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某些部件对下颌双侧游离端鞍式义齿刚性的影响。

The effect of some components on the rigidity of mandibular bilateral free end saddle dentures.

作者信息

Glantz P O, Stafford G D

出版信息

J Oral Rehabil. 1980 Nov;7(6):423-33. doi: 10.1111/j.1365-2842.1980.tb00461.x.

Abstract

One partially dentate person, his remaining teeth being 44, 43, 42, 41, 31, 32 and 33, was simultaneously provided with one maxillary complete denture and three mandibular free end saddle dentures having cobalt chromium alloy skeletons of different design. One denture was constructed with a lingual plate, another with a sublingual and a secondary bar, while on a third denture the major connector consisted of an enlarged secondary bar. On all the dentures occlusal rests were placed on teeth nos 44 and 33. Rosette strain gauges were placed in the midlines of all the major connectors. The gauges were calibrated on the master cast placed in a universal testing machine. The clinical recordings were taken from the gauges during one session under repeated loading conditions. Readings were repeated on one denture after removal of (1) the secondary bar and (2) the secondary bar and the occlusal rests. The recordings were used to calculate (1) the principal maximum and minimum strains and (2) the direction of the strains at the points of the bases beneath the centre of the gauges. The results show that studies of relevant functional deformation patterns of dentures can only be made in clinical experiments. Furthermore, they show that the base with an enlarged secondary bar exhibits more deformation than the other two types of base. Removal of the secondary bar did not significantly increase the deformation of the denture also equipped with a sublingual bar, neither did the removal of the occlusal rests. Both these changes, however, caused changes of the deformation patterns.

摘要

一名部分牙齿缺失的患者,其剩余牙齿为44、43、42、41、31、32和33,同时佩戴了一副上颌全口义齿和三副下颌游离端鞍式义齿,这些义齿具有不同设计的钴铬合金骨架。一副义齿采用舌板结构,另一副采用舌下板和副连接杆结构,而第三副义齿的主要连接体由扩大的副连接杆组成。所有义齿的支托均放置在44号和33号牙齿上。在所有主要连接体的中线处放置了玫瑰形应变片。应变片在放置于万能试验机中的工作模型上进行校准。在重复加载条件下的一个疗程中,从应变片获取临床记录。在移除(1)副连接杆和(2)副连接杆及支托后,在一副义齿上重复读取数据。这些记录用于计算(1)主最大应变和最小应变,以及(2)应变片中心下方基托各点处应变的方向。结果表明,义齿相关功能变形模式的研究只能在临床实验中进行。此外,结果还表明,具有扩大副连接杆的基托比其他两种类型的基托表现出更多的变形。移除副连接杆并没有显著增加同样配备舌下杆的义齿的变形,移除支托也没有。然而,这两种变化都导致了变形模式的改变。

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