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评估衬里实验室阶段的咬合变化:一项体外研究。

Assessment of occlusion changes during laboratory phase of relining: An in vitro study.

机构信息

Department of Prosthodontics and Crown and Bridge, A B Shetty Memorial Institute of Dental Sciences, NITTE (Deemed to be University), Mangalore, Karnataka, India.

出版信息

J Indian Prosthodont Soc. 2024 Jul 1;24(3):259-265. doi: 10.4103/jips.jips_363_23.

Abstract

AIM

Assessment of occlusion changes during laboratory phase of relining is essential to evaluate the occlusal discrepancies that could get incorporated in the denture with the use of different relining materials. Since the long term stability and functional success of the denture is heavily influenced by occlusion, an In-vitro study to assess these changes after relining is warranted. The aim of the study is to evaluate the changes in occlusion during laboratory phase of relining procedure.

SETTINGS AND DESIGN

This is an in vitro study with a total of 30 specimen.

MATERIALS AND METHODOLOGY

A total of 30 maxillary standardized dentures were fabricated after mounting on a semi adjustable articulator. These samples will be divided into three groups based on the relining material used (Autopolymerizing resin, Heat-cure resin, Tissue conditioner). The vertical dimension, Centric contact points and eccentric contact points were measured before and after relining.

STATISTICAL ANALYSIS USED

The variables were tested to see if they had a normal distribution using the Shapiro-Wilk test. Parametric distribution was seen for ECP leading to further comparison using one way analysis of variance (ANOVA). Non-parametric distribution was found while testing the VD, CCP leading to adoption of Kruskal-wallis test for comparison of groups. Dunn Bonferroni test was done for VD since results were significant.

RESULTS

The results of this in-vitro study showed statistically significant difference with respect to change in vertical dimension in all groups pre and post relining (P = 0.005). The centric contact points showed lesser variation in position when comparing the pre to the post relining phase with the use of autopolymerising resins, whereas heat cure resins and tissue conditioners showed statistically significant difference in the centric point contacts post relining. No statistically significant changes were seen in eccentric occlusion post relining in all groups. Tissue conditioners showed minimum mean changes in eccentric contacts.

CONCLUSION

Within the limitations of this study, the use of autopolymerising resins depicted the most stable results with respect to occlusion, for relining of dentures.

摘要

目的

评估衬里的实验室阶段的咬合变化对于评估不同衬里材料可能导致义齿中包含的咬合差异至关重要。由于义齿的长期稳定性和功能成功受到咬合的严重影响,因此进行评估衬里后这些变化的体外研究是有必要的。本研究的目的是评估衬里过程的实验室阶段的咬合变化。

设置和设计

这是一项共 30 个样本的体外研究。

材料和方法

在半可调式牙合架上安装后,共制作了 30 个上颌标准义齿。这些样本将根据使用的衬里材料(自聚物树脂、热固性树脂、组织调节剂)分为三组。在衬里前后测量垂直距离、中心接触点和偏侧接触点。

统计学分析

使用 Shapiro-Wilk 检验测试变量是否具有正态分布。发现 ECP 具有偏态分布,因此进一步使用单向方差分析(ANOVA)进行比较。在测试 VD 和 CCP 时发现非参数分布,因此采用 Kruskal-Wallis 检验进行组间比较。由于结果具有统计学意义,因此对 VD 采用了 Dunn-Bonferroni 检验。

结果

这项体外研究的结果显示,在所有衬里前后组中,垂直距离的变化具有统计学显著差异(P = 0.005)。与衬里前相比,使用自聚物树脂时中心接触点的位置变化较小,而热固性树脂和组织调节剂在衬里后中心接触点显示出统计学显著差异。在所有组中,偏侧咬合在衬里后没有统计学显著变化。组织调节剂在偏侧接触方面显示出最小的平均变化。

结论

在本研究的限制范围内,自聚物树脂在义齿衬里方面显示出最稳定的咬合结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e540/11321486/36e702ec2c09/JIPS-24-259-g001.jpg

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