Kuwashima S, Nagao M, Ikeda S
Nichidai Koko Kagaku. 1989 Mar;15(1):38-42.
Many reports have been made on statistical observation on prostheses, among which removable partial denture frequently becomes the subject of investigation from the two sides of cross- and longitudinal- sectional surveys, because its constituent factors are divergent. However, many of such reports used, as subject, the removable partial dentures fitted at clinical practices at the hospitals affiliated to dentistry universities (dentistry departments), and it is hard to say that these reports have grasped the actual circumstances in which removable partial denture is involved since each therapeutic principle as educational hospital constitutes its own specific environment, if the fact that difference occurs in the selecting criteria for each constituent factor according to the operators' designing conception and medical environment is taken into consideration. Then, we have made investigation of edentulous pattern and kinds of denture base material and retainers in 141 cases with removable partial denture fitted at general practitioners, and the following conclusions have been reached. 1. Among the direct retainers of free-end denture, those of clasp with distal rest (Aker's clasp) were the largest in number. 2. By base material, among the direct retainers of free-end denture, many of those of Bar type which has mesial rest (RPI clasp) were observed, in case of metal base, compared with resin base, but difference was observed in the frequency of use of the other retainers. 3. Free-end denture held a majority both in the upper and lower jaws. 4. As base material, resin base was overwhelmingly large in number, compared with metal base.
关于义齿的统计观察已有许多报道,其中可摘局部义齿因其构成因素多样,常常成为横断面和纵向调查两方面研究的对象。然而,许多此类报道以牙科大学附属医院(牙科科室)临床实践中安装的可摘局部义齿为研究对象,考虑到教学医院的各治疗原则构成其自身特定环境,且根据操作者的设计理念和医疗环境,各构成因素的选择标准存在差异,所以很难说这些报道把握了可摘局部义齿所涉及的实际情况。于是,我们对141例由全科医生安装可摘局部义齿的患者的无牙模式、义齿基托材料种类和固位体进行了调查,得出以下结论。1. 在游离端义齿的直接固位体中,带远中支托的卡环(阿克尔卡环)数量最多。2. 就基托材料而言,在游离端义齿的直接固位体中,与树脂基托相比,金属基托情况下观察到许多带近中支托的杆型(RPI卡环),但其他固位体的使用频率存在差异。3. 游离端义齿在上颌和下颌中均占多数。4. 作为基托材料,与金属基托相比,树脂基托的数量绝对占优。