Salinas Thomas J
Department of Dental Specialties, Mayo Clinic, Rochester, MN 55905, USA.
J Prosthodont. 2009 Feb;18(2):97-105. doi: 10.1111/j.1532-849X.2009.00438.x.
Significant numbers of patients throughout the world seek treatment for edentulism. The trend toward tissue-integrated prostheses has been a monumental step in restoring edentulous patients to function; however, this treatment can be out of reach for those who fail to qualify or those who do not have sufficient resources to afford it. In these cases, conventional dentures remain an important primary course of treatment. Attention to detail when diagnosing, treatment planning, and performing treatment for these patients is still a prime consideration for the best possible outcome. In particular, many experienced denture wearers are afflicted with chronically inflamed denture-bearing mucosa. Clinicians must recognize the need for tissue conditioning, choices of impression materials, and accepted fabrication techniques that can have favorable outcomes when matched with patients who are philosophical and realistic in their expectations. The purpose of this article is to review impression philosophies, associated materials, and methods of tissue conditioning. Retention and stability of the denture bases can be augmented by the routine use of denture adhesive, and indications for use of denture adhesive will be discussed.
全世界有相当多的患者寻求无牙颌治疗。组织整合式假体的发展趋势是使无牙颌患者恢复功能的一个巨大进步；然而，对于那些不符合条件或没有足够资源支付费用的人来说，这种治疗可能遥不可及。在这些情况下，传统假牙仍然是重要的主要治疗方法。在为这些患者进行诊断、治疗计划和治疗时注重细节，仍然是获得最佳治疗效果的首要考虑因素。特别是，许多有经验的假牙佩戴者患有慢性炎症的义齿承托黏膜。临床医生必须认识到组织预处理的必要性、印模材料的选择以及与期望合理现实的患者相匹配时能产生良好效果的公认制作技术。本文的目的是回顾印模理念、相关材料和组织预处理方法。义齿基托的固位和稳定性可通过常规使用义齿黏附剂来增强，本文还将讨论义齿黏附剂的使用指征。
