Nicholson L
Faculté de médecine dentaire, Université Laval, Québec.
J Can Dent Assoc. 1992 Nov;58(11):934, 937-8, 941-2.
During the rehabilitation of partially edentulous patients, dentists must try to preserve the health of the remaining oral structures. That is why it is essential to make maximum use of the support areas. With removable class 1 and 2 prostheses (Kennedy-Applegate classification), the remaining teeth and the edentulous areas provide support. While virtually no movement from the teeth is noticeable, the tissues covering the edentulous ridges do move in a variable manner. A unit must therefore be designed and built to protect the remaining teeth as well as the residual ridges. The problem is all the more acute for the mandible, since the compressibility of the tissues of the edentulous ridges and remodeling of the bone are greater. Many approaches and techniques have been described in the dental literature: functional impressions, use of appropriate direct retainers, and relining of units, if necessary.
在部分牙列缺失患者的修复过程中,牙医必须努力维护剩余口腔结构的健康。这就是充分利用支持区域至关重要的原因。对于可摘局部义齿1类和2类(肯尼迪 - 阿普尔盖特分类法),剩余牙齿和无牙区提供支持。虽然牙齿几乎没有明显移动,但覆盖无牙嵴的组织确实会以可变方式移动。因此,必须设计并制作一个单元来保护剩余牙齿以及残余牙槽嵴。下颌骨的问题更为严重,因为无牙嵴组织的可压缩性和骨改建更大。牙科文献中描述了许多方法和技术:功能性印模、使用合适的直接固位体以及必要时对义齿进行重衬。