AL-Dwairi Ziad N
Department of Restorative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid.
Eur J Prosthodont Restor Dent. 2006 Mar;14(1):13-7.
This study aimed to investigate the frequency of different classes of patterns of partial edentulism and the most frequently used design components of conventional cobalt-chromium RPD constructed for patients attending a dental teaching hospital in Jordan. Two- hundred laboratory authorization forms were reviewed. Of the total 200 patients (150 male, 48 females, mean age 44.5 years), 150 patients had both maxillary and mandibular Co-Cr RPDs constructed with a total number of frameworks sums to 350. Kennedy classification was followed to identify the class of partial edentulism. Of the total 350 patterns, Kennedy class III was the most common classification encountered in maxilla (47%) and in the mandible (45%). Among combinations, maxillary Kennedy class III classification opposing mandibular class III was the most common combination (30%). The lingual bar was the most frequently designed major connector (77%), while palatal strap was the most common connector in the maxilla (38%). Significantly (p<0.05), patterns with Kennedy class II and III were more frequent among males than females. The most common type of direct retainer used was the circumferential clasp in both maxillary and mandibular RPD's. On the other hand, ring clasps were used three times more frequently in mandibular RPD frameworks compared to maxillary RPD's. The RPI clasp assembly was used in class I and class II situations in 75% of cases more common in the mandible. It is concluded that the variations in construction of RPD design concepts with international studies reflects the influence of teaching philosophy and diversity of faculty members' backgrounds.
本研究旨在调查部分牙列缺失不同类型模式的出现频率,以及为约旦一家牙科教学医院的患者制作的传统钴铬合金可摘局部义齿最常用的设计组件。审查了200份实验室授权表格。在总共200名患者(150名男性,48名女性,平均年龄44.5岁)中,150名患者制作了上颌和下颌钴铬合金可摘局部义齿,框架总数为350个。采用肯尼迪分类法来确定部分牙列缺失的类别。在总共350种模式中,肯尼迪III类是在上颌(47%)和下颌(45%)中最常见的分类。在组合中,上颌肯尼迪III类分类与下颌III类相对是最常见的组合(30%)。舌杆是最常设计的大连接体(77%),而腭板是上颌最常见的连接体(38%)。显著地(p<0.05),肯尼迪II类和III类模式在男性中比在女性中更常见。在上颌和下颌可摘局部义齿中最常用的直接固位体类型是环形卡环。另一方面,与上颌可摘局部义齿框架相比,环形卡环在下颌可摘局部义齿框架中的使用频率高出三倍。RPI卡环组件用于I类和II类情况,在75%的病例中在下颌更常见。结论是,可摘局部义齿设计概念构建方面与国际研究的差异反映了教学理念的影响以及教员背景的多样性。