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一种通过改良蜡道记录获得平衡与功能咬合的技术。

A Technique for Obtaining Balanced and Functional Occlusion Through Modified Wax-Path Record.

作者信息

Kanaparthi Durga Bhavani

机构信息

Department of Prosthodontics and Crown & Bridge, Drs Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Vijayawada, IND.

出版信息

Cureus. 2023 Aug 26;15(8):e44149. doi: 10.7759/cureus.44149. eCollection 2023 Aug.

Abstract

A difficult treatment problem exists to construct a complete denture as opposed to an unmodified natural dentition. A harmonious occlusion is difficult to achieve when malposed, supra-erupted or missing teeth are present in the opposing arch. This incurs compromised stability and retention, failure of the prosthesis and patient discomfort. The main aim of this article is to construct a functionally stable removable complete denture against an unmodified dentition using a functionally generated pathway (FGP) technique. The FGP technique refers to the "three-dimensional static expression of dynamic tooth movement." The functional movements made by the patient are utilized in this technique to have a harmonious occlusion with minimal intra-oral occlusal adjustments. The FGP technique can be used in the fabrication of a single crown, fixed partial dentures, removable partial dentures, complete dentures and dental implant prosthesis. This clinical report describes a method for developing the FGP occlusion for the patient having a completely edentulous maxillary arch against Kennedy's class IV edentulous mandibular arch.

摘要

与未改变的天然牙列相比,制作全口义齿存在一个棘手的治疗难题。当对颌牙弓出现错位、过长或缺失牙时,很难实现和谐的咬合关系。这会导致义齿的稳定性和固位力受损、修复体失败以及患者不适。本文的主要目的是使用功能生成路径(FGP)技术,针对未改变的牙列制作功能稳定的可摘全口义齿。FGP技术是指“动态牙齿移动的三维静态表现”。该技术利用患者的功能运动,以实现和谐的咬合,同时尽量减少口腔内的咬合调整。FGP技术可用于制作单冠、固定局部义齿、可摘局部义齿、全口义齿和牙种植修复体。本临床报告描述了一种针对上颌全牙列缺失、下颌为肯尼迪IV类牙列缺失患者建立FGP咬合的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1678/10460126/d53a9818970a/cureus-0015-00000044149-i01.jpg

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