solved.

図1(a)は、本発明の第一の実施形態に係る部分義歯が装着される上顎を模った上顎模型を下顎側から見た平面図、図1(b)は、部分義歯を上顎模型に装着した状態を示す図であって、図1(a)に対応する平面図である。FIG. 1A is a plan view of an upper jaw model simulating the upper jaw on which the partial denture according to the first embodiment of the present invention is mounted, and FIG. 1B is a plan view of the partial denture on the upper jaw. It is a figure which shows the state with which the model was mounted | worn, Comprising: It is a top view corresponding to Fig.1 (a). 図2(a)は、上顎模型を下顎右側側から見た斜視図、図2(b)は、部分義歯を上顎模型に装着した状態を示す図であって、図2(a)に対応する平面図である。2A is a perspective view of the upper jaw model viewed from the right side of the lower jaw, and FIG. 2B is a view showing a state in which the partial denture is mounted on the upper jaw model, and corresponds to FIG. It is a top view. 図3(a)は、上顎模型を下顎左側側から見た斜視図、図3(b)は、部分義歯を上顎模型に装着した状態を示す図であって、図3(a)に対応する平面図である。FIG. 3A is a perspective view of the upper jaw model as viewed from the left side of the lower jaw, and FIG. 3B is a view showing a state in which the partial denture is mounted on the upper jaw model, and corresponds to FIG. It is a top view. 図4(a)は、部分義歯を前側から見た斜視図、図4(b)は、部分義歯を上顎側から見た平面図である。FIG. 4A is a perspective view of the partial denture as viewed from the front side, and FIG. 4B is a plan view of the partial denture as viewed from the upper jaw side. 図5(a)は、図1(b)のA−A線断面図、図5(b)は、図1(b)のB−B線断面図、図5(c)は、図1(b)のC−C線断面図である。5A is a cross-sectional view taken along line AA in FIG. 1B, FIG. 5B is a cross-sectional view taken along line BB in FIG. 1B, and FIG. It is CC sectional view taken on the line of b). 図6(a)は、本発明の第二の実施形態に係る部分義歯が装着される上顎を模った上顎模型を下顎側から見た平面図、図6(b)は、部分義歯を上顎模型に装着した状態を示す図であって、図6(a)に対応する平面図である。FIG. 6A is a plan view of an upper jaw model simulating the upper jaw on which the partial denture according to the second embodiment of the present invention is mounted, and FIG. 6B is a plan view of the partial denture on the upper jaw. It is a figure which shows the state with which the model was mounted | worn, Comprising: It is a top view corresponding to Fig.6 (a). 図7(a)は、図6(b)のA−A線断面図、図7(b)は、図6(b)のB−B線断面図、図7(c)は、図6(b)のC−C線断面図である。7A is a cross-sectional view taken along line AA in FIG. 6B, FIG. 7B is a cross-sectional view taken along line BB in FIG. 6B, and FIG. It is CC sectional view taken on the line of b).

<第一の実施形態>
以下、本発明に係る部分義歯の第一の実施形態について、図1ないし図5を参酌して説明する。なお、本実施形態に係る部分義歯は上顎の歯列に装着されるものであるが、ここでは、便宜上、上顎を模った上顎模型を用い、これを実際の上顎とみなして説明する。
<First embodiment>
Hereinafter, a first embodiment of a partial denture according to the present invention will be described with reference to FIGS. 1 to 5. In addition, although the partial denture based on this embodiment is mounted | worn with the dentition of an upper jaw, here, for convenience, the upper jaw model which imitated the upper jaw is used and this is considered as an actual upper jaw, and is demonstrated.

図1ないし図4に示す如く、本実施形態に係る部分義歯1は、左右の6番及び7番の臼歯の欠損部51,51を補綴するためのもので、左右の1番の切歯52,52、2番の切歯53,53、3番の犬歯54,54、4番の臼歯55,55及び5番の臼歯56,56の歯列に装着されるものである。すなわち、部分義歯1は、左右の欠損部51,51よりも遠心に歯がない、いわゆる両側遊離端に対するものである。   As shown in FIGS. 1 to 4, the partial denture 1 according to the present embodiment is for prosthesis of left and right 6th and 7th molar missing portions 51, 51, and left and right first incisors 52. , 52, No. 2 incisors 53, 53, No. 3 canines 54, 54, No. 4 molars 55, 55 and No. 5 molars 56, 56. In other words, the partial denture 1 is for the so-called free ends on both sides where there are no teeth in the centrifuge than the left and right missing parts 51, 51.

部分義歯1は、欠損部51に配置される人工歯10と、人工歯10を支持し、歯列に内側から係合する内側の係合部材20と、人工歯10に連結され、弾性を有し、内側の係合部材20から離間する方向に弾性変形することで、内側の係合部材20との間に歯列を挿入可能にするとともに、弾性復元することで、歯列に外側から係合する外側の係合部材30とを備える。   The partial denture 1 is connected to the artificial tooth 10 disposed in the defect portion 51, the inner engagement member 20 that supports the artificial tooth 10 and engages the dentition from the inside, and the artificial tooth 10, and has elasticity. Then, by elastically deforming in a direction away from the inner engagement member 20, the tooth row can be inserted between the inner engagement member 20 and elastically restored to engage the tooth row from the outside. And an engaging member 30 on the outside.

人工歯10は、歯の形を模した単体、あるいはベース部に、歯と同色の白色を有して外観上歯に見せるための周知のコーティングを施した積層体である。本実施形態においては、左右の6番及び7番の隣り合う二本の臼歯が欠損しており、人工歯10は、この二本の歯を一体的に設けたものである。   The artificial tooth 10 is a single body imitating the shape of a tooth or a laminated body having a base coated with a well-known coating having a white color of the same color as the tooth to make it appear externally. In the present embodiment, the two adjacent molar teeth of No. 6 and No. 7 on the left and right are missing, and the artificial tooth 10 is provided with these two teeth integrally.

内側の係合部材20は、歯列の全体に内側から係合するアーチ状を有する。本実施形態においては、内側の係合部材20は、左右の1番の切歯52,52、2番の切歯53,53、3番の犬歯54,54、4番の臼歯55,55及び5番の臼歯56,56の残存歯列の内側に係合するアーチ状を有する。   The inner engagement member 20 has an arch shape that engages the entire dentition from the inside. In the present embodiment, the inner engagement member 20 includes left and right first incisors 52 and 52, second incisors 53 and 53, third canine teeth 54 and 54, fourth molars 55 and 55, and It has an arch shape that engages with the inside of the remaining dentition of the fifth molar 56, 56.

図5に詳細に示す如く、内側の係合部材20は、歯の歯頚部にプラークが付着するのを防止するために、歯根側の端縁部が内側の歯肉59の縁と接して隙間ができない状態となるように、歯列の内側に係合する。   As shown in detail in FIG. 5, the inner engagement member 20 has a gap between the end edge on the root side and the edge of the inner gum 59 in order to prevent plaque from adhering to the tooth neck. Engage inside the dentition so that it is not possible.

また、内側の係合部材20は、対応する各歯の、歯根に向かうほど広がる方向に傾斜する傾斜部に係合する第一の係合部21,…を備える。本実施形態においては、内側の係合部材20は、左右の1番の切歯52,52、2番の切歯53,53、3番の犬歯54,54、4番の臼歯55,55及び5番の臼歯56,56のそれぞれの歯に対し、第一の係合部21を備える。   Moreover, the inner engaging member 20 includes first engaging portions 21,... That engage the inclined portions of the corresponding teeth that are inclined so as to expand toward the tooth root. In the present embodiment, the inner engagement member 20 includes left and right first incisors 52 and 52, second incisors 53 and 53, third canine teeth 54 and 54, fourth molars 55 and 55, and A first engagement portion 21 is provided for each of the fifth molars 56 and 56.

また、内側の係合部材20は、欠損部51に近い一つ又は複数の臼歯の、咬合面から、歯根に向かうほど広がる方向に傾斜する内側及び外側の傾斜部にかけての部位(歯冠の咬合側の部位)に被せられるクラウン部22を備える。本実施形態においては、内側の係合部材20は、左右の4番の臼歯55,55及び5番の臼歯56,56のそれぞれの歯に対し、クラウン部22を備える。   Further, the inner engagement member 20 is a portion (one occlusion of a crown) of one or a plurality of molars close to the defect portion 51 from the occlusal surface to the inner and outer inclined portions that incline in a direction extending toward the root. A crown portion 22 is provided on the side portion. In the present embodiment, the inner engagement member 20 includes a crown portion 22 for each of the left and right fourth molars 55 and 55 and the fifth molars 56 and 56.

また、内側の係合部材20は、所定の肉厚を有して近心の各歯の切端部に被せられるスペーサ部23を備える。スペーサ部23は、対応する各歯における第一の係合部21の咬合側の端縁部から延び、内側から切端を通って外側に屈曲して、各歯の切端部に被せられる。スペーサ部23は、外観上目立たなくさせるために透明な樹脂等で形成される。本実施形態においては、内側の係合部材20は、左右の1番の切歯52,52、2番の切歯53,53及び3番の犬歯54,54のそれぞれの前歯に対し、スペーサ部23を備える。   The inner engagement member 20 includes a spacer portion 23 having a predetermined thickness and covering the cut end portion of each mesial tooth. The spacer portion 23 extends from the end edge portion on the occlusion side of the first engaging portion 21 in each corresponding tooth, bends outward from the inside through the cutting edge, and covers the cutting edge portion of each tooth. The spacer portion 23 is formed of a transparent resin or the like so as not to stand out in appearance. In the present embodiment, the inner engagement member 20 has a spacer portion with respect to the front teeth of the first and second incisors 52 and 52, the second incisors 53 and 53 and the third canines 54 and 54. 23.

スペーサ部23は、前歯列に沿って一体的に形成される。前歯列において、第一の係合部21は、各歯の歯冠の咬合方向(上下方向)における中間部位を咬合側の端縁部として、前歯列に沿って連続している。そのため、スペーサ部23は、前歯列における各歯の歯冠の咬合方向における中間部位よりも咬合側に配置される。   The spacer portion 23 is integrally formed along the front tooth row. In the front tooth row, the first engaging portion 21 is continuous along the front tooth row with an intermediate portion in the occlusion direction (vertical direction) of the crown of each tooth as an end edge portion on the occlusion side. Therefore, the spacer part 23 is arrange | positioned rather than the intermediate part in the occlusion direction of the crown of each tooth | gear in the front tooth row | line | column.

外側の係合部材30は、人工歯10の所定部位、より詳しくは、6番の臼歯に対応する人工歯10のうち、外側の歯頸部に対応する部位から歯列に沿って近心に延びるアーム部31と、アーム部31における各歯に対応する部位から各歯の外側面に向けて延びるT字状のローチ部32,…とを備える。   The outer engagement member 30 is located in a mesial manner along a dentition from a predetermined portion of the artificial tooth 10, more specifically, from a portion corresponding to the outer tooth neck of the artificial tooth 10 corresponding to the sixth molar. The arm part 31 extended, and the T-shaped roach part 32 extended from the site | part corresponding to each tooth | gear in the arm part 31 toward the outer surface of each tooth | gear.

アーム部31は、長尺であるため、弾性に起因する可撓性を有する。そして、各ローチ部32が内側の係合部材20から離間する方向(外側)にアーム部31が弾性変形することで、ローチ部32と内側の係合部材20との間隔が拡がるようになっている。   Since the arm part 31 is long, it has flexibility resulting from elasticity. The arm portions 31 are elastically deformed in a direction (outside) in which each of the roach portions 32 is separated from the inner engagement member 20, so that the interval between the roach portion 32 and the inner engagement member 20 is increased. Yes.

ローチ部32の横バー部32aは、歯の、近心から遠心にかけて湾曲する外側面に適合するよう湾曲しており、歯の外側のアンダーカット部に係合する第二の係合部33となる。本実施形態においては、外側の係合部材30は、アンダーカット部を有する左右の2番の切歯53,53、3番の犬歯54,54、4番の臼歯55,55及び5番の臼歯56,56のそれぞれの歯に対し、第二の係合部33を備える。   The lateral bar portion 32a of the roach portion 32 is curved so as to be fitted to the outer surface of the tooth that is curved from the mesial to the centrifugal, and becomes the second engaging portion 33 that engages with the undercut portion outside the tooth. . In the present embodiment, the outer engagement member 30 includes left and right second incisors 53, 53, third canine teeth 54, 54, fourth molars 55, 55, and fifth molars having undercut portions. A second engaging portion 33 is provided for each of the teeth 56 and 56.

アーム部31は、歯肉59の外側面に配置される。そこからローチ部32が咬合側に延び、歯の外側面に至る。第二の係合部33(ローチ部32の横バー部32a)は、アンダーカット部のうち、最大豊隆部寄りに係合するようになっている。なお、アンダーカット部は必ずしもすべての歯(特に前歯)に存在するわけではないので、その場合は、第二の係合部34は、単に歯の外側面に係合するということになる。   The arm portion 31 is disposed on the outer surface of the gum 59. From there, the roach 32 extends to the occlusal side and reaches the outer surface of the tooth. The second engaging portion 33 (the horizontal bar portion 32a of the roach portion 32) is configured to engage closer to the maximum bulge portion in the undercut portion. In addition, since the undercut part does not necessarily exist in all the teeth (especially the front tooth), in that case, the second engaging part 34 is simply engaged with the outer surface of the tooth.

なお、図示はしないが、審美処理として、外側の係合部材30の外側面のうち、歯肉59にかかる部位には、歯肉と同色の肌色を有して外観上歯肉に見せるための周知のコーティングが施され、また、外側の係合部材30の外側面のうち、歯にかかる部位には、歯と同色の白色を有して外観上歯に見せるための周知のコーティングが施されることがある。   Although not shown in the drawings, as an aesthetic treatment, a portion of the outer surface of the outer engagement member 30 that is applied to the gingiva 59 has a skin color that is the same color as that of the gingiva, and is a known coating that looks like gingiva in appearance. In addition, a portion of the outer surface of the outer engagement member 30 that is applied to the teeth may be provided with a known coating having a white color that is the same color as the teeth and appearing on the appearance. is there.

部分義歯1の材質としては、部分義歯としての剛性を有しつつ、外側の係合部材30のアーム部31に弾性を与えることができる材質であればよく、例えば、コバルト・クロム・モリブデン合金や金合金といった金属のほか、ポリエーテルエーテルケトン(PEEK)樹脂といった合成樹脂やジルコニアといったセラミックを用いることができる。本実施形態においては、人工歯10、内側の係合部材20(スペーサ部23を除く。)及び外側の係合部材30は、金属材料を用いて鋳造により一体成型した金属製である。   The material of the partial denture 1 may be any material as long as it has rigidity as a partial denture and can give elasticity to the arm portion 31 of the outer engagement member 30, such as a cobalt-chromium-molybdenum alloy or the like. In addition to metals such as gold alloys, synthetic resins such as polyetheretherketone (PEEK) resin and ceramics such as zirconia can be used. In the present embodiment, the artificial tooth 10, the inner engagement member 20 (excluding the spacer portion 23), and the outer engagement member 30 are made of metal integrally molded by casting using a metal material.

本実施形態に係る部分義歯1は、以上の構成からなり、次に、この部分義歯1を歯列に装着する手順について説明する。   The partial denture 1 which concerns on this embodiment consists of the above structures, and demonstrates the procedure which mounts this partial denture 1 in a dentition next.

まず、部分義歯1を歯列に対して適正な位置に合わせた後、歯根側に押し込む。これにより、外側の係合部材30の各ローチ部32の横バー部32a(第二の係合部33)が歯の外側面に当接して外側面の最大豊隆部に向かうのに伴い、外側の係合部材30は内側の係合部材20から離間する方向に弾性変更する。そして、横バー部32aが歯の外側面の最大豊隆部を超えると、外側の係合部材30は弾性復元する。これにより、図5に示す如く、一対の係合部材20,30が歯列の内側及び外側に係合し、部分義歯1は歯列に装着される。   First, after the partial denture 1 is adjusted to an appropriate position with respect to the dentition, it is pushed into the root side. As a result, the lateral bar portions 32a (second engaging portions 33) of the respective roach portions 32 of the outer engaging member 30 come into contact with the outer surface of the teeth and move toward the maximum bulge portion on the outer surface. The engagement member 30 is elastically changed in a direction away from the inner engagement member 20. And if the horizontal bar part 32a exceeds the largest bulge part of the outer surface of a tooth | gear, the outer engaging member 30 will be elastically restored. Thereby, as shown in FIG. 5, a pair of engaging members 20 and 30 engage with the inner side and the outer side of the dentition, and the partial denture 1 is attached to the dentition.

ここで、本実施形態に係る部分義歯1は、外側の係合部材30に、各歯のアンダーカット部に係合する第二の係合部33が形成されている。そのため、部分義歯1がそのままでは、第二の係合部33が歯列(の外側面の豊隆部)と干渉して部分義歯1を歯列に装着することはできない。しかし、本実施形態に係る部分義歯1は、外側の係合部材30が内側の係合部材20との間隔を拡げるように弾性変更可能となっている。これにより、第二の係合部33を各歯の外側面の最大豊隆部を超えて最大豊隆部よりも歯根側にあるアンダーカット部に係合させることができて、部分義歯1を歯列に容易に装着することができる。   Here, as for the partial denture 1 which concerns on this embodiment, the 2nd engaging part 33 engaged with the undercut part of each tooth | gear is formed in the outer engaging member 30. FIG. Therefore, if the partial denture 1 is left as it is, the second engaging portion 33 cannot interfere with the dentition (the ridge on the outer side surface thereof) and attach the partial denture 1 to the dentition. However, the partial denture 1 according to the present embodiment can be elastically changed so that the outer engagement member 30 is widened with the inner engagement member 20. Thereby, the 2nd engaging part 33 can be made to engage with the undercut part in the tooth root side rather than the largest bulge part on the outer side surface of each tooth, and the partial denture 1 can be dentition. Can be easily installed.

部分義歯1が歯列に装着されると、内側の係合部材20の複数の第一の係合部21,…が歯列の内側に係合する。加えて、外側の係合部材30の複数の第二の係合部33,…が歯列の外側に係合する。これにより、一対の係合部材20,30は、歯列を内側及び外側から挟み込むように係合する。加えて、歯列における臼歯には、歯冠の咬合側の部位を覆うようにクラウン部22が被せられる。したがって、本実施形態に係る部分義歯1は、歯列の内外方向(水平方向)、咬合方向(上下方向)及び歯列に対する回転方向のいずれの方向においても、動くことなく、歯列に強固に装着することができる。   When the partial denture 1 is mounted on the dentition, the plurality of first engagement portions 21 of the inner engagement member 20 engage with the inner side of the dentition. In addition, the plurality of second engaging portions 33,... Of the outer engaging member 30 engage with the outside of the dentition. Thereby, a pair of engaging members 20 and 30 are engaged so that a tooth row may be pinched | interposed from the inner side and the outer side. In addition, the molar portion in the dentition is covered with a crown portion 22 so as to cover the occlusal side portion of the crown. Therefore, the partial denture 1 according to the present embodiment is firmly attached to the dentition without moving in any of the inner and outer directions (horizontal direction), the occlusal direction (vertical direction), and the rotation direction with respect to the dentition. Can be installed.

しかも、本実施形態に係る部分義歯1は、金属製の剛体であり、撓みや変形が生じにくい。そのため、長期間使用しても、係合状態が弱まったり、不均一になったりすることはない。これにより、使用者は快適な装着感をもって部分義歯を使用することができる。   And the partial denture 1 which concerns on this embodiment is a metal rigid body, and is hard to produce bending and a deformation | transformation. Therefore, even if it is used for a long time, the engaged state does not weaken or become uneven. Thereby, the user can use a partial denture with a comfortable wearing feeling.

また、本実施形態に係る部分義歯1によれば、歯列に装着している間、複数の第一の係合部21,…が、歯列における複数の歯(本実施形態においては、左右の1番の切歯52,52、2番の切歯53,53、3番の犬歯54,54、4番の臼歯55,55及び5番の臼歯56,56の十本の歯)のそれぞれの、歯根に向かうほど広がる方向に傾斜する傾斜部に係合している。そのため、人工歯10にかかる咬合力を、欠損部51における歯槽堤には実質的には作用せず、複数の歯に分散させることができる。これにより、部分床義歯が抱える、強力な咬合力を必要とする硬い食べ物は食べられないという問題や、荷重にアンバランスが生じるため、残存歯にかかる負担が大きく、この残存歯の寿命を縮めるという問題を解消することができる。   Moreover, according to the partial denture 1 which concerns on this embodiment, while mounting | wearing with a dentition, several 1st engaging parts 21 and ... are several teeth in a dentition (in this embodiment, right and left No. 1 incisors 52, 52, No. 2 incisors 53, 53, No. 3 canines 54, 54, No. 4 molars 55, 55 and No. 5 molars 56, 56) It is engaged with the inclined part which inclines in the direction which spreads, so that it goes to a tooth root. Therefore, the occlusal force applied to the artificial tooth 10 does not substantially act on the alveolar ridge in the defect portion 51 and can be distributed to a plurality of teeth. As a result, hard foods that require a strong occlusal force held by partial dentures cannot be eaten, and the load is unbalanced, so the burden on the remaining teeth is large and the life of the remaining teeth is shortened. Can be solved.

加えて、左右の人工歯10,10に咬合力がかかることにより、部分義歯1に前歯側が浮き上がろうとする力が作用しても、2番の切歯53,53に係合する第二の係合部33が主として抵抗し、浮き上がりを防止することができる。また、右側又は左側のいずれか一方の人工歯10に咬合力がかかることにより、部分義歯1に右側又は左側のいずれか他方が浮き上がろうとする力が作用しても、右側又は左側のいずれか他方の3番ないし5番の歯に係合する第二の係合部33が主として抵抗し、やはり浮き上がりを防止することができる。そして、このような浮き上がりの防止メカニズムは、それぞれの第二の係合部33が歯の外側面に沿って湾曲した形状であることから、第二の係合部33の端部によっても発生するものである。したがって、本実施形態に係る部分義歯1は、咬合力がどのようにかかっても、歯列の内外方向(水平方向)、咬合方向(上下方向)及び歯列に対する回転方向のいずれの方向においても、動くことなく、歯列に強固に装着することができる。   In addition, when the occlusal force is applied to the left and right artificial teeth 10, 10, even if a force is exerted on the partial denture 1 to lift the front teeth, the second incisors 53 engage with the second incisors 53, 53. The engaging portion 33 is mainly resisted and can be prevented from being lifted. Even if the right or left artificial tooth 10 is subjected to an occlusal force, even if the right or left side of the partial denture 1 is subjected to a force to lift the other side, either the right side or the left side The second engaging portion 33 that engages with the other 3rd to 5th teeth mainly resists and can also be prevented from lifting. Such a lifting prevention mechanism is also generated by the end of the second engagement portion 33 because each second engagement portion 33 has a curved shape along the outer surface of the tooth. Is. Therefore, the partial denture 1 according to the present embodiment can be applied in any direction of the inner and outer directions (horizontal direction) of the dentition, the occlusal direction (vertical direction), and the rotation direction with respect to the dentition, no matter how the occlusal force is applied. It can be firmly attached to the dentition without moving.

しかも、本実施形態に係る部分義歯1は、金属製の剛体であり、撓みや変形が生じにくい。そのため、長期間使用しても、係合状態が弱まったり、不均一になったりすることはない。これにより、咬合力の分散効果に偏りが生じて、特定の歯に咬合力が過度に作用してこの歯の寿命を縮めてしまうという問題は生じない。   And the partial denture 1 which concerns on this embodiment is a metal rigid body, and is hard to produce bending and a deformation | transformation. Therefore, even if it is used for a long time, the engaged state does not weaken or become uneven. As a result, there is no problem in that the effect of dispersion of the occlusal force is biased, and the occlusal force acts excessively on a specific tooth to shorten the life of the tooth.

また、本実施形態に係る部分義歯1は、残存歯をそのまま利用して装着するものである。これにより、クラウンブリッジのように部分義歯を合わせるために残存歯を切削するという必要がなくなる。そのため、健全歯質の喪失を防ぐことができるという使用者にとっては極めて大きな効果を奏する。   Moreover, the partial denture 1 which concerns on this embodiment installs using a residual tooth as it is. This eliminates the need to cut the remaining teeth in order to align the partial dentures like a crown bridge. Therefore, it has a very large effect for the user that the loss of the healthy tooth can be prevented.

また、本実施形態に係る部分義歯1は、クラウン部22の肉厚によってクラウン部22が被せられる歯の高さが高くなる分、人工歯10も本来の欠損歯よりも高さが高くなるように形成するとともに、前歯には、所定の肉厚を有するスペーサ部23が被せられる。これにより、残存歯列が適切な噛み合わせとなっていない場合に、噛み合わせを矯正(再構成)することができる。   Further, in the partial denture 1 according to the present embodiment, the height of the tooth covered with the crown portion 22 is increased by the thickness of the crown portion 22, so that the artificial tooth 10 is also higher than the original missing tooth. In addition, the front teeth are covered with a spacer portion 23 having a predetermined thickness. Thereby, when the remaining dentition is not properly meshed, the meshing can be corrected (reconstructed).

<第二の実施形態>
次に、本発明に係る部分義歯の第二の実施形態について、図6及ぶ図7を参酌して説明する。
<Second Embodiment>
Next, a second embodiment of the partial denture according to the present invention will be described with reference to FIGS.

本実施形態に係る部分義歯1は、第一の実施形態のように両側遊離端ではなく、片側遊離端(本実施形態においては、左側6番の臼歯及び左側7番の臼歯の欠損)に対するものである。そのため、基本的には、第一の実施形態に係る部分義歯1と同じ構成であるが、異なる点は、本実施形態においては、右側の人工歯10が不要となるため、右側の外側の係合部材30は、連結部31aを介して内側の係合部材20の右側端部に連結される点である。具体的には、本実施形態においては、内側の係合部材20は、右側5番の臼歯56まで係合可能な歯列方向長さを有し、この右側端部に、右側5番の臼歯と右側6番の臼歯との歯間部を通って外側から内側に延びる連結部31aが連結される。なお、本実施形態においては、右側の外側の係合部材30は、内側の係合部材20と一体成型されて内側の係合部材20に連結される。   The partial denture 1 according to the present embodiment is not a bilateral free end as in the first embodiment, but a single free end (in this embodiment, the left 6th molar and left 7th molar missing). It is. Therefore, although it is fundamentally the same structure as the partial denture 1 which concerns on 1st embodiment, since a right artificial tooth 10 becomes unnecessary in this embodiment, the difference is a right outer engagement. The joint member 30 is a point connected to the right end portion of the inner engagement member 20 via the connecting portion 31a. Specifically, in the present embodiment, the inner engagement member 20 has a length in the row direction that can be engaged to the right fifth molar 56, and the right fifth molar on the right end. And a connecting portion 31a extending from the outside to the inside through the interproximal portion between the right and sixth right molars. In the present embodiment, the right outer engagement member 30 is integrally formed with the inner engagement member 20 and connected to the inner engagement member 20.

もう一つの異なる点は、本実施形態においては、噛み合わせの矯正を行わない点である。そのため、本実施形態においては、第一の実施形態に係る部分義歯1のクラウン部22及びスペーサ部23は、設けられていない。そのため、図7(b)に示す如く、左右の臼歯55,56に対し、内側の係合部材20は、歯の内側面をほぼ全体的に覆う高さ寸法を有し、第一の係合部21は、内側の係合部材20の咬合側の端縁部に形成される。ただし、第一の係合部21が臼歯55,56の咬合面にまで進出すると、下顎の歯と第一の係合部21が当たり、歯の噛み合わせが変わってしまう。そのため、第一の係合部21は、臼歯55,56の、歯根に向かうほど広がる方向に傾斜する傾斜部のうち、咬合面にかからない部位、例えば咬合面よりもわずかに歯根側の部位に係合するようになっている。右側の外側の係合部材30の連結部31aも同様である。   Another difference is that the present embodiment does not correct the meshing. Therefore, in this embodiment, the crown part 22 and the spacer part 23 of the partial denture 1 which concern on 1st embodiment are not provided. Therefore, as shown in FIG. 7 (b), the inner engagement member 20 has a height dimension that covers almost the entire inner surface of the teeth with respect to the left and right molars 55, 56, and the first engagement. The portion 21 is formed at the end edge portion on the occlusion side of the inner engagement member 20. However, when the first engaging portion 21 advances to the occlusal surface of the molars 55 and 56, the lower jaw teeth and the first engaging portion 21 come into contact with each other, and the meshing of the teeth changes. Therefore, the first engagement portion 21 is engaged with a portion of the molars 55 and 56 that is inclined in a direction that widens toward the root, not on the occlusal surface, for example, a portion slightly on the root side of the occlusal surface. It comes to match. The same applies to the connecting portion 31a of the engagement member 30 on the right outer side.

本実施形態に係る部分義歯1によっても、第一の実施形態に係る部分義歯1と同様の効果を奏するものである。   Even with the partial denture 1 according to the present embodiment, the same effects as those of the partial denture 1 according to the first embodiment can be obtained.

なお、本発明に係る部分義歯は、上記実施形態に限定されるものではなく、本発明の要旨を逸脱しない範囲で種々の変更が可能である。   In addition, the partial denture based on this invention is not limited to the said embodiment, A various change is possible in the range which does not deviate from the summary of this invention.

例えば、上記第一の実施形態においては、噛み合わせの矯正を行っており、上記第二の実施形態においては、噛み合わせの矯正を行っていない。しかし、第一の実施形態において、クラウン部22及びスペーサ部23を設けない(噛み合わせの矯正を行わない)ようにしてもよいし、第二の実施形態において、クラウン部22及びスペーサ部23を設ける(噛み合わせの矯正を行う)ようにしてもよい。   For example, in the first embodiment, the meshing is corrected. In the second embodiment, the meshing is not corrected. However, in the first embodiment, the crown portion 22 and the spacer portion 23 may not be provided (the meshing correction is not performed). In the second embodiment, the crown portion 22 and the spacer portion 23 are not provided. It may be provided (correction of meshing).

また、上記実施形態においては、残存歯列のすべての歯に第一の係合部21が係合し、左右1番の切歯52,52を除き、残存歯列のすべての歯に第二の係合部33が係合するようになっている。しかし、本発明の効果を損なわない程度において、第一の係合部21や第二の係合部33の数を減らしてもよい。   Moreover, in the said embodiment, the 1st engaging part 21 engages with all the teeth of a residual tooth row | line | column, and it remove | excludes the second tooth with respect to all the teeth of a residual tooth row | line | column except the 1st left and right cutting teeth 52 and 52. The engaging portion 33 is engaged. However, the number of the first engaging portions 21 and the second engaging portions 33 may be reduced as long as the effects of the present invention are not impaired.

また、上記実施形態においては、外側の係合部材30は、アーム部31と、アーム部31における各歯に対応する部位から各歯の外側面に向けて延びるローチ部32を備え、第二の係合部33は、ローチ部32の先端部(横バー部32)に形成される。しかし、第二の係合部33の形成は、この形態に限定されるものではない。例えば、ローチ部32を設けず、第二の係合部33は、内側の係合部材20(アーム部31)の咬合側の端縁部に形成され、主として歯頚部に係合するようにしてもよい。   Moreover, in the said embodiment, the outer engaging member 30 is provided with the arm part 31, and the roach part 32 extended toward the outer surface of each tooth | gear from the site | part corresponding to each tooth | gear in the arm part 31, 2nd. The engaging portion 33 is formed at the tip end portion (lateral bar portion 32) of the roach portion 32. However, the formation of the second engaging portion 33 is not limited to this form. For example, the roach portion 32 is not provided, and the second engagement portion 33 is formed at the occlusal end edge portion of the inner engagement member 20 (arm portion 31), and is mainly engaged with the tooth neck portion. Also good.

また、上記実施形態においては、ローチ部32は、歯の外側面に沿って湾曲する横バー部32aを第二の係合部33として先端部に有するT字状に形成される。しかし、ローチ部32は、I字状、L字状、U字状といった他の形状であってもよい。   Moreover, in the said embodiment, the roach part 32 is formed in the T shape which has the horizontal bar part 32a which curves along the outer surface of a tooth | gear as the 2nd engaging part 33 in a front-end | tip part. However, the roach portion 32 may have other shapes such as an I shape, an L shape, and a U shape.

また、上記実施形態に係る部分義歯1は、両側又は片側の遊離端に対する部分義歯である。しかし、欠損部51よりも遠心に自然歯が残存する中間欠損に対する部分義歯であってもよい。この場合、7番の臼歯(や、存在するならば8番の臼歯)に対しては、上記第一の実施形態に係る部分義歯1の4番や5番の歯に対する構成(クラウン部22を有する構成)や、上記第二の実施形態に係る部分義歯1の4番や5番の歯に対する構成(クラウン部22を有さず、咬合面の周りに第一の係合部21が係合する構成)が採られることとなる。   Moreover, the partial denture 1 which concerns on the said embodiment is a partial denture with respect to the free end of both sides or one side. However, it may be a partial denture for an intermediate defect in which natural teeth remain in the centrifuge rather than the defect part 51. In this case, for the 7th molar (or 8th molar if present), the configuration of the partial denture 1 according to the first embodiment with respect to the 4th and 5th teeth (with the crown portion 22). And a configuration for the fourth and fifth teeth of the partial denture 1 according to the second embodiment (the crown portion 22 is not provided and the first engagement portion 21 is engaged around the occlusal surface). To be adopted).

また、上記第一の実施形態に係る部分義歯1は、両側遊離端に対する部分義歯であり、上記第二の実施形態に係る部分義歯1は、片側遊離端に対する部分義歯である。しかし、上記第一の実施形態に係る部分義歯1において、1番ないし3番の前歯52ないし54におけるいずれかの部位にて右側又は左側のうち欠損部51と反対側を無くした形態の部分義歯を片側遊離端に対する部分義歯として採用することができる。   The partial denture 1 according to the first embodiment is a partial denture for both free ends, and the partial denture 1 according to the second embodiment is a partial denture for one free end. However, in the partial denture 1 according to the first embodiment, the partial denture in a form in which the opposite side of the right side or the left side of the partial tooth 1 to the front teeth 52 to 54 is removed from the side opposite to the missing part 51. Can be employed as a partial denture for a free end on one side.

また、第一の係合部21が係合する歯の数は、人工歯10にかかる咬合力を好適に分散させる観点から、少なくとも三つの歯であるのが好ましい。また、これは欠損歯の数にもよるものであり、第一の係合部23は、欠損歯の数の二倍以上の数の歯に係合するのが好ましい。   In addition, the number of teeth with which the first engaging portion 21 is engaged is preferably at least three from the viewpoint of suitably dispersing the occlusal force applied to the artificial tooth 10. This also depends on the number of missing teeth, and the first engaging portion 23 is preferably engaged with a number of teeth that is twice or more the number of missing teeth.

1…部分義歯、10…人工歯、20…内側の係合部材、21…第一の係合部、22…クラウン部、23…スペーサ部、30…外側の係合部材、31…アーム部、31a…連結端部、32…ローチ部、32a…横バー部、33…第二の係合部、50…上顎、51…欠損部、52,53…切歯、54…犬歯、55〜58…臼歯、59…歯肉   DESCRIPTION OF SYMBOLS 1 ... Partial denture, 10 ... Artificial tooth, 20 ... Inner engagement member, 21 ... First engagement part, 22 ... Crown part, 23 ... Spacer part, 30 ... Outer engagement member, 31 ... Arm part, 31a ... Connection end part, 32 ... Loach part, 32a ... Horizontal bar part, 33 ... Second engaging part, 50 ... Upper jaw, 51 ... Defect part, 52, 53 ... Incisor, 54 ... Canine, 55-58 ... Molars, 59 ... Gingiva

Claims (6)

歯列の欠損部に配置される人工歯と、
該人工歯を支持し、前記歯列の内側に係合する内側の係合部材と、
該内側の係合部材又は前記人工歯に連結され、弾性を有し、前記内側の係合部材から離間する方向に弾性変形することで、前記内側の係合部材との間に前記歯列を挿入可能にするとともに、弾性復元することで、前記歯列の外側に係合する外側の係合部材とを備え、
前記内側の係合部材は、前記歯列における複数の歯のそれぞれの、歯根に向かうほど広がる方向に傾斜する傾斜部に係合する第一の係合部を備え、
前記外側の係合部材は、前記歯列における少なくとも一つの歯の、前記傾斜部とは反対側に傾斜するアンダーカット部に係合する第二の係合部を備える
部分義歯。
An artificial tooth placed in the missing part of the dentition,
An inner engaging member that supports the artificial tooth and engages the inner side of the dentition;
It is connected to the inner engagement member or the artificial tooth, has elasticity, and elastically deforms in a direction away from the inner engagement member, so that the dentition is placed between the inner engagement member and the inner engagement member. An outer engagement member that engages with the outside of the dentition by allowing insertion and elastic recovery,
The inner engagement member includes a first engagement portion that engages with an inclined portion that is inclined in a direction that widens toward the root of each of the plurality of teeth in the dentition,
The outer engaging member includes a second engaging portion that engages with an undercut portion that is inclined to the opposite side of the inclined portion of at least one tooth in the dentition.
前記歯列の両側において前記欠損部よりも遠心に歯がない両側遊離端に対する部分義歯であって、
前記内側の係合部材は、両側端部のそれぞれに前記人工歯が連結されて前記歯列の内側に係合するアーチ状に形成され、
前記外側の係合部材は、遠心から前記歯列に沿って近心に延びる左右一対のアーム部を備え、
前記第二の係合部は、前記歯列における前歯及び臼歯を含む複数の歯のそれぞれに対応して、前記一対のアーム部のそれぞれに複数設けられる
請求項1に記載の部分義歯。
Partial dentures for both sides free end where there is no tooth in the distal side than the missing part on both sides of the dentition,
The inner engagement member is formed in an arch shape in which the artificial tooth is connected to each of both end portions and engaged with the inner side of the dentition,
The outer engaging member includes a pair of left and right arm portions extending from the distal side along the dentition to the mesial position,
2. The partial denture according to claim 1, wherein a plurality of the second engaging portions are provided on each of the pair of arm portions corresponding to each of a plurality of teeth including anterior teeth and molars in the dentition.
前記歯列の右側又は左側の片側において前記欠損部よりも遠心に歯がない片側遊離端に対する部分義歯であって、
前記内側の係合部材は、右側又は左側の片側端部に前記人工歯が連結されて前記歯列の内側に係合するアーチ状に形成され、
前記外側の係合部材は、遠心から前記歯列に沿って近心に延びる左右一対のアーム部を備え、
前記第二の係合部は、前記歯列における前歯及び臼歯を含む複数の歯のそれぞれに対応して、前記一対のアーム部のそれぞれに複数設けられる
請求項1に記載の部分義歯。
A partial denture for a one-side free end that has no teeth in the centrifuge rather than the missing part on the right or left side of the dentition,
The inner engagement member is formed in an arch shape in which the artificial tooth is connected to one side end portion on the right side or the left side and engaged with the inner side of the dentition,
The outer engaging member includes a pair of left and right arm portions extending from the distal side along the dentition to the mesial position,
2. The partial denture according to claim 1, wherein a plurality of the second engaging portions are provided on each of the pair of arm portions corresponding to each of a plurality of teeth including anterior teeth and molars in the dentition.
前記内側の係合部材は、前記欠損部に隣接する一つないし複数の歯のそれぞれに被せられるクラウン部を備える請求項2又は3に記載の部分義歯。   The partial denture according to claim 2 or 3, wherein the inner engaging member includes a crown portion that covers each of one or more teeth adjacent to the missing portion. 前記アーム部は、歯肉の外側面に配置され、
前記外側の係合部材は、前記アーム部における前記複数の歯のそれぞれに対応する部位から各歯の外側面に向けて延びる複数のローチ部を備え、
前記第二の係合部は、前記複数のローチ部のそれぞれの先端部に形成される
請求項2ないし4のいずれか1項に記載の部分義歯。
The arm portion is disposed on the outer surface of the gingiva,
The outer engagement member includes a plurality of roach portions extending from a portion corresponding to each of the plurality of teeth in the arm portion toward an outer surface of each tooth,
The partial denture according to any one of claims 2 to 4, wherein the second engagement portion is formed at a tip portion of each of the plurality of roach portions.
前記ローチ部は、歯の外側面に沿って湾曲する横バー部を前記第二の係合部として先端部に有するT字状に形成される請求項5に記載の部分義歯。   The partial denture according to claim 5, wherein the roach portion is formed in a T shape having a lateral bar portion that is curved along an outer surface of the tooth as a second engaging portion at a distal end portion.
JP2017210275A 2017-05-31 2017-10-31 Partial denture Pending JP2019000615A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
JP2017210275A JP2019000615A (en) 2017-10-31 2017-10-31 Partial denture
PCT/JP2018/012329 WO2018220970A1 (en) 2017-05-31 2018-03-27 Partial denture

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP2017210275A JP2019000615A (en) 2017-10-31 2017-10-31 Partial denture

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
JP2017116669A Division JP6239181B1 (en) 2017-05-31 2017-06-14 Partial denture

Publications (1)

Publication Number Publication Date
JP2019000615A true JP2019000615A (en) 2019-01-10

Family

ID=65005338

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2017210275A Pending JP2019000615A (en) 2017-05-31 2017-10-31 Partial denture

Country Status (1)

Country Link
JP (1) JP2019000615A (en)

Similar Documents

Publication Publication Date Title
JP6082727B2 (en) Protruding mouth straightening wire and projecting mouth straightening system having the same
US8651857B2 (en) Dental appliance
JP6216904B1 (en) Denture system and prosthesis used in denture system
EP3139857B1 (en) Removable denture with metal denture tooth or teeth
WO2018220970A1 (en) Partial denture
JP5006890B2 (en) Tooth fixture
JP6239181B1 (en) Partial denture
JP6239180B1 (en) Partial denture
CN211156366U (en) Shell-shaped dental instrument, shell-shaped dental instrument set and dental correcting system
JP2008220418A (en) Partial denture
CN112075999B (en) Device for assisting in stealth correction of mesial moving molar and correction method
JP2019000615A (en) Partial denture
CN114376747A (en) Appliance suitable for intermaxillary traction and design method thereof
JP3212235U (en) Straightening device
JP6239182B1 (en) Partial denture
JP2019154673A (en) Method for making dental casting pattern
JP6216908B1 (en) Denture system and prosthesis used in denture system
JP7295580B1 (en) orthodontic appliance
CN213851150U (en) Traction piece and device for assisting invisible correction of mesial moving molar
JP3237896U (en) Laminated veneer-type dental prosthesis that covers all surfaces except adjacent surfaces without scraping natural teeth and can recover almost the same condition as the teeth before mounting if necessary.
KR102566018B1 (en) Orthodintic retainer for preventing bruxism
JP2018202125A (en) Partial denture
JP6304913B1 (en) Method for producing dental casting pattern
JP2019017971A (en) Partial prosthesis
JP2005334419A (en) Production method of artificial tooth composite