http://blog.kq88.com/u/16087/archives/2008/27408.html

关于精密附着体的应用得适应症，注意事项，我不过多谈论，因为在看了几位博友的文章感觉把书上写的都说了。下面的病例使我在北大老师做的一临床病例，我看了整个的过程，从接诊讨论治疗方案牙合记录过渡义齿牙合垫的试戴，牙体预备模型的制取，设计到技工室，到蜡型制作，临床试蜡，试牙，活动部分的制作，X光片的比较治疗前和治疗后。咬合的调整前伸侧方平衡。步骤地繁多和精细，涉及多学科知识的联合应用如口内，口外关节，修复等等。到幻灯片的总结结束。受益匪浅.

      没去深造之前，我也做过很多例附着体，现在回想起来，感觉欠缺太多。作的表面功夫还可以，但深究起是否合理和力学的依据，没有过多的考虑。附着体的制作应该说过程相对结果更为重要作为学习者来说。在那我充分利用了医技近距离，拍摄了许多技师的工作，老师制作了幻灯。今天和大家交流，不忘感谢师恩。

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                                                                        治疗前的口内情况

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                                                                         多角度的拍摄观察咬合

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                                                               扪诊 关节髁状突的位置生理后位和面部的三等分

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                                                                                        观察模型分析

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                                                                                       根据高度咬蜡

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                                                                              术前X光分析观察骨密度和高度

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                                                                                          需要治疗的根管治疗

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                                                                               牙体预备和牙合垫制作

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                                                                                            关节片抬高前

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                                                                              临时牙合垫戴用适应后

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                                                                         取模后转移记录

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                                                                                       蜡型的制作

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                                                                                     烤瓷做好后

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                                                                              活动支架蜡型制作后

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                                                                                         铸造后排牙

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                                                                                   口腔试牙

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                                                                                   因患者要求牙颜色白

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                                                                                     调测方牙合

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                                                                                   调前伸牙合

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                                                                        戴牙后

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           附着体的适应症不但是活动游离还是局部义齿，还可以作为无法取得共同就位到的固定义齿的连接装置，和本病例的咬合重建，还有赝复体的制作，现在又在种植领域得到广泛的应用。掌握着方便的知识可以使我们设计思路更加广阔。