WO2005087131A1 - Plate denture containing metal member - Google Patents

Plate denture containing metal member Download PDF

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Publication number
WO2005087131A1
WO2005087131A1 PCT/JP2004/003182 JP2004003182W WO2005087131A1 WO 2005087131 A1 WO2005087131 A1 WO 2005087131A1 JP 2004003182 W JP2004003182 W JP 2004003182W WO 2005087131 A1 WO2005087131 A1 WO 2005087131A1
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WO
WIPO (PCT)
Prior art keywords
denture
metal member
floor
ridge
metal
Prior art date
Application number
PCT/JP2004/003182
Other languages
French (fr)
Japanese (ja)
Inventor
Kazuo Wakabayashi
Shigeru Yoshino
Original Assignee
Showa Yakuhin Kako Co., Ltd.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Showa Yakuhin Kako Co., Ltd. filed Critical Showa Yakuhin Kako Co., Ltd.
Priority to PCT/JP2004/003182 priority Critical patent/WO2005087131A1/en
Publication of WO2005087131A1 publication Critical patent/WO2005087131A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00Dental prostheses; Making same
    • A61C13/01Palates or other bases or supports for the artificial teeth; Making same

Definitions

  • the present invention relates to dentures (local dentures and full dentures), and more particularly to dentures suitable for mounting on patients who cannot implant, and more specifically, the disadvantages of conventional dentures. In other words, it can effectively prevent bone resorption, improve the user's wearing, putting on and taking off and mastication problems, and effectively protect and apply the oral mucosa. Regarding dentures.
  • loss of teeth results in poor chewing during eating, which can cause indigestion and even change the appearance of the face.
  • teeth play an important role in satisfying one of the three major desires of humans, appetite, and are even said to form a space that balances the skull and posture of the human body. ing.
  • loss of teeth can have various undesirable disadvantages.
  • dental implants artificial roots
  • devices that are designed to be surgically inserted into or on the maxilla and mandible to support the dental prosthesis superstructure Embedding is being developed.
  • dental implants can be implanted in patients when, for example, there are few jaw ridges in the oral cavity, when there are difficulties in hemostasis, when there is little saliva secretion, or when there is radiation damage due to oral cancer or the like. It is considered impossible.
  • a denture stabilizer instead of implanting a denture stabilizer directly into the patient's mucosa, a denture base that can be attached to and detached from the wearer's jaw ridge uses a denture supporting artificial teeth. It is suggested that they be used.
  • Dentures are often used.
  • artificial dentures that support artificial teeth with denture base made of acrylic resin or the like have been used.However, because the denture base is hard, delicate adjustment is difficult, and it may be inappropriate. Many, e.g., painful, unable to masticate, dislodged when opening mouth, easy to enter food between denture base and oral mucosa, causing pain during chewing and hygiene problems
  • drawbacks such as gains, and often hindered comfortable eating habits.
  • a denture base made of a hard acrylic resin was too stimulating for the oral cavity, for example, the surface of the ridge.
  • denture structures have been developed that minimize the burden on the denture base and mucosal surface of the denture base.
  • the denture does not impose a burden on the remaining teeth, periodontal tissue, etc.
  • a tooth device using a soft material as a soft backing material has been disclosed (for example, see Japanese Patent Application Laid-Open No. 2000-289798).
  • the durability of the denture base (medium acrylic resin) and the soft material can be improved by increasing the adhesiveness.
  • Japanese Patent Publication No. 7-242 and Japanese Patent Publication No. 7-53644 See, for example, Japanese Patent Publication No. 7-242 and Japanese Patent Publication No. 7-53644.
  • silicone rubber which is a soft material, has low adhesion to metal, making it difficult to use metal as a material for denture bases and the like, and further improvement in durability is required.
  • the present invention has been achieved in order to solve the above-mentioned problems, and is suitable for use in patients who cannot perform dental implant surgery. Efficiently prevent problems with dentures, ie, bone resorption, further improve the user's wearing, putting on and taking off and mastication problems, and effectively protect the oral ridge and mucous membrane. It is another object of the present invention to increase the durability of the denture.
  • the present invention is based on the finding that the above problem can be overcome by introducing a metal member into a denture base in a specific form in a denture base.
  • the present invention provides a denture having at least one artificial tooth and a denture base supporting the artificial tooth,
  • the dental prosthesis is characterized in that the denture base has a concave portion that engages with the ridge of the wearer, and a part of the concave surface is made of a metal member.
  • the present invention provides a denture having at least one artificial tooth and a denture base supporting the artificial tooth,
  • a first floor member made of an acrylic resin, wherein the denture base directly contacts and supports a part of the surface of the artificial tooth; and an acrylic system which directly contacts a part of the surface of the first floor member.
  • a second floor member made of a mixture of a resin and a rubber material; a second floor member supporting the first floor member via the second floor member, having a recess for engaging a chin ridge of a wearer; It consists of three floor members,
  • FIG. 1 shows one embodiment of a cross-sectional view of a denture with a denture of the present invention.
  • FIG. 2 shows one embodiment of a cross-sectional view of a denture with a bed according to the present invention.
  • FIG. 3 shows one embodiment of a cross-sectional view of a denture with a bed of the present invention.
  • FIG. 4 shows one embodiment of a cross-sectional view of a denture with a bed according to the present invention.
  • FIG. 5 shows an embodiment of a cross-sectional view of a denture with a bed according to the present invention.
  • Figure 6 shows the centerline of the ridge.
  • FIG. 7 shows a metal member that can be used in the present invention.
  • FIG. 8 shows a metal member that can be used when manufacturing a maxillary denture in the present invention.
  • FIG. 9 shows an embodiment of a cross-sectional view of an upper denture with a maxillary prosthesis manufactured using the metal member shown in FIG.
  • FIG. 10 shows an example of a cross-sectional view of an upper denture for a maxilla of the present invention.
  • FIG. 11 shows an example of a cross-sectional view of a lower denture for a lower jaw according to the present invention.
  • Fig. 12 shows a denture with a lower jaw (completed view) according to the present invention.
  • FIG. 13 shows an upper denture with a maxillary denture (completed view) according to the present invention.
  • Reference numeral 1 indicates an artificial tooth.
  • Reference numeral 2 indicates a denture base.
  • Reference numeral 3 denotes a denture engaging recess of the denture base.
  • Reference numeral 4 indicates a metal member.
  • Reference numeral 5 indicates one end of the metal member.
  • Reference numeral 6 indicates the other end of the metal member.
  • Reference numeral 7 denotes a first floor member.
  • Reference numeral 8 indicates a second floor member.
  • Reference numeral 9 indicates a third floor member.
  • Reference numeral 10 indicates the center line of the ridge.
  • Reference numeral 11 indicates the end of the ridge.
  • Reference numeral 12 indicates a traversing line.
  • Reference numeral 13 indicates a thin metal plate.
  • Reference numeral 14 indicates a mesh part.
  • the term "covered denture” refers to a denture with a denture base that is in direct contact with the oral mucosa in order to artificially recover the functional and esthetic changes caused by the loss of one or more teeth.
  • the dentures include both upper dentures and lower dentures.
  • “Artificial tooth” means a tooth artificially made as a substitute for a natural tooth.
  • artificial teeth for example, ceramic teeth, resin teeth, and in some cases, metal teeth can be used. These are made in a conventional manner in relation to the missing and possibly remaining teeth, anatomically and functionally similar to natural teeth in terms of morphology, color, gloss, size, etc. be able to.
  • the direction and spacing of the artificial teeth can be appropriately determined by a conventional method in consideration of the type, position, color tone, size, etc. of the artificial teeth required by the wearer.
  • the “denture base” is a part of a denture having a denture, Has a concave portion (hereinafter, referred to as a concave portion for engaging the ridge) which can be engaged with the ridge and mucous membrane of the wearer, and a part of the concave portion for engaging the ridge is a metal member.
  • Consists of The denture base is preferably formed by bonding an acrylic resin and a rubber-like substance. At this time, the acrylic resin and the rubber-like substance may be directly bonded to each other, but may be bonded to each other by using an adhesive such as a primer or a bonding liner. .
  • a part of the denture base engaging concave surface of the denture base is formed of a metal member.
  • the metal member has one end in the denture base, and the other end has a shape that constitutes a part of the concave surface for jaw ridge engagement.
  • the metal member is preferably a metal selected from the group consisting of gold, silver, cobalt chromium alloy, gold alloy, silver alloy, gold 'silver' palladium alloy, titanium, platinum alloy, nickel chromium alloy and stainless steel. Should be included.
  • FIG. 1 shows a cross-sectional view of a denture with a denture according to the present invention.
  • the artificial tooth 1 is supported by a denture base 2 directly contacting a part of its surface.
  • the denture base 2 has a recess 3 for ridge engagement. Part of the three surfaces of the recess for engaging the ridge is constituted by a part 6 of the metal member 4.
  • the metal member 4 has one end 5 in the denture base 2, and the other end 6 is exposed from the jaw ridge engaging recess 3, and constitutes a part of the jaw ridge engaging recess 3, that is, the denture base. It extends from inside 2 without facing the artificial tooth 1 directly, facing the artificial tooth.
  • the shape and size of the other end 6 can be appropriately determined in consideration of the intraoral ridge, the shape and size of the mucous membrane of the wearer, and the like.
  • the other end 6 is designed so as to directly contact the intraoral ridge and mucous membrane of the wearer, but it is preferable that the wearer does not feel pain through the other end 6. Desired.
  • the shape of the other end 6 of the metal member that directly contacts the oral cavity ridge of the wearer is Intraoral ridge of the wearer 'Adjust appropriately considering the shape and size of mucous membrane, for example,
  • the denture of the present invention can have the cross section shown in FIG.
  • the distance extending in the direction perpendicular to the "length of the metal member" (hereinafter referred to as “thickness of the metal member") is required for the durability of the entire denture or the denture base layer and the wearer. It can be appropriately set in consideration of the size of the denture to be used, the type of metal used, and the like. More specifically, the “length of the metal member” can be, for example, up to 6 mm, and is preferably, for example, 1 to 5 mm. On the other hand, the “thickness of the metal member” can be, for example, 2 to 6 mm, and preferably 3 to 5 mm.
  • the “length of metal member” and “thickness of metal member” may be appropriately determined according to the type of artificial tooth used, the type of metal used, the size of the denture required for the wearer, the size of the ridge, etc. It is preferable to set, but there is essentially no change depending on the number of artificial teeth.
  • FIG. 1 an overall view of the metal member 4 in the case of a complete denture is shown in FIG.
  • the “denture base” is in direct contact with at least three layers of the first floor member, the second floor member, and the third floor member, that is, a part of the surface of the artificial tooth.
  • a first floor member made of an acrylic resin to be supported, a second floor member made of a mixture of an acrylic resin and a rubber-like substance, which directly contacts a part of the surface of the first floor member, and a second floor
  • a third floor member made of a rubber-like material, which supports the first floor member via the member, and has a concave portion for engaging the chin ridge of the wearer.
  • a so-called backing layer may be further provided, or a so-called stabilizing agent may be applied to the recess for engaging the chin ridge, or fixed using a crasp.
  • the recess is the intraoral ridge of the wearer It is preferable that the denture of the present invention be stabilized by directly contacting and engaging with the mucous membrane, thereby stabilizing the ridge and mucous membrane of the wearer.
  • acrylic resin for a denture base, in particular, a resin which is generally commercially available as a heat-polymerizable resin of a powder-liquid mixture type can be used.
  • acrylic resin includes methyl acryl resin. Specific examples of these include polymethyl methacrylate and methyl methacrylate. Also, acrylic resin
  • the polymethyl methacrylate mentioned as the above example may be a homopolymer having methyl methacrylate as a monomer, but may be another monomer, for example, a vinyl monomer, for example, an alkyl acrylate (for example, methyl acrylate). It may be an alkyl methacrylate other than methyl methacrylate, or a copolymer with ethylene glycol dimethacrylate.
  • the amount of the first floor member used can be appropriately determined in consideration of the number of artificial teeth, the size required for a denture, and the like.However, when the number of artificial teeth is one, 0.5 to 0.5 is used. g, and if the number of artificial teeth is 14, the weight can be 8 to 10 g.
  • the types and amounts of these acrylic resins can be the same for the acryl resins that can be used in the first embodiment.
  • the second floor member is composed of a mixture of the acrylic resin and a rubber-like substance.
  • the ratio of the acrylic resin to the rubber-like substance is expressed by mass ratio, for example, 1: 9 to 9: 1.
  • the ratio is determined to be 2: 8 to 8: 2.
  • the mixing (kneading) of the acrylic resin and the rubbery substance is preferably performed, for example, on a kneaded paper using a spatula until both are uniformly mixed.
  • the adhesiveness between the second floor member (a mixture of acrylic resin and rubber-like substance) and the first floor member (acrylic resin), and the second floor member And the third floor member (rubber-like substance) can have good adhesiveness. Further, the adhesiveness when the second floor member and the metal member are in contact with each other may be considered.
  • the amount of the second floor member to be used can be appropriately determined in consideration of the number of artificial teeth, the size required for a denture, and the like.
  • the weight can be 15 g, and if the number of artificial teeth is 14, the weight can be 1 to 2 g.
  • the acrylic resin and the rubber-like material can be bonded.
  • the third floor member in the present invention is made of a rubber-like substance.
  • the third floor member supports the first floor member via the second floor member. That is, the third floor member supports the first floor member via the second floor member, rather than directly contacting the first floor member. This is in consideration of the fact that the adhesion of the third floor member to the second floor member is good, but changes within a range where the desired adhesion is obtained, for example, the third floor member and the third floor member This does not preclude changes to settings where one floor member makes direct contact at low levels.
  • the third floor member has a recess for engaging the ridge.
  • the denture with a denture according to the present invention can improve the fit feeling of the wearer to the jaw ridge by having such a ridge engaging portion in the third floor member, and the denture stomatitis due to being soft. The pain due to direct contact can be suppressed. It is preferable that such a recess for engaging the ridge is appropriately adjusted in consideration of the size and shape of the ridge of the wearer, and such adjustment is performed by a conventional method, for example, in the mouth of the wearer. Insert, central occlusal position is sufficient After performing a series of functional movements, the patient can be taken out of the oral cavity and trimmed using scissors, a knife, etc. In addition, a part of the concave surface for ridge engagement is made of a metal member.
  • the rubber-like substance it is preferable to select a substance having high biocompatibility.
  • a silicone rubber more specifically, an addition-reaction-type silicone rubber (for example, a rubber having a vinyl group having both ends blocked with a vinyl group).
  • An organopolysiloxane, an organohide phenolic polysiloxane, and the like, a radical reaction-curable silicone rubber (for example, a diorganopolysiloxane having a vinyl group, etc.), and a condensation reaction hardened silicone rubber can be used.
  • the third floor member may be made of one kind of rubbery substance, or may be made of two or more kinds of rubbery substance.
  • the rubber material of the third floor member has a hardness such that a desired characteristic can be obtained, for example, 10 to 80 in JIS-A hardness, especially 20 to 80 or JIS-K6301. It preferably has a hardness of 20 to 70, especially 30 to 50. Further, the properties of the rubber-like substance such as tensile strength, compression elastic modulus, water absorption, and dissolution rate can be appropriately set in consideration of the properties required for the obtained third floor member. Further, the third floor member may include a coloring agent for making the appearance similar to the gum, or may include other various additives such as a filler.
  • the rubber material for the third floor member for example, a trade name of CF 505 manufactured by Toray Dow Corning Silicone Co., Ltd. and a trade name of KE-195 manufactured by Shin-Etsu Chemical Co., Ltd. 0—70 (A-B) can be used. .
  • the amount of the third floor member to be used can be appropriately determined in consideration of the number of artificial teeth, the size required for a denture, and the like.However, when the number of artificial teeth is one, 0.7 to 1.
  • the weight can be 0 g, and when the number of artificial teeth is 14, the weight can be 10 to 15 g.
  • the types and amounts of these rubbery substances can be used in the first embodiment. The same can be applied to the rubber-like substance.
  • the “metal member” is a member made of metal and constitutes a part of the concave surface for jaw ridge engagement.
  • the metal member has one end in the first floor member, and the other end has a shape forming a part of the concave surface for jaw ridge engagement.
  • the metal member having such a shape can reinforce the entire denture of the present invention, in particular, the denture base made of the three-member member.
  • FIG. 3 shows a cross-sectional view of the denture of the present invention.
  • the artificial tooth 1 is supported by the first floor member 7 directly contacting a part of its surface.
  • the second floor member 8 directly contacts a part of the surface of the first floor member 7.
  • the third floor member 9 supports the first floor member 7 via the second floor member 8, and has a recess 3 for jaw ridge engagement.
  • the metal member 4 has one end 5 in the first floor member 7, extends opposite to the artificial tooth 1, and the other end 6 is exposed from the recess 3 for jaw ridge engagement, and has Make up the part.
  • the metal member 4 penetrates the second floor member 8.
  • the metal member 4 penetrates the second floor member 8.
  • the recess for engaging the ridge may be configured as shown in FIG. 5, that is, composed of a metal member 4, a first floor member 7, a second floor member 8 and a third floor member 9. It may be.
  • the metal member 4 may have the same material and shape as the dog described in the first embodiment.
  • the metal member may be, for example, a center line 10 of the wearer's ridge as shown in FIG. Preferably extends along.
  • the distance that the metal member extends along the center line 10 of the ridge (hereinafter referred to as the "width of the metal member") is determined by the number of artificial teeth used, for example, the denture to be created is a local denture. Or a complete denture, Varies depending on the size of the denture required by the wearer or the type and size of the artificial tooth used.
  • the width of the metal member can be, for example, 2 to 10 mm, and preferably 4 to 6 mm.
  • the width of the metal member can be, for example, 7 to 15 cm, and preferably 8 to 12 cm. Further, it is preferable that the metal member is not exposed from the denture base at the distal end 11 of the ridge, in the width direction of the metal member. The metal member is preferably not exposed from the denture base in the thickness direction.
  • ADVANTAGE OF THE INVENTION it is possible to use as a reinforcement member in a denture base even if it is a metal member which was conventionally difficult to adhere
  • FIG. 6 The cross-section along the transverse line 12 in FIG. 6 corresponds to FIGS. 1 to 5 and FIGS.
  • the metal member 4 is integrated with a metal member made of a thin metal plate 13 covering the upper palate.
  • the metal member may have a mesh portion 14 as shown in FIG.
  • the porosity and shape of the mesh portion 14 can be appropriately determined in consideration of the adhesiveness between the denture base, particularly, the first floor member and the second floor member.
  • FIG. 9 is a cross-sectional view of the denture with the metal member shown in FIG. At this time, the size and shape of the thin metal plate 13 of the metal member can be appropriately determined so as to cover the entire upper palate of the wearer.
  • the thickness of the thin metal plate 13 can be, for example, 1.0 to 2.5 mm, and preferably 1.5 to 2.0 mm.
  • the desired strength is achieved and the tongue can be easily moved even if the thickness of the thin metal plate 13 as a member for covering the upper palate portion is made as thin as the above.
  • the feeling of wearing is improved compared to conventional non-metallic members.
  • the warmth of the upper palate can be sufficiently felt through the thin metal plate.
  • FIG. 10 is a cross-sectional view of a denture with a maxillary denture when a metal member having a mesh portion 14 is used.
  • the mesh portion 14 of the metal member is in direct contact with the first floor member 7.
  • the second floor member 8 directly contacts the other side of the mesh member 14 and a part of the first floor member.
  • the mesh member 14 can receive the pressure applied to the vicinity of the ridge ridge center line via the second floor member 8.
  • the mesh portion 14 does not cause pain to the wearer because the ridge and mucous membrane of the wearer do not directly contact the metal member and receive the pressure through the thin second floor member.
  • the pressure can be applied to such an extent that the progress of bone resorption can be prevented.
  • FIG. 11 is a cross-sectional view of a mandibular floor denture in the case where a metal member having a mesh portion 14 is used.
  • the metal member has the other end 6 forming a part of the recess for engaging the ridge, and a mesh portion 14 extending between the first floor member and the second floor member.
  • paraffin wax having a predetermined shape and dimensions is formed by molding a form in the mouth of the wearer.
  • a predetermined number of artificial teeth are arranged along the center line of the ridge, for example, in the case of a complete denture, to create a prototype of a denture with a denture.
  • This is buried in gypsum in a predetermined container, for example, a dental bottle-type flask so as to be buried from artificial teeth, and then the gypsum is hardened. Thereafter, the molten paraffin wax is removed by heating in a usual manner to obtain a gypsum split mold in which artificial teeth are arranged in the gypsum.
  • the acrylic resin and the rubber-like substance are mixed (kneaded) on a mixed paper with a spatula at the above-mentioned mass ratio.
  • This mixture (kneaded material) is filled so as to directly cover the entire surface of the acrylic resin exposed in the cavity.
  • 0.7 to 15 g of the rubber-like substance is directly covered on the whole surface of the mixture (kneaded material) exposed in the cavity.
  • the metal member covers the longitudinal direction of the metal member extending beyond the human teeth, but the above-mentioned contact portion between the ridge and the mucous membrane is exposed (for example, see FIG. 1). This is heated in a pressure cooker for 20 to 30 minutes.
  • a denture After cooling, remove from gypsum and grind (burr removal) using a grinder. Next, the surface of the denture is subjected to a finishing treatment using oxidized alumina and a coating material. This is inserted into the oral cavity of the wearer, fully occluded at the central occlusal position, and after performing a series of functional movements, taken out of the oral cavity, trimming the rim using scissors or a knife, etc. A denture (see Fig. 12 as an example) can be obtained.
  • the upper denture for the upper jaw (Fig. 13) can be manufactured in the same manner as the method for preparing the lower denture for the lower jaw, but the metal member as shown in Fig. 8 is used. Specifically, after filling the acrylic resin, the metal member as shown in Fig. 8 is operated in the same way as the mandibular denture, and does not come into direct contact with the artificial teeth. It should be installed so that it extends facing the artificial tooth and along the center of the chin base.
  • a metal that has been conventionally considered to have a weak binding property with a rubber-like substance is used as a member. Because it can be used as a denture, it can be reinforced to improve the durability of the entire denture. Further, it is possible to apply a stimulus (pressure), that is, a load to the intraoral ridge and mucous membrane of the wearer via the metal member of the present invention to such an extent that pain does not occur. Bone resorption that occurs when the rubber-like substance contacts the ridge ridge mucosa can be effectively prevented. By preventing bone resorption, pain can be minimized, making it easier to chew not only soft foods, but also hard foods, and effectively prevent indigestion .
  • metal can be used as a member to be attached to the maxillary palate, so that the thickness of such a member can be made thinner than before, and the tongue can be easily moved, and the upper jaw can be easily moved.
  • the feeling of oppression can be reduced.
  • the warmth of the upper palate can be sufficiently felt through the metal member.
  • a denture with no denture stomatitis can be provided even after wearing for a long period of time.
  • a flooring with 14 artificial teeth placed and supported along the centerline of the mandibular ridge on paraffin wax having a predetermined shape and dimensions created by molding the inside of the mouth of the wearer Prototype of denture was created. This was buried in a gypsum placed in a dental bottle flask by embedding it from artificial teeth, and then the gypsum was hardened. Then, the bottle flask was closed and heated. Next, the bottle-type flask was opened, the molten paraffin wax in the hollow was removed, and a gypsum split mold in which artificial teeth were arranged in gypsum was obtained.
  • a recess was made of silicone rubber to engage the ridge and mucous membrane of the wearer so that a part of the recess was constituted by the surface of the metal member that touched the ridge and mucous membrane (see Fig. 1). . This was heated in a pressure cooker for 20 minutes.
  • both the upper denture and the lower denture had good wearing feeling.
  • the maxillary denture had a significantly better feeling of wearing than the conventional nonmetallic (soft) lining material used for the palate.

Abstract

A plate denture, comprising at least one artificial tooth and a plate denture base supporting the artificial tooth, the plate denture base further comprising a recessed part engaged with the residual ridge of a wearer, characterized in that the surface of the recessed part is partly formed of a metal member.

Description

金属部材を含有する有床義歯 発明の背景  BACKGROUND OF THE INVENTION
本発明は、 有床義歯 (局部床義歯及び全部床義歯) 、 特には、 インプラントが 不可能な患者への装着に適する有床義歯に関し、 より具体的には、 従来の有床義 歯における欠点、 即ち、 骨吸収を効率的に予防し、 更には、 使用者の装着時,着 脱時 ·咀嚼時の不具合を改善し、 かつ、 口腔内粘膜を有効に保護して適用するこ とができる有床義歯に関する。  The present invention relates to dentures (local dentures and full dentures), and more particularly to dentures suitable for mounting on patients who cannot implant, and more specifically, the disadvantages of conventional dentures. In other words, it can effectively prevent bone resorption, improve the user's wearing, putting on and taking off and mastication problems, and effectively protect and apply the oral mucosa. Regarding dentures.
一般に、 歯牙が喪失すると、 喫食時の咀嚼が不十分なものとなり、 消化不良を 引き起こすばかりでなく、 顔の風貌さえ変化する場合がある。 また、 歯牙は、 人 間の三大欲望の一つである食欲を満たすために重要な働きをし、 更には、 頭蓋骨 、 人体の姿勢のバランスをとる空間を形成しているものとさえ言われている。 従 つて、 歯牙が喪失すると、 望ましくない様々な不利益が生じ得る。 そこで、 例え ば、 歯科インプラント (人工歯根) 、 即ち、 歯科補綴用上部構造物を支持するた めに上顎及び下顎の顎骨内、 もしくは顎骨上に外科的処置によって挿入されるよ う設計された装置を埋めこむことなどが開発されている。  In general, loss of teeth results in poor chewing during eating, which can cause indigestion and even change the appearance of the face. In addition, teeth play an important role in satisfying one of the three major desires of humans, appetite, and are even said to form a space that balances the skull and posture of the human body. ing. Thus, loss of teeth can have various undesirable disadvantages. Thus, for example, dental implants (artificial roots), devices that are designed to be surgically inserted into or on the maxilla and mandible to support the dental prosthesis superstructure Embedding is being developed.
しかしながら、 歯科インプラントは、 例えば、 口腔内の顎堤骨が少ない場合、 止血困難な症状を有する場合、 唾液分泌が少ない場合、 口腔癌などで放射線障害 のある場合などには患者に埋めこむことが不可能であるとされる。 そのようにィ ンプラント手術が不可能な場合には、 義歯安定装置を患者の粘膜に直接埋めこむ のではなく、 装着者の顎堤に脱着可能な義歯床が人工歯を支持する有床義歯を用 いることが提案される。  However, dental implants can be implanted in patients when, for example, there are few jaw ridges in the oral cavity, when there are difficulties in hemostasis, when there is little saliva secretion, or when there is radiation damage due to oral cancer or the like. It is considered impossible. When implant surgery is not possible, instead of implanting a denture stabilizer directly into the patient's mucosa, a denture base that can be attached to and detached from the wearer's jaw ridge uses a denture supporting artificial teeth. It is suggested that they be used.
このように、 歯科インプラントの手術が不可能な場合等には、 有床義歯 (即ち 、 入れ歯) を使用する者が多い。 有床義歯としては、 従来、 人工歯をアクリル系 樹脂等の義歯床で支持するものが使用されていたが、 義歯床が硬いために微妙な 調節は困難で、 不適切なものとなる場合が多く、 例えば、 痛いために咀嚼できな い、 口を開けた際に外れる、 義歯床と口腔内粘膜の間に食渣が入り易いことによ る咀嚼時の疼痛及び衛生面上の問題が生じ得る等の欠点があり、 快適な食生活に 支障をきたす場合が多かった。 また、 硬質アクリル系樹脂からなる義歯床が、 口 腔内粘莫、 例えば、 顎堤骨面等へ与える刺激が強過ぎるとされていた。 Thus, when the operation of the dental implant is not possible, , Dentures) are often used. Conventionally, artificial dentures that support artificial teeth with denture base made of acrylic resin or the like have been used.However, because the denture base is hard, delicate adjustment is difficult, and it may be inappropriate. Many, e.g., painful, unable to masticate, dislodged when opening mouth, easy to enter food between denture base and oral mucosa, causing pain during chewing and hygiene problems There were drawbacks, such as gains, and often hindered comfortable eating habits. It was also said that a denture base made of a hard acrylic resin was too stimulating for the oral cavity, for example, the surface of the ridge.
そこで、 義歯床の顎堤 ·粘膜面に与える負担を最小限に止める入れ歯構造が開 発されており、 例えば、 残存歯、 歯周組織などに負担を与えず、 歯面や粘膜面に 密着するように、 軟性裏層材として軟性材料を用いる歯牙用装置が開示されてい る (例えば、 特開 2 0 0 0— 2 8 7 9 9 8号公報参照) 。  For this reason, denture structures have been developed that minimize the burden on the denture base and mucosal surface of the denture base.For example, the denture does not impose a burden on the remaining teeth, periodontal tissue, etc. As described above, a tooth device using a soft material as a soft backing material has been disclosed (for example, see Japanese Patent Application Laid-Open No. 2000-289798).
また、 歯科用成型体において、 メ夕クリル系樹脂及び軟性材料の混合物を用い ることにより、 義歯床 (メ夕クリル系樹脂) と軟性材料との接着性を高めること による耐久性の向上が図られている (例えば、 特公平 7— 2 4 0 2号公報及び特 公平 7— 5 3 6 4 4号公報参照) 。  In addition, by using a mixture of acrylic resin and a soft material in a dental molded product, the durability of the denture base (medium acrylic resin) and the soft material can be improved by increasing the adhesiveness. (See, for example, Japanese Patent Publication No. 7-242 and Japanese Patent Publication No. 7-53644).
しかしながら、 軟性材料が口腔内顎堤 ·粘膜に直接接する義歯においては、 使 用により、 顎堤 ·粘膜への刺激 (圧) があまりにも低いために、 骨吸収が進行し 、 進行につれ疼痛が増すという問題が生じてきた。 これにより、 硬い食品だけで なく柔らかい食品でさえ咀嚼困難となり、 ひいては消化不良を生じるといった事 態を招く原因となる。  However, in dentures where the soft material is in direct contact with the oral ridge and mucous membrane, the bone resorption progresses and the pain increases as the stimulus (pressure) to the ridge and mucous membrane is too low by use. The problem has arisen. This makes chewing difficult not only for hard foods, but also for soft foods, which may lead to indigestion.
また、 軟性材料は、 種々の材料との接着性に問題がある場合が多く、 従って、 これと組み合せて用いる材料は限られたものとされていた。 例えば、 軟性材料で あるシリコーンゴムは、 金属との接着性が低く、 義歯床等の材料として金属を用 いることは困難であり、 耐久性の面でも更なる向上が求められる。  In addition, flexible materials often have problems in adhesiveness to various materials, and therefore, the materials used in combination with these materials have been limited. For example, silicone rubber, which is a soft material, has low adhesion to metal, making it difficult to use metal as a material for denture bases and the like, and further improvement in durability is required.
尚、 有床義歯全般に対しては、 装着感、 外れ難さ、 圧迫感などを改善すること 及び口腔内粘膜を有効に保護することが更に求められている。 発明の開示 Improve the feeling of wearing, the difficulty of coming off, and the feeling of oppression for all dentures. There is a further need for effective protection of the oral mucosa. Disclosure of the invention
本発明は、 上記問題点を解決すべく達成されたものであり、 歯科インプラント 手術が不可能な患者への使用に適する、 有床義歯、 即ち全部床義歯及び局部床義 歯において、 従来の有床義歯における問題、 即ち、 骨吸収を効率的に予防し、 更 に、 使用者の装着時,着脱時,咀嚼時の不具合を改善し、 かつ、 口腔内顎堤,粘 膜を有効に保護し、 また、 該義歯の耐久性を高めることを目的とする。  The present invention has been achieved in order to solve the above-mentioned problems, and is suitable for use in patients who cannot perform dental implant surgery. Efficiently prevent problems with dentures, ie, bone resorption, further improve the user's wearing, putting on and taking off and mastication problems, and effectively protect the oral ridge and mucous membrane. It is another object of the present invention to increase the durability of the denture.
本発明は、 有床義歯において、 義歯床に、 特定の態様にて金属部材を導入する ことにより、 上記課題を克服することができるとの知見に基づく。  The present invention is based on the finding that the above problem can be overcome by introducing a metal member into a denture base in a specific form in a denture base.
即ち、 本発明は、 第 1態様において、 少なくとも 1本の人工歯と、 該人工歯を 支持する義歯床を有する有床義歯であって、  That is, in the first aspect, the present invention provides a denture having at least one artificial tooth and a denture base supporting the artificial tooth,
前記義歯床が、 装着者の顎堤に係合する凹部を有し、 かつ、 該凹部面の一部が 金属部材から構成されることを特徴とする該有床義歯を提供する。  The dental prosthesis is characterized in that the denture base has a concave portion that engages with the ridge of the wearer, and a part of the concave surface is made of a metal member.
また、 本発明は、 第 2態様において、 少なくとも 1本の人工歯と、 該人工歯を 支持する義歯床を有する有床義歯であって、  In a second aspect, the present invention provides a denture having at least one artificial tooth and a denture base supporting the artificial tooth,
前記義歯床が、 前記人工歯の表面の一部に直接接触して支持する、 アクリル系 樹脂からなる第一床部材と、 該第一床部材の表面の一部に直接接触する、 ァクリ ル系樹脂とゴム状物質との混合物からなる第二床部材と、 該第二床部材を介して 該第一床部材を支持し、 装着者の顎堤係合用凹部を有する、 ゴム状物質からなる 第三床部材とからなり、  A first floor member made of an acrylic resin, wherein the denture base directly contacts and supports a part of the surface of the artificial tooth; and an acrylic system which directly contacts a part of the surface of the first floor member. A second floor member made of a mixture of a resin and a rubber material; a second floor member supporting the first floor member via the second floor member, having a recess for engaging a chin ridge of a wearer; It consists of three floor members,
該凹部面の一部が金属部材から構成されることを特徴とする有床義歯を提供す 図面の簡単な説明 Provided is a denture with a floor, wherein a part of the concave surface is made of a metal member. Brief Description of Drawings
図 1は、 本発明の有床義歯の横断面図の一態様を示す。  FIG. 1 shows one embodiment of a cross-sectional view of a denture with a denture of the present invention.
図 2は、 本発明の有床義歯の横断面図の一態様を示す。  FIG. 2 shows one embodiment of a cross-sectional view of a denture with a bed according to the present invention.
図 3は、 本発明の有床義歯の横断面図の一態様を示す。  FIG. 3 shows one embodiment of a cross-sectional view of a denture with a bed of the present invention.
図 4は、 本発明の有床義歯の横断面図の一態様を示す。  FIG. 4 shows one embodiment of a cross-sectional view of a denture with a bed according to the present invention.
図 5は、 本発明の有床義歯の横断面図の一態様を示す。  FIG. 5 shows an embodiment of a cross-sectional view of a denture with a bed according to the present invention.
図 6は、 顎堤の中心線を示す。  Figure 6 shows the centerline of the ridge.
図 7は、 本発明において用いることができる金属部材を示す。  FIG. 7 shows a metal member that can be used in the present invention.
図 8は、 本発明において、 上顎用義歯を製造する際に用いることができる金属 部材を示す。  FIG. 8 shows a metal member that can be used when manufacturing a maxillary denture in the present invention.
図 9は、 図 8に示す金属部材を用いて製造した本発明の上顎用有床義歯の横断 面図の一態様を示す。  FIG. 9 shows an embodiment of a cross-sectional view of an upper denture with a maxillary prosthesis manufactured using the metal member shown in FIG.
図 1 0は、 本発明の上顎用有床義歯の横断面図の例を示す。  FIG. 10 shows an example of a cross-sectional view of an upper denture for a maxilla of the present invention.
図 1 1は、 本発明の下顎用有床義歯の横断面図の例を示す。  FIG. 11 shows an example of a cross-sectional view of a lower denture for a lower jaw according to the present invention.
図 1 2は、 本発明の下顎用有床義歯 (完成図) を示す。  Fig. 12 shows a denture with a lower jaw (completed view) according to the present invention.
図 1 3は、 本発明の上顎用有床義歯 (完成図) を示す。  FIG. 13 shows an upper denture with a maxillary denture (completed view) according to the present invention.
符号 1は、 人工歯を示す。  Reference numeral 1 indicates an artificial tooth.
符号 2は、 義歯床を示す。  Reference numeral 2 indicates a denture base.
符号 3は、 義歯床の顎堤係合用凹部を示す。  Reference numeral 3 denotes a denture engaging recess of the denture base.
符号 4は、 金属部材を示す。  Reference numeral 4 indicates a metal member.
符号 5は、 金属部材の一端を示す。  Reference numeral 5 indicates one end of the metal member.
符号 6は、 金属部材の他端を示す。  Reference numeral 6 indicates the other end of the metal member.
符号 7は、 第一床部材を示す。  Reference numeral 7 denotes a first floor member.
符号 8は、 第二床部材を示す。  Reference numeral 8 indicates a second floor member.
符号 9は、 第三床部材を示す。 符号 1 0は、 顎堤の中心線を示す。 Reference numeral 9 indicates a third floor member. Reference numeral 10 indicates the center line of the ridge.
符号 1 1は、 顎堤の末端を示す。  Reference numeral 11 indicates the end of the ridge.
符号 1 2は、 横断線を示す。  Reference numeral 12 indicates a traversing line.
符号 1 3は、 薄金属板を示す。  Reference numeral 13 indicates a thin metal plate.
符号 1 4は、 メッシュ部を示す。 発明を実施するための最良の形態  Reference numeral 14 indicates a mesh part. BEST MODE FOR CARRYING OUT THE INVENTION
まず、 本件明細書において、 「有床義歯」 とは、 1歯以上全歯牙欠損によって 生じる機能的、 審美的変化を、 人工的に回復するために、 口腔粘膜に直接接する 義歯床をもった義歯を意味する。 また、 有床義歯には、 上顎用義歯及び下顎用義 歯の両者が含まれる。  First, in this specification, the term "covered denture" refers to a denture with a denture base that is in direct contact with the oral mucosa in order to artificially recover the functional and esthetic changes caused by the loss of one or more teeth. Means In addition, the dentures include both upper dentures and lower dentures.
「人工歯」 とは、 天然歯の代用として人工的に作られた歯牙を意味する。 人工 歯としては、 例えば、 陶歯、 レジン歯、 場合によっては、 金属歯等を用いること ができる。 これらは、 欠損した歯牙、 場合によっては残存する歯牙との関連にお いて、 形態、 色調、 光沢、 大きさなどの解剖学的、 機能学的に天然歯に類似させ て、 常法により作成することができる。 本発明においては、 義歯が、 少なくとも 1本の人工歯を有していれば特に限定されないが、 例えば、 2本以上の人工歯を 有するのが好ましく、 更に好ましくは、 9本以上の人工歯を有し、 更により好ま しくは 1 4本の人工歯を有する。 これらの人工歯は、 義歯装着者の顎堤の中心線 に沿って連続して隣接するのが好ましい。 また、 本発明においては、 上顎用義歯 を作成する際には上顎用人工歯を選択し、 下顎用義歯を作成する際には下顎用人 ェ歯を選択するのが好ましい。 複数の人工歯を用いる場合、 装着者に求められる 人工歯の種類 ·位置 ·色調 ·大きさ等を考慮して、 それらの方向 ·間隔を常法に より適宜決定することができる。  “Artificial tooth” means a tooth artificially made as a substitute for a natural tooth. As artificial teeth, for example, ceramic teeth, resin teeth, and in some cases, metal teeth can be used. These are made in a conventional manner in relation to the missing and possibly remaining teeth, anatomically and functionally similar to natural teeth in terms of morphology, color, gloss, size, etc. be able to. In the present invention, there is no particular limitation as long as the denture has at least one artificial tooth. For example, it is preferable to have two or more artificial teeth, and more preferably, nine or more artificial teeth. And even more preferably 14 artificial teeth. These artificial teeth are preferably adjacent to each other along the center line of the denture wearer's ridge. Further, in the present invention, it is preferable to select the artificial teeth for the upper jaw when creating the denture for the upper jaw, and to select the artificial teeth for the lower jaw when creating the denture for the lower jaw. In the case of using a plurality of artificial teeth, the direction and spacing of the artificial teeth can be appropriately determined by a conventional method in consideration of the type, position, color tone, size, etc. of the artificial teeth required by the wearer.
本発明の第 1態様において、 「義歯床」 は、 有床義歯の一部であって、 人工歯 を直接接触することにより支持し、 装着者の顎堤 ·粘膜に係合可能な凹部 (以下 、 顎堤係合用凹部と称する) を有し、 該顎堤係合用凹部面の一部は金属部材から 構成される。 また、 義歯床は、 アクリル系樹脂とゴム状物質が接着してなるもの であるのが好ましい。 この際、 アクリル樹脂とゴム状物質が互いに直接接着 '結 合したものであってもよいが、 例えば、 プライマ一、 ボンディング用ライナ一な どの接着剤を用いて両者を接着 '結合することもできる。 In the first aspect of the present invention, the “denture base” is a part of a denture having a denture, Has a concave portion (hereinafter, referred to as a concave portion for engaging the ridge) which can be engaged with the ridge and mucous membrane of the wearer, and a part of the concave portion for engaging the ridge is a metal member. Consists of The denture base is preferably formed by bonding an acrylic resin and a rubber-like substance. At this time, the acrylic resin and the rubber-like substance may be directly bonded to each other, but may be bonded to each other by using an adhesive such as a primer or a bonding liner. .
また、 本発明の第 1態様においては、 前記義歯床の顎堤係合用凹部面の一部は 、 金属部材から構成される。 また、 かかる金属部材は、 前記義歯床内に一端部が あり、 他端部が前記顎堤係合用凹部面の一部を構成する形状を有するのが好まし い。 また、 金属部材は、 好ましくは、 金、 銀、 コバルトクロム合金、 金合金、 銀 合金、 金 '銀 'パラジウム合金、 チタン、 白金加金、 ニッケルクロム合金及びス テンレススチールからなる群より選ばれる金属を含むのがよい。  Further, in the first aspect of the present invention, a part of the denture base engaging concave surface of the denture base is formed of a metal member. Preferably, the metal member has one end in the denture base, and the other end has a shape that constitutes a part of the concave surface for jaw ridge engagement. The metal member is preferably a metal selected from the group consisting of gold, silver, cobalt chromium alloy, gold alloy, silver alloy, gold 'silver' palladium alloy, titanium, platinum alloy, nickel chromium alloy and stainless steel. Should be included.
以下、 本発明の第 1態様について、 図を参照してより具体的に説明するが、 本 発明はこれらに限定される訳ではない。  Hereinafter, the first embodiment of the present invention will be described more specifically with reference to the drawings, but the present invention is not limited thereto.
図 1は、 本発明の有床義歯の横断面図を示すが、 人工歯 1は、 その表面の一部 に義歯床 2が直接接触することにより支持されている。 義歯床 2は、 顎堤係合用 凹部 3を有する。 顎堤係合用凹部 3面の一部は、 金属部材 4の一部 6より構成さ れる。 金属部材 4は、 義歯床 2内に一端部 5があり、 他端部 6が顎堤係合用凹部 3から露出して、 顎堤係合用凹部 3面の一部を構成し、 即ち、 義歯床 2内から、 人工歯 1とは直接接触せずに、 人工歯に対向して延びる。  FIG. 1 shows a cross-sectional view of a denture with a denture according to the present invention. The artificial tooth 1 is supported by a denture base 2 directly contacting a part of its surface. The denture base 2 has a recess 3 for ridge engagement. Part of the three surfaces of the recess for engaging the ridge is constituted by a part 6 of the metal member 4. The metal member 4 has one end 5 in the denture base 2, and the other end 6 is exposed from the jaw ridge engaging recess 3, and constitutes a part of the jaw ridge engaging recess 3, that is, the denture base. It extends from inside 2 without facing the artificial tooth 1 directly, facing the artificial tooth.
ここで、 他端部 6の形状及び大きさは、 装着者の口腔内顎堤 ·粘膜の形状 ·大 きさ等を考慮して適宜決定することができる。 また、 他端部 6が、 装着者の口腔 内顎堤 ·粘膜に直接接触するように設計することが好ましいが、 この他端部 6を 介して装着者に疼痛を感じさせないようにするのが求められる。 このため、 例え ば、 装着者の口腔内顎堤 '粘膜へ直接接触する金属部材の他端部 6の形状を、 装 着者の口腔内顎堤 '粘膜の形状及び大きさを考慮して適切に調節し、 例えば、 図Here, the shape and size of the other end 6 can be appropriately determined in consideration of the intraoral ridge, the shape and size of the mucous membrane of the wearer, and the like. In addition, it is preferable that the other end 6 is designed so as to directly contact the intraoral ridge and mucous membrane of the wearer, but it is preferable that the wearer does not feel pain through the other end 6. Desired. For this reason, for example, the shape of the other end 6 of the metal member that directly contacts the oral cavity ridge of the wearer is Intraoral ridge of the wearer 'Adjust appropriately considering the shape and size of mucous membrane, for example,
1のような曲面状のものとすること、 及び/又は金属部材の一端部 5から他端部 6までの距離 (以下、 "金属部材の長さ" と称する) を調節することが求められ るかもしれない。 尚、 金属部材の長さを調節することにより、 例えば、 本発明の 義歯は、 図 2に示す横断面となり得る。 It is required to have a curved shape like 1 and / or to adjust the distance from one end 5 to the other end 6 of the metal member (hereinafter, referred to as “length of metal member”). Maybe. Incidentally, by adjusting the length of the metal member, for example, the denture of the present invention can have the cross section shown in FIG.
また、 前記 "金属部材の長さ"方向に対して垂直な方向へ延びる距離 (以下、 "金属部材の厚さ" と称する) は、 義歯全体又は義歯床層の耐久性、 装着者に求 められる義歯の大きさ、 用いる金属の種類等を考慮して、 適宜設定することがで きる。 より具体的には、 "金属部材の長さ" は、 例えば、 6 mmまでとすること ができ、 例えば、 l〜5 mmとするのが好ましい。 一方、 "金属部材の厚さ"は 、 例えば、 ·2〜 6 mmとすることができ、 3〜 5 mmとするのが好ましい。 尚、 これらの "金属部材の長さ"及び "金属部材の厚さ" は、 用いる人工歯の種類、 用いる金属の種類、 装着者に求められる義歯の大きさ、 顎堤の大きさ等によって 適宜設定することが好ましいが、 人工歯の本数などによっては本質的に変動しな い。  The distance extending in the direction perpendicular to the "length of the metal member" (hereinafter referred to as "thickness of the metal member") is required for the durability of the entire denture or the denture base layer and the wearer. It can be appropriately set in consideration of the size of the denture to be used, the type of metal used, and the like. More specifically, the “length of the metal member” can be, for example, up to 6 mm, and is preferably, for example, 1 to 5 mm. On the other hand, the “thickness of the metal member” can be, for example, 2 to 6 mm, and preferably 3 to 5 mm. The “length of metal member” and “thickness of metal member” may be appropriately determined according to the type of artificial tooth used, the type of metal used, the size of the denture required for the wearer, the size of the ridge, etc. It is preferable to set, but there is essentially no change depending on the number of artificial teeth.
尚、 図 1における態様について、 全部床義歯の場合における金属部材 4の全体 図を図 7に示す。  Note that, regarding the embodiment in FIG. 1, an overall view of the metal member 4 in the case of a complete denture is shown in FIG.
また、 本発明の第 2態様において、 「義歯床」 は、 第一床部材、 第二床部材及 び第三床部材の少なくとも 3層、 即ち、 人工歯の表面の一部に直接接触して支持 する、 アクリル系樹脂からなる第一床部材と、 第一床部材の表面の一部に直接接 触する、 アクリル系樹脂とゴム状物質との混合物からなる第二床部材と、 第二床 部材を介して第一床部材を支持し、 装着者の顎堤係合用凹部を有する、 ゴム状物 質からなる第三床部材とからなる。 ここで、 顎堤係合用凹部に対して、 いわゆる 裏装層を更に設けるか、 削り落とし、 又はいわゆる安定化剤を塗布する他、 クラ スプを用いて固定することもできるが、 顎堤係合用凹部が装着者の口腔内顎堤 · 粘膜と直接接触して係合し、 これにより装着者の顎堤 ·粘膜に本発明の義歯を安 定させるのが好ましい。 Further, in the second aspect of the present invention, the “denture base” is in direct contact with at least three layers of the first floor member, the second floor member, and the third floor member, that is, a part of the surface of the artificial tooth. A first floor member made of an acrylic resin to be supported, a second floor member made of a mixture of an acrylic resin and a rubber-like substance, which directly contacts a part of the surface of the first floor member, and a second floor A third floor member made of a rubber-like material, which supports the first floor member via the member, and has a concave portion for engaging the chin ridge of the wearer. Here, a so-called backing layer may be further provided, or a so-called stabilizing agent may be applied to the recess for engaging the chin ridge, or fixed using a crasp. The recess is the intraoral ridge of the wearer It is preferable that the denture of the present invention be stabilized by directly contacting and engaging with the mucous membrane, thereby stabilizing the ridge and mucous membrane of the wearer.
第一床部材を構成するアクリル系樹脂としては、 義歯床用アクリル系樹脂、 特 には、 粉液混合タイプの加熱重合レジンとして一般に市販されているものであれ ば用いることができる。 具体的には、 アクリル系樹脂としては、 メ夕クリル系樹 脂が含まれる。 これらの具体例としては、 例えば、 ポリメチルメ夕クリレー卜及 びメチルメタクリレートなどを挙げることができる。 また、 アクリル系樹脂には As the acrylic resin constituting the first floor member, an acrylic resin for a denture base, in particular, a resin which is generally commercially available as a heat-polymerizable resin of a powder-liquid mixture type can be used. Specifically, acrylic resin includes methyl acryl resin. Specific examples of these include polymethyl methacrylate and methyl methacrylate. Also, acrylic resin
、 少量の各種添加剤、 例えば、 ェチルジメ夕クリレート (E D MA) 等の架橋剤 、 三二酸化鉄 (ベンガラ) 及び酸化チタン等の顔料、 過酸化ベンゾィル及びハイ ドロキノン等の重合触媒が含まれていてもよい。 また、 上記例として挙げたポリ メチルメタクリレートは、 メチルメ夕クリレ一トをモノマーとするホモポリマー であってもよいが、 他のモノマー、 例えば、 ビニルモノマー、 例えば、 アルキル ァクリレート (例えばメチルァクリレート) 、 メチルメタクリレート以外のアル キルメ夕クリレート、 又はェチレングリコールジメ夕クリレートとのコポリマー であってもよい。 これらのモノマー比は、 義歯作成時の操作性を考慮し、 又は、 義歯床の特性、 例えば曲げ強さ、 曲げ弾性率、 曲げたわみ、 吸水量、 機械的強度 、 可塑性及び溶解量等を考慮して適宜決定するのがよい。 , Small amounts of various additives, for example, crosslinking agents such as ethyl methacrylate (EDMA), pigments such as iron sesquioxide (bengala) and titanium oxide, and polymerization catalysts such as benzoyl peroxide and hydroquinone. Good. Further, the polymethyl methacrylate mentioned as the above example may be a homopolymer having methyl methacrylate as a monomer, but may be another monomer, for example, a vinyl monomer, for example, an alkyl acrylate (for example, methyl acrylate). It may be an alkyl methacrylate other than methyl methacrylate, or a copolymer with ethylene glycol dimethacrylate. These monomer ratios should be considered in consideration of the operability during denture preparation or in consideration of the properties of the denture base, such as bending strength, flexural modulus, bending deflection, water absorption, mechanical strength, plasticity and dissolution. It is better to determine as appropriate.
第一床部材の使用量は、 人工歯の本数や義歯に求められる大きさ等を考慮して 適宜決定することができるが、 人工歯が 1本である場合には、 0 . 5〜0 . g とすることができ、 また、 人工歯が 1 4本である場合には、 8〜1 0 gとするこ とができる。  The amount of the first floor member used can be appropriately determined in consideration of the number of artificial teeth, the size required for a denture, and the like.However, when the number of artificial teeth is one, 0.5 to 0.5 is used. g, and if the number of artificial teeth is 14, the weight can be 8 to 10 g.
尚、 これらのアクリル系樹脂の種類及び使用量は、 上記第 1態様において用い 得るァクリル系樹脂についても同様とすることができる。  The types and amounts of these acrylic resins can be the same for the acryl resins that can be used in the first embodiment.
第二床部材は、 上記アクリル系樹脂と、 ゴム状物質の混合物からなる。 この混 合物は、 アクリル系樹脂とゴム状物質の比が、 質量比で、 例えば 1 : 9〜9 : 1 、 好ましくは 2 : 8〜8 : 2となるように決定するのが好ましい。 アクリル系樹 脂とゴム状物質の混合 (練和) は、 例えば、 練和紙上において、 スパチュラを用 いて、 両者が均一に混合されるまで行うのが好ましい。 上述したような配合比及 び/又は混合操作により、 第二床部材 (アクリル系樹脂とゴム状物質との混合物 ) と第一床部材 (アクリル系樹脂) との接着性、 及び第二床部材と第三床部材 ( ゴム状物質) との接着性の双方を良好なものとすることができる。 また、 第二床 部材と金属部材とが接触する場合の接着性を考慮してもよい。 The second floor member is composed of a mixture of the acrylic resin and a rubber-like substance. In this mixture, the ratio of the acrylic resin to the rubber-like substance is expressed by mass ratio, for example, 1: 9 to 9: 1. Preferably, the ratio is determined to be 2: 8 to 8: 2. The mixing (kneading) of the acrylic resin and the rubbery substance is preferably performed, for example, on a kneaded paper using a spatula until both are uniformly mixed. By the above mixing ratio and / or mixing operation, the adhesiveness between the second floor member (a mixture of acrylic resin and rubber-like substance) and the first floor member (acrylic resin), and the second floor member And the third floor member (rubber-like substance) can have good adhesiveness. Further, the adhesiveness when the second floor member and the metal member are in contact with each other may be considered.
第二床部材の使用量は、 人工歯の本数や義歯に求められる大きさ等を考慮して 適宜決定することができるが、 人工歯が 1本である場合には、 0 . 0 5〜0 . 1 5 gとすることができ、 また、 人工歯が 1 4本である場合には、 l〜2 gとする ことができる。  The amount of the second floor member to be used can be appropriately determined in consideration of the number of artificial teeth, the size required for a denture, and the like. The weight can be 15 g, and if the number of artificial teeth is 14, the weight can be 1 to 2 g.
尚、 これと同様にして、 上記第 1態様においても、 アクリル系樹脂とゴム状物 質の接着を行うことができる。  Note that, similarly to the above, in the first embodiment, the acrylic resin and the rubber-like material can be bonded.
本発明における第三床部材は、 ゴム状物質からなる。 第三床部材は、 上記第二 床部材を介して第一床部材を支持する。 即ち、 第三床部材は、 第一床部材と直接 接触するよりむしろ、 第二床部材を介して第一床部材を支持する。 これは、 第三 床部材の第二床部材への接着性が良好であることを考慮したものであるが、 所望 の接着性が得られる範囲内での変更、 例えば、 第三床部材と第一床部材が低いレ ベルで直接接触するような設定への変更を排除するものではない。  The third floor member in the present invention is made of a rubber-like substance. The third floor member supports the first floor member via the second floor member. That is, the third floor member supports the first floor member via the second floor member, rather than directly contacting the first floor member. This is in consideration of the fact that the adhesion of the third floor member to the second floor member is good, but changes within a range where the desired adhesion is obtained, for example, the third floor member and the third floor member This does not preclude changes to settings where one floor member makes direct contact at low levels.
また、 第三床部材は、 顎堤係合用凹部を有する。 本発明の有床義歯は、 第三床 部材にこのような顎堤係合用凹部を有することにより、 装着者の顎堤へのフイツ ト感を良好にすることができ、 柔らかいために義歯性口内炎になりにくく、 直接 接触することによる疼痛を抑えることができる。 このような顎堤係合用凹部は、 装着者の顎堤の大きさ ·形状などを考慮して適宜調節するのが好ましく、 このよ うな調節は、 常法により、 例えば、 装着者の口腔内に挿入し、 中心咬合位で十分 に咬合させ、 一連の機能運動を行った後、 口腔内から取りだし、 はさみやナイフ 等を用いて辺縁形態を整えることにより行うことができる。 尚、 かかる顎堤係合 用凹部面の一部は、 金属部材から構成される。 Further, the third floor member has a recess for engaging the ridge. The denture with a denture according to the present invention can improve the fit feeling of the wearer to the jaw ridge by having such a ridge engaging portion in the third floor member, and the denture stomatitis due to being soft. The pain due to direct contact can be suppressed. It is preferable that such a recess for engaging the ridge is appropriately adjusted in consideration of the size and shape of the ridge of the wearer, and such adjustment is performed by a conventional method, for example, in the mouth of the wearer. Insert, central occlusal position is sufficient After performing a series of functional movements, the patient can be taken out of the oral cavity and trimmed using scissors, a knife, etc. In addition, a part of the concave surface for ridge engagement is made of a metal member.
また、 ゴム状物質としては、 生体適合性の高いものを選択するのが好ましく、 例えば、 シリコーンゴム、 より具体的には、 付加反応硬ィ匕型シリコーンゴム (例 えば、 両末端ビニル基封鎖ジオルガノポリシロキサン、 オルガノハイ ド口フェン ポリシロキサン等) 、 ラジカル反応硬化型シリコーンゴム (例えば、 ビニル基含 有ジオルガノポリシロキサン等) 、 縮合反応硬ィ匕型シリコーンゴム等を用いるこ とができる。 また、 第三床部材は、 1種類のゴム状物質からなっていてもよいが 、 2種以上のゴム状物質からなっていてもよい。 また、 第三床部材のゴム状物質 は、 所望の特性が得られるような硬度、 例えば、 J I S— A硬度で 1 0〜8 0、 特に 2 0 ~ 8 0又は J I S - K 6 3 0 1による硬度で 2 0〜 7 0、 特には 3 0〜 5 0を有するのが好ましい。 また、 ゴム状物質の引張り強さ、 圧縮弾性率、 吸水 率、 溶解率等の特性については、 得られる第三床部材に求められる特性を考慮し て適宜設定することができる。 また、 第三床部材は、 外観上歯肉に類似させるた めの着色剤を含んでいてもよく、 又は、 その他の各種添加剤、 例えば充填剤等を 含んでいてもよい。 本発明においては、 第三床部材用ゴム状物質として、 例えば 、 東レ ·ダウコ一ニングシリコーン株式会社製の商品名 C F 5 0 0 5及び信越化 学工業株式会社製の商品名 K E— 1 9 5 0— 7 0 (A - B ) などを用いることが できる。 .  As the rubber-like substance, it is preferable to select a substance having high biocompatibility. For example, a silicone rubber, more specifically, an addition-reaction-type silicone rubber (for example, a rubber having a vinyl group having both ends blocked with a vinyl group). An organopolysiloxane, an organohide phenolic polysiloxane, and the like, a radical reaction-curable silicone rubber (for example, a diorganopolysiloxane having a vinyl group, etc.), and a condensation reaction hardened silicone rubber can be used. Further, the third floor member may be made of one kind of rubbery substance, or may be made of two or more kinds of rubbery substance. In addition, the rubber material of the third floor member has a hardness such that a desired characteristic can be obtained, for example, 10 to 80 in JIS-A hardness, especially 20 to 80 or JIS-K6301. It preferably has a hardness of 20 to 70, especially 30 to 50. Further, the properties of the rubber-like substance such as tensile strength, compression elastic modulus, water absorption, and dissolution rate can be appropriately set in consideration of the properties required for the obtained third floor member. Further, the third floor member may include a coloring agent for making the appearance similar to the gum, or may include other various additives such as a filler. In the present invention, as the rubber material for the third floor member, for example, a trade name of CF 505 manufactured by Toray Dow Corning Silicone Co., Ltd. and a trade name of KE-195 manufactured by Shin-Etsu Chemical Co., Ltd. 0—70 (A-B) can be used. .
第三床部材の使用量は、 人工歯の本数や義歯に求められる大きさ等を考慮して 適宜決定することができるが、 人工歯が 1本である場合には、 0 . 7 ~ 1 . 0 g とすることができ、 また、 人工歯が 1 4本である場合には、 1 0〜1 5 gとする ことができる。  The amount of the third floor member to be used can be appropriately determined in consideration of the number of artificial teeth, the size required for a denture, and the like.However, when the number of artificial teeth is one, 0.7 to 1. The weight can be 0 g, and when the number of artificial teeth is 14, the weight can be 10 to 15 g.
尚、 これらのゴム状物質の種類及び使用量は、 上記第 1態様において用い得る ゴム状物質についても同様とすることができる。 The types and amounts of these rubbery substances can be used in the first embodiment. The same can be applied to the rubber-like substance.
また、 第 2態様においては、 「金属部材」 は、 金属からなる部材であって、 前 記顎堤係合用凹部面の一部を構成する。 また、 前記金属部材は、 第一床部材内に 一端部があり、 他端部が前記顎堤係合用凹部面の一部を構成する形状を有するの が好ましい。 これにより、 ある態様においては、 例えば、 このような形状を有す る金属部材により、 本発明の有床義歯全体、 特には上記三床部材からなる義歯床 を補強することもできる。  In the second aspect, the “metal member” is a member made of metal and constitutes a part of the concave surface for jaw ridge engagement. Preferably, the metal member has one end in the first floor member, and the other end has a shape forming a part of the concave surface for jaw ridge engagement. Thus, in one embodiment, for example, the metal member having such a shape can reinforce the entire denture of the present invention, in particular, the denture base made of the three-member member.
以下、 本発明の第 2態様について、 図を参照して、 より具体的に説明するが、 本発明はこれらに限定される訳ではない。 図 3は、 本発明の有床義歯の横断面図 を示すが、 人工歯 1は、 その表面の一部に、 第一床部材 7が直接接触することに より支持されている。 第一床部材 7の表面の一部には、 第二床部材 8が直接接触 する。 第三床部材 9は、 第二床部材 8を介して第一床部材 7を支持し、 顎堤係合 用凹部 3を有する。 金属部材 4は、 第一床部材 7内に一端部 5を有し、 人工歯 1 に対向して延び、 他端部 6が顎堤係合用凹部 3から露出して、 該凹部 3面の一部 を構成する。 金属部材 4は、 第二床部材 8を貫通する。 尚、 図 4の態様について も、 金属部材 4は、 第二床部材 8を貫通すると言える。 更に、 前記顎堤係合用凹 部は、 図 5に示したような態様であってもよく、 即ち、 金属部材 4、 第一床部材 7、 第二床部材 8及び第三床部材 9から構成されていてもよい。  Hereinafter, the second embodiment of the present invention will be described more specifically with reference to the drawings, but the present invention is not limited thereto. FIG. 3 shows a cross-sectional view of the denture of the present invention. The artificial tooth 1 is supported by the first floor member 7 directly contacting a part of its surface. The second floor member 8 directly contacts a part of the surface of the first floor member 7. The third floor member 9 supports the first floor member 7 via the second floor member 8, and has a recess 3 for jaw ridge engagement. The metal member 4 has one end 5 in the first floor member 7, extends opposite to the artificial tooth 1, and the other end 6 is exposed from the recess 3 for jaw ridge engagement, and has Make up the part. The metal member 4 penetrates the second floor member 8. It can be said that also in the embodiment of FIG. 4, the metal member 4 penetrates the second floor member 8. Further, the recess for engaging the ridge may be configured as shown in FIG. 5, that is, composed of a metal member 4, a first floor member 7, a second floor member 8 and a third floor member 9. It may be.
尚、 金属部材 4については、 第 1態様において説明したような材料 ·形状 -犬 きさとすることができる。  The metal member 4 may have the same material and shape as the dog described in the first embodiment.
また、 第 1態様及び第 2態様に共通して、 義歯が少なくとも 2つの人工歯を有 する場合には、 金属部材が、 例えば、 図 6に示すような装着者の顎堤の中心線 1 0に沿って延びるのが好ましい。 この顎堤の中心線 1 0に沿って金属部材が延び る距離 (以下、 "金属部材の幅" と称する) は、 用いられる人工歯の本数、 例え ば、 作成する義歯が局部床義歯であるか全部床義歯であるかにより変動し、 更に は、 装着者に求められる義歯の大きさ又は用いる人工歯の種類 ·大きさ等によつ ても変動する。 人工歯が 1本である局部床義歯を作成する場合、 金属部材の幅は 、 例えば、 2〜1 0 mmとすることができ、 好ましくは 4〜 6 mmとするのがよ い。 一方、 人工歯が 1 4本の全部床義歯を作成する場合、 金属部材の幅は、 例え ば、 7〜 1 5 c mとすることができ、 好ましくは 8〜1 2 c mとするのがよい。 また、 金属部材は、 顎堤の末端 1 1において、 義歯床から金属部材の幅方向に露 出しないのが好ましい。 また、 金属部材は、 義歯床からその厚さ方向に露出しな いのが好ましい。 When the denture has at least two artificial teeth in common with the first embodiment and the second embodiment, the metal member may be, for example, a center line 10 of the wearer's ridge as shown in FIG. Preferably extends along. The distance that the metal member extends along the center line 10 of the ridge (hereinafter referred to as the "width of the metal member") is determined by the number of artificial teeth used, for example, the denture to be created is a local denture. Or a complete denture, Varies depending on the size of the denture required by the wearer or the type and size of the artificial tooth used. When producing a local denture having one artificial tooth, the width of the metal member can be, for example, 2 to 10 mm, and preferably 4 to 6 mm. On the other hand, when creating an artificial denture having 14 artificial teeth, the width of the metal member can be, for example, 7 to 15 cm, and preferably 8 to 12 cm. Further, it is preferable that the metal member is not exposed from the denture base at the distal end 11 of the ridge, in the width direction of the metal member. The metal member is preferably not exposed from the denture base in the thickness direction.
本発明によれば、 従来は、 ゴム状物質、 特には、 シリコーンゴムとの接着性が 困難であるとされていた金属部材であっても、 義歯床において補強部材として用 いることが可能である。  ADVANTAGE OF THE INVENTION According to this invention, it is possible to use as a reinforcement member in a denture base even if it is a metal member which was conventionally difficult to adhere | attach with a rubber-like substance, especially a silicone rubber. .
尚、 図 6における横断線 1 2に沿った横断面が、 図 1〜5及び図 9〜1 1に相 当する。  The cross-section along the transverse line 12 in FIG. 6 corresponds to FIGS. 1 to 5 and FIGS.
また、 本発明の有床義歯が上顎用義歯である場合には、 例えば、 図 8に示すよ うに、 金属部材 4が、 上顎口蓋部を覆う薄金属板 1 3からなる金属部材と一体化 しているのが好ましい。 更に、 本発明においては、 金属部材が、 図 8に示すよう なメッシュ部 1 4を有していてもよい。 メッシュ部 1 4の空隙率 ·形状は、 義歯 床、 特には、 第一床部材及び第二床部材との接着性を考慮して適宜決定すること ができる。 図 8に示す金属部材を用いた場合の有床義歯の断面図を図 9に示す。 この際、 金属部材における薄金属板 1 3は、 装着者の上顎口蓋全体を覆うように その大きさ ·形態を適宜決定することができる。 例えば、 薄金属板 1 3の厚さは 、 例えば、 1 . 0〜2 . 5 mmとすることができ、 好ましくは 1 . 5〜2 . 0 m mとするのがよい。 本発明においては、 上顎用義歯において、 上顎口蓋部を覆う 部材としての薄金属板 1 3の厚さを上記程度の薄さしても、 所望の強度が達成さ れ、 かつ、 舌を動かし易くすることができ、 更に、 上顎への圧迫感を少なくする ことができる。 また、 従来の非金属性部材と比べ、 装着感が改善される。 また、 温かい食品を喫食した際、 薄金属板を介して上顎口蓋部に温かさを十分に感じる ことができる。 When the denture of the present invention is a denture for an upper jaw, for example, as shown in FIG. 8, the metal member 4 is integrated with a metal member made of a thin metal plate 13 covering the upper palate. Is preferred. Further, in the present invention, the metal member may have a mesh portion 14 as shown in FIG. The porosity and shape of the mesh portion 14 can be appropriately determined in consideration of the adhesiveness between the denture base, particularly, the first floor member and the second floor member. FIG. 9 is a cross-sectional view of the denture with the metal member shown in FIG. At this time, the size and shape of the thin metal plate 13 of the metal member can be appropriately determined so as to cover the entire upper palate of the wearer. For example, the thickness of the thin metal plate 13 can be, for example, 1.0 to 2.5 mm, and preferably 1.5 to 2.0 mm. In the present invention, in the maxillary denture, the desired strength is achieved and the tongue can be easily moved even if the thickness of the thin metal plate 13 as a member for covering the upper palate portion is made as thin as the above. To reduce pressure on the upper jaw be able to. Also, the feeling of wearing is improved compared to conventional non-metallic members. Also, when eating hot food, the warmth of the upper palate can be sufficiently felt through the thin metal plate.
更に、 本発明には、 図 1 0及び図 1 1に示す態様も包含される。 具体的に説明 すると、 図 1 0は、 メッシュ部 1 4を有する金属部材を用いた場合の上顎用有床 義歯の断面図である。 図 1 0においては、 金属部材のメッシュ部 1 4が第一床部 材 7と直接接触する。 第二床部材 8が、 メッシュ部材 1 4の他面側及び第一床部 材の一部に直接接触する。 メッシュ部材 1 4は、 顎堤中心線付近にかかる圧を、 第二床部材 8を介して受けとめることができる。 図 1 0では、 メッシュ部 1 4が 、 装着者の顎堤 ·粘膜が金属部材と直接接触せず、 薄い第二床部材を介してその 圧を受けとめるため、 装着者に疼痛を与えずに、 しかも骨吸収の進行を防止する ことができる程度の圧を与えることができる。  Further, the present invention includes the embodiments shown in FIGS. 10 and 11. More specifically, FIG. 10 is a cross-sectional view of a denture with a maxillary denture when a metal member having a mesh portion 14 is used. In FIG. 10, the mesh portion 14 of the metal member is in direct contact with the first floor member 7. The second floor member 8 directly contacts the other side of the mesh member 14 and a part of the first floor member. The mesh member 14 can receive the pressure applied to the vicinity of the ridge ridge center line via the second floor member 8. In FIG. 10, the mesh portion 14 does not cause pain to the wearer because the ridge and mucous membrane of the wearer do not directly contact the metal member and receive the pressure through the thin second floor member. In addition, the pressure can be applied to such an extent that the progress of bone resorption can be prevented.
一方、 図 1 1は、 メッシュ部 1 4を有する金属部材を用いた場合の下顎用有床 義歯の断面図である。 図 1 1においては、 金属部材が、 前記顎堤係合用凹部の一 部を構成する他端部 6と第一床部材と第二床部材との間に延びるメッシュ部 1 4 とを有する。  On the other hand, FIG. 11 is a cross-sectional view of a mandibular floor denture in the case where a metal member having a mesh portion 14 is used. In FIG. 11, the metal member has the other end 6 forming a part of the recess for engaging the ridge, and a mesh portion 14 extending between the first floor member and the second floor member.
以下、 本発明の有床義歯の製造方法の例を記載する。  Hereinafter, an example of the method for manufacturing a denture with a bed of the present invention will be described.
(下顎用有床義歯の作成)  (Preparation of mandibular denture)
まず、 装着者の口腔内の形態の型取りにより、 所定の形状及び寸法を有するパ ラフィンワックスを形成する。 その上に、 所定の本数の人工歯を、 例えば、 全部 床義 の場合においては顎堤の中心線に沿って配置して、 有床義歯の原型を作成 する。 これを、 所定の容器、 例えば、 歯科用ボトル式フラスコ内において、 人工 歯から埋設するようにして石膏に埋めた後、 石膏を固める。 その後、 常法により 加熱して、 溶融したパラフィンワックスを除去し、 石膏内に人工歯が配置された 石膏割り型を得る。 石膏割り型のくぼみの中の人工歯の一部に直接接触するように、 人工歯の本数 等を考慮して、 ペースト状アクリル系樹脂を 0 . 5〜1 0 g充填する。 この上に 、 上述したような形態を有する金属部材 (薄金属板を有さない) を、 人工歯とは 直接接触せずに、 上記アクリル系樹脂内から人工歯に対向して延び、 かつ、 顎堤 の中心線に沿って延びるように設置する。 First, paraffin wax having a predetermined shape and dimensions is formed by molding a form in the mouth of the wearer. On top of this, a predetermined number of artificial teeth are arranged along the center line of the ridge, for example, in the case of a complete denture, to create a prototype of a denture with a denture. This is buried in gypsum in a predetermined container, for example, a dental bottle-type flask so as to be buried from artificial teeth, and then the gypsum is hardened. Thereafter, the molten paraffin wax is removed by heating in a usual manner to obtain a gypsum split mold in which artificial teeth are arranged in the gypsum. Fill 0.5 to 10 g of paste-like acrylic resin in consideration of the number of artificial teeth, etc., so as to make direct contact with a part of the artificial teeth in the gypsum split mold cavity. On top of this, a metal member having the above-described form (having no thin metal plate) is extended from inside the acrylic resin to face the artificial tooth without directly contacting the artificial tooth, and It will be installed along the center line of the ridge.
次いで、 人工歯の本数等を考慮して、 上記アクリル樹脂と、 ゴム状物質を、 上 述した質量比で、 スパチュラを用いて、 混合紙上において混合 (練和) する。 こ の混合物 (練和物) を、 くぼみ内において露出するアクリル系樹脂全面を直接覆 うように充填する。 その後、 ゴム状物質 0 . 7〜1 5 gを、 くぼみ内において露 出する上記混合物 (練和物) 全面を直接覆う。 その際、 金属部材については、 人 ェ歯に対尚して延びる金属部材の長さ方向を覆うが、 上記顎堤 ·粘膜接触部分が 露出する状態とする (例えば図 1参照) 。 これを、 圧力鍋内において、 2 0〜3 0分間加熱する。  Next, in consideration of the number of artificial teeth and the like, the acrylic resin and the rubber-like substance are mixed (kneaded) on a mixed paper with a spatula at the above-mentioned mass ratio. This mixture (kneaded material) is filled so as to directly cover the entire surface of the acrylic resin exposed in the cavity. Then, 0.7 to 15 g of the rubber-like substance is directly covered on the whole surface of the mixture (kneaded material) exposed in the cavity. At this time, the metal member covers the longitudinal direction of the metal member extending beyond the human teeth, but the above-mentioned contact portion between the ridge and the mucous membrane is exposed (for example, see FIG. 1). This is heated in a pressure cooker for 20 to 30 minutes.
冷却後、 石膏から取りだし、 研磨用バ一等を用いて研削 (バリ除去) する。 次 いで、 酸ィ匕アルミナ及びコ一ティング材等を用いて義歯表面を仕上げ処理する。 これを、 装着者の口腔内に挿入し、 中心咬合位で十分に咬合させ、 一連の機能 運動を行った後、 口腔内から取りだし、 はさみやナイフ等を用いて辺縁形態を整 えて、 下顎用有床義歯 (例として図 1 2参照) を得ることができる。  After cooling, remove from gypsum and grind (burr removal) using a grinder. Next, the surface of the denture is subjected to a finishing treatment using oxidized alumina and a coating material. This is inserted into the oral cavity of the wearer, fully occluded at the central occlusal position, and after performing a series of functional movements, taken out of the oral cavity, trimming the rim using scissors or a knife, etc. A denture (see Fig. 12 as an example) can be obtained.
(上顎用有床義歯の作成)  (Preparation of dentures for upper jaw)
上顎用有床義歯 (図 1 3 ) は、 下顎用有床義歯の作成方法と同様にして製造す ることができるが、 図 8に示したような金属部材を用いる。 具体的には、 ァクリ ル系樹脂を充填した後、 図 8に示すような金属部材を、 下顎用有床義歯と同様に 操作し、 人工歯とは直接接触せずに、 アクリル系樹脂内から人工歯に対向して延 び、 かつ、 顎底の中心に沿って延びるように設置する。  The upper denture for the upper jaw (Fig. 13) can be manufactured in the same manner as the method for preparing the lower denture for the lower jaw, but the metal member as shown in Fig. 8 is used. Specifically, after filling the acrylic resin, the metal member as shown in Fig. 8 is operated in the same way as the mandibular denture, and does not come into direct contact with the artificial teeth. It should be installed so that it extends facing the artificial tooth and along the center of the chin base.
本発明により、 従来はゴム状物質との結着性が弱いとされていた金属を部材と して用いることができるために、 義歯全体としての耐久性が向上する補強が可能 である。 また、 本発明の金属部材を介して、 装着者の口腔内顎堤,粘膜に、 疼痛 が生じない程度の刺激 (圧) 、 即ち、 負荷をかけることが可能であり、 これによ り、 従来のゴム状物質が顎堤 '粘膜に接触する場合に生じていた骨吸収を効率的 に防止することができる。 骨吸収の防止が可能になることにより、 疼痛が生じる のを極力抑えることができるため、 柔らかい食品だけでなく、 硬い食品でさえ咀 嚼容易となり、 ひいては消化不良を効率的に防止することができる。 According to the present invention, a metal that has been conventionally considered to have a weak binding property with a rubber-like substance is used as a member. Because it can be used as a denture, it can be reinforced to improve the durability of the entire denture. Further, it is possible to apply a stimulus (pressure), that is, a load to the intraoral ridge and mucous membrane of the wearer via the metal member of the present invention to such an extent that pain does not occur. Bone resorption that occurs when the rubber-like substance contacts the ridge ridge mucosa can be effectively prevented. By preventing bone resorption, pain can be minimized, making it easier to chew not only soft foods, but also hard foods, and effectively prevent indigestion .
また、 上顎用義歯においては、 上顎口蓋部に装着する部材として、 金属を用い ることができるので、 かかる部材の厚さを従来より薄くすることができ、 舌が動 かし易く、 上顎への圧迫感を少なくすることができる。 更に、 温かい食品を喫食 した際、 金属部材を介して上顎口蓋部に温かさを十分に感じることができる。 長 期間の装着によっても、 義歯性口内炎を生じない有床義歯を提供することができ 以下、 実施例を示し、 本発明を具体的に説明するが、 本発明は下記の実施例に 制限されるものではない。 実施例  Also, in the maxillary denture, metal can be used as a member to be attached to the maxillary palate, so that the thickness of such a member can be made thinner than before, and the tongue can be easily moved, and the upper jaw can be easily moved. The feeling of oppression can be reduced. Furthermore, when eating hot food, the warmth of the upper palate can be sufficiently felt through the metal member. A denture with no denture stomatitis can be provided even after wearing for a long period of time.Examples will be shown below, and the present invention will be specifically described. However, the present invention is limited to the following examples. Not something. Example
実施例 1 (下顎用有床義歯の作成) Example 1 (Preparation of mandibular denture)
まず、 装着者の口腔内の形態の型取りにより作成した所定の形状及び寸法を有 するパラフィンワックス上において 1 4本の人工歯が顎堤の中心線に沿って配置 されて支持された有床義歯の原型を作成した。 これを、 歯科用ボトル式フラスコ 内に配置された石膏に人工歯から埋設するようにして埋めた後、 石膏を固めた。 その後、 ボトル式フラスコを閉じ、 加熱した。 次いで、 ボトル式フラスコを開け 、 くぼみの中の溶融したパラフィンワックスを除去し、 石膏内に人工歯が配置さ れた石膏割り型を得た。 くぼみ内において露出する人工歯の表面に直接接触するように、 ペースト状ァ クリル系樹脂 (株式会社ジ一シ一製:商品名ジーシ一アクロン) 8 gを充填した 。 この上に、 図 7に示す金属部材を設置した。 この金属部材は、 コノ 'ノレトクロム 合金からなるものである。 金属部材の一端部は人工歯とは直接接触せずに、 上記 アクリル系樹脂内にあり、 人工歯に向かっており、 かつ、 顎堤の中心に沿って延 びるように設置した。. 尚、 金属部材は、 長さ l mm、 厚さ 4 mm、 幅 1 2 c mの ものとした。 また、 金属部材の顎堤 ·粘膜接触部分と上顎口蓋接触部分について は、 予め、 装着者の顎堤 ·粘膜と上顎口蓋の形状及び大きさに合うように調節し ておいた。 First, a flooring with 14 artificial teeth placed and supported along the centerline of the mandibular ridge on paraffin wax having a predetermined shape and dimensions created by molding the inside of the mouth of the wearer Prototype of denture was created. This was buried in a gypsum placed in a dental bottle flask by embedding it from artificial teeth, and then the gypsum was hardened. Then, the bottle flask was closed and heated. Next, the bottle-type flask was opened, the molten paraffin wax in the hollow was removed, and a gypsum split mold in which artificial teeth were arranged in gypsum was obtained. 8 g of a paste-form acrylic resin (manufactured by GIC Corporation: trade name: GSI ACRON) was filled so as to directly contact the surface of the artificial tooth exposed in the cavity. On this, the metal member shown in FIG. 7 was installed. This metal member is made of Kono'-Noretochrome alloy. One end of the metal member was placed in the acrylic resin, facing the artificial tooth, and extending along the center of the ridge, without directly contacting the artificial tooth. The metal member had a length of l mm, a thickness of 4 mm, and a width of 12 cm. The contact between the ridge and mucous membrane and the maxillary palate of the metal member was adjusted in advance to match the shape and size of the wearer's ridge and mucous membrane and the maxillary palate.
次いで、 練和紙上において、 上記アクリル樹脂 2 gとペースト状付加型シリコ —ンゴム (信越化学工業株式会社製:商品名 K E— 1 9 5 0— 7 0 (A - B ) ) 8 gをスパチュラを用いて混合 (練和) した。 この混合物 (練和物) l gを、 く ぼみ内において露出する上記ァクリル系樹脂の全表面を直接覆うように充填した 。 その後、 上記シリコーンゴム 1 0 gを、 くぼみ内から露出する上記混合物 (練 和物) の全表面を直接覆うように、 かつ、 人工歯に対向して延びる金属部材部分 を覆うが前記顎堤 ·粘膜接触部分を露出する状態となるように充填した。 また、 シリコーンゴムにより、 装着者の顎堤 ·粘膜に係合するような凹部を、 その一部 が前記金属部材の顎堤 ·粘膜接触部分面により構成されるように作成した (図 1 参照) 。 これを、 圧力鍋内において、 2 0分間加熱した。  Next, 2 g of the above acrylic resin and 8 g of a paste-form addition type silicone rubber (manufactured by Shin-Etsu Chemical Co., Ltd .: trade name KE-195-70 (A-B)) were mixed with a spatula on a kneaded paper. And mixed (mixed). 1 g of this mixture (kneaded material) was filled so as to directly cover the entire surface of the acryl-based resin exposed in the recess. Then, 10 g of the silicone rubber is directly covered over the entire surface of the mixture (kneaded material) exposed from the inside of the cavity, and is covered with a metal member portion extending opposite to the artificial tooth. The filling was performed so that the mucous membrane contact portion was exposed. In addition, a recess was made of silicone rubber to engage the ridge and mucous membrane of the wearer so that a part of the recess was constituted by the surface of the metal member that touched the ridge and mucous membrane (see Fig. 1). . This was heated in a pressure cooker for 20 minutes.
冷却後、 石膏から取りだし、 研磨用バ一を用いて研削 (バリ除去) をした。 次 いで、 酸化アルミナ及びコ一ティング材を用いて義歯表面を仕上げ処理した。 装着者の口腔内に挿入し、 中心咬合位で十分に咬合させ、 一連の機能運動を行 つた後、 口腔内から取りだし、 はさみやナイフ等を用いて辺縁形態を整えて、 下 顎用有床義歯 (図 1 2 ) を得た。  After cooling, it was removed from the gypsum and ground (burr removed) using a polishing burr. Next, the denture surface was finished using alumina oxide and a coating material. Insert into the oral cavity of the wearer, fully occlude at the central occlusal position, perform a series of functional movements, remove it from the oral cavity, use scissors, a knife, etc. to adjust the marginal shape and use it for the lower jaw A denture (Fig. 12) was obtained.
6 実施例 2 (上顎用有床義歯の作成) 6 Example 2 (Preparation of denture for upper jaw)
図 8に示す金属部材 (厚さが 2. 0 mmの薄金属板 13を有する以外は図 7と 同様) を用い、 これを、 下顎用有床義歯と同様に操作し、 人工歯とは直接接触せ ずに、 アクリル系樹脂内から人工歯に対向して延び、 かつ、 顎堤の中心線に沿つ て延びるように設置した以外は、 実施例 1と同様の操作により上顎用有床義歯 ( 図 13) を得た。  Using the metal member shown in Fig. 8 (same as Fig. 7 except that it has a thin metal plate 13 with a thickness of 2.0 mm), this is operated in the same manner as a mandibular denture, and directly connected to the artificial tooth. The same procedure as in Example 1 was carried out except that the artificial denture was extended from inside the acrylic resin to face the artificial teeth without contact, and to extend along the center line of the ridge. (Figure 13).
実施例 3 (性能評価) Example 3 (Performance evaluation)
実施例 1及び 2において作成した下顎用有床義歯及び上顎用有床義歯を、 実際 に全部床義歯が必要な装着者に用いたところ、 以下のような結果が得られた。 The following results were obtained when the mandibular dentures and upper dentures prepared in Examples 1 and 2 were actually used for a wearer who required complete dentures.
(1)上顎口蓋部に装着されたメタルプレートが薄く、 舌が動かし易かった。 上 顎への圧迫感がなかった。 (1) The metal plate attached to the upper palate was thin and the tongue was easy to move. There was no feeling of pressure on the upper jaw.
(2)上顎用義歯及び下顎用義歯の両者ともに装着感が良好であった。 特に、 上 顎用義歯については、 従来の非金属性 (軟性) 裏装材が口蓋部に用いられている 場合と比べ、 装着感が顕著に良好であった。  (2) Both the upper denture and the lower denture had good wearing feeling. In particular, the maxillary denture had a significantly better feeling of wearing than the conventional nonmetallic (soft) lining material used for the palate.
(3)上顎用義歯について、 従来の非金属性 (軟性) 裏装材が口蓋部に用いられ ている場合と比べ、 剥がれ落ちが少なかった。  (3) The maxillary denture was less likely to peel off compared to the case where the conventional nonmetallic (soft) lining material was used for the palate.
(4) 口を大きく開いても外れ難かった。  (4) Even if the mouth was wide open, it was hard to come off.
(5)温かい食品を喫食した際、 メタルプレートを介して上顎口蓋部に温かさを 十分に感じることができた。  (5) When eating hot food, I could feel enough warmth in the upper palate through the metal plate.
(6)咀嚼時に、 義歯と口内粘膜の間に食渣が介在し難く、 疼痛を感じなかった 。 硬い食品 (煎餅) でさえ、 疼痛を感じることなく咀嚼することができた。  (6) During chewing, no food residue was easily interposed between the denture and the oral mucosa, and no pain was felt. Even hard foods (cracked rice) could be chewed without pain.
(7)装着から 30日後にも、 義歯性口内炎を生じなかった。  (7) Denture stomatitis did not occur 30 days after wearing.
(8)装着から 180日後、 骨吸収が生じておらず、 装着感は依然として良好で あり、 嚙み合わせても疼痛を生じなかった。  (8) After 180 days from the wearing, no bone resorption had occurred, the feeling of wearing was still good, and no pain occurred even when combined.

Claims

請求の範囲 The scope of the claims
1 . 少なくとも 1本の人工歯と、 該人工歯を支持する義歯床を有する有床義歯で あって、  1. A denture having at least one artificial tooth and a denture base supporting the artificial tooth,
前記義歯床が、 装着者の顎堤に係合する凹部を有し、 かつ、 該凹部面の一部が 金属部材から構成されることを特徴とする該有床義歯。  The denture with dentures, wherein the denture base has a concave portion that engages with the ridge of the wearer, and a part of the concave surface is made of a metal member.
2 . 前記義歯床がァクリル系樹脂とゴム状物質が接着してなる請求項 1に記載の ¾床義歯。  2. The denture according to claim 1, wherein the denture base is formed by bonding an acryl-based resin and a rubber-like substance.
3 . 前記金属部材が、 前記義歯床内に一端部があり、 他端部が前記凹部面の一部 を構成する形状を有する請求項 1又は 2に記載の有床義歯。  3. The denture with dentures according to claim 1, wherein the metal member has one end in the denture base, and the other end has a shape constituting a part of the concave surface.
4 . 前記金属部材が、 金、 銀、 コバルトクロム合金、 金合金、 銀合金、 金 '銀 ' パラジウム合金、 チタン、 白金加金、 ニッケルクロム合金及びステンレススチ一 ルからなる群より選ばれる金属を含む請求項 1〜 3のいずれか 1項に記載の有床 ^歯。  4. The metal member is a metal selected from the group consisting of gold, silver, cobalt chromium alloy, gold alloy, silver alloy, gold 'silver' palladium alloy, titanium, platinum alloy, nickel chromium alloy and stainless steel. 4. The toothed floor ^ according to any one of claims 1 to 3, comprising:
5 . 上顎用義歯であって、 前記金属部材が上顎口蓋部を覆う薄金属板からなる金 属部材と一体化している請求項 1〜4のいずれか 1項に記載の有床義歯。  5. The denture according to any one of claims 1 to 4, which is an upper denture, wherein the metal member is integrated with a metal member made of a thin metal plate that covers the upper palate.
6 . 前記金属部材の他端部が、 曲面状のものである請求項 1〜5のいずれか 1項 に記載の有床義歯。  6. The denture with a floor according to any one of claims 1 to 5, wherein the other end of the metal member has a curved shape.
7 . 前記金属部材の長さが 6 mm以下である請求項 1〜 6のいずれか 1項に記載 の有床義歯。  7. The covered denture according to any one of claims 1 to 6, wherein the length of the metal member is 6 mm or less.
8 . 前記金属部材の厚さが 2〜 6 mmである請求項 1〜 7のいずれか 1項に記載 の有床義歯。  8. The denture with a denture according to any one of claims 1 to 7, wherein the metal member has a thickness of 2 to 6 mm.
9 . 少なくとも 1本の人工歯と、 該人工歯を支持する義歯床を有する有床義歯で あって、  9. A denture having at least one artificial tooth and a denture base supporting the artificial tooth,
前記義歯床が、 前記人工歯の表面の一部に直接接触して支持する、 アクリル系 樹脂からなる第一床部材と、 該第一床部材の表面の一部に直接接触する、 ァクリ ル系樹脂とゴム状物質との混合物からなる第二床部材と、 該第二床部材を介して 該第一床部材を支持し、 装着者の顎堤係合用凹部を有する、 ゴム状物質からなる 第三床部材とからなり、 A first floor member made of an acrylic resin, wherein the denture base directly contacts and supports a part of the surface of the artificial tooth; and an acrylic that directly contacts a part of the surface of the first floor member. A second floor member made of a mixture of a rubber-based resin and a rubber-like substance, the first floor member being supported through the second floor member, and having a concave portion for engaging a chin ridge of a wearer. Consists of a third floor member,
該凹部面の一部が金属部材から構成されることを特徴とする有床義歯。  A denture with a floor, wherein a part of the concave surface is made of a metal member.
10. 前記金属部材が、 前記第一義歯床内に一端部があり、 他端部が前記凹部面の 一部を構成する形状を有する請求項 9に記載の有床義歯。  10. The denture with a denture according to claim 9, wherein the metal member has one end in the first denture base, and the other end has a shape constituting a part of the concave surface.
11. 前記金属部材が、 第一床部材と第二床部材との間に位置するメッシュ部を有 する請求項 9又は 1 0に記載の有床義歯。  11. The denture with a floor according to claim 9, wherein the metal member has a mesh portion located between the first floor member and the second floor member.
12. 前記顎堤係合用凹部が装着者の口腔内顎堤 ·粘膜と直接接触して係合させる ものである請求項 9〜 1 1のいずれか 1項に記載の有床義歯。  12. The floor denture according to any one of claims 9 to 11, wherein the ridge engaging portion is directly in contact with and engages the intraoral ridge and mucous membrane of the wearer.
13. 前記アクリル系樹脂がメタクリル系樹脂である請求項 9〜 1 2のいずれか 1 項に記載の有床義歯。  13. The denture with dentures according to any one of claims 9 to 12, wherein the acrylic resin is a methacrylic resin.
14. 前記アクリル系樹脂と前記ゴム状物質の比が、 質量比で、 1 : 9〜9 : 1で ある請求項 9〜 1 3のいずれか 1項に記載の有床義歯。  14. The covered denture according to any one of claims 9 to 13, wherein a ratio between the acrylic resin and the rubber-like substance is 1: 9 to 9: 1 by mass ratio.
15. 前記ゴム状物質がシリコーンゴムである請求項 9〜 1 4のいずれか 1項に記 載の 床義歯。  15. The denture according to any one of claims 9 to 14, wherein the rubbery substance is silicone rubber.
16. 前記第三床部材のゴム状物質が、 J I S一 A硬度 1 0〜 8 0を有する請求項 9〜 1 5のいずれか 1項に記載の有床義歯。  16. The denture with a floor according to any one of claims 9 to 15, wherein the rubber-like substance of the third floor member has a JIS-A hardness of 10 to 80.
17. 前記金属部材が、 前記第二床部材を貫通する請求項 9〜 1 6のいずれか 1項 に記載の有床義歯。  17. The denture with a floor according to any one of claims 9 to 16, wherein the metal member penetrates through the second floor member.
18. 前記金属部材が、 金、 銀、 コノ レ卜クロム合金、 金合金、 銀合金、 金 '銀 ' パラジウム合金、 チタン、 白金加金、 ニッケルクロム合金及びステンレススチ一 ルからなる群より選ばれる金属を含む請求項 9〜1 7のいずれか 1項に記載の有 床義齒。  18. The metal member is selected from the group consisting of gold, silver, chromium chromium alloy, gold alloy, silver alloy, gold 'silver' palladium alloy, titanium, platinum alloy, nickel chromium alloy and stainless steel The denture according to any one of claims 9 to 17, comprising a metal.
19. 上顎用義歯であって、 前記金属部材が上顎口蓋部を覆う薄金属板からなる金 属部材と一体化している請求項 9〜 1 8のいずれか 1項に言 3載の有床義歯。 19. An upper denture, wherein the metal member is a thin metal plate that covers the upper palate. 19. The denture with a floor according to any one of claims 9 to 18, wherein the denture is integrated with the metal member.
PCT/JP2004/003182 2004-03-11 2004-03-11 Plate denture containing metal member WO2005087131A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104490481A (en) * 2014-12-12 2015-04-08 孙鹏元 False tooth with steel support and soft lining
TWI552731B (en) * 2014-05-06 2016-10-11 捷鈦生醫股份有限公司 Removable denture with metal denture tooth or teeth

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3431183A (en) * 1965-06-04 1969-03-04 Barrie F Regan Method of making dentures
JPS6232942B2 (en) * 1984-07-25 1987-07-17 Nishama Sutenresu Kemikaru Kk
JPH039742B2 (en) * 1986-12-29 1991-02-12 Nishama Sutenresu Kemikaru Kk
JPH05168652A (en) * 1991-11-15 1993-07-02 Yasuhiko Moriuchi Cord-like body of wax for production of metal base denture
JP7053644B2 (en) * 2017-02-21 2022-04-12 シンジェンタ パーティシペーションズ アーゲー Pesticide-active heterocyclic derivative with sulfur-containing substituent

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3431183A (en) * 1965-06-04 1969-03-04 Barrie F Regan Method of making dentures
JPS6232942B2 (en) * 1984-07-25 1987-07-17 Nishama Sutenresu Kemikaru Kk
JPH039742B2 (en) * 1986-12-29 1991-02-12 Nishama Sutenresu Kemikaru Kk
JPH05168652A (en) * 1991-11-15 1993-07-02 Yasuhiko Moriuchi Cord-like body of wax for production of metal base denture
JP7053644B2 (en) * 2017-02-21 2022-04-12 シンジェンタ パーティシペーションズ アーゲー Pesticide-active heterocyclic derivative with sulfur-containing substituent

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI552731B (en) * 2014-05-06 2016-10-11 捷鈦生醫股份有限公司 Removable denture with metal denture tooth or teeth
CN104490481A (en) * 2014-12-12 2015-04-08 孙鹏元 False tooth with steel support and soft lining

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