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三种不同的咬合记录材料在半可调式颌架上获得的髁导斜度与有牙患者数字全景片的对比评估:一项 研究。

Comparative evaluation of condylar guidance obtained by three different interocclusal recording materials in a semi-adjustable articulator and digital panoramic radiographic images in dentate patients: An study.

机构信息

Department of Prosthodontics, Crown and Bridge Including Implantology, M R Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.

出版信息

J Indian Prosthodont Soc. 2021 Oct-Dec;21(4):397-404. doi: 10.4103/jips.jips_239_21.

Abstract

AIM

The Aim of the study was to evaluate the reproducibility of condylar inclination values obtained using three different interocclusal recording materials in Hanau Wide-Vue semi-adjustable articulator and to compare those values of condylar inclination with panoramic radiographic images.

SETTINGS AND DESIGN

In Vivo Comparative study.

MATERIALS AND METHODS

The clinical trial was carried out in the Department of Prosthodontics, M. R Ambedkar Dental College and Hospital, Bengaluru. A total of 30 dentulous subjects aged between 20 and 40 years were selected, without any signs and symptoms of temporomandibular joint disorders. With the help of a custom-made protrusive guide, protrusive records for three materials were made. These records were used for programming the articulator and the respective horizontal condylar inclination (HCI) value, and panoramic radiographs were made. The values obtained were statistically analyzed.

STATISTICAL ANALYSIS USED

Independent t-test, multiple comparisons using Bonferroni method followed by Analysis of variances (ANOVA) were used.

RESULTS

Among each pair of groups there exists a significant difference, i.e., the mean condylar inclination (degree) was found to be statistically significant between wax and polyvinyl siloxane (P < 0.01) as well as between wax and polyether (P < 0.01). No significant difference was observed between polyvinyl siloxane and polyether (P > 0.05).

CONCLUSION

HCI values differed depending on the type of material employed. The study concluded that the protrusive condylar guidance angles obtained by panoramic radiograph can be used in programming the semi-adjustable articulator and among the materials polyether gave the highest Condylar Guidance values with less variability and wax gave lowest values with greater variation.

摘要

目的

本研究旨在评估在 Hanau Wide-Vue 半可调式颌架中使用三种不同的咬合记录材料获得的髁突倾斜值的可重复性,并将这些髁突倾斜值与全景放射影像进行比较。

设置和设计

体内比较研究。

材料和方法

临床研究在班加罗尔的 M.R. Ambedkar 牙科医学院和医院的修复科进行。共选择了 30 名年龄在 20 至 40 岁之间、无颞下颌关节紊乱症状和体征的有牙颌患者。使用定制的前伸引导器制作三种材料的前伸记录。这些记录用于对颌架进行编程和相应的水平髁突倾斜(HCI)值,并制作全景放射影像。对获得的数值进行统计学分析。

统计学分析方法

使用独立 t 检验、Bonferroni 方法进行的多重比较以及方差分析(ANOVA)。

结果

每组之间都存在显著差异,即蜡和聚硅氧烷(P<0.01)以及蜡和聚醚(P<0.01)之间的平均髁突倾斜(度)存在统计学显著差异。聚硅氧烷和聚醚之间(P>0.05)没有观察到显著差异。

结论

HCI 值取决于所使用材料的类型。研究得出结论,通过全景放射影像获得的前伸髁突引导角度可用于对半可调颌架进行编程,并且在这些材料中,聚醚产生的髁突引导值最高,变异性最小,而蜡产生的髁突引导值最低,变异性最大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/676e/8617454/80c166d279ab/JIPS-21-397-g001.jpg

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