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快速加工技术对全口义齿咬合接触数量及咬合垂直距离的影响。

Influence of the fast-processing technique on the number of the occlusal contacts and occlusal vertical dimension of complete dentures.

作者信息

Atashrazm Parsa, Alavijeh Leila Zamani, Afshar Maryam Sadat Sadrzadeh

机构信息

Department of Prosthodontics, Dental Branch, Islamic Azad University, Tehran, Iran.

出版信息

J Contemp Dent Pract. 2011 Mar 1;12(2):84-90. doi: 10.5005/jp-journals-10024-1014.

Abstract

AIM

Occlusal errors during acryl processing affect the retention and stability of complete dentures. The aim of the present study was to assess the influence of a short curing technique on the number of occlusal contacts and the occlusal vertical dimension (OVD) of complete dentures.

MATERIALS AND METHODS

Complete dentures were prepared. The number of occlusal contacts was recorded in centric relation (CR) using 60 µ articulation paper. The OVD was recorded with the waxed trial denture in place. Dentures were then invested and processed with compression molding and short cure water bath technique. The number of occlusal contacts was recorded again. The amount of pin opening was measured for all of the complete dentures on the articulator. Data were analyzed with paired t-test to determine the alterations.

RESULTS

The mean number of occlusal contacts before and after processing was 10.9 ± 2.4 and 6.3 ± 3.1 respectively (4.7 ± 1.9 decrease; p < 0.001). A 2 mm mean increase in OVD was observed in 47.7% of the dentures with < 6 occlusal contact changes and 88.9% of the dentures with ≥ 6 occlusal contact changes (p < 0.003). A significant change in the number of occlusal contacts was associated with an OVD increased up to two times.

CONCLUSION

The short curing technique seems to be related to the decreased occlusal contacts and increased OVD. CLINICAL SIGNIFICANCES: More time is needed to adjust the occlusal errors of this method, because it has a negative effect on the morphologic pattern of artificial teeth of complete dentures and thus should be used carefully.

摘要

目的

丙烯酸树脂加工过程中的咬合误差会影响全口义齿的固位和稳定性。本研究的目的是评估短固化技术对全口义齿咬合接触数量和咬合垂直距离(OVD)的影响。

材料与方法

制作全口义齿。使用60µ咬合纸记录正中关系(CR)下的咬合接触数量。在戴有蜡型试戴义齿的情况下记录OVD。然后将义齿包埋并采用压缩成型和短固化水浴技术进行加工。再次记录咬合接触数量。在牙合架上测量所有全口义齿的针孔开口量。采用配对t检验分析数据以确定变化情况。

结果

加工前后咬合接触的平均数量分别为10.9±2.4和6.3±3.1(减少4.7±1.9;p<0.001)。在咬合接触变化<6次的义齿中,47.7%的义齿OVD平均增加2mm,在咬合接触变化≥6次的义齿中,88.9%的义齿OVD平均增加2mm(p<0.003)。咬合接触数量的显著变化与OVD增加高达两倍有关。

结论

短固化技术似乎与咬合接触减少和OVD增加有关。临床意义:由于该方法对全口义齿人工牙的形态模式有负面影响,因此需要更多时间来调整该方法的咬合误差,应谨慎使用。

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