Program Director, Postgraduate Program in Prosthetic Dentistry, Marquette University School of Dentistry, Milwaukee, Wis.
Graduated student, Marquette University School of Dentistry, Milwaukee, Wis.
J Prosthet Dent. 2022 Oct;128(4):597-603. doi: 10.1016/j.prosdent.2020.12.023. Epub 2021 Mar 16.
The Kois Dento-Facial Analyzer (KDFA) is used by clinicians to mount maxillary casts and to evaluate and treat patients. Limited information is available for understanding whether the KDFA should be considered as an alternative to an arbitrary facebow.
The purpose of this clinical study was to evaluate and compare maxillary casts mounted by using the KDFA with casts mounted by using the Panadent Pana-Mount Facebow (PMF) and a kinematic axis (KA) facebow.
Fifteen participants were enrolled in the study. Three maxillary impressions were made of each study participant. One cast from each study participant was mounted on an articulator by means of the KDFA, PMF, and KA. A standardized photograph of each mounting was made, and the condylar center-incisor distance and the occlusal and incisal plane angles were measured. A randomized complete block design analysis of variance (RCBD) (α=.05) and post hoc tests (Tukey-Kramer HSD) were used to evaluate the occlusal and incisal plane angles and the condylar center-incisor distance.
Compared with the occlusal plane angle (OPA), the KDFA mounted the maxillary cast at an angle that was statistically lower than those of PMF and KA (P<.001). The KDFA and the PMF condylar center-incisor distances were both significantly greater than that of KA (P=.01). No differences were found between the incisal plane angle (IPA) on maxillary casts mounted with the KDFA, KA, or PMF (P=.16).
The KDFA and PMF mounted the maxillary casts in a position that was farther from the axis when compared with the KA mounted casts. The KDFA resulted in a lower articulator OPA compared with both PMF and KA. No difference was found between the IPAs of the KDFA, PMF, and KA.
临床医生使用 Kois 牙颌面分析器(KDFA)来安装上颌模型,并评估和治疗患者。目前对于 KDFA 是否可以替代任意面弓,我们所能了解到的信息十分有限。
本临床研究的目的是评估和比较使用 KDFA、Panadent Pana-Mount 面弓(PMF)和运动学轴(KA)面弓安装上颌模型的情况。
本研究纳入了 15 名参与者。每位研究参与者的上颌均制取了 3 个印模。每位研究参与者的 1 个模型分别通过 KDFA、PMF 和 KA 安装到牙合架上。对每个安装模型都拍摄了标准化照片,并测量了髁突中心-切牙距离以及咬合平面和切牙平面角度。采用随机完整块设计方差分析(RCBD)(α=.05)和事后检验(Tukey-Kramer HSD)来评估咬合平面和切牙平面角度以及髁突中心-切牙距离。
与咬合平面角(OPA)相比,KDFA 安装的上颌模型角度明显更低,与 PMF 和 KA 相比差异具有统计学意义(P<.001)。KDFA 和 PMF 的髁突中心-切牙距离均明显大于 KA(P=.01)。使用 KDFA、KA 和 PMF 安装的上颌模型的切牙平面角(IPA)之间无差异(P=.16)。
与 KA 相比,KDFA 和 PMF 安装的上颌模型更远离轴位。与 PMF 和 KA 相比,KDFA 使牙合架 OPA 更低。KDFA、PMF 和 KA 之间的 IPA 无差异。