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上颌全口义齿基托的尺寸精度:金属型盒封闭方法的影响。

Dimensional accuracy of upper complete denture bases: the effect of metallic flask closure methods.

作者信息

Consani Rafael Leonardo Xediek, Mesquita Marcelo Ferraz, Sobrinho Lourenço Correr, Sinhoreti Mário Alexandre Coelho

机构信息

Department of Prosthodontics and Periodontics, Piracicaba Dental School, State University of Campinas, Sao Paulo, Brazil.

出版信息

Gerodontology. 2009 Mar;26(1):58-64. doi: 10.1111/j.1741-2358.2008.00234.x.

Abstract

OBJECTIVES

To verify the dimensional accuracy of upper complete denture bases under the effect of different methods of metallic flask closure.

MATERIALS AND METHODS

Wax record bases were assigned to six groups: 1-2: traditional clamp; 3-4: RS system; and 5-6: flask with screws. Flasks were immediately polymerised or bench stored for 6 h prior to polymerisation. Resin base-cast sets were sectioned at regions corresponding to the canines, first molars and posterior palatal zone. Gap discrepancies were measured at five points: right and left ridge crests, palatal midline, and right and left marginal limits of the flanges. An optical micrometer was used for measurement purposes.

RESULTS

Data were submitted to anova, and the means compared by Tukey's test (alpha = 0.05). Results revealed significant differences in the flask closure technique, polymerisation time, section, and their interactions. Discrepancy values for the RS system and flask with screws were significantly lower than those related to the traditional clamp, regardless of whether resin polymerisation was immediate or delayed for 6 h.

CONCLUSIONS

Flask closure methods should be considered when the denture base stability and comfort of the patient are being assessed during clinical use of the dentures.

摘要

目的

验证不同金属型盒封闭方法对全口义齿上颌基托尺寸精度的影响。

材料与方法

将蜡记录基托分为六组:1 - 2组:传统夹钳法;3 - 4组:RS系统法;5 - 6组:带螺丝的型盒法。型盒立即聚合或在聚合前在工作台上存放6小时。将树脂基托 - 铸型组合在对应尖牙、第一磨牙和腭后区的部位进行切片。在五个点测量间隙差异:左右牙槽嵴顶、腭中线以及义齿基托边缘的左右界限。使用光学测微计进行测量。

结果

数据进行方差分析,均值采用Tukey检验进行比较(α = 0.05)。结果显示型盒封闭技术、聚合时间、切片部位及其相互作用存在显著差异。无论树脂聚合是立即进行还是延迟6小时,RS系统法和带螺丝的型盒法的差异值均显著低于传统夹钳法。

结论

在临床使用义齿时评估义齿基托稳定性和患者舒适度时,应考虑型盒封闭方法。

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