Fueki Kenji, Ohkubo Chikahiro, Yatabe Masaru, Arakawa Ichiro, Arita Masahiro, Ino Satoshi, Kanamori Toshikazu, Kawai Yasuhiko, Kawara Misao, Komiyama Osamu, Suzuki Tetsuya, Nagata Kazuhiro, Hosoki Maki, Masumi Shin-Ichi, Yamauchi Mutsuo, Aita Hideki, Ono Takahiro, Kondo Hisatomo, Tamaki Katsushi, Matsuka Yoshizo, Tsukasaki Hiroaki, Fujisawa Masanori, Baba Kazuyoshi, Koyano Kiyoshi, Yatani Hirofumi
Japan Prosthodontic Society, Clinical Guideline Committee (2011-2012), Japan; Section of Removable Partial Prosthodontics, Tokyo Medical and Dental University, Japan.
Japan Prosthodontic Society, Non-Metal Clasp Denture Expert Panel (2011-2012), Japan; Japan Prosthodontic Society, Removable Prosthodontics Expert Panel (2011-2012), Japan; Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Japan.
J Prosthodont Res. 2014 Jan;58(1):3-10. doi: 10.1016/j.jpor.2013.12.002. Epub 2014 Jan 22.
This position paper proposes a definition and naming standard for removable partial dentures (RPDs) using thermoplastic resin, and presents a guideline for clinical application. A panel of 14 experts having broad experience with clinical application of RPDs using thermoplastic resin was selected from members of the Japan Prosthodontic Society. At a meeting of the panel, "non-metal clasp denture" was referred as the generic name of RPDs with retentive elements (resin clasps) made of thermoplastic resin. The panel classified non-metal clasp dentures into two types: one with a flexible structure that lacks a metal framework and the other having a rigid structure that includes a metal framework. According to current prosthetic principles, flexible non-metal clasp dentures are not recommended as definitive dentures, except for limited cases such as patients with a metal allergy. Rigid non-metal clasp dentures are recommended in cases where patients will not accept metal clasps for esthetic reasons. Non-metal clasp dentures should follow the same design principles as conventional RPDs using metal clasps.
本立场文件提出了使用热塑性树脂的可摘局部义齿(RPD)的定义和命名标准,并给出了临床应用指南。从日本口腔修复学会成员中选出了14位在使用热塑性树脂的RPD临床应用方面有丰富经验的专家组成小组。在小组会议上,“非金属卡环义齿”被用作由热塑性树脂制成的具有固位元件(树脂卡环)的RPD的通用名称。小组将非金属卡环义齿分为两类:一类是结构灵活、没有金属支架的;另一类是结构刚性、包含金属支架的。根据目前的修复原则,除了金属过敏患者等有限情况外,不建议将灵活的非金属卡环义齿作为确定性义齿。对于因美观原因不接受金属卡环的患者,建议使用刚性非金属卡环义齿。非金属卡环义齿应遵循与使用金属卡环的传统RPD相同的设计原则。