JP6433032B2 - Partial denture - Google Patents

Description

  The present invention is a partial denture that can be easily attached and detached and can obtain a comfortable wearing state by stripping off bulkiness, particularly a partial denture that pursues a stable wearing state, simplification of manufacturing process, and weight reduction. It is about.

The partial denture includes an artificial tooth that substitutes for a missing tooth, and includes a denture base that is in close contact with the ridge mucosa and a maintenance device that is attached to a tooth that is a remaining tooth. The partial denture needs to have the following three actions (Non-Patent Document 1).
(A1) Supporting action resisting occlusal pressure (A2) Maintenance action resisting detachment force (A3) Grasping action resisting horizontal force applied to denture

The problems with conventional partial dentures are as follows. ~ 4. To be aggregated.
1. A device that is attached to the remaining tooth for maintenance and gripping has a metal clasp that grips and strongly restrains the tooth. For this reason, a big burden was applied to the tooth decay and the deterioration of the tooth decay was sometimes accelerated. In addition, due to strong restraints, the feeling of wearing was bad, and there were many examples where the partial denture was used only at the beginning of use, but then stopped immediately.
2. When a rest is provided for the occlusal pressure, it is necessary to provide a groove-shaped rest fossa (ka) that accommodates the rest on the top of the tooth decay by tooth removal. If this tooth is removed, cold water pain and pulpitis may be induced. In addition, when there is a problem in fitting the rest into the rest fossa, the denture base does not sufficiently contact the ridge mucosa (the part after the restored missing tooth) and a gap is created. The gap between the ridge mucosa and the back surface of the denture base is difficult to recognize clearly. Even if there is a gap, the denture appears to be stably fixed, and the mounting is continued in that state. Food residues, granular materials, etc., entered the gaps, damaging the ridge mucosa and causing ulcers.
3. In a partial denture using an old clasp, a three-dimensional metal clasp having a metallic luster is often exposed on the front side. For this reason, the metallic luster is conspicuous, and there is a problem in terms of aesthetics, particularly in the front tooth portion.
4). Since the metallic luster had a problem in terms of aesthetics, a non-clasp denture was proposed in which a metal clasp was not used and strong restraint on the tooth decay was eliminated, and the maintenance device was configured only with resin. However, if an attempt is made to configure the maintenance device with only the resin without properly fitting the tooth with the metal member, it is necessary to form a large resin wing that completely covers the gingival portion below the remaining tooth. For this reason, there is a problem that the denture base is swung (large), the discomfort at the time of wearing is strong, and the maintenance force is not sufficient.

5. In order to overcome the above problems, a new concept that fits a C-shaped or semi-arc shaped cast metal arm to the root of a tooth without using a three-dimensionally constrained metal clasp or rest This partial denture was proposed by the same inventors as the present invention (Patent Documents 1 and 2). According to the partial denture based on this new concept, the left and right C-shaped cast metal arms branched from the fixed portion into both arms are fitted so as to be applied to the roots of the toothed teeth. For this reason, there is almost no restraint on the tooth decay, and the force to tilt against the tooth decay (side-down moment) does not occur in any state, and as a result, the burden on the tooth decay can be dramatically reduced. I can do it now. In addition, since the band-like surface of the metal arm is fitted so as to be applied to the root of the toothed teeth, even the weakened toothed teeth are reinforced by the above-mentioned C-shaped cast metal, and even cases where the vitality is restored have been confirmed. Yes. For this reason, even if there is only one toothed hook and one of them is wobbling, it is possible to provide a partial denture that makes the toothed tooth last longer by fitting and fitting it to the root of the toothed tooth. Moreover, since the length of the cheek side (front side) arm among the left and right C-shaped cast metal arms is shortened, it is excellent in terms of aesthetics. Since these C-shaped metal arms were manufactured by metal casting integrally with a connector (paratal bar, lingual bar, etc.), in the following description, a C-shaped metal arm or a concave surface forming metal arm, etc. Call.

6). The inventor described above 5. In order to ensure even more stable mounting than partial dentures, we proposed a partial denture that uses a cylinder or a ring body as a fitting body, and that fits the cylinder or ring body to the root of the tooth decay. (Patent Documents 3 and 4). Compared with the partial denture of the Cornus telescope type on which the present invention is based, the fitting body is provided with openings up and down like a cylindrical body so that the top of the toothed teeth is exposed and the occlusal adjustment is easy. When it is a vital tooth, it is not necessary to remove nerves, and the durability can be greatly improved. Even when a toothed hook covering is provided on the toothed hook, since the side peripheral surface is covered instead of the whole, the durability of the remaining tooth that becomes the toothed tooth is not impaired. In addition, by making the fitting body a cylindrical body, the stability of the mounting structure can be greatly improved.
7). In pursuit of a comfortable wearing state, the present inventor has reduced the size and weight of the partial denture obtained by improving the above-mentioned Cornus telescope-type partial denture, making it easier to attach and detach, and removing the bulk to reduce the size. We have already invented a partial denture (a prototype of the present invention) using a metal in pursuit of the limit of crystallization.

Revised Osborne Partial Denture Ishiyaku Publishing Co., Ltd., July 1977, p.166

Japanese Patent No. 3928102 WO2006 / 131969 A1 JP 2013-323 A JP 2013-324 A

  There is a need for a partial denture that can maintain a more stable mounting state with respect to the above-mentioned prototype partial denture and that can simplify the manufacturing process. The present invention relates to a partial denture that is easy to be attached and detached and that pursues a particularly stable mounting state, a simple manufacturing process, and weight reduction.

The partial denture of the present invention includes a denture base formed of a heat-polymerized resin, an artificial tooth, and a fitting portion that fits into a tooth, and the fitting portion is provided on one or two or more teeth. A partial denture having one or a plurality of fitting portions to be fitted, and at least one fitting portion (that is, a fitting portion in a partial denture having only one fitting portion) In the denture base, a space-forming curved portion that is curved so as to form a space for accommodating the toothed teeth is provided in the denture base, and a metal wire that has been drawn is disposed in the space-forming curved portion. is, the wire against the side surfaces there is a contoured portion of the鉤歯, with intervening resin (resin) of the space forming the curved portion, or at least a portion of the resin of the outer periphery of the wire cross section ( (Resin) covered and located Serial the portion in contact with naked against a certain side surface contoured portion of鉤歯is rather name the space forming curved portions in which the wires are arranged, the intermediate or coated is made the wire in the formation of the denture The heat-polymerized resin is solidified so as to be provided on the denture base, and the space forming curved portion where the wire is arranged is fitted from the ridge portion to the root side of the tooth decay, and the partial denture, It is characterized by providing a maintenance force that is a resistance against withdrawal . Here, the cast concave surface forming metal arm (C-shaped metal arm) is not disposed in the fitting portion or the space forming curved portion where the wire is disposed.

The “space forming curved portion” may be a hole (and its surroundings) provided in the denture base for penetrating the tooth decay, or a portion arranged to surround the side peripheral surface of the tooth decay instead of the hole. It may be. Also, "wire, against the side surfaces there is a contoured portion of the鉤歯, space formation curved portion of the resin positioned with intervening (resin)" and a side (buccal there is contoured portion of鉤歯The tooth surface and the lingual tooth surface) with the resin interposed. Since the space is a part that penetrates the tooth decay, the side face of the space means a corresponding part of the tooth decay, that is, a side face portion of the tooth decay (a lingual tooth surface and a buccal tooth surface portion of the tooth decay). “At least a part of the outer periphery of the wire cross section is covered with the resin (resin)” means that at least a part of the outer periphery of the wire cross section (almost the circumference if the deformation is small) is covered with the resin Point. The "no portion in contact with the bare on the side surface on which the there is a contoured portion of the鉤歯" bare wire without being coated with the resin is in contact with the side surface with said contoured portion of鉤歯(facing It means not. When the wire is bare and in contact with the toothed teeth, the wire and the side surface of the toothed tooth were in line contact, but in the relationship between the wire and the resin in the denture base, the wire functions as a reinforcing material and forms a space forming curve. Since the resin of the portion comes into contact with the side surface of the toothed surface, a strong maintenance force and a gripping force can be stably secured. That is, the resin is in direct surface contact with the side surface on which the ridges are located , but the wire stably reinforces the resin as a strong reinforcing material. Fabrication procedure, so that the resin is faithfully along the unevenness of the side where there is a contoured section of鉤歯,鉤歯and processed wire is placed a mold (鉤歯and processed wire core arrangement gypsum model Since the space forming curved portion is formed by filling the resin in the mold), the above surface contact is realized. The improvement of the maintenance force and the gripping force due to the surface contact from the ridges on the side surfaces of the toothed teeth to the root side by this (resin of the wire + space forming curved portion) is very large. For this reason, it is possible to omit or reduce other cast arms and the like in the fitting portion where the wire is arranged, which contributes to simplification and weight reduction of the partial denture manufacturing process.

  The partial denture may have one fitting part or two or more fitting parts. In the partial denture of the present invention, there is always one fitting portion where the wire is arranged. When there is only one fitting part, the fitting part is necessarily a fitting part in which a wire is arranged. There may be only one fitting part in which the wire is arranged, and there is also a partial denture having two or more. In addition, there may be one or more fitting portions where no wires are arranged. In addition, one tooth is common, but in rare cases there are two. When there are two toothed teeth, the wire is often double c-shaped (similar to w-shaped) with c-shaped ends on the cheek side of the toothed tooth, but only one toothed tooth on the cheek side In other words, the shape is c-shaped and similar to the w-shape on the lingual side, and is not limited.

  In general, the fitting portion has two functions: an alignment preceding fitting portion (sometimes referred to as a “key portion”) and a fitting completion fixing portion (sometimes referred to as a “lock portion”). When there are two or more fitting parts, each fitting part works separately and shares each function. Of course, when there is only one fitting part, it is a fitting part in which a wire is arranged, and when mounting, after positioning the entire partial denture with respect to the tooth, from the distal end side to the root side of the tooth decay It is mounted by pushing the fitting part. When there is only one fitting portion, the function of the key and the function of the lock are not distinguished, and the mounting is completed with one movement (pushing operation from the tip of the toothed tooth to the root side). It is very important that a feeling of snapping and snapping can be obtained when it is attached, not only when there is only one fitting portion. Since the wire and the denture base are elastic, they should be fitted over the elastic deformation so that they snap into the fitting part of the toothed tooth (the range including the root side of the ridge). Designed. That is, when the space forming concave surface including the wire fits in a stable position while contacting the ridges of the toothed teeth, the ridges protrude a little, and if the entire partial denture does not elastically deform, the fitting portion is rubbed against the ridges. It is designed not to pass through. When the elastic deformation is released while being elastically deformed and the elastic deformation is released, a feeling of clicking, clicking, clicking, etc. is obtained. After installation, force may be applied in the direction of detachment to the partial denture parallel to the tooth axis in food occlusion, etc., but the part that is elastically deformed and fitted from the ridge to the root side is used as a reinforcing material. Since the resin portion of the space forming concave surface portion is in surface contact with the root side of the raised portion of the toothed hook, it is strongly blocked by the raised portion and can exhibit sufficient maintenance force and gripping force. In the case of a conventional partial denture that obtains a maintenance force by exerting a restraining force on a tooth decay or the like, the posture of the partial denture is maintained with a strong restraining force during occlusion. However, in the partial denture of the present invention, particularly in a partial denture having only one fitting portion on which a wire is arranged, the state at the time of occlusion is slightly different. There is almost no restraining force applied to the toothed teeth, and it is free. Therefore, the partial denture to which the reaction is applied hardly exerts the restraining force. A wire or the like generates a large force against the force in the direction of separation. Alternating local movements (tilts, etc.) are generated in synchronization with the occlusal movement that is not constant enough to make the partial denture unconscious during occlusion. It can be said that a constant releasing force does not apply to the entire partial denture for a certain period of time (less than a few seconds). Although this inclination is very small in terms of sensation, it is sufficiently large when the portion (surface) of the partial denture is mainly viewed. For this reason, it is considered that the following drags (e1) and (e2) are generated against the force in the direction of separation during occlusion. (E1) A large frictional force of surface contact of the wire-reinforced space forming curved portion. That is, a large frictional force resulting from the staggered contact between the curved surfaces, which is different from the sliding contact between the smooth curved surfaces at the time of mounting in a fixed direction (slip direction with relatively low resistance designed). (E2) A large rigid drag (drag caused by a situation in which elastic deformation is difficult) that resists a force that tends to separate in a non-constant direction that does not coincide with the design slip direction at the time of mounting. With these (e1) and (e2), the partial denture can be stably loosened and ensure a comfortable wearing state. In (e1) and (e2), the reinforcing material wire generates a large force. In other words, it is necessary to apply force to the entire partial denture for a certain period of time (although it is several seconds or less) in the designed certain direction.

  A wire is a metal wire for dental use made of various alloys that has been drawn or drawn, and has a round (circle) cross section. Typically, the wire is commercially available as a wire clasp wire. It may be. In the present invention, it is not used as a clasp but is used in the form as described above. That is, in the clasp (wire clasp), both ends of the wire are complicatedly entangled with the toothed teeth and restrained to give a maintenance force and the like, and both ends of the wire are bare on the surface of the toothed teeth, including the terminal end like the tip of the ivy ( Exposed) is in contact with the tooth surface. In this invention, a wire functions as a reinforcing material of the space formation concave-surface part which carries out surface contact. As a result, a stable mounting state can be obtained using a general-purpose metal member called a drawn wire instead of a cast metal. Regarding the processing of the wire, the process of processing the wire on the plaster model with pliers or pliers is an important process in accordance with the state of the patient's teeth.

  The drawn wire has a high hardness. Such high-hardness wire processing is performed by placing and fixing on a partial denture model while adjusting the shape mainly by bending deformation using pliers, pliers, etc. at a laboratory, and then denture base (wax or wax) ) To be fully or partially embedded as described above. The wire of the present invention may be manufactured by any manufacturing method, but it should be sufficiently hard and bendable using pliers, pliers or the like. Usually, a cast alloy or a forged alloy piece is drawn while passing through a die having an appropriate hole diameter, and sequentially processed into a target wire diameter through a die having a small hole diameter. In this drawing, intense processing is applied, the shrinkage nest is pressed and a unidirectional texture is formed, and a tenacious, hard and strong wire is formed. After this, there is a case where heat treatment for tempering is performed and a case where it is not performed. Usually, tempering is performed at a low temperature, but if the temperature is relatively low even after tempering, the work-cured state of the drawing process is maintained, the hardness is maintained, and it is difficult to deform, and toughness Is further improved. High hardness may be obtained by precipitation hardening due to precipitates in the alloy. In short, any method may be used as long as high hardness and bending workability using pliers or pliers can be obtained. As the hardness, it is only necessary to have a level of hardness that a commercially available wire clasp has. The same applies to bending workability. The metal (alloy) wire is a general-purpose dental metal wire (wire clasp wire) and has a circular cross section before being used for partial dentures. Distortion may have occurred. However, even if it is incorporated into a partial denture, the strain is small enough that it can be seen at first glance that the material is a wire manufactured in the above process (alloy wire having a circular cross section). Such an alloy wire is commercially available as a dental clasp wire as described above, and a Co—Cr alloy or the like is common. The material is not particularly limited. Custom-made metal wires such as platinum-plated metal may be used. The diameter of the wire may be any diameter as long as it is the above-described dental wire, but a preferable diameter is in the range of 0.3 mm to 1.5 mm. If the diameter exceeds 1.5 mm, it is difficult to process due to its high hardness, and if the top of the wire is placed between the tooth that comes out and the next tooth, it is necessary to form a groove. As a result, full-scale grinding is required, which is not preferable for the durability of the teeth. If the diameter is less than 0.3 mm, it tends to be deformed, and the contribution to improving the maintenance force becomes small. A more preferable range of the diameter is about 0.5 to 1.1 mm.

The denture, considering making adjustments performed rebasing, it is preferable to use a stable heating-curing resin to heat. The rebase is a technique for improving adaptability to a patient's teeth by pouring a partial denture and adjusting the shape and thickness of the denture base with an immediate polymerization resin or a room temperature polymerization resin. Usually, it is a technique (rebase treatment) that achieves adjustment of the shape while increasing the thickness by immediate polymerization resin (room temperature polymerization resin) by blanching at about 85 ° C, and can be adjusted on-site to match the patient's oral cavity. Excellent simplicity and accuracy. As described above, the heat-polymerized resin fully or partially includes the wire, and exhibits high maintenance power by surface contact so as to be held on the root side of the tooth protuberance with high strength and durability. Can do. However, the heat-polymerized resin cannot be used as a rebase treatment material (such as a thickening material). This partial denture has one of the features that the rebase process can be fully applied to a portion (a portion forming the center of the fitting) that is fitted to the tooth neck portion of the tooth. The cast C-shaped metal arm has a belt-like surface that is shaped to the tooth neck of the tooth by casting, but adjustment of the belt-like surface is almost impossible (rebasing is not possible in resin parts other than the cast metal). It is possible to process freely.) However, with this partial denture, the part that fits the tooth neck of the toothed tooth (the part that forms the center of the fitting) is not subject to any restrictions, such as thickening and thinning, changing the shape of the curved surface, etc. And the range of adjustment can be greatly improved. This point will be described in detail later in the embodiment . Above Symbol 5. In the partial denture, the C-shaped metal arm or the concave surface forming metal arm was placed on the root side including the raised portion of the toothed teeth, but the resin with sufficient strength reinforced with a wire was used. The space forming curved portion formed by filling can be arranged. Furthermore, since the material of the space forming curved portion is resin (including the wire as a reinforcing material, but other materials are resin), the resin is rich in elasticity, and the wire is also rich in elasticity except in the direction along the line. Include the locus of the fitting part during attachment / detachment (fitting / detaching) in the direction along the tooth axis, which was impossible with a cast C-shaped arm except in special cases. It became possible. As a result, the degree of freedom in designing the partial denture has been greatly expanded.

  An example of the manufacturing method is as follows. First, an impression in the oral cavity including the patient's remaining teeth is collected, and a plaster model is produced based on this. On this oral model, it is designed which of the remaining teeth is a tooth and how the fitting portion is formed. The denture base is formed using wax or wax while assuming the fitting portion. When the metal connection band described later is not used (when it is used, it will be described later), as the metal member, only a wire is disposed in the space forming curved portion surrounding the space through which the tooth is removed. At the stage of designing the shape and the like of the fitting portion, an approximate shape is determined, and the wire is processed into the shape with a pliers, pliers or the like on the model as described above. Next, the processed wire is temporarily fixed (or placed) on the plaster model, and then a denture base is formed with wax or wax. For the space forming curved portion, a denture base of wax or wax is formed in a form including the processed wire. Around the toothed teeth (ie, the space-forming curve), wax or wax is placed so as to be in close contact with the surface of the toothed teeth. The artificial teeth are then implanted in a wax or wax denture base. The entire oral model in this state is covered with gypsum or the like and hardened while forming a tubular portion serving as a runway such as wax of denture base. This is heated in a heating furnace to melt the wax or wax and flow out of the runner, and then, a mochi-like resin (resin), which is a raw material for a denture base, is filled and solidified. As a result, an approximate partial denture is formed. Thereafter, the compatibility with the alveolar mucosa and the meshing of the artificial teeth are adjusted in the patient's oral cavity and completed. The above is an outline of an approximate production method, and there may be many variations and modifications. Here, the point that should be particularly noted is that the resin of the denture base is filled in the form of faithful surface contact with the surface of the tooth decay, and a wire is disposed as a reinforcing material in the space forming curved portion of the resin. . The form of the resin cast in the form of being in surface contact with the surface of the toothed hook and the wire for reinforcing the resin is an epoch-making form. The occlusal adjustment, the inner surface of the space forming curved portion, and the like are adjusted by a dentist by rebasing or the like.

  The above fabrication method is very simple and does not use a cast alloy. It is only necessary to cast a resin to be a denture base in accordance with the patient's tooth condition and to arrange the processed wire for the reinforcement. The metal member needs to be bent, but is only a commercially available dental wire. This greatly simplifies the partial denture manufacturing process and shortens the number of manufacturing days. Further, since the metal parts are only wires, the weight is reduced and the size is reduced. Nevertheless, since the resin using the wire that has been drawn as a reinforcing material is fitted in a planar shape to the base of the ridges of the toothed teeth, the mounting state can be kept stable and comfortable.

The following are mentioned as an example of the suitable partial denture which has one fitting part by which a wire is arrange | positioned. An example of this is a case where a partial denture having one or two teeth as artificial teeth is extremely miniaturized and a comfortable wearing state is to be stably secured. In this case, downsizing is the point. Further, the case where there are 13 teeth missing and only 1 tooth remains as a toothed tooth corresponds to this example. In this case, the point is to keep the attachment state of the partial denture stably by fitting to one tooth (remaining tooth). In the case of the former, it can be said that there has been no one that has been miniaturized with a partial denture having one tooth missing or two teeth missing and has stably secured a comfortable wearing state. In the latter case, in the partial denture, even when only one tooth remains and is used as a toothed tooth, it is easy to attach and detach, and a stable and comfortable wearing state can be obtained. In both the former and the latter, there is only one fitting portion, and it becomes possible to maintain a firm mounting state by cooperating with the fitting portion (resin of the wire + space forming curved portion). .

The wire may be incorporated in the resin of the space forming curved portion on the side surface of the toothed teeth. Further, the upper edge of the cheek side of the space forming curved portion may fall into the root of the tooth in a valley shape, and the wire may be partially exposed along the upper edge.
The state of being embedded in the resin of the space forming curved portion is a state in which the wire is completely embedded in the denture base. Further, the state where the cheek side of the space forming curved portion is partially exposed and positioned along the upper edge of the resin where the cheek side of the space falls into the root of the tooth is the portion that falls into the valley shape In the upper edge, a part of the outer periphery of the cross section of the wire is embedded in the resin (a state in which the resin is partially covered). When viewed from the top surface side of the tooth of the partial denture, the metallic luster of the wire can be seen, but the resin at the upper edge portion is arranged in the portion closer to the side surface of the tooth than the wire, and the outer circumference of the cross section of the wire A part of is covered.
Here, the height position of the wire includes a portion located on the root side of the raised portion of the tooth decay, but only the partial denture without the reference tooth decay is seen, and the artificial tooth adjacent to the tooth decay on the partial denture By referring to the height of the tooth, it can be defined as follows (but not the tooth decay itself). That is, the wire includes a portion closer to the root side than the central position on the buccal side or lingual side of the artificial tooth on the partial denture adjacent to the tooth. The height central position of the buccal or lingual side of the artificial tooth is the average height of the upper end of the denture base covering the root of the artificial tooth (the height averaged for the width position on the buccal side and the lingual side) And the average height of the upper end of the artificial tooth (the same average height as described above). When adjacent artificial teeth are adjacent to each other, one of the above conditions may be satisfied. Moreover, what is necessary is just to satisfy | fill said conditions on either a cheek side or a lingual side.
By this, by arranging the wire part in the part located in the height range of the raised part of the tooth decay and its root side, the main part of the space forming curved part is fitted to the root part of the tooth decay. In addition, while maintaining a comfortable wearing state, it is possible to sufficiently ensure the maintenance action and the gripping action at the time of occlusion. Conventionally, a resin-filled resin with sufficient strength reinforced with a wire that was placed on the base side including the raised part of the toothed teeth so as to apply a cast C-shaped arm or a concave metal arm Thus, a space forming curved portion (resin) manufactured according to the outer surface of the toothed hook can be disposed. In addition, the space-forming curved portion is mounted when mounted, although there is almost no locus that fits on the root side of the toothed ridge as it is applied in the horizontal direction (usually a locus in the vertical direction). The latter state is fitted to the root side of the tooth protuberance as applied. The fitting is limited to the tooth neck of the toothed hook, and the fitting is a fitting that maintains a stable state while being loose in terms of stress.

The wire may be V-shaped, U-shaped, or J-shaped at least on the cheek side in the space forming curved portion. Here, the buccal side of the space forming curved portion may be a case where the upper edge of the space forming curved portion is depressed in a valley shape toward the root of the tooth, or a case where there is no such depression.
As a result, the portion of the wire corresponding to the V-shaped, U-shaped, and J-shaped bottom portions (root portions) is reinforced so that the space forming curved portion is held from the root side including the lower side of the ridges of the toothed teeth. Then, the resin is brought into surface contact with the portion. As a result, a significant improvement in maintenance force can be realized with a simple configuration. V-shaped, U-shaped or J-shaped shapes are easy to form, and the wire is hard and strong, contributing to the improvement of maintenance force even in the denture base. Since the fitting portion includes a portion (wire + space forming curved portion), at the time of detachment, elastic deformation is relatively easy and detachment is easy because force is applied for a certain time in a certain direction in which slippage easily occurs. However, since it is fitted so that the ridge is held from the base side in the fitted state, a sufficiently large resistance force can be exerted against the force in the direction of detachment at the time of occlusion. That is, the above-described forces (e1) and (e2) are exhibited. In the denture base, the ends of the wires may be connected to form a loop in the denture base, or both ends may be open ends in the denture base with the ends remaining respectively. Further, as described later, it may be connected to a metal coupling band.

The wire may include a bare top boundary that crosses a top boundary between the toothed tooth and a tooth adjacent to the toothed tooth.
Here, when the wire has an exposed (bare) top boundary portion as described above, the exposed portion has a top portion having the same height as the top surface of a toothed tooth or the like. The top of the ridge is partially accommodated in the groove portion between the tooth and the adjacent tooth. In this case, when worn, the top boundary portion extends between the cheek side and the lingual side at the gap between the top portion of the tooth and the adjacent tooth. That is, it is located along the thickness direction or depth direction of the tooth. This can prevent the partial denture from sinking due to occlusion or the like. Traditionally, rests have been provided to prevent subsidence due to occlusal pressure, but rests have rest ridges (ka) on self-supporting teeth. In this case, even in the case of living teeth, depending on the subsequent condition, removal of nerves Sometimes. For this reason, the durability of the self-supporting teeth is significantly impaired. The wire is tough, stiff and smooth, and above all a thin circular cross section, so if there is a small gap between the tooth and the adjacent tooth, it can be easily placed without greatly changing the meshing adjustment . This makes it possible to prevent subsidence due to occlusal pressure with a very simple mechanism. The groove portion between the teeth means that the edge of the top surface of the tooth is rounded, and a groove enough to accommodate the wire is easily formed between the top portions of adjacent teeth. There may be only natural grooves, or a little enamel may be removed when there is no clearance in the occlusion.
As a result, not only the above-described support function but also the gripping force by the wire can be improved. In order to obtain such an action, the wire needs to have high hardness, and a dental wire that is work-hardened by drawing is suitable.

The denture base of the partial denture may have a metal connection band embedded therein, and the wire may be fixed at the end or in the middle of the metal connection band, or may have no fixed relationship.
When the partial denture becomes long, the metal connecting band is often used only for the denture base to prevent breakage. In addition, when there are two or more fitting portions and a cast alloy C-shaped arm is used, the metal coupling band is also used to fix the cast alloy C-shaped arm. When using a metal connection band in addition to a wire, fix the appropriate part of the wire to the metal connection band by brazing or laser welding so that it can be adapted to the patient's teeth based on the fixed part. It is possible to add fine adjustment deformations. The connection point of the wire with the metal coupling band may be the end of the wire, or may be a portion that enters from the end. Further, the wire may not be connected to the metal coupling band. The metal connection band usually includes a metal connection band corresponding to a trunk and a branch part, but there is a case where it is difficult to recognize that there is a clear branch part. The metal coupling band corresponds to what is called a paratal bar in the case of a partial denture of the upper jaw and a lingual bar in the case of a partial denture of the lower jaw, and a large connector corresponds to the metal coupling band. The branch portion corresponds to a small connector or the like. Metal tie strips shall include all of these. Since the metal connecting band and its branches are made of casting, the number of man-hours increases and the weight also increases. Any material can be used for the metal connecting band and the branches thereof as long as it is a normal dental casting alloy from the viewpoint of ease of manufacture and durability. Platinum alloy, gold silver palladium alloy, other alloys, etc. can be used. Of these, platinum added is preferable.

  In the case of arranging a metal connecting band in addition to the wire, an example of a method for producing a partial denture is as follows. The impression in the oral cavity including the patient's remaining teeth is collected, and a gypsum model is produced based on this impression. On the oral model, how to form a fitting part with any of the remaining teeth as a tooth. This is common to the case where the metal member is only a wire. When adding a metal connection band, since the metal connection band is formed by casting, the metal connection band is manufactured in advance by casting. This metal connection band needs to be provided with a protrusion called a stopper that serves as a spacer between the metal connection band and the plaster model. This is to improve the flow of the resin when the metal coupling band is disposed and the resin is filled. When manufacturing the metal connecting band, first, a platy wax is attached to the plaster model, and a hole to be a stopper is made in this wax. Mold the plaster model in this state using silicon or the like, and make a fireproof model using the mold. Next, a shape to be a metal connecting band is formed with wax or the like. At this point, the hole in which the stopper will be formed is filled with wax. Next, the whole is covered with a refractory material while securing a runner, heated to allow the wax to flow out, and then an alloy that becomes a metal connecting band is cast there. As a result, a metal connecting band with a stopper is integrally cast. When using a metal coupling band, a fitting portion where no wire is arranged is often provided with a branch portion described later and a concave curve forming arm (C-shaped metal arm) extending from the branch portion. The concave curve forming arm, the branch part, and the metal connecting band are integrally cast. Other than this method, the metal connection band may be formed by any method that is generally used. The formed metal connecting band or an integrated body of the concave curve forming arm and the metal connecting band is arranged on the gypsum model while being overlapped with wax or wax on a portion corresponding to the denture base. Prior to this, the wire in the fitting portion where the wire is arranged is processed according to the design of the fitting portion. This processed wire is joined to the metal connection band by laser welding, electric welding, etc., and if there is no connection between the wire and the metal connection band, it is placed on the portion corresponding to the denture base, and wax or wax is further added. Overlay to form the denture base. The entire mouth model is covered with gypsum or the like while a runner is formed and hardened. This is heated in a heating furnace to melt the wax or wax and flow out of the runner, and then, a mochi-like resin (resin), which is a raw material for a denture base, is filled and solidified. By this resin filling, the resin space forming curved portion along the surface of the toothed teeth is formed while having the wire as a reinforcing material. As described above, the space forming curved portion in which the wire is arranged has an epoch-making structure. If detailed work is done after this, an approximate partial denture is formed. Thereafter, in the patient's oral cavity, the compatibility with the alveolar mucosa, the meshing of the artificial teeth, etc. are adjusted by rebasing or the like to complete. Compared to the case where the metal member is only a wire, it looks more complicated, but the fitting part where the wire is placed is simpler, lighter and smaller because the cast-concave metal arm is not placed. Is realized.

The fitting portion is further provided with another fitting portion different from the fitting portion in which the wire is arranged, the wire is not arranged in the another fitting portion, and the denture base in the another fitting portion is provided in the denture base A concave surface-forming metal arm (C-shaped metal arm) cast into the concave portion provided with a concave portion to be fitted to a toothed tooth different from the toothed tooth into which the fitting portion on which the wire is disposed is fitted. It may be arranged. Here, no wire is arranged in the fitting portion or the concave portion where the concave surface forming metal arm (C-shaped metal arm) is arranged.
When there is a fitting portion in which no wire is arranged, a concave surface forming metal arm is arranged in the fitting portion, and the fitting portion becomes an alignment fitting portion (key portion). And the fitting part by which a wire is arrange | positioned turns into a fitting fixing | fixed part (lock part). The lock part is fitted to the toothed hook by drawing a locus of an arc with the alignment fitting part (key part) as a “shift fulcrum”. The shift fulcrum means not having a fixed fulcrum but having a fulcrum function while being slightly shifted during fitting. At this time, the lock portion, which is the fitting portion where the wire is placed, is fitted via a longitudinal arc having a large diameter enough to be called a longitudinal arc or the longitudinal direction itself (a trajectory that can be almost pushed). There are many cases. The trajectory is considered non-linear, but the exact and detailed trajectory is unknown. The reason for fitting the lock portion when it is finished is as described above. In the fitting portion constituting the key portion, the concave surface forming metal arm cast as described above is arranged and applied to the raised portion of the toothed tooth or the root side thereof, and the above-described locking portion (the fitting in which the wire is arranged) is arranged. Place the mating part) on the corresponding toothed hook and fit the whole. At this time, the concave surface forming metal arm exhibits the above-mentioned function of the shifting fulcrum. In the partial denture of the present invention, the operation at the time of fitting between the key portion and the lock portion is almost simultaneous sensibly. About the number of fitting parts, it can decide according to a patient's tooth defect state and oral cavity form. The material constituting the concave surface forming metal arm may be determined in terms of ease of manufacture, durability, and the like, and any material can be used as long as it is a normal dental casting alloy. Platinum alloy, gold silver palladium alloy, cobalt chromium alloy, other alloys, and the like can be used. Of these, platinum added is preferable.

The concave surface forming metal arm may be formed integrally with the metal connecting band.
By producing the concave surface forming metal arm and the metal connecting band by integral casting, the partial denture can have a relatively large elastic deformability. And since a concave surface formation metal arm and a metal connection belt | band | zone can be shape | molded integrally, the precision of a shape can be raised rather than manufacturing these metal members individually and combining them. Moreover, arrangement | positioning becomes easy rather than the case where the wire processed into these metal members at the time of manufacture is arrange | positioned.

In the space forming curved part of the fitting part where the wire is arranged or in the concave part of the fitting part where the wire is not arranged, the branch part included in the metal connecting band is along the outer surface of the toothed hook. Such a metal surface may be provided.
Thereby, in each fitting part, fitting to a toothed hook can be made smooth and fitting can be strengthened. In this case, the denture base is often covered with a denture base, and is usually located on a surface closer to the tooth decay than the embedment depth of the wire. However, the depth of the metal surface or whether or not the metal surface is exposed is not so important because the metal surface acts on the toothed teeth in cooperation with the resin in the space forming curved portion or the concave portion.

  According to the present invention, it is possible to obtain a partial denture that is easy to be attached and detached, and that achieves a particularly stable mounting state, a simple manufacturing process, and weight reduction.

It is a figure which shows the plaster model of the oral cavity before mounting | wearing with the partial denture in Embodiment 1. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is a figure which shows a partial denture. It is an enlarged view of the fitting part K of the partial denture of FIG. It is the figure which looked at the partial denture from the back side. It is a figure which shows the metal member used for the partial denture. It is a figure which shows the gypsum model of the oral cavity before mounting | wearing with the partial denture in Embodiment 2. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is the figure which looked at the mounted partial denture of FIG. 8 from the top. It is a figure which shows a partial denture. It is the figure which looked at the partial denture from the back side. It is a figure which shows the metal member used for the partial denture, (a) is a wire when it sees from the same direction as FIG. 10, (b) is a wire when it sees from the side of a toothed hook, and a little tongue side. It is. It is a figure which shows the plaster model of the oral cavity before mounting | wearing with the partial denture in Embodiment 3. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is a figure which shows a partial denture. It is the figure which looked at the partial denture from the back side. It is a figure which shows the state after mounting | wearing with the partial denture of the modification of Embodiment 3. FIG. It is a figure which shows the plaster model of the oral cavity before mounting | wearing with the partial denture in Embodiment 4. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is a figure which shows a partial denture. It is an enlarged view of the fitting part K of the partial denture of FIG. It is an enlarged view of the fitting part K1 of the partial denture of FIG. It is the figure which looked at the partial denture of FIG. 20 from the front tooth side a little so that the back surface of the denture base could be seen. It is a figure which shows the metal member used for the partial denture. It is a figure which shows the gypsum model of the oral cavity before mounting | wearing with the partial denture in Embodiment 5. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is a figure which shows a partial denture. It is a figure which shows the metal member used for the partial denture. The enlarged view of the metal member in the fitting part K is shown, (a) is the figure seen from the same direction as FIG. 28, (b) is the figure which turned upside down. The enlarged view of the metal member in the fitting part K1 is shown, (a) is the figure seen from the same direction as FIG. 28, (b) is the figure which turned upside down. It is a figure which shows the gypsum model of an oral cavity before mounting the partial denture in Embodiment 6. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is a figure which shows a partial denture. It is an enlarged view of the fitting part K of the partial denture of FIG. It is an enlarged view of the fitting part K1 of the partial denture of FIG. (A) is the figure seen from the same direction as FIG. 33, (b) is the figure seen so that it turned upside down and looked up a little. It is a figure which shows the metal member used for the partial denture. It is a figure which shows the gypsum model of the oral cavity before mounting the partial denture in Embodiment 7. FIG. It is a figure which shows the state after mounting | wearing with a partial denture. It is a figure which shows a partial denture. It is the figure which looked at the partial denture of FIG. 39 from the cheek side. It is a figure which shows the metal member used for the partial denture. It is the fragmentary view which looked at the plaster model of the oral cavity before mounting the partial denture in Embodiment 8 from the lingual side. The state after mounting a partial denture is shown, (a) is a view seen from the tongue side, (b) is a view seen from the cheek side. A partial denture is shown, (a) is the figure seen from the lingual side, (b) is the figure seen from the cheek side. The metal member used for partial denture is shown, (a) is the figure seen from the tongue side, (b) is the figure seen from the cheek side.

(Embodiment 1)
1-6 is a figure for demonstrating the partial denture 10 in Embodiment 1. FIG. FIG. 1 shows a plaster model M of an oral cavity with 13 teeth missing, in which only one remaining tooth L4 (4th on the left) remains in the lower jaw. The remaining tooth L4 has a bulge portion Z and bulges outward, particularly on the cheek side. The remaining tooth L4 stands at the ridge of the ridge mucosa M5. FIG. 2 is a view showing a state in which this one remaining tooth L4 is a toothed tooth Q and the fitting portion K is fitted with one partial denture 10. FIG. The denture base 35 is located over the entire ridge mucosa M5, covering the peak of the ridge mucosa M5 from the lingual side to the buccal side. The root of the artificial tooth 5 is fixed to the denture base 35 according to the corresponding tooth of the upper jaw (not shown). In addition, in this embodiment as well as the subsequent embodiments, the second figure used for explaining the embodiment shows a state in which the partial denture 10 is mounted on the plaster model M unless otherwise specified. In this second figure, a dot pattern is given to the denture base 35. However, since the subsequent drawings are often complicated and difficult to see, the dotted patterns of the denture base 35 are omitted as appropriate.

  FIG. 3 is a view of the partial denture 10 as seen from the same direction as FIG. In the fitting portion K, the denture base 35 is provided with a hole or a space forming curved portion 35h that allows the toothed teeth Q (L4) to pass therethrough, and the tooth Q (L4) passes through the space S surrounded by the space forming curved portion 35h. Go through. FIG. 4 is an enlarged view of the fitting portion K. FIG. In the denture base 35 on the cheek side of the fitting part K, the wire w is curved in a V shape, and is located so as to hold the ridge part Z of the tooth decay Q from the root side (see FIG. 2). As can be seen together with FIG. 2, the resin (resin) of the space forming curved portion 35h using the wire w as a reinforcing material is in surface contact with the toothed teeth Q on the root side of the ridges Z of the toothed teeth Q. It can be seen that the maintenance force and the gripping force and the gripping force are exhibited.

  In the partial denture 10, a metal coupling band (see FIG. 6) is embedded in the denture base 35, and the branch portion 51 is seen through the space forming curved portion 35h. A window 51h is opened in the branch portion 51 of the metal connecting band. This is formed on the inner surface of the space forming curved portion 51h by the dentist according to the patient's tooth after the partial denture 10 is manufactured. Provided to ensure adhesion between the repolymerized immediate polymerized resin and the denture base 35 on the outside (the lingual side) of the metal connecting band branch 51 when adjusting the rebasing using the immediate polymerized resin. It is a window. Further, a metal surface 15 is formed along the outer surface of the tooth surface Q (L4). In this metal surface 15 portion, the immediate polymerization resin arranged by the above rebase or the like is polished so that the metal surface 15 of the branch portion 51 is slightly exposed. The metal surface 15 is arranged so that there is no deviation in the positional relationship with the tooth when the immediate polymerization resin by the above rebase or the like is ground. It also contributes to the improvement of maintenance effect. Whether the metal surface 15 is exposed or the resin is very thinly covered has no significant meaning. This is because the metal surface 15 can be seen through the thin resin, and the resin reinforced by the wire w comes into contact with the surface to improve the maintenance force and the like. This is because the surface pressure is exerted on the tooth decay Q in cooperation.

  FIG. 5 is a view of the partial denture 10 shown in FIG. 3 as viewed from the side of the back surface 35g. When viewed from the back surface 35g side, the arrangement of the metal coupling band 50 can be seen through without being obstructed by the artificial teeth 5. The metal connecting band 50 is disposed over the entire denture base 35. By such an arrangement of the metal connecting band 50, it is possible to prevent the partial denture 10 from being damaged in the denture base 35. The point-like thing 50d seen in places along the denture base back surface 35g is a protrusion provided on the metal connection band 50 and is called a stopper. The stopper 50d secures a gap between the metal connecting band 50 and the gypsum model M when the metal connecting band 50 is placed on the plaster model M and the resin is filled when the partial denture 10 is manufactured. To improve. The space forming curved portion 35h falls on the cheek side so that the root of the tooth root is a valley, and the wire w is located along the upper edge of the valley of the resin and is bent in a V shape on the cheek side. However, all the portions are embedded in the resin at the upper edge of the space forming curved portion 35h. The valley shape on the cheek side of the space forming curved portion 35h and the V-shaped form of the wire w along the cheek side of the space forming surface contact so that the tooth decay Q is held from the root side of the ridge Z on the cheek side of the tooth decay Q. It is a form that occurs to

The quality of partial dentures depends on whether or not rebase processing is possible, but if this rebase treatment is provided by this partial denture, and if excellent rebase processing is performed, the supreme partial dentures will be completed for the patient. . This partial denture has one of the features that the rebase process can be fully applied to a portion (a portion that forms the center of the fitting) that is fitted to the tooth neck portion of the tooth. The cast C-shaped metal arm has a belt-like surface that is shaped to the tooth neck of the tooth by casting, but adjustment of the belt-like surface is almost impossible (rebasing is not possible in resin parts other than the cast metal). It is possible to process freely.) However, with this partial denture, the part that fits the tooth neck of the toothed tooth (the part that forms the center of the fitting) is not subject to any restrictions, such as thickening and thinning, changing the shape of the curved surface, etc. And the range of adjustment can be greatly improved. The window 51h provided in the branch part 51 of the metal connection band shown in FIG. 4 stabilizes the shape of the inner wall surface of the space forming curved part 35h adjusted by the rebasing process when the branch part 51 of the metal connection band is provided. This is a structure provided for durability. Even when the metal connection band is not used, the rebasing process can be performed extensively with respect to the center of the fitting portion. In this case, since there is no metal connection band 50 or branch part 51, the inner wall surface after the rebase process, etc. The shape is naturally stabilized and durable.

  When the user in the oral condition shown in FIG. 1 wears the partial denture 10 shown in FIG. 3 or FIG. First, the position of the tooth Q (L4) and the fitting part K is matched, and the other parts are also matched. Next, when the entire space-forming curved portion 35h is pushed through the toothed teeth Q (L4) so as to be pushed in, the feel of a click is obtained when the fitting is successful. A real clicking sound is generated. By grasping the tips for alignment and mounting, such a clicking sound can be easily obtained at the time of mounting. In other words, if a click sound is not obtained, it means that normal wearing has not been realized. If the feel of a click is obtained and fitted, the space forming curved portion 35h reinforced by the wire w is in surface contact with the root side of the protuberant portion Z of the toothed tooth Q (L4), so a stable wearing state Can be secured. In addition, the metal surface 15 of the branch portion 51 of the metal connecting portion in the space forming curved portion 35h also contributes to the stable mounting position and maintenance of the realized mounting state. The reason why the partial denture 10 is difficult to detach at the time of occlusion is that the forces (e1) and (e2) described above work.

  FIG. 6 is a view showing the metal member G arranged on the partial denture 10. The viewing direction is seen from the same direction as FIG. 3 or FIG. The metal connection band 50 and the branch part 51 are integrally cast. Both ends of the wire w are fixed to the branch portions 51 of the metal connection band 50. By fixing the wire w to the metal coupling band 50 or its branch portion 51, the arrangement of the wire w can be easily determined in the production of the partial denture 10, and the production becomes easy.

  As in the partial denture 10 of the present embodiment, the manufacturing method in the case of including the metal connection band 50 together with the wire w and the concave surface forming metal arm introduced in the following embodiment has already been introduced. The presence or absence of the concave surface forming metal arm does not significantly affect the manufacturing process as long as it coexists with the metal connecting band 50. An example of a method for producing the partial denture 10 of the present embodiment is as follows. First, the metal connection band 50 (including the stopper 50d and the branch portion 51) shown in FIG. 6 is manufactured in advance by casting. For the production of the metal connecting band 50 by casting, a commonly used casting method can be used. First, wax is affixed on the plaster model M shown in FIG. 1 to form a portion (mainly the bottom portion of the denture base) that becomes a space between the metal connecting band 50 including the branch portions 51 and the like and the plaster model M. A hole in which the stopper 50d is formed is made in this pasted wax. Mold the plaster model in this state using silicon or the like, and make a fireproof model using the mold. On the refractory model, a shape that becomes the metal connecting band 50 (including the stopper 50d and the branch portion 51) is formed by wax or wax. Next, the whole is covered with a refractory and heated to wash out wax or wax, and a mold for the metal connecting band 50 is produced. Thereafter, a molten alloy is cast into the mold to form the metal connection band 50 (including the branch portion 51). Before and after this, the wire w is processed to adjust the shape so as to match the design of the fitting portion K. Next, the entire shape of the metal member G is determined by fixing the wire w processed and formed on the formed metal connecting band 50 on the gypsum model by laser welding or electric welding. The metal connection band 50 is disposed on the plaster model M together with the fixed wire w so that the stopper 50d contacts the plaster model M. Next, the denture base 35 is formed of wax or wax so as to wrap the wire w and the metal coupling bands 50 and 51 on the plaster model M. Next, the root of the artificial tooth 5 is implanted on the denture base of the wax or wax. At this time, as a matter of course, the space forming curved portion 35h is formed around the tooth Q (R4) so as to include the wire w and the like. The entire product in this state is hardened with gypsum while securing a runner, heated to pour out wax or wax, and then filled with a waxy heat-polymerized resin or other waxy resin. The denture base 35 is formed by hardening. When the resin is filled, a resin space forming curved portion (with a built-in reinforcing wire) is formed along the surface of the tooth. This will give you an approximate partial denture. Thereafter, the occlusal adjustment and the adjustment of the inner surface of the space forming curved portion 35h for facilitating the attachment / detachment are started by the rebase treatment in accordance with the patient's teeth.

  The portion that fits into the tooth Q (L4) is substantially determined by the wire w, the resin space forming curved portion 35h, and the wire included therein. Therefore, the fine adjustment with the patient's teeth can be sufficiently achieved by performing the space forming curved portion 35h of the resin. For this reason, it can adjust more easily than the case where the concave surface formation metal arm which introduces in the following embodiment and which fits in direct contact with a toothed hook is formed by casting. Moreover, since only the wire w is a metal member without using the C-shaped arm cast in the fitting portion, the weight reduction and the miniaturization are reliably realized. Furthermore, since the resin space forming curved portion 35h using a dental general-purpose wire w as a reinforcing material is the main portion of the fitting portion, the manufacturing cost can be kept low and the performance is excellent in detachability. Can maintain a comfortable and stable wearing state.

(Embodiment 2)
7-12 is a figure for demonstrating the partial denture in Embodiment 2. FIG. FIG. 7 is a plaster model M of the oral cavity in which the remaining teeth L1-5 and R1-7 remain in the lower jaw. The remaining tooth L5 that becomes the tooth decay Q has a ridge Z and bulges outward, particularly on the cheek side. All remaining teeth are standing at the peak of the ridge mucosa M5. FIG. 8 is a view showing a state in which the partial denture 10 provided with one fitting portion K with the remaining tooth L5 as a toothed tooth Q is mounted. In this partial denture 10, artificial teeth 5 are implanted in a denture base 35 at L6 and L7. In the fitting portion K, a wire w is embedded in the denture base 35 around the tooth Q (L5) (not shown). The wire w faces the side surface of the tooth Q with the surrounding denture base 35, in particular, the resin of the space forming curved portion interposed.

  FIG. 9 is an enlarged view of the partial denture 10 in FIG. 8 viewed from the top side. In the fitting part K, it can be seen through that the wire w is embedded in the denture base 35 around the tooth Q (L5). The surrounding denture base 35 including the reinforcing material wire w, that is, the space forming curved portion 35h is fitted in a state of surface contact with the root side of the ridge portion Z of the tooth Q. In the denture base 35 in which the wire w is embedded, a space forming curved portion 35h is formed by a hole through which the tooth Q (L5) passes.

  FIG. 10 is a view of the partial denture 10 viewed from the same direction as FIG. The fitting portion K is provided with a hole for forming a space forming curved portion 35h, and a space S through which the toothed teeth Q (L5) are removed is formed. In this case, the pace forming curved portion 35h is formed with a hole in it. In order to mount the partial denture 10 of FIG. 10 in the state shown in FIG. 9, the artificial teeth L6 and L7 (the portion on the distal side of the tooth Q (L5)) are aligned with the position of the ridge mucosa M5. If it is left and the whole part is pushed in from the top part side of the tooth Q (L5) with emphasis on the fitting part K and a feeling of snapping is obtained, normal mounting is realized. It is a feeling that it is pressed against the jaw ridge from the distal side and finally pushes the whole into the toothed teeth Q (L5) with emphasis on the fitting portion K. It is very simple and the wearing operation itself is even comfortable.

  FIG. 11 is a view of the partial denture 10 shown in FIG. 10 viewed from the back side. According to this figure, the metal member is only the wire w, and it can be seen that no metal coupling band or the like is used. For this reason, the partial denture 10 is very light and can easily be elastically deformed at the time of attachment and detachment, and attachment and detachment can be performed lightly if the direction and procedure of applying force are not mistaken. However, as shown in FIG. 8, the resin (resin) of the space forming curved portion 35 h including the reinforcing material wire w cooperates to face the range on the root side of the ridge part Z of the toothed tooth Q (L 5). Since it is fitted in the contact state, the above-mentioned (e1) and (e2) drags are obtained against the force in the direction of detachment at the time of occlusion, and a good wearing state is stably realized. can do.

  FIG. 12 is a view showing the entire wire w arranged in the space forming curved portion 35h of the denture base, (a) is a view seen from the same direction as FIG. 8 or FIG. It is the figure seen from the tongue side on the tooth Q (L5) side. From these drawings, it can be seen that the wire w is closed in the denture base 35. By connecting both ends, the rigidity against deformation can be increased. Since no cast metal such as a metal connection band is used, the aim is to increase the rigidity only with the wire w.

  Manufacture of the partial denture 10 of this Embodiment is very simple. An example is as follows. First, an impression in the oral cavity including the patient's remaining teeth is collected, and a plaster model is produced based on this. On this oral model, it is designed how to form the fitting portion with the remaining tooth R5 as a tooth. In advance, the wire is processed with pliers or the like according to the design of the fitting portion. A denture base is formed using wax or wax according to the design of the fitting portion. At this time, the processed wire is embedded in the space forming curved portion 35h surrounding the space S that penetrates the toothed teeth Q (L5). The processed wire w is preferably temporarily fixed on the plaster model. Next, a denture base is formed so as to include a wire processed with wax or wax. The mouth model in this state is hardened by covering the whole with plaster while forming a runner such as wax. This is heated, wax or wax is melted and poured out of the runner, and then mochi-like resin, which is a raw material for the denture base, is filled and solidified. The structure of the space forming curved portion 35h that is realized at this time and that incorporates the reinforcing material wire w around the toothed teeth is a configuration that has never existed. Thereafter, in the patient's oral cavity, the compatibility with the alveolar mucosa, the meshing of the artificial teeth, etc. are adjusted and completed by rebasing or the like.

  As described above, the method of manufacturing the partial denture 10 according to the present embodiment is very simple and requires few steps. Above all, the metal parts are not produced by casting, so the material cost is low. Furthermore, it is lightweight. Moreover, mounting and demounting are easy, and a high maintenance force is ensured by fitting the surface contact with the root side of the ridges Z of the toothed teeth Q by the resin of the space forming curved portion 35h containing the reinforcing material wire w. Can do. Since it does not include a metal member manufactured by casting, it is lightweight and small, and has a good fit.

(Embodiment 3)
13-16 is a figure for demonstrating the partial denture in Embodiment 3. FIG. FIG. 13 shows a plaster model M of the oral cavity in which the remaining teeth L1-4 and R1-7 remain in the lower jaw, that is, L5-7 deficient. The remaining tooth L4 that becomes the tooth decay Q has a ridge (not shown) and bulges to the cheek side. All remaining teeth are standing at the peak of the ridge mucosa M5. FIG. 14 is a view showing a state in which the partial tooth 10 is fitted to the fitting portion K with the remaining tooth L4 as the tooth Q. In this partial denture 10, the portion of the wire that crosses the top boundary between the tooth Q (L4) and the tooth (L3) next to the tooth, the top boundary portion wa is bare. All other portions w of the wire are embedded in the denture base 35. The top boundary portion wa cannot be embedded in the denture base 35 and can be continued without being cut, thereby improving the support function described in detail later and increasing the strength and rigidity of the wire. . In the fitting portion K, the wire w is arranged around the tooth Q (L4) and in the space forming curved portion 35h. The wire w is particularly V-shaped on the cheek side, but the embedded portion is shown in FIG. Not shown. The form of the wire w of this portion (not shown) facing the side surface of the toothed tooth Q with the resin of the space forming curved portion 35h interposed therebetween is the same as the previous embodiments.

  FIG. 15 is a view of the partial denture 10 in FIG. 14 viewed from the same direction. FIG. 16 is a view of the partial denture 10 as seen from the back surface 35g side. In the fitting portion K, the wire w is embedded in the space forming curved portion 35h of the denture base around the tooth Q (L4) and is seen through the denture base 35. The space S is surrounded by a space forming curved portion 35h provided in the denture base 35, but the space forming curved portion 35h does not have a hole. The tip of the denture base 35 extending from the buccal side and the tip extending from the lingual side are connected by a top boundary portion wa. As in the partial denture 10 of the second embodiment, the partial denture 10 in the present embodiment includes only the wires w and wa as shown in FIG. 16 and does not use the metal coupling band 50 or the like. This makes it easy to manufacture and lightweight. As the manufacturing method, the method described in the second embodiment is applied as it is.

  When the wire has a bare top boundary portion wa, the exposed portion has a top portion having the same height as the top surfaces of the toothed teeth L4, L3, and the top portion of the same level height is the toothed tooth L4. It comes to partially fit in the groove portion between the adjacent teeth L3. In this case, when worn, the top boundary portion wa extends between the cheek side and the lingual side at the gap at the top boundary between the toothed tooth K4 and the adjacent tooth L3. That is, it is located along the thickness direction or depth direction of the tooth. Thereby, it is possible to prevent the partial denture 10 from sinking due to occlusion. Traditionally, rests and the like have been provided to prevent settlement due to occlusal pressure, but rests are provided with resting ridges on self-supporting teeth. In this case, nerves may be removed in the case of living teeth. For this reason, the durability of the self-supporting teeth is significantly impaired. The wire is strong, stiff and smooth, and above all thin and circular in cross-section, so if there is a small gap between the tooth and the adjacent tooth, it can be easily placed without greatly changing the meshing adjustment . This makes it possible to prevent subsidence due to occlusal pressure with a very simple mechanism. The edges of the top surfaces of the teeth L3 and L4 are rounded, and a groove enough to accommodate a wire is easily formed between the tops of adjacent teeth. There may be only natural grooves or a little enamel. As a result, not only the above-described support action (prevention of sinking due to occlusal pressure) but also the gripping force (prevention of lateral displacement) by the wire can be improved. In order to obtain such an action, the wire needs to have high hardness, and a dental wire that is work-hardened by drawing is suitable. The space forming curved portion 35h reinforced by the wire w can be brought into surface contact with the base of the ridges of the toothed teeth Q (L4) to ensure a high maintenance action and a gripping action, as in the second embodiment.

  Since the partial denture 10 of the present embodiment is similar in shape to the partial denture 10 of the second embodiment, the manner of wearing seems to be the same, but there is a slight difference due to the top boundary portion wa. In the partial denture 10 according to the present embodiment, the apex boundary portion wa is firmly arranged at the apex boundary between the teeth L3 and L4, and the entire portion is focused on the fitting portion K while applying the distal side L5 to L7 to the jaw ridge. It is better to push into the tooth Q (L4) until it clicks. It is an operation in the range of application that can be easily done if you get used to it.

(Modification of Embodiment 3)
FIG. 17 is a diagram illustrating a partial denture 10 according to a modification of the third embodiment. The partial denture 10 shown in FIG. 17 extends to the base of the remaining teeth R3, R4, and R5 without terminating the denture base 35 in the vicinity of the tooth L3 adjacent to the tooth Q (L4). The extended denture base 35 is fitted so as to be applied in the horizontal direction in the vicinity of the neck of the remaining teeth R3, R4, R5. In other words, the concave portion at the side end of the denture base 35 has the remaining teeth R3, R4, and R5 as toothed teeth. At the time of mounting, the fitting portion K is aligned on the toothed tooth L4, and the concave portion at the side end of the denture base 35 is horizontally fitted near the tooth neck portion of the remaining teeth R3, R4, R5. In the combined state, the fitting portion K is pushed into the toothed teeth L4, so that snapping and mounting are realized. If the three concave portions at the side end portion of the denture base 35 are regarded as a fitting body, this portion serves as a key, and the fitting portion K serves as a lock. With such a structure, it is possible to obtain a firm feeling of wearing.

(Embodiment 4)
18 to 27 are diagrams for explaining the partial denture 10 according to the fourth embodiment. FIG. 18 shows a plaster model M of the oral cavity with 11 teeth missing, in which three remaining teeth L3, R3, and R4 remain in the lower jaw. The remaining teeth L3, R3, and R4 all have a ridge Z and bulge outward, particularly on the buccal side. These remaining teeth are standing at the peak of the ridge mucosa M5. FIG. 19 is a diagram illustrating a state in which the partial denture 10 having the two fitting portions K and K1 is mounted. A wire w is arranged in the fitting portion K having the remaining tooth L3 as the toothed hook Q, and it appears that the wire w is exposed when viewed from above the cheek side, but the cross section on the base side of the wire w A part of the circumference is embedded in the resin, and faces the cheek side surface of the tooth Q (L3) with the resin of the space forming curved portion 35h interposed. That is, a fitting force is exerted on the tooth Q (L3) with the resin interposed. In the fitting part K, the denture base 35 on the cheek side of the tooth Q (L3) (the cheek side of the space forming curve 35h) falls to the root side in a valley shape, and the wire w is J-shaped along the upper edge. Alternatively, they are arranged in a V shape. When viewed from above the cheek side, this J-shaped wire w shows metallic luster, but when viewed from the inside of the space forming curved portion 35h, the wire w interposes a thin resin to the cheek of the tooth Q (L3) You can see that it faces the side. No wire is disposed in the other fitting portion K1, and a cast concave surface forming metal arm (not shown) exerts a fitting force on the base side of the raised portion of the toothed teeth Q (R3, R4). . In the fitting part K1, the toothed teeth Q are formed by two remaining teeth R3 and R4. When the state of the tooth of the remaining tooth as the tooth Q is anxious or when importance is attached to the mounting stability of the entire partial denture, the tooth Q with two consecutive teeth as in this embodiment It is good to constitute. Even if there are two or more toothed teeth Q, as shown in the present embodiment, it is possible to manufacture by considering that there is one toothed tooth Q. In the fitting, when fitting, the fitting portion K1 is horizontally placed on the neck of the tooth Q (R3, R4), and then the fitting portion K is placed on the tooth Q (L2). This is because there is no large difference between the number of the toothed teeth Q of the fitting portion K1 or two because the operation is performed by pushing from above.

  20 is a view of the partial denture 10 as seen from the same direction as FIG. In the fitting portion K, the denture base 35 is provided with a hole or a space forming curved portion 35h that penetrates the toothed teeth Q (L3), and the toothed teeth Q (L3) pass through the space S surrounded by the space forming curved portion 35h. Go through. As described above, the wire w has a metallic luster when the fitting portion K is viewed from above the cheek side, as described above, but when the partial denture 10 is lifted and the space forming curved portion 35 is viewed from below the space S side, the same portion is obtained. The wire w can only be seen through the resin, and there is no metallic luster at the part facing the space S. The resin has a certain thickness on the base side of the cross section of the J-shaped wire w. Is intervening. That is, the J-shaped wire w of the fitting portion K has a resin disposed on the outer peripheral portion of the cross section facing the space S, but the resin is disposed on the outer peripheral portion of the cheek side top of the cross section. Not. In such a configuration of the arrangement of the wire w and the resin, the wire w is a curved portion that forms a space in total, including a portion where the metallic luster appears at the top of the cheek side of the circumference of the cross section and a portion embedded in another resin. It functions as a reinforcing material for the portion 35h. As a result, the wire w and the resin of the space forming curved portion 35h can be brought into contact with the side surface of the cheek side of the tooth Q (L3) in a planar manner to exert a large fitting force. When only the bare wire is in contact with the side surface of the toothed tooth, the contact is linear. However, since the contact between the wire w and the resin of the space forming curved portion 35 is realized, a large contact force is obtained. Is born. FIG. 21 is an enlarged view of the fitting portion K in FIG. The space forming curved portion 35h is formed with a metal surface 15 in which the branch portion 51 of the metal coupling band is disposed along the concave surface and in surface contact with the toothed teeth Q. The metal surface 15 may be exposed on the surface of the resin, or may be covered a little with the resin.

  In FIG. 20, the fitting part K1 uses the two remaining teeth R3 and R4 for the toothed teeth Q as described above. The toothed teeth Q (R3, R4) are fitted so that the concave surface forming metal arm 11 cast on the base side of the ridge is applied. FIG. 22 is a diagram depicting the fitting part K1 shown in FIG. 20 so as to look up slightly from the cheek side. The fitting portion K1 is provided with a concave portion 35k of the denture base 35 corresponding to the two remaining teeth R3, R4, and the concave surface forming metal arm 11 is disposed on each of them. These concave surface forming metal arms 11 are arranged in the concave portions 35k so as to be applied to the respective ridges of the toothed teeth Q. These concave surface forming metal arms 11 are formed so as to continuously extend in a C-shape from the branch portions 51 of the metal coupling band 50.

  In order to mount the partial denture 10 shown in FIG. 20 as shown in FIG. 19, it is performed as follows. In the fitting portion K1, two continuous concave portions 35k are roughly aligned with the two toothed teeth R3, R4. Two continuous recesses 35k exhibit a double C-shaped concave curved surface. The positioning of K1 is inserted and stopped by pressing it slightly from the top of the tooth. With the feeling of following this movement, the position of the fitting portion K is aligned with the corresponding tooth Q (L3) from above (from the top of the remaining teeth), and the tooth Q (L3) is placed in the space S of the fitting portion K. While passing, press the entire partial denture until it clicks to the end. This makes it very easy and unmistakable to install. The detachment can be performed in the designed direction of detachment by applying a force to the entire partial denture for a certain period of time, withdrawing the fitting portion K first and then removing the fitting portion K1 almost simultaneously. The difficulty of detachment at the time of occlusion is held by the forces (e1) and (e2) in the fitting portion K where the wire is disposed, and the concave surface forming metal arm 11 is engaged with the tooth Q in the fitting portion K1. It is ensured by the action of fitting so as to be applied to the base of the holy ridge of (R3, R4).

  FIG. 23 is a diagram depicting the partial denture 10 shown in FIG. 20 so that the back surface 35g of the denture base 35 can be seen by looking up slightly from the front tooth side. From this figure, it can be seen that the metal connecting band 50 is used, and the branch portion 51 is used for fixing the wire w and the concave surface forming metal arm 11. The concave surface forming metal arm 11 is formed by integral casting with the metal connecting bands 50 and 51. The dotted surface 50a visible on the denture base back surface 35g is a runner trace formed when the metal connecting bands 50, 51, etc. are cast. FIG. 24 is a view showing a metal member G used in the partial denture 10. Two concave surface forming metal arms 11 are formed so as to extend from the metal connecting band 50 and branch portions 51 protruding therefrom, and from the branch portions 51. The two concave surface forming metal arms 11 are fitted so as to be applied to the roots of the raised portions of the two remaining teeth R3, R4 constituting the toothed teeth Q. The wire w has a J-shaped or V-shaped portion on the cheek side, and one end of the wire w is connected to the branch portion 51. The other end passes under the tooth L2 adjacent to the tooth Q (L3) and is connected to another branch portion 51.

  The features of the partial denture 10 of the present embodiment are as follows. Two fitting portions K, K1 are provided, and in the fitting portion K, the cheek side of the space forming curved portion 35h falls into the root in a valley shape, and the wire w is arranged in a J shape or V shape along the upper edge thereof. Yes. In the wire w, the upper side of the cheek side of the circumference of the cross-section is exposed, but the peripheral portion facing the tooth decay is covered with a resin. There are also portions of the wire that are completely embedded in the resin. By combining these portions and functioning as a reinforcing material, the wire w and the resin of the space forming curved portion 35h are the roots of the prominent part of the tooth Q (L3). On the side, it is in surface contact with the cheek side surface to ensure a large fitting force. On the other hand, in the fitting portion K1, the two remaining teeth R3 and R4 are used as toothed teeth Q so that the concave curve forming arms 11 are respectively applied. The apparatus of the fitting part K1 is large, and as far as this fitting part K1 is concerned, the production is the same as the conventional method, and the weight is also considered to be the same.

  The manufacturing method of the partial denture 10 of the present embodiment is the same as the manufacturing method of the partial denture 10 of the first embodiment. That is, the metal connecting band 50 with the stopper 50d, its branch portion 51, and the concave surface forming metal arm 11 are formed by integral casting, and both ends of the wire w are fixed to the branch portion 51 and manufactured. This is placed on a plaster model, and the part that becomes the denture base 35 is laminated with wax or wax so as to include the above-mentioned metal member G, and then heated to flow out the wax or the like. It is a method of filling and solidifying.

(Embodiment 5)
FIGS. 25-30 is a figure for demonstrating the partial denture 10 used for the upper jaw in Embodiment 5. FIG. The remaining teeth are four teeth R6, R7, L6, L7. As shown in FIG. 26, the partial denture 10 has two fitting portions K and K1, and the fitting portion K in which a wire (not shown) is arranged has the remaining tooth R6 as the tooth Q, and the wire The fitting portion K1 where no is disposed has the remaining tooth L6 as the tooth Q. FIG. 27 is a view of the partial denture 10 as seen from the same direction as FIG. FIG. 28 is a diagram showing the metal member G (the rest excluding the resin) viewed from the same direction.

  In the fitting portion K, the denture base 35 is provided with a space forming curved portion 35h or a hole through which the tooth Q (R6) passes, and the tooth Q (R6) passes through the space S surrounded by the space forming curved portion 35h. Go through. All the portions of the wire w are included in the resin of the space forming curved portion 35h. The wire w is fixed to a branch portion 51 that protrudes from the metal connection band 50 (detailed arrangement will be described later). In the fitting portion K, the wire w is used as a reinforcing material, and the resin of the space forming curved portion 35h is fitted in a state where the resin is in surface contact with the base of the ridges of the toothed teeth Q (R6). For this reason, it is possible to obtain a very high maintenance force and gripping force only by including a simple and clear metal member called wire w.

  In the fitting portion K1, the left and right concave surface forming metal arms 11 are fitted so as to be applied to the root side of the ridges of the toothed teeth Q (L6). Both of the concave surface forming metal arms 11 are formed continuously from the branch portions 51 that extend separately from the metal connection band 50. As can be seen from FIG. 28, the metal connecting band 50 and the branch portion 51 and the concave surface forming metal arm 11 are integrally manufactured by casting. The alloy to be used may be anything as long as it is a casting alloy used for dentistry as described above, but platinum alloy is particularly preferable. The wire w in the fitting part K is being fixed to the branch part 51, as shown in FIG. FIG. 29A is a diagram viewed from the same direction as FIG. 28, and FIG. 29B is a diagram in which the top and bottom are reversed. According to FIG. 29A, one end of the tongue-side wire w is fixed to the branch portion 51, and the other end is fixed to the metal connecting band 50. The cheek-side wire w has one end fixed to the branch portion 51, but the other end is not fixed and floats in the resin of the space forming curved portion 35h.

  FIG. 30 shows the concave surface forming metal arm 11 of the fitting portion K1. FIG. 29A is a diagram viewed from the same direction as FIG. 28, and FIG. 29B is a diagram in which the top and bottom are reversed. From this figure, it can be seen that the concave surface forming metal arm 11, the metal connecting band 50, and its branch portion 51 are preferably manufactured by integral casting. That is, the concave surface forming metal arm 11 and the metal connecting band 50, and the branch portion 51 thereof are precisely formed on the plaster model M with a brazing material, and the entire shape is hardened with plaster or the like. Then, the brazing material is poured out from the runner, and the molten alloy is cast and hardened there. FIG. 29 shows the wire w processed into a shape corresponding to the fitting portion K on the branch portion 51 corresponding to the fitting portion K of the manufactured (concave surface forming metal arm 11 and metal connecting band 50, its branch portion 51). Secure as shown. The metal member G including the wire w is arranged on the plaster model M, and a shape corresponding to the denture base 35 is formed of the brazing material, and the metal member G is included in the brazing material at that time. Next, artificial teeth 5 are implanted on the brazing material. After that, if the whole is hardened with gypsum and heated, the brazing material is poured out from the runner, and a mochi-like resin is filled and solidified, whereby an approximate partial denture 10 is prepared. This is followed by adjustments in the patient's mouth.

  In the partial denture 10 of the present embodiment, the concave surface forming metal arm 11 of the fitting portion K1 is moved from the lingual side to the cheek side to the final position of the toothed tooth Q (L6) and arranged so as to be applied ( At this time, the fitting part K is located above the toothed teeth Q (R6)), and the fitting part K1 is shifted and the whole including the fitting part K is pushed into the toothed tooth Q (R6) until it clicks. Installation is achieved. When the fitting portion K1 is pushed together with the fitting portion K as a whole, the contact position with the tooth Q (L6) changes, so even if it is a fulcrum, consider it in the same row as the fulcrum in the mechanical device. I can't. For this reason, it is called a shift fulcrum.

(Embodiment 6)
FIGS. 31 to 36 are diagrams for explaining the partial denture 10 according to the sixth embodiment. FIG. 31 shows a plaster model M of the oral cavity with 11 teeth missing in which three remaining teeth R3, R4, and L3 remain in the lower jaw. Each remaining tooth has a bulge and bulges outward. FIG. 32 is a view showing the partial denture 10 mounted by fitting these remaining teeth into the two fitting portions K and K1 with the toothed teeth Q. Two continuous teeth R3 and R4 are used for the tooth Q in the fitting portion K where the wire w is disposed. Depending on the state of the teeth, it is more stable and durable to use two consecutive teeth as the toothed teeth Q, but the structure of the maintenance device such as the wire w is a little complicated.

FIG. 33 is a diagram showing the partial denture 10, and FIG. 34 is an enlarged view of the fitting portion K. In the fitting part K, the two remaining remaining teeth R3 and R4 are the toothed teeth Q. Therefore, the space S through which the toothed teeth pass has a shape in which two holes shifted from the center are connected, and the space forming curved part 35h And the whole shape of the wire w is also a shape according to it. That is, the wire w has a w-shape in which two c-shaped bodies are connected on the cheek side. On the cheek side, the wire w has a metallic luster as viewed from above. However, when the partial denture 10 is lifted and the wire w on the cheek side of the space forming curved portion 35h is viewed from the space S side from below, the metallic luster is not visible, and the resin protrudes to the space S side at the base side of the wire w. Yes. Further, on the tongue side of the fitting portion K, the wire w terminates around the remaining tooth R4 along only the tongue side of the remaining tooth R4, and does not extend around the remaining tooth R3. In the terminal position, the wire w is located in the denture base. In this partial denture 10, a metal connecting band 50 is used, and the wire w extends so as to stand from the metal connecting band 50 on the mesial side of the artificial tooth 5 (R 5), both in the buccal side and in the lingual side. It is fixed to the branch part 51. The end on the lingual side of the wire w terminates in the denture base 35, but the wire w on the buccal side extends in a w-shape along two continuous toothed teeth R4, R3, and the end Is fixed to a branch portion 51 (extending between the artificial tooth 5 (R2) and the artificial tooth (R1)) extending from the metal connecting band 50. FIG. 36 is a view showing the metal member G in the partial denture 10. With reference to FIG. 36, the connection relationship between the metal members becomes clear.

  FIG. 35A is a view of the fitting portion K1 as seen from the same direction as FIG. In the fitting portion K <b> 1, the two left and right concave surface forming metal arms 11 extend so as to be respectively connected to the two branch portions 51 of the metal connection band 50. FIG. 35 (b) is a view of the fitting portion K1 as viewed from the front side up (upside down with respect to FIG. 35 (a)). As can be seen from FIG. 36, it is preferable that the two concave surface forming metal arms 11 of the fitting portion K1 and the metal connecting bands 50 and 51 with the stopper 50d are integrally cast because the manufacturing becomes simple. The buccal side and the lingual side of the wire w are fixed to the integrally formed metal coupling bands 50 and 51 and the concave surface forming metal arm 11, and the buccal side is along the two toothed teeth R3 and R4. The end of the artificial tooth 5 (R2) is fixed to the branch portion 51 through the lower side. These manufacturing steps may be performed by the method described in the first embodiment.

  At the time of mounting, the whole is pushed from the upper part of the two toothed teeth R3, R4 to the click, with the feeling of fitting the fitting part K1 into a shifted fulcrum. In the fitting part K, since the wire w faces the two toothed teeth R3 and R4 with the space forming curved part 35h interposed, the resin of the space forming curved part 35h is formed by using the wire w as a reinforcing material by fitting. Since the contact is made so as to hold the root side including the bumpy portion in a planar shape, a large fitting force or maintenance force and gripping force can be exhibited. In addition, while a large maintenance force can be obtained, the fitting portion K is composed of the space forming curved portion 35h including the wire w, so it is lightweight, elastic and strong, so it can be easily attached and detached. Durability can be ensured. The high durability is attributed to the fact that the surface of the dental wire w is smooth and there are no irregularities as in the cast part.

(Embodiment 7)
FIG. 37 to FIG. 41 are diagrams for explaining the partial denture in the seventh embodiment. FIG. 37 shows a plaster model M of the oral cavity in which the remaining teeth L1-5 and R1-7 remain in the lower jaw. This is a case of a 2-tooth defect in which the left back tooth 2 L6, L7 is missing. All remaining teeth are located along the ridge in the ridge mucosa M5. The remaining teeth L5, L4, and L3 that become the tooth decay Q have a ridge Z (not shown) and bulge to the cheek side. The partial denture 10 is characterized in that two different types of fitting portions K and K1 are continuously located. FIG. 38 is a diagram showing a state in which the partial denture 10 in which two fitting portions K and K1 are continuously located is mounted. In the fitting part K where the wire w is arranged, the remaining tooth L5 is a toothed tooth Q, and in the fitting part K1 where the wire w is not arranged, the remaining teeth L4 and L3 are called a toothed tooth Q. Since the back teeth L6 and L7 are missing, a small partial denture 10 is realized, while two fitting portions K and K1 are continuously provided in order to maintain a strong fitting state.

  FIG. 39 shows the partial denture 10 seen from the same direction as FIG. 38, and FIG. 40 is a view of the partial denture 10 seen from the cheek side slightly above. In the partial denture 10, as in the partial denture 10 of the third embodiment, in the fitting portion K, the wire w is embedded in the space forming curved portion 35h of the denture base around the tooth Q (L5). The space S is surrounded by a space forming curved portion 35 h provided in the denture base 35, but the space forming curved portion 35 h is not a hole provided in the denture base 35. By the top boundary part wa, the tip of the denture base on the buccal side and the middle of the lingual side are connected, and no hole is provided in the denture base 35. When there is a bare top boundary portion wa, the exposed portion has a top portion that is at the same level as the top surface of the tooth L5 of the fitting portion K and the adjacent tooth L4, and the height of the same level height. The top portion is partially accommodated in the groove portion between the toothed tooth L5 and the adjacent tooth L4. In this case, when worn, the apex boundary portion wa extends between the cheek side and the lingual side at the apex boundary between the toothed tooth L5 and the adjacent tooth L4. As a result, it is possible to obtain an action of preventing the partial denture 10 from sinking due to occlusion and the like, resulting in an improvement of the support action.

  The fitting part K1 has a slightly complicated metal member. In the fitting part K1, the toothed hook Q is composed of two remaining teeth L4 and L3, and the concave surface forming metal arm 11 fitted to the root side of the remaining tooth L4, and from there to the root side of the remaining tooth L3. A concave surface forming metal arm 13 to be fitted is formed. A wedge-shaped ridge line 17 naturally occurs between both concave surface forming metal arms 11 and 13, and a rounded convex surface 12 is formed on the top surface side. The wedge-shaped ridge line 17 and the convex surface 12 as a mark thereof are first inserted into the lingual side of the remaining teeth L4 and L3 so that the function of the key at the time of installation is accurately determined. It is a part for making it show. The reason why the two hook teeth L4 and L3 are included in the fitting portion K1 in this portion is to obtain the correct function of the key. Moreover, this wedge-shaped ridgeline 17 and the convex surface 12 thereabove greatly improve the gripping force of the partial denture 10 as a result. As a matter of course, the wedge-shaped ridge line 17 and the convex surface 12 above the wedge-shaped ridge line 17 further enhance the support action of the top boundary portion wa made of a bare wire. Traditionally, a rest was provided to prevent settlement due to occlusal pressure. The rest is provided with a rest ridge (ka) on a self-supporting tooth, but when the self-supporting tooth is a vital tooth, in the worst case, there is a possibility of nerve removal. If the nerve is removed, the durability of the self-supporting teeth is significantly impaired. The portion including the convex surface 12 positioned between the cheek side surfaces of the remaining teeth L4 and L3 can prevent the partial denture 10 from sinking due to the occlusal pressure without applying any processing to the remaining teeth L4 and L3. In other words, the main purpose of the above-mentioned wedge-shaped ridge line 17 and convex surface 12 is to serve as an accurate key as described above, but it also contributes to preventing sinking due to occlusal pressure. To do.

  When the partial denture 10 of the present embodiment is mounted, the fitting portion K1 is almost fitted and this is regarded as a shift fulcrum, and the entire portion including the fitting portion K of the toothed tooth Q (L5). Push from the top until it clicks. As for the manufacturing method, the metal connection bands 50 and 51 with the stopper 50d and the concave surface forming metal arms 11 and 13 of the fitting portion K1 and the surrounding portions 12 and 17 are integrally cast, so that the manufacturing method is the same as in the first embodiment. be able to.

(Embodiment 8)
42 to 45 are views for explaining the partial denture in the eighth embodiment. FIG. 42 is a diagram showing a front tooth portion of a plaster model viewed from the lingual side. The front teeth right 1 (R1) and left 2 (L2) are missing. FIG. 43 (a) is a view of the partial denture 10 as viewed from the lingual side, and FIG. 43 (b) is a view of the same state as viewed from the cheek side (front side). The fitting portion K where the wire w is arranged has the toothed teeth Q as L1, and the fitting portions K1 and K2 are located on the left and right of the fitting portion K, respectively. The fitting part K1 has a toothed tooth Q (L3), and the fitting part K2 has a toothed tooth Q (R2). As will be shown later, the fitting portion K1 has concave curved arms 11 on the left and right. In the fitting portion K2, the concave portion 35k in which the denture base 35 is curved is applied to the root portion of the toothed tooth Q (R2) from the mesial side, and the branch portion 51 of the metal connecting band 50 has the metal surface 15 along the curved surface. It fits into the tooth Q (R2) in the form to be formed.

  44A is a diagram of the partial denture 10 as viewed from the same direction as FIG. 43A, and FIG. 44B is a diagram of the same as viewed from the same direction as FIG. 43B. In the fitting portion K where the wire w is disposed, the space forming curved portion 35h is a hole opened in the denture base 35, and the wire w is embedded in the wall of the space forming curved portion 35h around the space S. . 45 (a) is a diagram showing the metal member G viewed from the same direction as FIG. 44 (a), and FIG. 45 (b) is a diagram of the metal member G viewed from the same direction as FIG. 44 (b). . The wire w of the fitting part K, the left and right concave surface forming metal arms 11 of the fitting part K1, and the surface 15 along the curved concave part 35 in the branch part 51 of the fitting part K2 are integrated in a small space.

  The partial denture 10 in the present embodiment is a partial denture 10 that is extremely denture-like. Among these, the wire w facing the tooth decay Q (L1) with the resin of the space forming curved portion 35h interposed is a space on the root side including the ridges of the tooth decay Q (L1) with the wire w as a reinforcing material. A large maintenance force can be obtained because the resin of the forming curved portion 35h cooperates and comes into surface contact with each other. In addition, the left and right fitting portions K1 and K2 of the fitting portion K are also fitted to the root portions of the toothed teeth Q (L3) and the toothed teeth Q (R2), respectively, thereby contributing to the improvement of the maintenance force. The partial denture 10 is mounted from above by fitting the fitting part K to the tooth Q (L1), fitting the fitting part K1 to the tooth Q (L3), and fitting the tooth Q (R2). It is realized by inserting the part K2 together and clicking. About the manufacturing method, after preparing the metal member which consists of the metal connection bands 50 and 51 with the stopper 50d, and the concave surface formation metal arm 11, and fixing the processed wire w there, the denture base 35 is produced. The same method as in the first embodiment may be followed.

<The historical significance of this partial denture>
(1) The above partial denture was born as a result of pursuing the form of resin and metal as materials in order to provide comfort for the patient, ease of attachment / detachment, and ease of manufacture. It was. This partial denture is characterized in that a space-forming curved portion that fits into the toothed teeth is formed by resin, and a dental general-purpose metal wire (wire drawn) is used as a reinforcing material for the space-forming curved portion. There is. The starting point of this partial denture is the idea of replacing the securing force by the C-shaped metal arm that is fitted on the root side of the toothed teeth with a space-forming curved portion made of resin and a wire incorporated therein. It is. Ensuring the maintenance force by the C-shaped metal arm that is fitted to be applied, which is the basis of this idea, is a technique developed by the inventor of this partial denture, as already described. From a superficial point of view, those who do not know the disadvantages of non-clasp dentures with resin-only emphasis on aesthetics (large wings, heavy, uncomfortable to wear, easy to detach (low maintenance)) It may be said that it is a partial denture that can be manufactured with a simple manufacturing process equivalent to that of a non-clasp denture. However, in this partial denture, the basics of securing the maintenance force by the fitting portion fitted so as to be applied to the tooth neck portion of the tooth decay is unchanged. It is rare (almost) that the space forming curved portion takes a locus that is fitted to the root side of the tooth protuberance so as to be applied horizontally from the beginning. A state will be in the state fitted to the root side of the tooth-protrusion part so that it may be applied. Even from this point of view, this partial denture is different from the non-clasp denture. Non-clasp dentures dislike metal clasps that give off metallic luster and form only a resin (large fitting part + denture base), and resin to the gingiva in an attempt to increase the maintenance force and gripping force that are insufficient. It takes a form that covers the wing. The top part is also taken out with respect to a toothed hook, and after that, it takes the form covered with the resin large swing fitting part. In this partial denture, the fitting is limited to the tooth neck of the toothed hook, whether it is a fitting part where a wire is arranged or a fitting where a concave surface forming metal arm (C-shaped metal arm) is arranged. Is done. It is formed so that a sufficiently high maintenance action, gripping action, and support action can be obtained by fitting only to the tooth neck of the tooth decay. A comfortable wearing state is maintained by fitting only the tooth neck of the tooth. Therefore, the non-clasp denture is different from the partial denture, and it can be said that comparison is meaningless.
(2) As described above, the starting point of this partial denture is the idea of securing a maintenance force by fitting a cast C-shaped metal arm that is fitted to the root side of the toothed teeth. On the other hand, this partial denture is provided with a space forming curved portion formed by filling a resin having sufficient strength reinforced with a wire. Since the material of the space forming curved part is resin (including the wire as a reinforcing material but the other materials are resin), the resin is rich in elasticity, and the wire is also elastic in directions other than along the line.・ Including the locus along the tooth axis, which was impossible with a cast C-shaped arm, except in special cases, as the locus of the fitting part during detachment (fitting / detaching) Became possible. As a result, the degree of freedom in designing the partial denture has been greatly expanded. Again, the space-forming curved portion can be fitted by moving up and down along the tooth axis of the toothed teeth as described above when mounted, as described above. This state is a state in which it is fitted to the root side of the tooth protuberance, as applied.
(3) In the embodiment, the fitting portion K in which the wire is incorporated can be arranged in combination with a cast metal member such as a metal coupling band or a concave surface forming metal arm according to the condition of the patient's tooth. As shown many, it is preferable for patients (ensure diversity).

<Characteristics of the fitting portion where the wire is arranged>
(1) Compared with a case where a bare wire is in line contact with and fitted with a tooth, the wire is placed in the resin of the space forming curved portion and used as a reinforcing material. By making surface contact with the root side of the tooth ridge, the maintenance force and the gripping force can be significantly improved. Regarding the feeling of wearing, the wire is thin and light, so that the partial denture is not bulky and can be reduced in weight. For this reason, it greatly contributes to the improvement of wearing feeling. Mounting and dismounting is very easy if the proper procedure is followed, since the wire is not a cast metal and is rich in elasticity.
(2) When a partial denture is formed only by the fitting body which arrange | positions a wire, a manufacturing process is simplified epoch-making. As a partial denture including a metal member in a maintenance device, the manufacturing process is ultimately simplified. From the viewpoint of simplifying the manufacturing process, the wire is the ultimate metal material (not only contributes to “mounting stability, mounting comfort, ease of mounting / dismounting”).
(3) In the adjustment by the rebasing process of the partial denture, the rebasing process can be sufficiently performed on a portion (a portion forming the center of the fitting) that is fitted to the tooth neck portion of the tooth. The cast C-shaped metal arm has a belt-like surface that is shaped to the tooth neck of the tooth by casting, but adjustment of the belt-like surface is almost impossible (of course, the resin part other than the cast metal) Is free to rebase). However, in this partial denture, with respect to the part that fits the tooth neck of the toothed tooth (the part that forms the center of fitting), including other resin parts, thickening and thinning without restriction, The shape of the curved surface can be changed, and the adjustment range can be greatly improved.

According to the present invention, it is possible to obtain a partial denture that is easy to be attached and detached and that realizes a stable mounting state, a simple manufacturing process, and weight reduction. In particular, it is obtained as a result of forming a space forming curved portion that makes surface contact with the toothed teeth with a resin, and using a metal material that reinforces the space forming curved portion as a wire. It can be said that this is an innovative partial denture that overcomes the disadvantages.

DESCRIPTION OF SYMBOLS 10 Partial denture, 11 Concave-form metal arm, 12 Convex surface, 13 2nd concave-form metal arm in a continuous concave-form metal arm, 15 Metal surface provided in the branch part of a metal connection belt, 17 Wedge of a concave-form metal arm boundary Ridge, 35 denture base, 35g denture base bottom surface (back surface), 35h space forming curved part of denture base, 35k recess in fitting part where no wire is placed, 50 metal connection band, 51 metal connection band branch, 51h A window provided in a branch, a 50d stopper, a metal part in a partial denture, a fitting part in which a K wire is arranged, a fitting part in which a K1, K2 wire is not arranged and a concave metal arm is arranged, M patient Plaster model of oral cavity, M5 jaw ridge (mucosa), Q tooth decay, S space to penetrate (accommodate) tooth decay at fitting part, w wire, top boundary part (naked part) of wa wire, Z Tooth ridges.

Claims (8)

A denture base formed of a heat-polymerized resin, an artificial tooth, and a fitting portion that fits into a tooth; the fitting portion fits into one or more teeth; A partial denture having one or more fitting parts,
In at least one of the fitting portions,
The denture base is provided with a space forming curved portion that is curved so as to form an open space for housing the toothed teeth, and a metal wire that has been drawn is disposed in the space forming curved portion,
The wire, for the side surface which is contoured portion of the鉤歯, with intervening resin (resin) of the space forming the curved portion, or the resin at least a portion of the outer periphery of the wire cross section (resin) Covered and located
A portion in contact with naked against the side surface with said contoured portion of the鉤歯is rather name
The space forming curved portion in which the wire is arranged is provided in the denture base by solidifying the heating polymerization resin so that the wire is covered or covered in the formation of the denture base,
A partial denture characterized in that a space forming curved portion in which the wire is arranged is fitted from a protuberant portion to a root side of the toothed tooth to give the partial denture a maintenance force that is a resistance against detachment . The wire is embedded in the resin of the space forming curved portion on the side surface of the toothed tooth, or the cheek side upper edge of the space forming curved portion falls into the root of the tooth in a valley shape, and the upper edge thereof The partial denture according to claim 1, wherein the wire is partially exposed along the wire . 3. The partial denture according to claim 1, wherein the wire has a V-shape, a U-shape, or a J-shape at least on the cheek side in the space forming curved portion.   The said wire contains the bare top boundary part which cross | intersects the boundary of the top part of the said tooth decay and the tooth adjacent to this tooth decay, The any one of Claims 1-3 characterized by the above-mentioned. Partial denture.   The denture base of the partial denture is embedded with a metal connection band, and the wire is fixed to the metal connection band at an end or in the middle thereof or has no fixed relationship. The partial denture of any one of these. The fitting portion is further provided with another fitting portion different from the fitting portion in which the wire is arranged, the wire is not arranged in the another fitting portion, and the denture base in the another fitting portion is provided in the denture base In addition, a concave portion for fitting to a toothed hook different from the toothed hook to which the fitting portion on which the wire is placed is fitted is provided, and a concave surface forming metal arm cast in the concaved part is arranged. The partial denture according to claim 5 .   The partial denture according to claim 6, wherein the concave surface forming metal arm is formed by being integrally cast with the metal connecting band.   In the space forming curved part of the fitting part where the wire is arranged, or in the concave part of the fitting part where the wire is not arranged, the branch part of the metal coupling band is along the outer surface of the toothed tooth. The partial denture according to claim 6 or 7, wherein a metal surface is provided.

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