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义齿重衬作为剩余牙槽嵴吸收的一个指标。

Denture relining as an indicator of residual ridge resorption.

作者信息

Kranjčić Josip, Kostelić Stunić Maja, Celebić Asja, Komar Daniel, Mehulić Ketij, Vojvodić Denis

机构信息

1Department of Fixed Prosthodontics, 2Department of Periodontology, 3Department of Removable Prosthodontics; School of Dental Medicine, University of Zagreb; 4Dental Clinic, University Hospital Center Zagreb; 5Department of Prosthodontics, Clinical Hospital Dubrava, Zagreb; Croatia.

出版信息

Med Glas (Zenica). 2013 Feb;10(1):126-32.

Abstract

AIM

Residual ridges change in shape and reduce in size due to alveolar bone resorption. Therefore, the purpose was to investigate changes in denture base thickness (DBT) and interocclusal rest space (IRS) with regard to the denture relining procedure.

METHODS

The IRS and DBT were measured (before and after denture relining) in the case of 74 patients and their removable dental prostheses by using a precise sliding gauge. The DBT measuring was performed in 6 points for maxillary and in 3 points for mandibular removable dental prosthesis. The IRS values were measured as the distance (in mm) between the incisal edges of the maxillary and mandibular central incisors with patient's mandible in a physiological "rest position" with head and neck in the upright posture.

RESULTS

In a group of patients wearing maxillary and mandibular removable dental prosthesis mean values of DBT after denture relining were statistically significantly higher (p <0.05) in almost all measuring points. The IRS mean values after relining were statistically significantly lower (p <0.05). Statistically significant differences (p <0.05) of DBT were also observed in groups of "day-night time" and "day time" denture wearers, and in a group of patients for whom a period shorter than one year had passed since the last tooth extraction and the time when a functional impression for removable dental prostheses was taken.

CONCLUSION

The DBT and IRS values change after the denture relining procedure due to the alveolar bone resorption. Therefore, these measures could be used as resorption indicators in dental practice.

摘要

目的

由于牙槽骨吸收,剩余牙槽嵴会发生形态改变并减小尺寸。因此,本研究旨在探讨义齿重衬过程中义齿基托厚度(DBT)和牙合间休息间隙(IRS)的变化。

方法

使用精密游标卡尺对74例患者及其可摘局部义齿在义齿重衬前后测量IRS和DBT。对上颌可摘局部义齿在6个点进行DBT测量,对下颌可摘局部义齿在3个点进行测量。IRS值测量为患者下颌处于生理“休息位”、头颈部直立时上颌和下颌中切牙切缘之间的距离(单位:毫米)。

结果

在佩戴上颌和下颌可摘局部义齿的患者组中,义齿重衬后DBT的平均值在几乎所有测量点均有统计学显著升高(p<0.05)。重衬后IRS的平均值有统计学显著降低(p<0.05)。在“日夜佩戴”组和“日间佩戴”组的患者中,以及在自最后一次拔牙至制取可摘局部义齿功能性印模的时间短于一年的患者组中,也观察到DBT有统计学显著差异(p<0.05)。

结论

由于牙槽骨吸收,义齿重衬后DBT和IRS值会发生变化。因此,这些测量指标可在牙科实践中用作吸收指标。

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