明海大学歯学雑誌 43‐1☆/目次(43‐1)

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1 94 J Meikai Dent Med 43 1, , A Case of Occlusal Discomfort Treated by Fixed Partial Denture Fabricated by Double-cast Technique Takafumi FUJITA 1, Tomoaki IIZUKA 1, Takuya HIROKAWA 1, Yu KAWADA 1, Ryohei YOSHIZAWA 2 and Masanori FUJISAWA 1 1 Division of Fixed Prosthodontics, Department of Restorative & Biomaterials Sciences, Meikai University School of Dentistry 2 Dental Laboratory, Meikai University Hospital Abstract : A case of a 75-year-old woman with occlusal discomfort is reported. She was referred by an oral surgeon with the complaints of occlusal discomfort and dysgeusia after treatment of fixed partial denture FPD in another dental clinic 2 years previously. As the treatment strategy, fabrication of new FPDs for the right and left sides of the mandible following reversible prosthodontic treatment including self-cure resin build-up was proposed. In the process of the FPD fabrication, a double-cast technique was adopted to ensure precise and favorable occlusion. With occlusal improvement, not only the occlusal discomfort but also the taste discomfort disappeared. A precise functional occlusal surface provides peripheral factors suitable for the intraoral environment, which may affect occlusal discomfort. Key words : occlusal dysesthesia, functional occlusal surface, double-cast technique 1

2 Fig 1 Fig 2 Fig 3 Fig 4 4mm Fig 1 Intraoral photograph at the time of the first medical examination

3 Fig 2 Panoramic X-ray film at the first visit. Fig 3 Occlusal status. Fig 5 Adding self-cured resin on the occlusal surface of the existing fixed partial dentures FPDs. Fig 4 Periodontal examination chart. 1 Fig 5 Fig 6 The provisional restorations replacing FPDs Fig

4 97 Fig 7 Fabrication procedure of base crown. a. Ordinal wax up with anatomical form b. Ready casting wax being added on the occlusal surface c. FPD base crown d. Self-cured resin being added on the occlusal surface Fig 8 Add and cut were repeated for adjustment of FPD with resin occlusal surface. Fig 9 Completion of FPD fabrication with functional occlusal surface Fig 7 a

5 Fig 7 b Fig 7 c Fig 7 d 2 Fig 8 Fig 9 Fig 10 Intraoral lateral view of FPD one month after delivery. 3 1 Fig 10 Fig 11 BiteEye BE-1 GC Fig 12 Fig 11 Intraoral photograph after FPD in right and left sides of mandible treatment.

6 99 Fig 12 Preoperative left and postoperative right occlusal contact analyses using BiteEye BE-1. Color dots in blue silicone indicate occlusal contact. 3 4 FGP 5 6 7,

7 , , , , 1999 TMD year book 2012, , , 53 60, 2002 FGP 5 44, , QDT 27, , , , , , , , , , , 59 64,

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