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局部咬合升高夹板对咬合面高度的影响。一项针对成年人类的X线头影测量研究。

The effect of a partial bite raising splint on the occlusal face height. An x-ray cephalometric study in human adults.

作者信息

Dahl B L, Krogstad O

出版信息

Acta Odontol Scand. 1982;40(1):17-24. doi: 10.3109/00016358209019805.

Abstract

20 patients (18 - 50 years) with pathological attrition of upper and/or lower anterior teeth were treated, as a temporary measure, by means of a partial chrome-cobalt splint covering the palatal surfaces of the six upper front teeth. Tantalum implants to provide reference points were placed in the basal portion of upper and lower jaw bones. Lateral cephalometric radiographs were taken with and without the splint at the beginning of treatment and thereafter every two months till the difference between measurements was as small as possible. Changes in the occlusal face height were evaluated. Measurement reliability proved to be very high. Continuous use of the splint caused intrusion of the front teeth and eruption of the others in all patients. The intrusion was on an average 1.05 mm and the eruption 1.47 mm after 6 - 14 months, indicating a possible potential for tooth eruption in human adults. More eruption than intrusion appeared to take place in the youngest age groups. Sexual differences could not be established. Use of the splint did not cause the common symptoms of mandibular dysfunction. Lisping was the most serious complaint.

摘要

对20名年龄在18至50岁之间、上下前牙存在病理性磨耗的患者,作为临时措施,采用覆盖六颗上前牙腭面的部分铬钴夹板进行治疗。在上颌骨和下颌骨基部植入钽种植体以提供参考点。在治疗开始时,分别在佩戴夹板和不佩戴夹板的情况下拍摄头颅侧位片,此后每两个月拍摄一次,直至测量差异尽可能小。评估咬合面高度的变化。测量可靠性非常高。持续使用夹板导致所有患者的前牙压低和其他牙齿萌出。6至14个月后,前牙平均压低1.05毫米,其他牙齿平均萌出1.47毫米,表明成年人类牙齿可能具有萌出潜力。在最年轻的年龄组中,萌出似乎比压低更多。未发现性别差异。使用夹板未引发下颌功能障碍的常见症状。发音不清是最严重的主诉。

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