Nissan Joseph, Rosner Ofir, Rosen Gal, Naishlos Sarit, Zenziper Eran, Zelikman Helena, Lavi David, Chaushu Liat
Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, POD 39040 Tel-Aviv, Israel.
Departments of Pedodontology, School of Dental Medicine, Tel Aviv University, POD 39040 Tel-Aviv, Israel.
Materials (Basel). 2020 Oct 21;13(20):4684. doi: 10.3390/ma13204684.
Impression technique is one of the factors affecting restoration fit accuracy, which is a major aspect influencing its survival. The purpose of this study is to compare, in vivo, the effect of two commonly used Vinyl Polysiloxane (VPS) impression techniques on the metal framework fitting of fixed partial dentures. Ninety-two consecutive patients, diagnosed as partially edentulous, treated by fixed partial denture restorations, participated in the study. Group 1-impressions ( = 44) were subjected to the 1-step technique, while group 2 impressions ( = 48) were subjected the 2-step technique. Three accuracy assessment common methods: probe, tactile sense and radiographic test, were used to validate the clinical fit of the metal framework. Misfit was defined as even one test failure. Twenty-one (22.8%) out of 92 metal frameworks exhibited metal frameworks misfit, whereas the other 71 (77.2%) were found to be accurate. Group 1 presented significantly ( = 0.04) more metal frameworks misfit, 14/44 (31.8%) vs. 7/48 (14.6%). Restoration location (maxilla vs. mandible) had no statistically significant impact on the results ( = 0.461). The use of the VPS putty/wash 2-step impression technique is recommended to improve the clinical fit of fixed partial denture restorations.
印模技术是影响修复体适合度准确性的因素之一,而修复体适合度准确性是影响其存留的一个主要方面。本研究的目的是在体内比较两种常用的乙烯基聚硅氧烷(VPS)印模技术对固定局部义齿金属支架适合度的影响。92例连续诊断为部分牙列缺损并接受固定局部义齿修复治疗的患者参与了本研究。第1组印模(n = 44)采用一步法技术,而第2组印模(n = 48)采用两步法技术。使用三种常见的准确性评估方法:探针检查、触觉感知和影像学检查,以验证金属支架的临床适合度。只要有一种检查结果不合格即定义为不适合。92个金属支架中有21个(22.8%)表现出金属支架不适合,而其他71个(77.2%)被发现是准确的。第1组出现明显更多的金属支架不适合情况,14/44(31.8%)对比7/48(14.6%)(P = 0.04)。修复部位(上颌与下颌)对结果无统计学显著影响(P = 0.461)。建议使用VPS 油泥/冲洗两步法印模技术来提高固定局部义齿修复体的临床适合度。