Gülsoy Merve, Tuna Süleyman Hakan, Pekkan Gürel
Department of Prosthodontics, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.
Department of Prosthodontics, Faculty of Dentistry, Tekirdag Namik Kemal University, Tekirdag, Turkey.
J Adv Prosthodont. 2022 Feb;14(1):32-44. doi: 10.4047/jap.2022.14.1.32. Epub 2022 Feb 25.
Mandibular flexure is a crucial phenomenon that may affect the success of rigid bilateral mandibular prosthetic treatment. The aim of this study was to determine the amount of median mandibular flexure (MMF) that occurs during mouth opening from anterior to posterior mandible in seven different regions, in different age and gender groups of both dentulous and edentulous subjects, using an intraoral digital scanner.
In this study, the mandibular arch of 56 dentulous and 35 edentulous individuals were scanned with an intraoral scanner at both the minimum mouth opening (MnMO) and the maximum mouth opening (MxMO). MMF values were calculated by subtracting the distance value at the MxMO from the distance between the reference points at the MnMO at seven different mandibular regions of dentulous and edentulous subjects. In addition, the left and right side MMF values were measured. All data were analyzed statistically (α = .05).
MMF value increased linearly from anterior to posterior mandible in both dentulous and edentulous individuals. The differences in MMF values were not statistically significant according to side (left/right), age, or gender ( > .05). No significant differences were found between the mean MMF values of the same region in both dentulous and edentulous individuals ( > .05).
MMF was seen in different regions of the mandibles of both edentulous and dentulous individuals measured at the MxMO. Mandibular flexure should be considered for the success and prognosis of the long-span and rigid prostheses.
下颌弯曲是一种关键现象,可能会影响双侧下颌刚性修复治疗的成功率。本研究的目的是使用口腔内数字扫描仪,确定在不同年龄和性别的有牙颌和无牙颌受试者的七个不同区域中,从下颌前部到后部开口时发生的下颌正中弯曲(MMF)量。
在本研究中,使用口腔内扫描仪在最小开口度(MnMO)和最大开口度(MxMO)时对56名有牙颌个体和35名无牙颌个体的下颌弓进行扫描。通过从有牙颌和无牙颌受试者下颌七个不同区域的MnMO处参考点之间的距离中减去MxMO处的距离值来计算MMF值。此外,测量左右两侧的MMF值。所有数据进行统计学分析(α = 0.05)。
在有牙颌和无牙颌个体中,MMF值从下颌前部到后部呈线性增加。根据侧别(左/右)、年龄或性别,MMF值的差异无统计学意义(P>0.05)。有牙颌和无牙颌个体相同区域的平均MMF值之间未发现显著差异(P>0.05)。
在MxMO测量时,有牙颌和无牙颌个体的下颌不同区域均出现MMF。对于长跨度刚性修复体的成功和预后,应考虑下颌弯曲。