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一种新型旋转协调装置对非弧型半可调牙合架髁突水平定位引导的影响

Effect of a novel rotation coordinating device on registered horizontal condylar guidance of nonarcon semi-adjustable articulators.

作者信息

Manshaee Farbod, Najatidanesh Farahnaz, Savabi Omid, Atash Ramin

机构信息

Dental Students' Research Committee, Department of Prosthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Prosthodontics, Dental Materials Research Center, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Dent Res J (Isfahan). 2023 Sep 27;20:101. eCollection 2023.

Abstract

BACKGROUND

Horizontal condylar guidance (HCG) is registered by protrusive interocclusal records but in nonarcon articulators, these records can affect the accuracy. The present study aimed to evaluate the effect of a novel rotation coordinating device (RCD) on condylar guidance setting with protrusive interocclusal records.

MATERIALS AND METHODS

The study was designed as a comparative investigation. Stone maxillary and mandibular casts were mounted on a fully adjustable instrument as the patient. Duplicate casts were mounted on an arcon and a nonarcon articulator with corresponding face bow records and in maximum intercuspation relation. Five different condylar guidance inclinations for both sides (20°, 30°, 40°, 50°, and 60°) were set on the fully adjustable instrument and 16 protrusive interocclusal records were established at each setting. HCG was set for arcon, nonarcon articulators, and nonarcon articulators with RCD. Data were analyzed using one-sample -test to compare with actual HCG and one-way analysis of variance ( =0.05).

RESULTS

Mean HCG for studied articulators was 35.40 for arcon, 30.31 for nonarcon without RCD, and 35.61 for nonarcon with RCD which were significantly different from actual HCG ( < 0.05). HCG of the nonarcon with RCD showed no significant difference with arcon articulator ( = 0.71) while both were significantly different from nonarcon without RCD ( < 0.001).

CONCLUSION

"The RCD" compensates the condylar guidance inclination difference between arcon and nonarcon articulators. The device precisely transfers the hinge movement of the upper member of the articulator to the condylar track.

摘要

背景

水平髁导斜度(HCG)通过前伸牙合记录来确定,但在非可调牙合架中,这些记录会影响准确性。本研究旨在评估一种新型旋转协调装置(RCD)对使用前伸牙合记录确定髁导斜度的影响。

材料与方法

本研究设计为一项对比研究。将石膏上颌和下颌模型像患者一样安装在一台全可调仪器上。复制模型通过相应的面弓记录安装在可调牙合架和非可调牙合架上,并处于最大牙尖交错关系。在全可调仪器上设置两侧五种不同的髁导斜度(20°、30°、40°、50°和60°),每种设置下制作16个前伸牙合记录。分别为可调牙合架、非可调牙合架以及带有RCD的非可调牙合架设置HCG。使用单样本t检验将数据与实际HCG进行比较,并采用单因素方差分析(α = 0.05)。

结果

所研究牙合架的平均HCG,可调牙合架为35.40,不带RCD的非可调牙合架为30.31,带RCD的非可调牙合架为35.61,这些均与实际HCG有显著差异(P < 0.05)。带RCD的非可调牙合架的HCG与可调牙合架无显著差异(P = 0.71),而二者与不带RCD的非可调牙合架均有显著差异(P < 0.001)。

结论

“RCD”补偿了可调牙合架和非可调牙合架之间的髁导斜度差异。该装置能精确地将牙合架上部件的铰链运动传递至髁道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9f2/10630540/b21b4ac18228/DRJ-20-101-g001.jpg

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