Yemm R
Department of Dental Prosthetics and Gerontology, Dundee Dental School, University of Dundee, Scotland.
Int Dent J. 1991 Aug;41(4):233-9.
Provision of replacement complete dentures for an increasingly elderly population presents problems for the dentist. Reduced adaptability in the older person leads to difficulty in learning to use new appliances unless existing skills can be employed. It is therefore helpful to reproduce familiar features of a patient's old appliances, especially if these have been used for some years. This paper describes a method of treatment that provides both clinician and laboratory with the ability to achieve this objective, while retaining freedom to eliminate clinically-identified faults in the old appliances in the process of provision of the new. The technique depends on the substitution of conventional wax-rimmed record blocks with wax replicas of the old appliances. These replica record blocks lend themselves to any - major or minor - alteration during occlusion recording. They also incorporate a rigid baseplate and function as special trays.
为日益增多的老年人口提供全口义齿修复给牙医带来了难题。老年人适应能力下降，导致学习使用新义齿困难，除非能运用现有的技能。因此，重现患者旧义齿的熟悉特征很有帮助，尤其是那些已经使用多年的旧义齿。本文描述了一种治疗方法，该方法使临床医生和技工室都有能力实现这一目标，同时在制作新义齿的过程中，仍可灵活消除旧义齿中经临床确认的缺陷。该技术依赖于用旧义齿的蜡型复制品替代传统的带蜡边的记录基托。这些复制记录基托在咬合记录过程中易于进行任何——大或小的——修改。它们还包含一个刚性基板，并作为特殊托盘使用。
