JP4041151B2 - Denture with denture - Google Patents

Denture with denture Download PDF

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JP4041151B2
JP4041151B2 JP2006301006A JP2006301006A JP4041151B2 JP 4041151 B2 JP4041151 B2 JP 4041151B2 JP 2006301006 A JP2006301006 A JP 2006301006A JP 2006301006 A JP2006301006 A JP 2006301006A JP 4041151 B2 JP4041151 B2 JP 4041151B2
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denture
denture base
base
gingiva
mucosal surface
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久雄 本間
美雪 本間
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この発明は、義歯床を有する有床義歯に関する。   The present invention relates to a denture having a denture base.

従来の一般的な有床義歯、すなわち歯肉と同色のアクリル樹脂などの床材で形成された義歯床にセラミック製などの人工歯を設けた有床義歯には、総入れ歯と称される総義歯(全部床義歯)、部分入れ歯と称される部分義歯(局部床義歯)とがある。たとえば、下記特許文献1に総義歯である有床義歯が開示されている。
特開2004−016417
For conventional dentures with dentures, which are artificial dentures made of ceramics on denture bases made of acrylic resin, etc., the same color as the gums, dentures called dentures (Full dentures) and partial dentures (local dentures) called partial dentures. For example, Patent Document 1 listed below discloses a denture that is a complete denture.
JP 2004-016417 A

図10及び図11に示す従来例の有床義歯Dは、上顎における天然歯の全欠損を補う上顎用の総義歯であり、義歯床用レジンやスルフォン等の樹脂で形成された略半楕円形状の義歯床Aに複数の人工歯1が配列されている。義歯床Aは、歯肉Gや口蓋Pの粘膜面Mを被覆する形状であり、歯肉Gに対応する部分は口蓋Pに対応する部分よりも厚く、その頂部に複数の人工歯1が一部埋設されて固定されている。かかる有床義歯Dは、義歯床Aを歯肉Gや口蓋Pの粘膜面Mに被覆させて口腔内部に装着される。すなわち有床義歯Dの義歯床Aは、人工歯1を安定して保持する役割と、歯肉Gや口蓋Pの粘膜面Mを被覆して有床義歯Dを口腔内部に安定させる役割とを果たしている。   The conventional denture D of the conventional example shown in FIG. 10 and FIG. 11 is a complete denture for the upper jaw that compensates for all the defects of the natural teeth in the upper jaw, and is a substantially semi-elliptical shape formed of a resin such as a denture base resin or sulfone. A plurality of artificial teeth 1 are arranged on the denture base A. The denture base A is shaped to cover the mucous membrane surface M of the gingiva G and palate P, and the portion corresponding to the gingiva G is thicker than the portion corresponding to the palate P, and a plurality of artificial teeth 1 are partially embedded at the top. Has been fixed. Such a denture D is mounted inside the oral cavity with the denture base A covered with the mucosa M of the gingiva G or palate P. That is, the denture base A of the base denture D plays a role of stably holding the artificial tooth 1 and a role of covering the mucosa M of the gingiva G and the palate P to stabilize the base denture D inside the oral cavity. Yes.

この有床義歯Dの製造方法を概説すると、義歯床Aの材料としてレンジやスルフォン等の加熱により重合硬化するタイプの歯科用合成樹脂を用いて製造する場合は、まずガム状物質を口腔内に圧接して採取した凹型へ石膏を流し込んで患者の口腔内(上顎の状態)を再現した石膏模型、つまり印象模型を形成する。次に、この石膏模型から起こした蝋型に蝋を流し込んで蝋堤を形成し、この蝋堤に人工歯1を配列して仮義歯床(蝋堤歯)作成する。そして、仮義歯床の蝋部分をロストワックス法によりレジンやスルフォン等の歯科用合成樹脂に置き換えることにより、人工歯1が配列された有床義歯Dが製造される。   An outline of the manufacturing method of the denture base D is as follows. When a dental synthetic resin of a type that is polymerized and cured by heating, such as a range or sulfone, is used as a material for the denture base A, first, the gum-like substance is placed in the oral cavity. A gypsum model that reproduces the patient's oral cavity (upper jaw state), that is, an impression model, is formed by pouring gypsum into a concave shape collected by pressure welding. Next, wax is poured into a wax mold raised from the plaster model to form a wax bank, and artificial teeth 1 are arranged on the wax bank to create a temporary denture base (wax tooth). Then, by replacing the wax portion of the temporary denture base with a synthetic resin such as resin or sulfone by the lost wax method, the denture D with the artificial teeth 1 arranged thereon is manufactured.

なお、下額における天然歯の全欠損を填補する下額用の有床義歯は、歯肉Gの粘膜面のみを被覆するため全体として略U字形状を呈しているが、その他の点は製造方法も含め前記上顎用の有床義歯Dと同様である。   Note that the lower denture base denture that fills all the defects of the natural teeth in the lower forehead has a substantially U-shape as a whole because it covers only the mucosal surface of the gingiva G. Including the denture D for the upper jaw.

この有床義歯Dの安定した装着状態は、口蓋Pや歯肉Gの粘膜面Mと義歯床Aとの密着性により確保される。すなわち、義歯床Aが粘膜面Mに隙間無く密着することにより有床義歯Dが粘膜面Mに吸着し、安定した装着状態が確保される。しかしながら、歯肉Gや口蓋Pの粘膜面Mのうち歯肉Gの粘膜面Mgは、咬合圧により歯肉Gが移動したり、歯肉Gに覆われる歯槽骨Bが吸収される等により変形するものであり、一方で、有床義歯Dの義歯床Aは人工歯1を保持して固定する必要があることから、ある程度の厚みと硬さを有する変形し難いものとなっている。このため、歯肉Gの粘膜面Mgが変形すると、ある程度の硬さと厚みを有する義歯床Aと歯肉Gの粘膜面Mgとの間に隙間が生じて吸着が弱まり、有床義歯Dの動揺(位置ズレやガタつき)が生じていた。この有床義歯Dの動揺は、咀嚼や会話を阻害したり、歯肉Gや口蓋Pに痛みを生じさせたり、口腔内部に地震が発生しているようなガタつき感を生じさせ、装着感を劣悪なものとする原因の一つとなっていた。また、前記理由により義歯床Aと歯肉Gの粘膜面Mgとの間に隙間が生じると、咬合圧により有床義歯Dが撓んだり、有床義歯Dの動揺による衝撃により、義歯床Aや人工歯1に破損(破折)が生じて、長期使用が困難となっていた。   The stable mounting state of the denture D is secured by the adhesion between the palate P and the mucosa surface M of the gingiva G and the denture base A. That is, when the denture base A adheres to the mucosal surface M without a gap, the denture base D is adsorbed to the mucosal surface M, and a stable wearing state is ensured. However, of the mucosal surface M of the gingiva G and palate P, the mucosal surface Mg of the gingiva G is deformed by the movement of the gingival G by occlusal pressure or the absorption of the alveolar bone B covered by the gingival G. On the other hand, since the denture base A of the denture D has to hold and fix the artificial tooth 1, it has a certain degree of thickness and hardness and is difficult to deform. For this reason, when the mucosal surface Mg of the gingiva G is deformed, a gap is formed between the denture base A having a certain degree of hardness and thickness and the mucosal surface Mg of the gingiva G, and the adsorption is weakened. Deviation and backlash have occurred. This swinging of the denture D impedes mastication and conversation, causes pain in the gingiva G and palate P, and causes a rattling feeling that an earthquake has occurred in the oral cavity, which makes It was one of the causes that made it worse. Further, when a gap is generated between the denture base A and the mucosal surface Mg of the gingiva G for the above-mentioned reason, the denture base A or the denture base A due to the impact of the denture D due to the occlusal pressure is bent. The artificial tooth 1 was broken (broken), making long-term use difficult.

また、従来の有床義歯Dは、硬質な義歯床Aが歯肉Gや口蓋Pの粘膜面Mに直接触れることとなるため、有床義歯Dの動揺がないときにも有床義歯Dを装着するだけで違和感や痛み等の不快感が生じるだけでなく、硬質な義歯床Aにより歯槽骨Bが圧迫されて吸収され易くなり、前述した有床義歯Dの動揺や破損が発生しやすくなっていた。   In addition, the conventional denture D has a hard denture base A that directly touches the mucous membrane surface M of the gingiva G and palate P. Not only does this cause discomfort such as discomfort and pain, but also the alveolar bone B is easily compressed and absorbed by the hard denture base A, and the above mentioned denture D is easily shaken or damaged. It was.

一方、有床義歯Dの義歯床Aを軟質に形成して歯肉Gの粘膜面Mgに合わせて変形可能なものとすることにより、動揺の発生を抑えたり不快感を防止して、装着感を高めることも考えられる。しかし、動揺の発生を抑えたり不快感が生じない程度に義歯床Aを軟質に形成すると、義歯床Aに一部埋め込まれて保持されている人工歯1が揺れ動いたり義歯床Aから外れたりして不安定になり、実用性に欠けることとなってしまう。   On the other hand, the denture base A of the base denture D is made soft and can be deformed according to the mucosal surface Mg of the gingiva G, thereby suppressing the occurrence of swaying and preventing uncomfortable feeling. It can be increased. However, if the denture base A is made soft enough to suppress the occurrence of shaking or cause discomfort, the artificial tooth 1 that is partially embedded and held in the denture base A swings or comes off the denture base A. Becomes unstable and lacks practicality.

さらに、有床義歯Dは使用により口腔内部に慣れ親しみ、口腔内部での違和感が緩和・解消されて、使用開始時よりも装着感が向上する傾向にある。しかしながら、従来の有床義歯Dでは、人工歯1が欠ける等のように一部のみが破損した場合にも、慣れ親しんだ部分も含めた有床義歯D全体を新たに製造し直して交換する必要があり、破損前の慣れ親しんだ装着感が極端に損なわれることとなっていた。また、義歯床Aが半楕円形状であると、口蓋Pの粘膜面Mpのほぼ全体を塞ぐこととなり、多くの唾液が粘膜面Mpと義歯床Aとの間に溜まった状態となって口腔内部に供給されにくくなり、口腔内部が乾燥してしまうという問題も生じていた。   Furthermore, the denture denture D becomes familiar with the inside of the oral cavity by use, and the uncomfortable feeling inside the oral cavity is alleviated and eliminated, and the wearing feeling tends to be improved as compared with the start of use. However, in the case of the conventional denture D, even when only a part of the artificial denture 1 is damaged, the entire denture D including the familiar portion needs to be newly manufactured and replaced. There was, and the familiar wearing feeling before the breakage was to be extremely impaired. Further, if the denture base A is semi-elliptical, the entire mucosal surface Mp of the palate P is blocked, and a large amount of saliva is accumulated between the mucosal surface Mp and the denture base A. It has become difficult to be supplied to the mouth, and the problem that the inside of the oral cavity becomes dry has also occurred.

そこで本発明の目的は、咬合力の分散を図り、人工歯の安定性を確保しながらも装着感の優れる有床義歯を提供することにある。   SUMMARY OF THE INVENTION An object of the present invention is to provide a denture with excellent wearing feeling while ensuring the stability of an artificial tooth by distributing the occlusal force.

本発明の有床義歯は、歯肉の粘膜面又は歯肉と口蓋の粘膜面を被覆する第1の義歯床と、人工歯が配列された第2の義歯床との少なくとも二つの義歯床を有し、当該第1の義歯床は歯肉の粘膜面に合わせて変形可能であり、第1の義歯床と第2の義歯床は、これらの間に弾性力を有する弾性体が接着剤を介して配されて、重ね合わせられていることを特徴とする。第1の義歯床は歯肉の粘膜面のみを被覆するものでも良く、歯肉と口蓋の粘膜面を被覆するものでも良い。 The denture of the present invention has at least two denture bases: a first denture base covering the mucosa surface of the gingiva or the gingiva and the mucosa surface of the palate, and a second denture base on which artificial teeth are arranged. The first denture base can be deformed according to the mucosal surface of the gingiva, and the first denture base and the second denture base are provided with an elastic body having an elastic force between them via an adhesive. It is characterized by being superposed. The first denture base may cover only the mucosal surface of the gingiva, or may cover the mucosal surface of the gingiva and the palate.

この発明によれば、歯肉の粘膜面又は歯肉と口蓋の粘膜面を被覆する第1の義歯床と、人工歯が配列された第2の義歯床との少なくとも二つの義歯床を有しているため、各義歯床ごとにその役割に応じた好適な厚みや硬さとすることができる。すなわち、第2の義歯床を人工歯の固定に適する厚みや硬さとすることにより人工歯の安定性を確保するとともに咬合力の分散を図りながらも、第1の義歯床を粘膜面の被覆に適する厚みや硬さとすることにより装着感の優れる有床義歯とすることができる。また、第1の義歯床と第2の義歯床のいずれかが破損した場合には、必要に応じて一方の義歯床のみを交換することも可能であり、破損前の装着感が極端に損なわれることもない。更に、第1の義歯床が変形すると第1の義歯床と第2の義歯床との重ね合わせ状態に不整合が発生する場合があるが、この発明によれば、前記第1の義歯床と第2の義歯床との間には弾性力を有する弾性体が配されていることから、弾性体によりこの不整合が吸収され、両義歯床の間のガタつきが防止される。弾性体としては、弾性圧アタッチメントが好適である。 According to this invention, it has at least two denture bases of the 1st denture base which coat | covers the mucous membrane surface of a gingiva or the mucosa of a gingiva and a palate, and the 2nd denture base in which the artificial tooth was arranged. Therefore, it can be set as suitable thickness and hardness according to the role for every denture base. That is, by making the second denture base thickness and hardness suitable for fixing artificial teeth, the stability of the artificial teeth is ensured and the occlusal force is dispersed, while the first denture base is covered with the mucosal surface. By setting it to a suitable thickness and hardness, it is possible to obtain a denture with excellent wearing feeling. In addition, if either the first denture base or the second denture base is damaged, it is possible to replace only one denture base as necessary, and the wearing feeling before the damage is extremely impaired. It will never happen. Furthermore, when the first denture base is deformed, inconsistency may occur in the overlapping state of the first denture base and the second denture base. According to this invention, the first denture base and the first denture base Since an elastic body having an elastic force is arranged between the second denture base, this mismatch is absorbed by the elastic body, and rattling between both denture bases is prevented. As the elastic body, an elastic slow pressure attachment is suitable.

本発明の有床義歯としては、前記第1の義歯床は、歯肉の粘膜面の変形に合わせて変形可能な厚みであることが好ましい。また、本発明の有床義歯としては、前記第1の義歯床は、歯肉の粘膜面の変形に合わせて変形可能な材料で形成されていることが好ましい。   As the denture of the present invention, the first denture base preferably has a thickness that can be deformed in accordance with the deformation of the mucosal surface of the gingiva. In the denture of the present invention, the first denture base is preferably formed of a material that can be deformed in accordance with the deformation of the mucosal surface of the gingiva.

有床義歯は歯肉又は歯肉と口蓋の粘膜面に義歯床が密着することにより吸着して安定した装着状態が得られるが、この発明によれば、咬合による歯肉の移動や歯槽骨の吸収等により歯肉の粘膜面が変形しても、粘膜面の変形に合わせて第1の義歯床が変形することで粘膜面と第1の義歯床との吸着状態が保たれ、有床義歯の動揺や破損が防止される。   The denture is adsorbed by the denture base in close contact with the gingiva or the mucosal surface of the gingiva and the palate, and a stable wearing state is obtained. Even if the mucous membrane surface of the gingiva is deformed, the first denture base is deformed in accordance with the deformation of the mucosa surface, so that the adsorbed state between the mucosa surface and the first denture base is maintained, and the denture is shaken or damaged. Is prevented.

本発明の請求項2記載の有床義歯は、前記弾性体は、前記第1の義歯床又は第2の義歯床のいずれか一方を交換可能な弾性緩圧アタッチメントであることを特徴とする。 The denture according to claim 2 of the present invention is characterized in that the elastic body is an elastic slow pressure attachment that can replace either the first denture base or the second denture base.

本発明の請求項3記載の有床義歯は、前記第1の義歯床及び第2の義歯床は略U字形状を呈する上顎用の義歯床であることを特徴とする。また、記第1の義歯床及び第2の義歯床は略U字形状を呈する上顎用の義歯床であり、第1の義歯床又は第2の義歯床には略U字形状の左右両側を連結して補強する補強手段が設けられていることが好ましい。   The denture according to claim 3 of the present invention is characterized in that the first denture base and the second denture base are upper denture bases having a substantially U shape. The first denture base and the second denture base are upper denture bases having a substantially U shape, and the left and right sides of the substantially U shape are provided on the first denture base or the second denture base. It is preferable that reinforcing means for connecting and reinforcing is provided.

この発明によれば、第1の義歯床及び第2の義歯床は略U字形状であるため、口蓋の粘膜面を広い範囲で覆い隠す略半楕円形状のものと比較して変形しやすくなる。略U字形状の第1の義歯床は略半楕円形状のものと比較して粘膜面に吸着する面積が小さくなるが、変形により吸着状態が保たれるため動揺したり外れることはない。また、略U字形状とすることにより、口蓋の粘膜面全体が塞がれることがないため、唾液が粘膜面と義歯床との間に溜まらずに口腔内部に供給されやすくなる。両義歯床は幅狭の略U字形状となるが、第1の義歯床又は第2の義歯床は左右両側が補強手段により連結されて補強されているため、捩れや歪みによる折れ等の破損が生じ難くなる。   According to this invention, since the first denture base and the second denture base are substantially U-shaped, they are more easily deformed than those having a substantially semi-elliptical shape that covers the mucosal surface of the palate in a wide range. . The substantially U-shaped first denture base has a smaller area to be adsorbed to the mucosal surface than that of a substantially semi-elliptical shape, but is not shaken or detached because the adsorbed state is maintained by deformation. In addition, since the entire mucosal surface of the palate is not blocked by adopting a substantially U shape, saliva is easily supplied into the oral cavity without accumulating between the mucosal surface and the denture base. Both denture bases are narrow and generally U-shaped, but the first denture base or the second denture base is reinforced by connecting the left and right sides with reinforcing means, so breakage due to twisting or distortion, etc. Is less likely to occur.

なお、本発明の有床義歯の製造方法は、有床義歯は、歯肉の粘膜面又は歯肉と口蓋の粘膜面を被覆する第1の義歯床と、人工歯が配列された第2の義歯床との少なくとも二つの義歯床を有し、第1の義歯床と第2の義歯床とが重ね合わされて使用される前記請求項1乃至請求項5のいずれか1項に記載の有床義歯であり、その製造に際しては、前記粘膜面を被覆可能な形状で第1の義歯床を製作した後に、第1の義歯床に重ね合わせ可能な形状で第2の義歯床を製作することが好ましい。   In the method for producing a denture according to the present invention, the denture is composed of a first denture base covering the mucosa surface of the gingiva or the mucosa surface of the gingiva and the palate, and a second denture base on which artificial teeth are arranged. The denture base according to any one of claims 1 to 5, wherein the first denture base and the second denture base are used in an overlapping manner. In manufacturing the first denture base, it is preferable to manufacture the second denture base in a shape that can be superimposed on the first denture base after the first denture base is manufactured in a shape capable of covering the mucous membrane surface.

この発明によれば、第1の義歯床の作製は、歯肉や口蓋の粘膜面の凹型を採取してこれに石膏を流し込む等により製作する。第1の義歯床は第2の義歯床とは別に製作することができるため、人工歯の安定を考慮することなく歯肉や口蓋の粘膜面を被覆するに適した材料や厚みでの製作が可能となる。その次に、第1の義歯床の凹型を採取してこれに石膏を流し込む等により第2の義歯床を製作する。第2の義歯床は第1の義歯床とは別に製作することができ、装着感を考慮することなく人工歯の安定に適した材質や厚さでの製作が可能になる。そして、かかる方法で製造されると、第1の義歯床と第2の義歯床との重ね合わせが可能となり、上記作用・効果を有する有床義歯としての使用が可能になる。   According to the present invention, the first denture base is manufactured by collecting a concave mold on the mucosa surface of the gingiva or palate and pouring gypsum into the concave mold. Since the first denture base can be manufactured separately from the second denture base, it can be manufactured with materials and thicknesses suitable for covering the mucosal surface of the gingiva and palate without considering the stability of the artificial teeth. It becomes. Next, the second denture base is manufactured by collecting the concave shape of the first denture base and pouring plaster into it. The second denture base can be manufactured separately from the first denture base, and can be manufactured with a material and thickness suitable for the stability of the artificial tooth without considering the wearing feeling. And if it manufactures by this method, the 1st denture base and the 2nd denture base can be overlap | superposed, and the use as a denture having the said effect | action and effect will be attained.

本発明の有床義歯によれば、第1の義歯床と第2の義歯床とから義歯床が構成されているため、各義歯床ごとにその役割に応じた好適な厚みや硬さとすることにより、人工歯の安定性を確保しつつも、装着感の優れる有床義歯とすることができる。とくに、第1の義歯床を歯肉の粘膜面の変形に合わせて変形可能な厚みや材料とすることにより、咬合による歯肉の移動や歯槽骨の吸収等により歯肉の粘膜面が変形しても、それに合わせて第1の義歯床が変形して粘膜面との密着状態が保たれるため、有床義歯の動揺が発生し難くなり、装着感が良好になるとともに動揺による衝撃で破損されることも防止されて長期使用が可能となる。そして、第1の義歯床と第2の義歯床のいずれかが損傷した場合には、必要に応じて一方の義歯床のみを交換することも可能であり、破損前の装着感を極端に損なうこともない。   According to the denture of the present invention, since the denture base is composed of the first denture base and the second denture base, each denture base should have a suitable thickness and hardness according to its role. Thus, it is possible to obtain a denture with a superior wearing feeling while ensuring the stability of the artificial tooth. In particular, by making the first denture base thickness and material that can be deformed according to the deformation of the mucosal surface of the gingiva, even if the mucosal surface of the gingiva is deformed due to movement of the gingiva by occlusion or absorption of the alveolar bone, Correspondingly, the first denture base is deformed and kept in close contact with the mucosal surface, so that the denture is less likely to shake, and the wearing feeling is improved and damaged by the shake. Is prevented, and long-term use becomes possible. When either the first denture base or the second denture base is damaged, it is possible to replace only one denture base as necessary, and the wearing feeling before breakage is extremely impaired. There is nothing.

以下、本考案の一実施の形態を図面を参照しながら説明する。   Hereinafter, an embodiment of the present invention will be described with reference to the drawings.

(第1の実施の形態)
本実施の形態の義歯床は、図1に示すように、上顎側の天然歯の全欠損を補綴するために使用される上顎用の有床義歯(総義歯)D1と下顎用の有床義歯(総義歯)DDであり、いずれも全体としてU字状を呈する。これら両有床義歯(総義歯)D1と有床義歯(総義歯)DDとはほぼ同じ構成である。なお、総義歯は全部床義歯とも呼ばれる。以下、上顎用の有床義歯(総義歯)D1で説明するが、下顎用の有床義歯(総義歯)DDについても、製造方法を含め同じように適用可能である。
(First embodiment)
As shown in FIG. 1, the denture base of the present embodiment includes a maxillary denture (complete denture) D <b> 1 and a mandibular denture that are used for prosthesis of a complete defect of a natural tooth on the upper jaw side. (Total denture) DD, all of which are U-shaped as a whole. These both dentures (complete dentures) D1 and the dentures (complete dentures) DD have substantially the same configuration. All dentures are also called dentures. Hereinafter, the upper denture (complete denture) D1 will be described, but the lower denture denture (complete denture) DD can be applied in the same manner including the manufacturing method.

有床義歯D1は、図2及び図3に示すように、歯肉Gの粘膜面Mgを被覆する第1の義歯床A1と、複数の人工歯1が配列された第2の義歯床A2との二つの義歯床A1,A2を有し、第1の義歯床A1と第2の義歯床A2とは重ね合わされて使用される。本実施の形態の有床義歯Dは、少なくとも二つの義歯床を有しているため、各義歯床ごとにその役割に応じた好適な厚みや硬さとすることができる。各義歯床A1,A2は厚みを好適なものとしても良いし、使用される材料の選択により硬さを好適なものとしても良いし、厚みと硬さの両方を好適なものとしても良い。本実施の形態では、材料は同じで厚みを好適なものとした場合を例に説明する。   As shown in FIGS. 2 and 3, the denture denture D1 is composed of a first denture base A1 that covers the mucosal surface Mg of the gingiva G and a second denture base A2 in which a plurality of artificial teeth 1 are arranged. Two denture bases A1 and A2 are provided, and the first denture base A1 and the second denture base A2 are overlapped and used. Since the denture D of this Embodiment has at least 2 denture base, it can be set as suitable thickness and hardness according to the role for every denture base. Each denture base A1, A2 may have a suitable thickness, may have a suitable hardness by selection of a material to be used, or may have both a thickness and a hardness suitable. In this embodiment, the case where the material is the same and the thickness is suitable will be described as an example.

第1の義歯床A1は、義歯床用の樹脂であるポリスルフォンを材料として形成されている。その形状は歯肉Gの粘膜面Mgを被覆する大きさの略U字形状であり、歯肉Gを跨ぐために断面凹状を呈する。第1の義歯床A1の厚みは均一であり、歯肉Gの粘膜面Mgの変形に合わせて変形可能なように薄型となっている。第1の義歯床A1の変形可能な厚みはその大きさや材料によって異なるが、略0.5mmが望ましい。   The first denture base A1 is formed from polysulfone, which is a resin for denture base. The shape is substantially U-shaped so as to cover the mucosal surface Mg of the gingiva G, and exhibits a concave cross section to straddle the gingiva G. The thickness of the first denture base A1 is uniform and is thin so that it can be deformed in accordance with the deformation of the mucosal surface Mg of the gingival G. The deformable thickness of the first denture base A1 varies depending on its size and material, but is preferably about 0.5 mm.

第2の義歯床A2は、同じくポリスルフォンを材料として形成され、その形状は第1の義歯床A1よりも全体的に一回り小さな略U字状であり、第1の義歯床A1を跨ぐように重ね合わされるため断面凹状を呈する。第2の義歯床A2の厚みは外側から内側に向かって除々に厚くなっており、人工歯1が埋め込まれる箇所は人工歯1の安定性を考慮して特に厚くなっている。この第2の義歯床A2が第1の義歯床A1の上に乗るように重ね合わされると、第1の義歯床A1の辺縁部が第2の義歯床A2から外側に一部はみ出した状態となる。   The second denture base A2 is also made of polysulfone as a material, and its shape is substantially U-shaped that is slightly smaller than the first denture base A1 so as to straddle the first denture base A1. Since it is superposed on each other, it has a concave cross section. The thickness of the second denture base A2 gradually increases from the outside toward the inside, and the portion where the artificial tooth 1 is embedded is particularly thick in consideration of the stability of the artificial tooth 1. When the second denture base A2 is overlaid on the first denture base A1, the edge of the first denture base A1 partially protrudes outward from the second denture base A2. It becomes.

第2の義歯床A2には、U字状の略対称となる中心線Lを挟んで左右両側の後方を連結して補強する補強部材2が取り付けられている。この補強部材2は、パラパルバーとも呼ばれ、金銀パラジウム合金製の帯状ものであり、口腔内部の上顎壁面(口蓋)Pに沿うように円弧形状に湾曲している。従来の上顎側の有床総義歯は、口蓋Pを覆う部分が設けられているが(図10参照)、本実施の形態では、口蓋部分を全部被覆せずに、細型のU字形状にして第1の義歯床A1を変形し易くするとともに、有床義歯D1の口腔内部との接触面積を少なくして装着感を高めている。両義歯床A1,A2は細型のU字形状となるが、有床義歯D1を口腔内部に装着したときに第2の義歯床の左右両側となる部分を補強部材2で連結して補強することで捩れや歪みによる折れ等の破損を防止したり、補強部材2を口蓋Pに沿う円弧形状に湾曲させることにより第2の義歯床A2の位置ズレを防止している。なお、補強部材2は、第2の義歯床に取り付ける。   A reinforcing member 2 is attached to the second denture base A2 to connect and reinforce the left and right rear sides across a U-shaped substantially symmetrical center line L. The reinforcing member 2 is also called a parapalver and is a band made of gold-silver-palladium alloy, and is curved in an arc shape along the upper jaw wall surface (palate) P inside the oral cavity. A conventional denture on the upper jaw side is provided with a portion covering the palate P (see FIG. 10), but in this embodiment, the entire palatal portion is not covered and is formed into a thin U-shape. While making it easy to deform | transform 1st denture base A1, the contact area with the oral cavity inside of the denture base D1 is decreased, and the mounting feeling is improved. Both denture bases A1 and A2 have a thin U-shape, but when the denture base D1 is mounted inside the oral cavity, the left and right sides of the second denture base are connected and reinforced by the reinforcing member 2. Therefore, the second denture base A2 is prevented from being displaced by preventing breakage such as bending due to twisting or distortion, or by bending the reinforcing member 2 into an arc shape along the palate P. The reinforcing member 2 is attached to the second denture base.

第1の義歯床A1と第2の義歯床A2とは、第2の義歯床A2の裏面に塗布された接着剤等の接着手段3により接着されている。これにより、二つの義歯床A1,A2を有していても一体的な有床義歯D1として使用可能となっている。両義歯床A1,A2の連結に際しては、例えば、図2に示すように、第2の義歯床A2の裏側(第1の義歯床A1と接する側)の全体を接着するのではなく数箇所のみに接着剤3を塗布して部分的に接着したり、第2の義歯床A2のU字形状に沿って中央部分のみを接着して外縁部分は接着することなく連結することもできる。第1の義歯床A1のうち第2の義歯床と接着された部分は変形しにくくなるが、接着部分を少なくすることにより、第1の義歯床A1が変形する際の自由度が高まるからである。接着手段3としては、接着テープを使用したり、弾性緩圧アタッチメントで連結させても良い。さらに、第1の義歯床A1が第2の義歯床A2に抑え付けられることによって変形が阻害されないように、第1の義歯床A1と第2の義歯床A2との間には連結個所以外の部分に若干の空隙が設けられている。   1st denture base A1 and 2nd denture base A2 are adhere | attached by the adhesion means 3, such as the adhesive agent apply | coated to the back surface of 2nd denture base A2. Thereby, even if it has two denture bases A1 and A2, it can be used as an integral base denture D1. When connecting both denture bases A1 and A2, for example, as shown in FIG. 2, the entire back side of the second denture base A2 (the side in contact with the first denture base A1) is not bonded, but only a few places. It is also possible to apply the adhesive 3 and partially bond them, or connect only the central portion along the U-shape of the second denture base A2 and connect the outer edge portions without bonding. The portion of the first denture base A1 bonded to the second denture base is less likely to be deformed, but by reducing the number of bonded portions, the degree of freedom when the first denture base A1 is deformed is increased. is there. As the bonding means 3, an adhesive tape may be used, or the bonding means 3 may be connected by an elastic / soft pressure attachment. Furthermore, there is no connection between the first denture base A1 and the second denture base A2 so that the deformation is not inhibited by the first denture base A1 being restrained to the second denture base A2. Some gaps are provided in the part.

図4は、本実施の形態の有床義歯D1が装着者の口腔内部に装着された状態を示す図である。有床義歯D1は、両義歯床A1,A2が重ね合わされて接着された状態で、第1の義歯床A1が上顎側の歯肉Gの粘膜面Mgを被覆するように口腔内部に配置されて装着される。有床義歯D1の装着に際しては、有床義歯D1を口腔内部に配置するとともに歯肉Gに向かって押し付けると、第1の義歯床A1が歯肉Gの粘膜面Mgに隙間無く密着して吸着し、有床義歯D1が固定される。   FIG. 4 is a diagram illustrating a state in which the denture denture D1 of the present embodiment is mounted in the wearer's oral cavity. The denture denture D1 is placed inside the oral cavity so that the first denture base A1 covers the mucosal surface Mg of the gingival G on the upper jaw in a state where the denture bases A1 and A2 are overlapped and bonded. Is done. When the bed denture D1 is mounted, when the bed denture D1 is placed inside the oral cavity and pressed against the gingiva G, the first denture bed A1 adheres and adsorbs to the mucosal surface Mg of the gingiva G without gaps, The plate denture D1 is fixed.

口腔内部は咬合運動による歯肉Gの移動や歯槽骨Bの吸収により歯肉Gの粘膜面Mgが変形するが、有床義歯D1が口腔内部に装着されて使用されると、粘膜面Mgの変形に合わせて第1の義歯床A1が変形するため、粘膜面Mgとの密着状態が保たれ、有床義歯D1の動揺(位置ズレやガタつき)が防止される。とくに、第1の義歯床A1を薄型にすることにより、横方向の動揺を吸収しやすくなっている。したがって、咀嚼や会話の最中に有床義歯D1の動揺による違和感や痛み、口腔内部に地震が発生しているようなガタつき感も生じることがなく、優れた装着感が得られる。第1の義歯床A1は変形可能な厚みであるため、第1の義歯床が歯肉Gの変形に合わせて撓んでも破損(破折)することが少なく、動揺による衝撃により破損することもより防止されて長期使用が可能となる。粘膜面Mgに直接触れる第1の義歯床A1は、厚みの薄い変形可能なものであるため、義歯床が直接触れることにより有床義歯の動揺がない場合にも発生していた違和感や痛みも軽減される。また、従来の有床義歯Dでは、歯肉Gの粘膜面Mgの変形により隙間が生じると、歯肉Gの粘膜面Mgと義歯床Aとの間に義歯安定剤を配することにより有床義歯Dを安定させる必要があったが、本実施の形態の有床義歯D1によれば第1の義歯床A1が変形して吸着状態が維持されるため、かかる義歯安定剤を使用する必要がない。第1の義歯床A1は略U字形状であるため、半楕円形状に形成した場合(図5参照)と比較して変形しやすくなっている。また、略半楕円形状のもの(図5参照)と比較して粘膜面Mに吸着する面積が小さくなるが、変形により吸着状態が保たれるため動揺したり外れることがない。さらに、略U字形状とすることにより、口蓋Pの粘膜面Mp全体が塞がれることがないため、唾液が粘膜面Mと第1の義歯床A1との間に溜まらずに口腔内部に供給される。   In the oral cavity, the mucosal surface Mg of the gingival G is deformed by the movement of the gingival G by the occlusal movement and the absorption of the alveolar bone B. However, when the denture denture D1 is mounted and used inside the oral cavity, the mucosal surface Mg is deformed. In addition, since the first denture base A1 is deformed, the close contact state with the mucosal surface Mg is maintained, and the base denture D1 is prevented from shaking (positional deviation and backlash). In particular, by making the first denture base A1 thin, it is easy to absorb lateral shaking. Therefore, there is no discomfort or pain due to the shaking of the denture D1 during mastication or conversation, and there is no rattling feeling that an earthquake has occurred inside the oral cavity, and an excellent wearing feeling can be obtained. Since the first denture base A1 has a deformable thickness, the first denture base is less likely to break (break) even if the first denture base is bent in accordance with the deformation of the gingiva G, and may be damaged due to an impact caused by shaking. Prevents long-term use. Since the first denture base A1 that directly touches the mucosal surface Mg is thin and deformable, there is also a sense of incongruity and pain that has occurred even when the denture does not shake due to direct contact with the denture base. It is reduced. Further, in the conventional denture D, if a gap is generated due to the deformation of the mucosal surface Mg of the gingiva G, the denture stabilizer D is disposed between the mucosa Mg of the gingiva G and the denture base A, thereby providing the denture D. However, according to the plate denture D1 of the present embodiment, since the first denture base A1 is deformed and the adsorbed state is maintained, it is not necessary to use such a denture stabilizer. Since the first denture base A1 is substantially U-shaped, the first denture base A1 is easily deformed as compared with the case where it is formed in a semi-elliptical shape (see FIG. 5). In addition, the area adsorbed on the mucosal surface M is smaller than that of a substantially semi-elliptical shape (see FIG. 5), but the adsorbed state is maintained by deformation, so that it does not shake or come off. Furthermore, since the entire mucosal surface Mp of the palate P is not blocked by adopting a substantially U shape, saliva is not collected between the mucosal surface M and the first denture base A1 and is supplied into the oral cavity. Is done.

一方、第2の義歯床A2は人工歯1を固定するに適したある程度の厚みと硬さを有するものとなっているため、従来通りに人工歯1が十分な深さで埋設されて固定されており、人工歯1の安定が確保されるとともに、咬合力の分散が図られている。本実施の形態の有床義歯D1を装着した装着者(患者)の感想は、有床義歯D1の動揺もなく優れた装着感を得られるとのことで、頗る良好であった。   On the other hand, since the second denture base A2 has a certain thickness and hardness suitable for fixing the artificial tooth 1, the artificial tooth 1 is embedded and fixed at a sufficient depth as usual. Thus, the stability of the artificial tooth 1 is ensured and the occlusal force is dispersed. The impression of the wearer (patient) wearing the plate denture D1 according to the present embodiment is that it is possible to obtain an excellent wearing feeling without shaking the plate denture D1, and it was good.

また、第1の義歯床A1と第2の義歯床A2のいずれかが損傷した場合には、必要に応じて一方の義歯床のみを交換することも可能であり、破損前の装着感を極端に損なうこともない。たとえば、人工歯1や第2の義歯床A2の一部が損傷しても、人工歯1が配列された義歯床A2のみを交換すれば良く、使用により歯肉Gの粘膜面Mgに慣れ親しんだ第1の義歯床A1はそのまま使用することができ、第1の義歯床A1については破損前の装着感が維持される。   In addition, when either the first denture base A1 or the second denture base A2 is damaged, it is possible to replace only one denture base as necessary, and the wearing feeling before breakage is extremely high. There is no loss. For example, even if a part of the artificial tooth 1 or the second denture base A2 is damaged, only the denture base A2 on which the artificial teeth 1 are arranged may be replaced. The first denture base A1 can be used as it is, and the first denture base A1 maintains the feeling of wearing before breakage.

図5は、本実施の形態における他の例の上顎用の義歯床D11である。この上顎用の義歯床D11は、上記義歯床D1と同様に第1の義歯床A1と第2の義歯床A2との二重構造であるが、第1の義歯床A1は略半楕円形状を呈している。本義歯床D11を装着すると、第1の義歯床A1が歯肉G及び口蓋Pの粘膜面Mg,Mpを被覆するようになっている(図6)。上顎側は義歯床が比較的に吸着しにくいが、義歯床D11を略半楕円形状とすることにより、上顎との接合面が広くなり、強い吸着力で固定される。   FIG. 5 shows a denture base D11 for the upper jaw in another example in the present embodiment. The upper denture base D11 has a double structure of the first denture base A1 and the second denture base A2 as in the denture base D1, but the first denture base A1 has a substantially semi-elliptical shape. Presents. When the denture base D11 is mounted, the first denture base A1 covers the gingival G and the mucosal surfaces Mg and Mp of the palate P (FIG. 6). Although the denture base is relatively difficult to adsorb on the upper jaw side, by making the denture base D11 into a substantially semi-elliptical shape, the joint surface with the upper jaw becomes wide and is fixed with a strong adsorbing force.

(第2の実施の形態)
本発明の第2の実施の形態の有床義歯D2は、図7、図8に示すように、第1の義歯床A1と第2の義歯床A2との間に、弾性力を有する弾性体4が配されている。弾性体4としては、図7に示すように弾性力を有するシート状の接着剤を使用しても良い。接着力を有しないシート状の弾性体を接着剤とともに配して、上記第1の義歯床A1と第2の義歯床A2とを重ね合わせ接合させるものでも良い。シート状の弾性体4の数枚を増減させて、装着者の咀嚼時等における加圧の程度に合わせて弾力を調節することも可能である。
(Second Embodiment)
As shown in FIGS. 7 and 8, the denture D <b> 2 according to the second embodiment of the present invention is an elastic body having an elastic force between the first denture base A <b> 1 and the second denture base A <b> 2. 4 is arranged. As the elastic body 4, a sheet-like adhesive having elasticity as shown in FIG. 7 may be used. A sheet-like elastic body having no adhesive force may be disposed together with an adhesive so that the first denture base A1 and the second denture base A2 are overlapped and joined. It is also possible to increase or decrease the number of the sheet-like elastic bodies 4 to adjust the elasticity according to the degree of pressurization when the wearer chews.

歯肉Gの粘膜面Mgの変形に合わせて第1の義歯床A1が変形すると、第1の義歯床A1と第2の義歯床A2との重ね合わせ状態に不整合が発生し、第1の義歯床A1と第2の義歯床A2とにガタつきが生じて装着感が損なわれる場合があるが、本実施の形態の有床義歯D2によれば、両義歯床A1,A2の間に配された弾性体4がこの不整合を吸収し、装着感が損なわれることがない。両義歯床A1,A2が弾性体4を介して重ね合わされるため、互いに接触して破損される事態も防止される。また、弾性体4は、咬合により発生する縦方向の衝撃を吸収する緩衝材の役割をも果たし、装着感がより良好になる。なお、従来の有床義歯Dでも衝撃を吸収する緩衝材が配されることがあるが、この緩衝材は歯肉Gや口蓋Pの粘膜面Mと接する位置に配されるのに対して、本実施の形態の有床義歯D1では緩衝材の役割も果たす弾性体4が第1の義歯床A1と第2の義歯床A2との間に配されるため、従来と比較して咬合による衝撃が歯肉Gに伝わりにくく、歯肉Gにかかる負担が軽減され、常時振動による歯槽骨Bの吸収が防止されるという大きな効果も有する。   When the first denture base A1 is deformed in accordance with the deformation of the mucosal surface Mg of the gingiva G, there is an inconsistency in the overlapping state of the first denture base A1 and the second denture base A2, and the first denture. Although there is a case where the floor A1 and the second denture base A2 are rattled and the feeling of wearing may be impaired, the base denture D2 of the present embodiment is arranged between both denture bases A1 and A2. The elastic body 4 absorbs this mismatch and the feeling of wearing is not impaired. Since the denture bases A1 and A2 are overlapped via the elastic body 4, a situation in which they are brought into contact with each other and damaged is also prevented. In addition, the elastic body 4 also serves as a cushioning material that absorbs a longitudinal impact generated by occlusion, and the wearing feeling becomes better. In addition, although the cushioning material which absorbs an impact may be arranged also in the conventional denture D, this cushioning material is arranged in the position which touches the mucous membrane surface M of the gingiva G or palate P, but this In the base denture D1 of the embodiment, since the elastic body 4 that also serves as a cushioning material is arranged between the first denture base A1 and the second denture base A2, the impact due to occlusion is compared to the conventional case. It is difficult to be transmitted to the gingiva G, the burden on the gingival G is reduced, and there is a great effect that absorption of the alveolar bone B due to constant vibration is prevented.

前記各実施の形態では二つの義歯床A1,A2を有する義歯D1,D11,D2について説明したが、第1の義歯床A1と第2の義歯床A2との間に第3の義歯床を有するように、義歯床を三つ以上重ね合わせることも可能である。また、下顎用の有床義歯DDについても、上記有床義歯D1,D11,D2とほぼ同様である。   In the above embodiments, the dentures D1, D11, and D2 having two denture bases A1 and A2 have been described. However, a third denture base is provided between the first denture base A1 and the second denture base A2. Thus, it is also possible to overlap three or more denture bases. Further, the denture denture DD for the lower jaw is almost the same as the denture dentures D1, D11, and D2.

また、前記各実施の形態の有床義歯D1,D11,D2は、同一材料で形成された両義歯床A1,A2を各々の役割に応じた好適な厚みに調節したものであるが、両義歯床A1,A2をほぼ同一の厚みとしながら各々の役割に応じた好適な硬さを有する材料を使用して形成しても良い。具体的には、第1の義歯床A1を歯肉Gの粘膜面Mgの変形に合わせて変形可能な程度の軟質材料で形成し、第2の義歯床A2を人工歯1が安定して固定される程度の硬質材料で形成することにより、各義歯床A1,A2ごとにその役割に応じた好適な硬さとする。たとえば、第1の義歯床A1の材料として軟質で弾力性に富む樹脂を使用し、第2の義歯床の材料として前記第1の義歯床A1よりも硬質な樹脂を使用しても良い。この場合は、硬さの硬い第2の義歯床A1が人工歯1を固定することにより人工歯1の安定性を確保しながらも、硬さの柔らかい第1の義歯床A1が歯肉Gの粘膜面Mgの変形に合わせて変形することにより密着状態が保たれて有床義歯D1の動揺が防止される。第1の義歯床A1は硬さが柔らかいため歯肉Gの粘膜面Mgに直接接しても違和感や痛みが生じにくい。また、咬合運動等による上下方向の振動が吸収される利点もある。   Further, the dentures D1, D11, D2 of the respective embodiments are obtained by adjusting the denture bases A1, A2 formed of the same material to suitable thicknesses according to their roles. You may form using the material which has suitable hardness according to each role, making floor A1, A2 into substantially the same thickness. Specifically, the first denture base A1 is formed of a soft material that can be deformed in accordance with the deformation of the mucosal surface Mg of the gingiva G, and the artificial tooth 1 is stably fixed to the second denture base A2. By forming it with a hard material of a certain degree, each denture base A1, A2 has a suitable hardness according to its role. For example, a soft and elastic resin may be used as the material of the first denture base A1, and a resin harder than the first denture base A1 may be used as the material of the second denture base. In this case, the hard second denture base A1 secures the artificial tooth 1 by fixing the artificial tooth 1, while the soft first denture base A1 is the mucous membrane of the gingiva G. By deforming in accordance with the deformation of the surface Mg, the close contact state is maintained, and the base denture D1 is prevented from shaking. Since the first denture base A1 is soft, even if it directly contacts the mucosal surface Mg of the gingiva G, discomfort and pain hardly occur. In addition, there is an advantage that vibrations in the vertical direction due to occlusal motion and the like are absorbed.

(本発明の有床義歯の製造方法)
本発明の有床義歯の製造方法を前記実施の形態の有床義歯D1,D2を例に説明する。ここでは、一般的な加熱により重合硬化するタイプの歯科用合成樹脂であるポリスルフォンを用いて製造する場合で説明する。義歯床の材料である熱可塑性樹脂としては、アクリル系樹脂やスルフォン系樹脂などの、歯科理工学的に義歯床用材料として好ましい重合体が使用され、いずれの材料を用いても良いが、機械的強度が大きく耐振動性に優れ、残留モノマーがほとんどないポリスルフォン樹脂が好ましい。
(Manufacturing method of the denture of the present invention)
The method for producing a denture of the present invention will be described by taking the dentures D1 and D2 of the above embodiment as an example. Here, the case where it manufactures using the polysulfone which is a dental synthetic resin of the type hardened | cured and cured by general heating is demonstrated. As the thermoplastic resin that is a material for the denture base, a polymer that is preferable as a denture base material in terms of dental science and engineering, such as an acrylic resin or a sulfone resin, may be used. A polysulfone resin having a high mechanical strength and excellent vibration resistance and almost no residual monomer is preferred.

第1の義歯床A1の製造は、(1−1)まず上顎の状態を示す石膏模型(スタディ模型)を形成する。(1−2)歯肉の型取り(印象採取)を行い、(1−3)この型に石膏を流し込んで石膏型を形成し、(1−4)さらにこの石膏型から起こした蝋型に蝋を流し込んで所定の厚みの蝋堤を形成する。(1−5)このの蝋部分をロストワックス法によりポリスルフォンに置き換えることにより第1の義歯床A1が製造される。第1の義歯床A1は第2の義歯床A2とは別に製作することができるため、人工歯1の安定及び咬合力を考慮することなく歯肉Gや口蓋の粘膜面Mgを被覆するに適した材料や厚みでの製作が可能となる。   In manufacturing the first denture base A1, (1-1) first, a gypsum model (study model) showing the state of the upper jaw is formed. (1-2) Performing gingival mold making (impression collection), (1-3) pouring gypsum into this mold to form a gypsum mold, and (1-4) waxing the wax mold raised from this gypsum mold. To form a wax bank with a predetermined thickness. (1-5) The first denture base A1 is manufactured by replacing the wax portion with polysulfone by the lost wax method. Since the first denture base A1 can be manufactured separately from the second denture base A2, it is suitable for covering the gingival G and the mucosal surface Mg of the palate without considering the stability and occlusal force of the artificial tooth 1. Production with material and thickness becomes possible.

他方、第2の義歯床A2の製造は、第1の義歯床A1を製造してから製造する。(2−1)まず第1の義歯床A1の第2の義歯床A2との接合面側を示す石膏模型を形成する。(2−2)第1の義歯床A1の型取り(印象採取)を行い、(2−3)この型に石膏を流し込んで石膏型を形成し、(2−4)さらにこの石膏型から蝋堤を形成する。(2−5)この蝋堤に人工歯1を配列して仮義歯床(蝋堤歯)作成する。(2−6)蝋部分をロストワックス法によりポリスルフォンに置き換えることにより人工歯1が配列された第2の義歯床A2が製造される。第2の義歯床A2は第1の義歯床A1とは別に製作することができ、装着感を考慮することなく人工歯1の安定に適した材料や厚みでの製作が可能になる。なお、人工歯1の製造や配列などの他の工程については従来の義歯床と同様である。   On the other hand, the second denture base A2 is manufactured after the first denture base A1 is manufactured. (2-1) First, a gypsum model showing the joint surface side of the first denture base A1 with the second denture base A2 is formed. (2-2) Molding (impression collection) of the first denture base A1, (2-3) pouring gypsum into this mold to form a gypsum mold, and (2-4) further removing wax from the gypsum mold. Form a bank. (2-5) Artificial teeth 1 are arranged on this bank and a temporary denture base (wax bank) is created. (2-6) The second denture base A2 in which the artificial teeth 1 are arranged is manufactured by replacing the wax portion with polysulfone by the lost wax method. The second denture base A2 can be manufactured separately from the first denture base A1, and can be manufactured with a material and thickness suitable for the stability of the artificial tooth 1 without considering the wearing feeling. In addition, about other processes, such as manufacture and arrangement | sequence of the artificial tooth 1, it is the same as that of the conventional denture base.

製作された第1の義歯床A1と第2の義歯床A2とは、重ね合わされて接着剤等の連結手段を介して連結されることにより、一体的な有床義歯D1,D2となる。両義歯床A1,A2の連結に際しては、第1の実施の形態の有床義歯D1の場合は、図2に示すように、第1の義歯床A1又は第2の義歯床A2の所定位置に接着剤3を塗布する等した後に、両義歯床A1,A2を重ね合わせて連結する。第2の実施の形態の有床義歯D2のように、両義歯床A1,A2の間に弾性体4を配する場合は、第1の義歯床A1又は第2の義歯床A2の所定位置に接着剤3を塗布する等した後に、両義歯床A1,A2の間に弾性体4を配し、図7に示すように、両面に接着剤が塗布されたシート状のシリコン樹脂4を挟んで重ね合わせることにより連結する。   The manufactured first denture base A1 and second denture base A2 are overlapped and connected via a connecting means such as an adhesive to form integrated dentures D1 and D2. When connecting both denture bases A1 and A2, in the case of the base denture D1 of the first embodiment, as shown in FIG. 2, the first denture base A1 or the second denture base A2 is placed at a predetermined position. After the adhesive 3 is applied, the denture bases A1 and A2 are overlapped and connected. When the elastic body 4 is arranged between the denture bases A1 and A2 as in the denture base D2 of the second embodiment, it is placed at a predetermined position on the first denture base A1 or the second denture base A2. After applying the adhesive 3 or the like, the elastic body 4 is arranged between the denture bases A1 and A2, and the sheet-like silicon resin 4 having the adhesive applied on both sides is sandwiched as shown in FIG. Connect by overlapping.

また、第1の義歯床A1と第2の義歯床A2のいずれかが破損した場合には、必要に応じて破損した一方の義歯床のみを新たに製作して交換することで、破損していない他方の義歯床については慣れ親しんだ微妙な感覚を残したままで、有床義歯D1,D11,D2の損傷を補修することができる。なお、本実施の形態の製造方法によれば、従来の製造工程を二工程要することとなるが、慣れ親しんだ微妙な感覚を極端に狂わすことがなく、それ以上に有り余る効果を有する。   In addition, when either the first denture base A1 or the second denture base A2 is damaged, only one damaged denture base is newly manufactured and replaced as necessary. With respect to the other denture base, which is not present, it is possible to repair the damage of the dentures D1, D11, and D2 while leaving the delicate feeling familiar to them. In addition, according to the manufacturing method of the present embodiment, the conventional manufacturing process requires two steps. However, the subtle feeling familiar to the user is not greatly deviated, and there are more effects than that.

以上、前記各実施の形態及び製造方法では、天然歯の全欠損を補うための総義歯床D1,D11,DD,D2について説明したが、天然歯の一部欠損を補う有床義歯(部分義歯・局部床義歯)にも適用可能である。ただし、第1の義歯床A1が歯肉Gの粘膜面Mgに吸着可能なように、第1の義歯床A1はある程度の面積が必要であり、現実的には三歯欠損で三人工歯が配列された有床義歯であることが好ましい。   As described above, in each of the above embodiments and manufacturing methods, the complete denture bases D1, D11, DD, and D2 for making up for all the natural tooth defects have been described.・ It can also be applied to local dentures. However, the first denture base A1 needs a certain area so that the first denture base A1 can be adsorbed to the mucosal surface Mg of the gingiva G. It is preferable that the denture is a denture.

また、上記各実施の形態及び製造方法では、歯肉Gの粘膜面Mgのみを被覆して口蓋の粘膜面Mpを被覆しないU字状の義歯床D1,D2について説明したが、歯肉G及び口蓋Pの粘膜面Mg,Mpを被覆する略半楕円形状の義歯床D11(図5参照)にも適用可能である。さらに、本発明はレジンやスルフォン等の樹脂製の義歯床を有する有床義歯に限らず、歯肉Gの粘膜面Mgを被覆する部分に樹脂製の義歯床が使用され口蓋Pの粘膜面Mpを被覆する部分に金属が使用された金属床にも適用可能である。   In the above embodiments and manufacturing methods, U-shaped denture bases D1 and D2 that cover only the mucosal surface Mg of the gingiva G and do not cover the mucosal surface Mp of the palate have been described. It can also be applied to a substantially semi-elliptical denture base D11 (see FIG. 5) covering the mucosal surfaces Mg and Mp of the above. Further, the present invention is not limited to a denture having a denture base made of resin such as resin or sulfone, but a denture base made of resin is used on a portion covering the mucosa surface Mg of the gingiva G, and the mucosa surface Mp of the palate P is set. The present invention can also be applied to a metal floor in which metal is used for a portion to be coated.

本発明の第1の実施の形態の上顎用の有床義歯と下顎用の有床義歯を示す斜視図The perspective view which shows the base denture for the upper jaw and the base denture for the lower jaw of the 1st Embodiment of this invention 上記第1の実施の形態の上顎用の有床義歯の分解斜視図Exploded perspective view of the upper denture for the maxilla of the first embodiment 上記第1の実施の形態の上顎用の有床義歯の断面図Sectional drawing of the denture for the upper jaw of the said 1st Embodiment 上記第1の実施の形態の有床義歯の装着状態を示す図The figure which shows the mounting state of the denture of the said 1st Embodiment. 上記第1の実施の形態における他の例の上顎用の有床義歯を示す図。The figure which shows the base denture for upper jaws of the other example in the said 1st Embodiment. 上記実施の形態における他の例の上顎用の有床義歯の装着状態を示す図。The figure which shows the mounting state of the floor denture for upper jaws of the other example in the said embodiment. 本発明の第2の実施の形態の上顎用の有床義歯を示す分解斜視図The exploded perspective view which shows the base denture for the upper jaw of the 2nd Embodiment of this invention 上記第2の実施の形態の有床義歯を示す断面図Sectional drawing which shows the base denture of the said 2nd Embodiment 上記第2の実施の形態の有床義歯の装着状態を示す図The figure which shows the mounting state of the plate denture of the said 2nd Embodiment. 従来例の有床義歯を示す図The figure which shows the denture of a conventional example 従来例の有床義歯の使用状態を示す図The figure which shows the use condition of the denture of a conventional example

符号の説明Explanation of symbols

D,DD,D1,D11,D2 有床義歯
D,D1,D11,D2 上顎用の有床義歯
DD 下顎用の有床義歯
1 人工歯
2 補強部材
3 接着剤
4 弾性体
A1 第1の義歯床
A2 第2の義歯床
G 歯肉
P 口蓋
M 粘膜面
Mg 歯肉の粘膜面
Mp 口蓋の粘膜面
B 歯槽骨
L 中心線
D, DD, D1, D11, D2 Plated denture D, D1, D11, D2 Plated denture for upper jaw DD Plated denture for lower jaw 1 Artificial tooth 2 Reinforcement member 3 Adhesive 4 Elastic body A1 First denture base A2 Second denture base G Gingiva P Palate M Mucosal surface Mg Gingival mucosal surface Mp Mucous surface of palate B Alveolar bone L Center line

Claims (3)

歯肉の粘膜面又は歯肉と口蓋の粘膜面を被覆する第1の義歯床と、人工歯が配列された第2の義歯床との少なくとも二つの義歯床を有し、当該第1の義歯床は歯肉の粘膜面に合わせて変形可能であり、当該第1の義歯床と第2の義歯床は、これらの間に弾性力を有する弾性体が接着剤を介して配されて、重ね合わせられていることを特徴とする有床義歯。 First and denture base coating the mucosal surface or gingival and mucosal surfaces of the palatal gingiva, having at least two denture base with a second denture base artificial teeth are arranged, the first denture The first denture base and the second denture base can be deformed in accordance with the mucosal surface of the gingiva, and an elastic body having an elastic force is disposed between them via an adhesive and overlapped. Plated denture, characterized by 前記弾性体は、第1の義歯床又は第2の義歯床のいずれか一方を交換可能とする弾性緩圧アタッチメントであることを特徴とする請求項1に記載の有床義歯。The denture according to claim 1, wherein the elastic body is an elastic slow pressure attachment that allows replacement of either the first denture base or the second denture base. 前記第1の義歯床及び第2の義歯床は略U字形状を呈する上顎用の義歯床であることを特徴とする請求項1に記載の有床義歯。   The denture base according to claim 1, wherein the first denture base and the second denture base are upper denture bases having a substantially U shape.
JP2006301006A 2003-01-29 2006-11-06 Denture with denture Expired - Fee Related JP4041151B2 (en)

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