牙骨

The first three largest number of missing teeth is as follows: maxillary first molar, maxillary second molar and mandibular first molar. The first three largest number of resident teeth is as follows: mandibular cuspid, mandibular bicuspid and maxillary cuspid. The cases without occusal relationship account for 19.51%; and the cases which need occlusal reconstruction or occlusal elevation account for 19.51% of all the cases, while food impaction exists in 21.84% cases.

结果：本组老年人平均缺失牙齿9.10颗，缺失最多的前3位牙齿是上颌第一磨牙、上颌第二磨牙和下颌第一磨牙；余留最多的前3位牙齿是下颌尖牙、下颌第一双尖牙和上颌尖牙。19.51%的病例颌骨间无咬合接触关系，19.51%的病例修复时需咬合重建或咬合抬高；21.84%的病例修复前存在食物嵌塞。

Result The model consisted of enamel, dentin, elements pulp, simulated periodontal membrane and simulated alveolar bone.

结果 建立了上颌第一磨牙有限元模型，包括牙釉质、牙本质、牙髓、模拟牙周膜、模拟牙槽骨。

Because this produces peculiar tooth jaw face to misshape, constant expression is mid development undesirable reach cave, length of direction of around of bone of the upper jaw and perpendicular direction height shorten, tooth bend is narrow, the tooth lists jam, occlusive relation is disorder, anterior teeth or complete tooth bend are enclothed instead, before mandible true sex or false sex dash forward. 2 use DO method at the back of art of Jiao Zhi cleft palate in the portion caves at the back of art of abnormal cleft palate in the portion caves abnormal treatment method is very much, if Kettle reports block is mental,raise fight a way, the face guard method that Tind Lund uses, wang Ketao [1] uses Peng body to get together 4 fluorine ethylene fills up repair misshapes this kind etc.

因此产生特有的牙颌面畸形，常表现为面中部发育不良及凹陷，上颌骨前后方向长度及垂直方向高度变短，牙弓狭窄，牙列拥挤，咬合关系紊乱，前牙或全牙弓反覆盖，下颌真性或假性前突。2利用DO术矫治腭裂术后面中份凹陷畸形腭裂术后面中份凹陷畸形治疗方法很多，如Kettle报道枕颏支抗法，Tind lund采用的面罩法，王克涛[1]采用膨体聚四氟乙烯充填修复此类畸形等。

When we select the abutments, we must pay addi- tional attention to the periodontium of premolar.

在选择固定桥基牙时，双尖牙要特别重视其牙周组织的健康，对于牙槽骨吸收的双尖牙必须增加基牙以减轻其负荷。

objective the purpose of this study was to summarize our experience of the application of internal rigid fixation with miniplate to treatment of mandibular fractures.methods a retrospective analyisis of clinical data of 67 cases,who had experienced the anatomic reduction and rigid fixation by using miniplate.with the help of maxillomandibular distraction pre operation and post operation and temporary maxillomandibular fixation during operation,the fracture bones were smoothly reduced and fixed.results clinical and radiographic examination showed that all cases gained good clinical results and precise anatomic alignment of fracture postoperatively without infection,malocclusion,bone malunion or other complications.conclusion mocortical miniplate fixation of the mandible is a reliable and effective techinique providing rigid fixation and an ideal modality for the treatment of mandibular fractures.combined with maxillomandibular fixation.

对67例下颌骨骨折患者的临床资料进行回顾总结，所有患者应用小型接骨板行坚固内固定治疗。其中7例颏部骨折，12例颏旁骨折，16例颏孔区骨折，9例体部多发性骨折，5例体部粉碎性骨折；18例合并其他部位骨折。所有患者术前经临床检查和影像学检查明确骨折的位置和骨折线的数目后，分段牙弓夹板结扎、颌间弹性牵引，使移位的骨折段逐渐复位；术中经口内切开复位、细钢丝颌间结扎、小型接骨板坚固内固定；术后行临床检查和影像学复查，必要时颌间弹性牵引7～10 d。结果所有患者手术切口ⅰ期愈合，治疗效果满意；临床检查所有患者牙合关系良好、面部对称；影像学复查证实骨折线对位良好。结论经口内切开小型接骨板坚固内固定辅以颌间固定治疗下颌骨骨折效果可靠，术后并发症少，是一种理想的手术方法。

METHODS: From January 2000 to May 2002, 52 cases with various types of bone defect were treated with tissue engineered bone, which was constructed in vitro by allogeneous osteoblasts from periosteum 1 x 10(6/ml with bio-derived bone scaffold following 3 to 7 days co-culture. Among them, there were 7 cases of bone cyst, 22 cases of non-union or malunion of old fracture, 15 cases of fresh comminuted fracture of bone defect, 4 cases of spinal fracture and posterior route spinal fusion, 3 cases of bone implant of alveolar bone, 1 case of fusion of tarsotarsal joint.

2000年1月～ 2002年1月，用同种异体骨膜来源的成骨细胞 1×106 / ml与生物衍生骨支架材料构建的组织工程骨，经体外培养 3～ 7天后，植入修复52例各种类型的骨缺损，其中骨囊性病变7例，陈旧性骨折不愈合或畸形愈合 2 2例，新鲜粉碎性骨折伴骨缺损 15例，脊柱骨折后路植骨融合术4例，牙槽骨植骨 3例，足跗中关节植骨融合 1例。

Methods Nineteen bone impacted and unerupted teeth in 18 cases selected by orthopantomograph were scanned by 3DX-CT with 1.0 mm slice thickness. Images obtained by 3DX-CT (horizontally, sagittally, coronally) were analyzed after multi-plane reconstruction and 3D reconstruction including the angle of the bone axis impacted and unerupted teeth; maximum radius of the coronal teeth; distances between the tooth and the cortical bone around; distances to the neighboring tooth roots and nerve forum canal; the thickness of the bone tissue, etc.

对经曲面断层片筛选出的18例19枚埋伏牙进行牙科三维CT检查，扫描层厚1.0mm，重建后进行图像三维断面显示（包括水平位，矢状位，冠状位），对牙位图像进行分析及测量（包括埋伏牙牙长轴的角度，牙根弯曲度，牙冠的最大径，与骨皮质的距离，与邻牙根、神经孔／管的距离；骨质的厚度、高度等）。

To establish an experimental dog model of vertical alveolar distraction osteogenesis using intraosseous distractors which were developed by ourselves.

应用自行研制的骨内型牙槽骨牵张器，建立犬垂直向牙槽骨牵张成骨动物模型。

In this study the composites were applied to repair the rabbits'mandibular defects and implanted at the surface as onlay grafts that was fixed with dental implants. The ability of the composites repairing maxillofacial defects was evaluated with general observation, radiological and histological examination and compared with autogenous bone and coral.

本研究通过观察rhBMP-2、胶原、珊瑚复合骨修复兔下颌骨缺损，加高狗下颌骨骨面及与牙种植体结合，并与新鲜自体骨和珊瑚的修复作用比较，（1）应用复合骨修复兔下颌骨缺损，1、2、3个月取材，（2）将复合骨植于狗下颌骨体部颊侧骨膜下，采用钛种植体固定，1.5、3个月取材，通过体视及测量，X线片，组织学等观测指标，分析rhBMP-2、胶原、珊瑚复合骨修复骨缺损特点和体内降解特点。

Results: A 3-dimensional finite element nrodel consisting of pulp,tooth, PDL, compact bone and cancellous bone was established.

结果：首次建立了包括牙髓、牙、牙周膜、硬骨板、板质骨和外层皮质骨的三维有限元模型。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。