Cheng Chi-Hsiang, Atsuta Ikiru, Koyano Kiyoshi, Ayukawa Yasunori
Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka 8128582, Japan.
Division of Advanced Dental Devices and Therapeutics, Faculty of Dental Science, Kyushu University, Fukuoka 8128582, Japan.
Healthcare (Basel). 2022 Jun 9;10(6):1067. doi: 10.3390/healthcare10061067.
The clinical remount procedure, which involves remounting the dentures on an articulator with interocclusal records, can effectively reduce occlusal discrepancies. This procedure can be applied not only to new dentures but also to those already in service; however, research in this field is still scarce. This narrative review aims to establish a hypothetical mechanism and possible indications and contraindications for this technique as a basis for further research. Current studies have revealed a high prevalence of malocclusion in delivered dentures. Performing a clinical remount on these existing dentures would enhance the oral function of the denture wearer and would enable effective and accurate correction of the accumulated errors in the jaw relationship in a stable working environment. This technique should be performed if a patient has poor masticatory function or occlusion-related complaints. However, performing a clinical remount on dentures with an excessive anterior-posterior discrepancy between the centric relation and the maximal intercuspal position or on dentures with extremely low occlusal vertical dimension, is considered less effective. The clinical remount procedure remains an essential skill both for fabricating quality dentures and maintaining those already in service.
临床重新上架程序,即通过颌间记录将义齿重新安装在牙合架上,可有效减少咬合差异。该程序不仅可应用于新义齿,也可应用于已在使用的义齿;然而,该领域的研究仍然匮乏。本叙述性综述旨在建立该技术的假设机制、可能的适应证和禁忌证,作为进一步研究的基础。目前的研究表明,已交付的义齿中错牙合的发生率很高。对这些现有的义齿进行临床重新上架将增强义齿佩戴者的口腔功能,并能在稳定的工作环境中有效且准确地纠正颌关系中积累的误差。如果患者咀嚼功能差或有与咬合相关的主诉,应进行该技术操作。然而,对正中关系和最大牙尖交错位之间前后差异过大的义齿或咬合垂直距离极低的义齿进行临床重新上架,被认为效果较差。临床重新上架程序对于制作高质量义齿和维护已在使用的义齿而言,仍然是一项必不可少的技能。