Shipman B, McCasland J
J Prosthet Dent. 1977 Dec;38(6):632-7. doi: 10.1016/0022-3913(77)90007-5.
A stable record base is critical to the making of an accurate centric jaw relation record. This is attained by meeting three criteria: (1) a well adapted, adequately extended record base, (2) adequate support of the alveolar bone to prevent excessive movement of the record bases, and (3) accurate tissue integrity to allow good base adaption, maximum tissue contact, and minimum movement. If these criteria cannot be met--and they cannot in the bilateral subtotal maxillectomy patient--then an alternative method must be used. The combination jaw relation record-impression technique using the patient's pre-existing occlusion is an alternate method for the fabrication of a stable prosthesis. This method has been tested in several maxillofacial prosthodontic centers and has proved to constitute a realistic approach to the management of the subtotal maxillectomy patient.
稳定的记录基托对于制作准确的正中颌位关系记录至关重要。这可通过满足三个标准来实现：（1）贴合良好、伸展适度的记录基托；（2）牙槽骨的充分支持以防止记录基托过度移动；（3）精确的组织完整性，以实现良好的基托贴合、最大程度的组织接触和最小程度的移动。如果无法满足这些标准——双侧上颌骨次全切除术患者就无法满足——那么就必须采用替代方法。利用患者原有的咬合关系的联合颌位关系记录-印模技术是制作稳定假体的一种替代方法。该方法已在多个颌面修复中心进行了测试，并已证明是管理上颌骨次全切除术患者的一种切实可行的方法。
