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[单侧磨牙缺失种植修复牙弓上的牙合力分布]

[The occlusal force distribution on the dental arch restored with implants in uni-lateral molars missing].

作者信息

Shiota M, Shigeoka Y, Iritani O

机构信息

Clinic for Oral Implant, University Hospital, Faculty of Dentistry, Tokyo Medical and Dental University.

出版信息

Kokubyo Gakkai Zasshi. 1998 Sep;65(3):297-301. doi: 10.5357/koubyou.65.297.

Abstract

The object of this study was to discuss the occlusal force distribution on the dental arch before and after wearing implant-supported prostheses. The occlusal force was measured on four patients missing uni-lateral molars restored with 14 dental implants. The occlusal force distribution was represented as the occlusal force bearing rate (B.R.) which is the percentage of occlusal force on each portion to the total occlusal force. B.R. of the implant portion, of the non-implant side molar portion and of the anterior portion were calculated on four patients. B.R. of the premolar implant portion and of the molar implant portion were calculated on two patients. The pressure sensitive sheets and the image scanner (Dental Prescale 50H type R and Occluzer FPD 703, Fuji Photo Film Co.) were used in this study. The results were as follows: 1. The corresponding occlusal force was also born with the implant portion. Therefore, the total occlusal force increased, and the occlusal force distribution was extended to the same degree as the natural dentition after wearing the implant-supported prostheses. 2. The occlusal force and B.R. on the molar implant portion were considerably large regardless of wearing premolar implants. 3. The occlusal force and B.R. on the most distal implant in any molar portion were almost constant. These results suggested that the implant restoration should be useful for recovering occlusal functions, and that the most distal implant on the dental arch should have the sufficient bearing potential.

摘要

本研究的目的是探讨佩戴种植体支持的修复体前后牙弓上的咬合力分布情况。对4例单侧磨牙缺失并采用14颗牙种植体修复的患者测量了咬合力。咬合力分布用咬合力承载率(B.R.)表示,即各部分咬合力占总咬合力的百分比。计算了4例患者种植体部分、非种植侧磨牙部分和前部的B.R.。计算了2例患者前磨牙种植体部分和磨牙种植体部分的B.R.。本研究使用了压敏片和图像扫描仪(富士胶片株式会社的Dental Prescale 50H型R和Occluzer FPD 703)。结果如下:1.种植体部分也承受相应的咬合力。因此,佩戴种植体支持的修复体后,总咬合力增加,咬合力分布扩展到与天然牙列相同的程度。2.无论是否佩戴前磨牙种植体,磨牙种植体部分的咬合力和B.R.都相当大。3.任何磨牙部分最远端种植体的咬合力和B.R.几乎恒定。这些结果表明种植体修复对恢复咬合功能应该是有用的,并且牙弓上最远端的种植体应该具有足够的承载潜力。

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