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热塑性树脂可摘局部义齿的临床应用——第一部分:非金属卡环义齿的定义与适应证

Clinical application of removable partial dentures using thermoplastic resin-part I: definition and indication of non-metal clasp dentures.

作者信息

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

机构信息

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.

出版信息

J Prosthodont Res. 2014 Jan;58(1):3-10. doi: 10.1016/j.jpor.2013.12.002. Epub 2014 Jan 22.

Abstract

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.

摘要

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。

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