Resident, Department of Prosthodontics, School of Medicine, Ewha Woman's University, Seoul, Republic of Korea.
Clinical Associate Professor, Department of Prosthodontics and Dental Research Institute, Seoul National University Gwanak Dental Hospital, Republic of Korea.
J Prosthet Dent. 2017 Oct;118(4):468-474. doi: 10.1016/j.prosdent.2016.12.007. Epub 2017 Apr 4.
A limited number of clinical studies have evaluated the accuracy of a digitally generated removable partial denture (RPD) intraorally. An analysis of the accuracy of the digital RPD on a larger number of participants was needed.
The purpose of this clinical study was to analyze the accuracy of digital RPDs by using the replica technique.
The fit accuracy of digital RPDs fabricated using electronic surveying was analyzed by fabricating replicas with silicone registration material and measuring with a stereomicroscope and image program. A total of 348 measurements in 10 participants were analyzed. The internal discrepancy of the metal framework was evaluated among participants using different Kennedy classifications. The accuracy of fittings in the cingulum and occlusal rest areas were compared according to the denture support type and the measured position below the rest. A 2-way and 1-way ANOVA and an independent 2-sample t test were used for statistical analysis (α=.05).
Statistically significant differences were found in the internal discrepancy of the various framework components (P<.05), but no differences were found among participants with different Kennedy classifications (P>.05). The discrepancy under the periphery of the rest was determined to be smaller than that of the center, especially for the cingulum rest (P<.01).
Digital RPDs fabricated using electronic surveying varied in accuracy of fit. According to the rest contact positions, the accuracy observed at the periphery was better than at the center.
只有少数临床研究评估了数字化可摘局部义齿(RPD)的口腔内准确性。需要对更多参与者的数字 RPD 准确性进行分析。
本临床研究的目的是通过使用复制技术分析数字 RPD 的准确性。
使用电子测量法制作的数字 RPD 的拟合精度通过使用硅树脂注册材料制作复制品并用立体显微镜和图像程序进行测量来分析。在 10 名参与者中分析了 348 项测量。使用不同 Kennedy 分类法评估了参与者之间金属框架的内部差异。根据义齿支撑类型和休息下方的测量位置,比较了卡环和咬合休息区域的拟合精度。使用 2 路和 1 路 ANOVA 和独立 2 样本 t 检验进行统计分析(α=.05)。
在各种框架组件的内部差异方面发现了统计学上的显著差异(P<.05),但在不同 Kennedy 分类的参与者之间没有发现差异(P>.05)。休息周边的差异被确定小于中心的差异,尤其是对于卡环休息(P<.01)。
使用电子测量法制作的数字 RPD 在拟合精度上存在差异。根据休息接触位置,观察到的周边精度优于中心精度。