Gillings B R, Samant A
Department of Prosthetic Dentistry, University of Sydney, Australia.
Dent Clin North Am. 1990 Oct;34(4):683-709.
Magnets were used only occasionally for dental purposes several decades ago. Since the advent of rare earth magnet alloys, however, intraoral magnets are shaping the course of aesthetics and retention for both complete and removable partial overdentures. Their benefits include simplicity, low cost, self-adjustment, inherent stress breaking, automatic reseating after denture displacement, comparative freedom of lateral denture movement, a low potential for trauma to the retained roots, and elimination of the need for adjustment in service. The clinical procedures involved in their application do not require any special skills, and the options offered by the various manufacturers give the dentist a wide variety of choices in selecting an appropriate treatment plan. Clinical experience has shown that magnetic retention offers an economical alternative for teeth that would otherwise require expensive or extensive restorative treatment, and can be used as an effective and often superior replacement for failed bridgework. Finally, it is clear that overdenture treatment per se is a valuable option for the dentist, and the use of magnets expands this option to the retention of tooth roots that might otherwise be scheduled for extraction. The natural tooth root, even if periodontally involved, can serve as a useful aid in denture support and retention, and should be regarded as at least as good as, and in most cases superior to, an implant. It is also much less expensive.
几十年前,磁铁仅偶尔用于牙科目的。然而,自稀土磁体合金问世以来,口腔内磁体正在塑造全口和可摘局部覆盖义齿的美学和固位方式。它们的优点包括操作简单、成本低、自我调节、固有应力断裂、义齿移位后自动复位、义齿侧向移动相对自由、对保留牙根造成创伤的可能性低,以及无需在使用过程中进行调整。其应用所涉及的临床操作不需要任何特殊技能,并且各制造商提供的选择为牙医在选择合适的治疗方案时提供了广泛的选择。临床经验表明,磁体固位为那些原本需要昂贵或广泛修复治疗的牙齿提供了一种经济的替代方案,并且可以作为失败桥体修复的有效且通常更好的替代方法。最后,很明显,覆盖义齿治疗本身对牙医来说是一个有价值的选择,而磁体的使用将这个选择扩展到保留那些原本可能会被拔除的牙根。天然牙根,即使牙周受累,也可作为义齿支持和固位的有用辅助,并且应被视为至少与种植体一样好,而且在大多数情况下优于种植体。它的成本也低得多。