Nam Junghyun, Oh Jihwan, Kim Sunjai, Pyo Se-Wook, Chang Jae-Seung
Department of Prosthodontics, Gangnam Severance Dental Hospital, Yonsei University College of Dentistry, 211 Eonju-Ro, Gangnam-Gu, Seoul, 06273, Korea.
Sci Rep. 2025 Jul 11;15(1):25086. doi: 10.1038/s41598-025-97615-x.
This study aimed to assess the changes in maxillary master casts that occur during complete denture fabrication, focusing on a compression molded denture. Digital merging techniques were used to measure the changes in 12 maxillary master casts at various fabrication stages. Measurements were performed from master cast formation to teeth arrangement using scanable ball markers and digital overlay techniques. The changes observed in the master cast were categorized as follows: S12 for the alterations from cast fabrication to occlusal rim formation, S23 for the alterations from recording jaw relations to teeth arrangement, and S13 for the overall changes throughout the entire fabrication process. The posterior seal area exhibited the most significant changes, until the jaw relation stage (S12). Statistical analyses revealed significant differences in changes among anatomical areas at different fabrication stages. These findings underscore the importance of considering alterations in the master cast during denture fabrication, when using traditional methods. Traditional techniques, such as the flask-pack-press, can induce substantial alterations in areas critical for denture retention and stability. This study highlights the need for a comprehensive assessment of fabrication processes to enhance denture quality and patient satisfaction. It provides valuable insights into master cast alterations that occur during complete denture fabrication. Efforts to minimize deformations in master casts are essential for improving patient satisfaction and oral health outcomes.
本研究旨在评估全口义齿制作过程中上颌主模型的变化,重点关注压模义齿。采用数字合并技术测量12个上颌主模型在不同制作阶段的变化。使用可扫描球形标记和数字叠加技术,从主模型形成到排牙阶段进行测量。在主模型中观察到的变化分类如下:从模型制作到咬合堤形成的变化为S12,从记录颌关系到排牙的变化为S23,整个制作过程的总体变化为S13。直到颌关系阶段(S12),后堤区表现出最显著的变化。统计分析显示,不同制作阶段不同解剖区域的变化存在显著差异。这些发现强调了在使用传统方法制作义齿时考虑主模型变化的重要性。传统技术,如包埋-加压法,可在对义齿固位和稳定性至关重要的区域引起显著变化。本研究强调需要对制作过程进行全面评估,以提高义齿质量和患者满意度。它为全口义齿制作过程中主模型的变化提供了有价值的见解。尽量减少主模型变形的努力对于提高患者满意度和口腔健康结果至关重要。