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蜡型试戴义齿的临床评估

Clinical evaluation of the wax trial denture.

作者信息

Desjardins R P

出版信息

J Am Dent Assoc. 1982 Feb;104(2):184-90. doi: 10.14219/jada.archive.1982.0013.

DOI:10.14219/jada.archive.1982.0013
PMID:7035522
Abstract

A complete denture is a mechanical object, much of which is fabricated outside the dental operatory. Its specific fabrication, however, is dictated by clinical facts, as outlined in instructions provided by the dentist. This mechanical object must function in a biologic atmosphere, and every effort must be made to assure a harmonious relationship between the mechanical and the biologic. The wax trial denture stage becomes a critical phase of complete denture care in evaluating this relationship. The wax trial denture should be evaluated relative to trial base stability, vertical dimension, centric and protrusive jaw relationships, tooth selection, the level of the occlusal plane, buccolingual and anteroposterior tooth position, and occlusal articulation. Although all of these factors should be further evaluated at the denture insertion stage as well as at each recall visit, only at the wax trial denture stage can significant changes be easily accomplished. The wax trial denture evaluation should receive adequate consideration in any complete denture technique.

摘要

全口义齿是一个机械制品,其大部分是在牙科室以外制作的。然而,它的具体制作是由临床实际情况决定的,正如牙医提供的指导说明中所概述的那样。这个机械制品必须在生物环境中发挥作用,因此必须尽一切努力确保机械与生物之间的和谐关系。在评估这种关系时,蜡型试戴义齿阶段成为全口义齿护理的关键阶段。蜡型试戴义齿应根据试戴基托稳定性、垂直距离、正中及前伸颌关系、牙齿选择、咬合平面高度、颊舌向及前后向牙齿位置以及咬合关系来进行评估。尽管所有这些因素在义齿戴入阶段以及每次复诊时都应进一步评估,但只有在蜡型试戴义齿阶段才能轻松实现重大改变。在任何全口义齿技术中,都应充分考虑蜡型试戴义齿的评估。

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