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采用400年前的材料和方法复制的木盘假牙。

Wooden Plate Denture Reproduced Using Materials and Methods From 400 Years Ago.

作者信息

Yoshida Kazuya

机构信息

Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, Kyoto, JPN.

出版信息

Cureus. 2024 Dec 13;16(12):e75641. doi: 10.7759/cureus.75641. eCollection 2024 Dec.

Abstract

This study aimed to reproduce a complete wooden plate denture, which was the first in the world to retain suction under negative pressure, using the same materials and methods from 400 years ago (i.e., the Edo period) to verify its masticatory performance. A complete wooden plate denture was fabricated based on the maxilla of a 90-year-old female. An impression of the maxilla was made using beeswax, which was pressed onto the negative impression to create a working model. Red food coloring was applied to the working model and pressed onto a wooden denture base made of boxwood, and the marked areas were then carved with chisels and carving knives. Food coloring was applied to the alveolar ridges of the subject and the fit was adjusted. Ivory was used to create artificial teeth, which were carved in a dovetail form and embedded in Japanese raw lacquer. Masticatory performance was assessed using the gummy-jelly test and occlusal force measurement, and the results of current and wooden dentures were compared. The masticatory ability of the wooden denture (185 mg/dL) was lower than that of the current denture (209 mg/dl). In contrast, the mean occlusal force was slightly higher with the wooden denture (31.8 MPa) than with the current denture (31.4 MPa). This study suggests that wooden plate dentures were likely functional during the period when they were used. Japanese wooden dentures hold significant importance in the evolution of denture technology.

摘要

本研究旨在使用400年前(即江户时代)的相同材料和方法,复制出世界上首个能在负压下保持吸附力的完整木盘假牙,以验证其咀嚼性能。基于一名90岁女性的上颌制作了一副完整的木盘假牙。用蜂蜡对上颌取模,将其按压在阴模上制作工作模型。将红色食用色素涂在工作模型上,再按压在由黄杨木制成的木假牙基托上,然后用凿子和雕刻刀雕刻标记区域。将食用色素涂在受试者的牙槽嵴上并调整贴合度。用象牙制作人造牙,将其雕刻成燕尾形并嵌入日本生漆中。使用软糖测试和咬合力测量来评估咀嚼性能,并比较现代假牙和木假牙的结果。木假牙的咀嚼能力(185毫克/分升)低于现代假牙(209毫克/分升)。相比之下,木假牙的平均咬合力(31.8兆帕)略高于现代假牙(31.4兆帕)。本研究表明,木盘假牙在使用期间可能具有功能。日本木假牙在假牙技术的发展中具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6191/11725228/3dfd4b3233b7/cureus-0016-00000075641-i01.jpg

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