Heo Yu-Ri, Kim Hee-Jung, Son Mee-Kyoung, Chung Chae-Heon
Department of Prosthodontics, School of Dentistry, Chosun University, Gwangju, Republic of Korea.
J Adv Prosthodont. 2016 Dec;8(6):472-478. doi: 10.4047/jap.2016.8.6.472. Epub 2016 Dec 15.
The aim of this study was to analyze the shapes of lingual polished surfaces in lower complete dentures formed by polished surface impressions and to provide reference data for use when manufacturing edentulous trays and lower complete dentures.
Twenty-six patients with mandibular edentulism were studied. After lower wax dentures were fabricated, wax was removed from the lingual side of the wax denture and a lingual polished surface impression was obtained with tissue conditioner. The definitive denture was scanned with a three-dimensional scanner, and scanned images were obtained. At the cross-sections of the lingual frenum, lateral incisors, first premolars, first molars, and anterior border of the retromolar pads, three points were marked and eight measurements were taken. The Kruskal-Wallis test and a post hoc analysis with the Mann-Whitney test were performed.
Each patient showed similar values for the same areas on the left and right sides without a statistically significant difference. The height of the contour of the lingual polished surface at the lingual frenum was halfway between the occlusal plane and lingual border, it moved gradually in a downward direction. The angle from the occlusal plane to the height of the contour of the lingual polished surface was increased as it progressed from the lingual frenum towards the retromolar pads.
The shape of the mandibular lingual polished surface was convex at the lingual frenum, lateral incisors and gradually flattened towards the first molars and retromolar pads.
本研究旨在分析由抛光面印模形成的下颌全口义齿舌侧抛光面的形状,并为无牙颌托盘及下颌全口义齿的制作提供参考数据。
对26名下颌无牙颌患者进行研究。制作下颌蜡型义齿后,从蜡型义齿舌侧去除蜡,并用组织调节剂获取舌侧抛光面印模。用三维扫描仪对全口义齿进行扫描,获取扫描图像。在舌系带、侧切牙、第一前磨牙、第一磨牙及磨牙后垫前缘的横截面上标记三个点,并进行八项测量。采用Kruskal-Wallis检验及Mann-Whitney检验进行事后分析。
每位患者左右两侧相同区域的值相似,无统计学显著差异。舌系带处舌侧抛光面轮廓高度位于咬合平面与舌侧边缘的中间位置,并逐渐向下移动。从舌系带向磨牙后垫方向,从咬合平面到舌侧抛光面轮廓高度的角度逐渐增大。
下颌舌侧抛光面在舌系带、侧切牙处呈凸形,向第一磨牙和磨牙后垫方向逐渐变平。