Laughlin G A, Eick J D, Glaros A G, Young L, Moore D J
Oral Biology, University of Missouri-Kansas City, Kansas City, MO 64108, USA.
J Prosthodont. 2001 Dec;10(4):204-11. doi: 10.1111/j.1532-849x.2001.00204.x.
The study investigated the effects of palatal depth and a resin anchoring system on the adaptation of denture base resin to the master cast after compression molding and heat polymerization.
Forty-eight virtually identical polymethyl methacrylate dentures were fabricated on master casts with either a deep or shallow palatal vault. One half of the master casts of each palate type were altered by the addition of anchoring holes along the posterior land area, as well as perpendicularly in the midsaggital area. Anchoring holes were made with a #8 round bur to a depth of 5 mm. Twenty-four hours after polymerization, the bases on their casts were sectioned at the posterior border and evaluated for degree of adaptation using a traveling microscope. Maladaptation at the interface of the denture base and master cast was measured at predetermined mediolateral locations. A split-plot analysis of variance (alpha = 0.05) was performed followed by a post-hoc Dunn Multiple Comparison Test.
In general, depth of the palatal vault did not significantly influence denture palatal discrepancy (p =.0780), but the use of the anchoring system significantly reduced mean gap distances (p =.000). At lateral and midpalate locations, gap distances between the denture bases and their casts were reduced from approximately 0.3 mm to approximately 0.1 mm when the anchoring system was used.
Mean gap distances for steep palate dentures were significantly less than shallow palate dentures at vestibule and lateral palate locations, and anchoring holes placed in an edentulous master cast along the posterior land area and at the midline significantly improved the adaptation of denture bases.
本研究调查了腭部深度和树脂锚固系统对压缩成型和热聚合后义齿基托树脂与母模适配性的影响。
在具有深腭穹窿或浅腭穹窿的母模上制作48个几乎相同的聚甲基丙烯酸甲酯义齿。每种腭型的一半母模通过在后部边缘区域以及矢状中线区域垂直添加锚固孔进行改变。用#8圆钻制作锚固孔,深度为5毫米。聚合24小时后,将义齿基托在其母模上沿后缘进行切片,并使用移动显微镜评估适配程度。在预定的内外侧位置测量义齿基托与母模界面处的适配不良情况。进行方差分析的裂区分析(α = 0.05),随后进行事后邓恩多重比较检验。
总体而言,腭穹窿深度对义齿腭部差异没有显著影响(p = 0.0780),但使用锚固系统显著减小了平均间隙距离(p = 0.000)。在外侧和腭中部位置,使用锚固系统时,义齿基托与其母模之间的间隙距离从约0.3毫米减小到约0.1毫米。
在前庭和腭外侧位置,高腭型义齿的平均间隙距离明显小于低腭型义齿,并且在无牙颌母模的后部边缘区域和中线处设置锚固孔可显著改善义齿基托的适配性。