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[前牙区畸形部分无牙颌牙槽嵴及其重建。第一部分。通过研究模型分析缺损类型]

[The deformed partially edentulous ridge in the area of the anterior teeth and that reconstruction. Part I. Analysis of types of defects by the study casts].

作者信息

Mikami I, Sakai A, Hasegawa A

出版信息

Shigaku. 1989 Apr;76(7):1501-19.

PMID:2761964
Abstract

The purpose of the study was investigated the incidence and type of anterior ridge deformities in partially edentulous patients. Furthermore that deformed partially edentulous ridge were investigated which esthetic problem were existence or not, and what type of edentulous ridge have to do the ridge augmentation. A random sample of 94 casts 118 regions was evaluated. The results obtained were as follow: 1. These partially edentulous ridge were measured distance by the divided into Apicocoronal loss D1 and Buccolingal loss W, and relationship between D1 and W was significant. But the relationships of D1 and W weren't found between 1 to 2 missing tooth, and on the presence of the root exposure. 2. The resorption form at the palatal regions of upper differed from lower, remained to alveolar crest on palatal regions. But the resorption form at the Buccal region were similar to upper and lower. 3. Using Seibert's classification, we found that the Class III was the most prevalent deformity (55.1%). The other prevalent defect was discerned the Class 0 (17.8%) greater than Class I (16.1%) greater than Class II (11.0%). 4. An unesthetic pontic-to-ridge relationship observed in an Apicocornal loss or a Buccolingal loss. 5. The surgical procedures for reconstruction to partially edentulous ridges should be carried out the either D1: greater than 3 mm or W: greater than 3 mm. The edentulous ridges which lacked in the either D1: greater than 2 mm or W: greater than 2 mm were considered preparatory application.

摘要

本研究旨在调查部分牙列缺失患者前牙嵴畸形的发生率及类型。此外,还对存在或不存在美学问题的畸形部分牙列缺失嵴进行了研究,以及何种类型的无牙嵴需要进行嵴增量术。对94个模型的118个区域进行了随机抽样评估。所得结果如下:1. 这些部分牙列缺失嵴通过分为根尖冠向吸收D1和颊舌向吸收W来测量距离,D1与W之间的关系具有显著性。但在1至2颗牙缺失以及存在牙根暴露的情况下,未发现D1与W之间的关系。2. 上颌腭侧区域的吸收形式与下颌不同,腭侧区域保留至牙槽嵴顶。但颊侧区域的吸收形式在上颌和下颌相似。3. 使用Seibert分类法,我们发现III类是最常见的畸形(55.1%)。其他常见缺陷依次为0类(17.8%)大于I类(16.1%)大于II类(11.0%)。4. 在根尖冠向吸收或颊舌向吸收时观察到不美观的桥体与嵴的关系。5. 对于部分牙列缺失嵴的重建手术,应在D1大于3mm或W大于3mm时进行。D1大于2mm或W大于2mm的无牙嵴被认为适合预备应用。

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