Denture, Partial

义齿,部分
  • 文章类型: Journal Article
    从16世纪上半叶开始,日本将利用吸力进行全口义齿固位的现代理论应用于木板假牙。这是一个惊人的成就,因为它在19世纪下半叶近300年后在北美和欧洲临床应用。木制假牙是日本独有的,源于熟练的日本工艺,在其他国家没有。我们全面审查了有关木板假牙的报告,分析了145个完整和局部义齿,讨论他们的历史。日本木板假牙主要由盒子木制成,人造牙齿是由佛塔石制成的,象牙,天然牙齿将小指甲打入磨牙区域。许多现有的假牙在咬合面上显示出磨损,从而表明穿着者能够充分咀嚼。木板假牙在20世纪初已经使用了400年。尽管在西方文学史上没有提到日本木制假牙,它们是义齿发展史的重要组成部分。
    The modern theory of complete denture retention using suction was applied to wooden plate dentures in Japan from the first half of the 16th century, which is an astonishing achievement since it was clinically applied in North America and Europe in the latter half of the 19th century nearly 300 years later. Wooden dentures are unique to Japan resulting from skilled Japanese craftsmanship and are not found in other countries. We comprehensively reviewed reports on wooden plate dentures, analyzed 145 complete and partial dentures, and discussed their history. Japanese wooden plate dentures are mainly made of box wood, and artificial teeth are made of pagodite, ivory, and natural teeth. Small nails were driven into the molar region. Many existing dentures revealed attrition on the occlusal faces, thereby indicating that the wearers were able to masticate sufficiently. Wooden plate dentures have been used for 400 years in the early 20th century. Although Japanese wooden dentures have not been mentioned in the history of dentistry in Western literature, they comprise an important part of the history of denture development.
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  • 文章类型: English Abstract
    UNASSIGNED: The applications of personalized abutments and abutment crown bridge products have increased year by year, but there is no clear requirement for clinical evaluation of the same variety of such products. This study mainly introduces the clinical evaluation concerns of personalized abutments and abutment crown bridge products, in order to provide reference for the declaration and registration of such products.
    UNASSIGNED: The clinical evaluation of personalized abutments and crown bridge products are summarized, and the research content of clinical evaluation is clarified.
    UNASSIGNED: The clinical evaluation requirements that need to be considered by enterprises are introduced.
    UNASSIGNED: Personalized abutment and abutment crown bridge products can refer to this study when they are launched in China, mainly using in vitro performance comparison tests for equivalence verification.
    UNASSIGNED: 个性化基台及基台冠桥产品申报量逐年增加,但目前对于该类产品的同品种临床评价没有明确要求,该研究主要介绍了个性化基台及基台冠桥产品的临床评价关注点,以期对该类产品的申报注册提供参考。.
    UNASSIGNED: 通过总结个性化基台及冠桥产品的临床评价审评情况,明确其临床评价时的研究内容。.
    UNASSIGNED: 该研究中介绍了注册申请人需要考虑的性能要求及同品种产品临床数据的具体要求。.
    UNASSIGNED: 个性化基台及基台冠桥产品在中国境内上市时可参考本研究相关内容,主要通过体外测试研究论证等同性。.
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  • 文章类型: Multicenter Study
    目的:缺乏有关也门佩戴可移动全口义齿和局部义齿的个人的卫生习惯和护理来源的数据。这项研究的目的是探索行为,卫生习惯,以及也门使用全口义齿和局部义齿的患者的护理信息来源。
    方法:采用描述性横断面研究设计,并纳入217名佩戴可移动全口义齿和/或部分义齿的连续参与者的样本.采用问卷收集人口统计信息数据,教育程度,假牙习惯,义齿清洁的做法,并遇到困难。采用SPSS软件进行统计学分析,使用卡方检验确定显著性,显著性水平为.05。
    结果:数据分析显示,大多数参与者是男性(72.4%),平均年龄为65.14岁。53%的参与者戴着局部假牙,34.6%的人戴着全口假牙。只有6.5%的参与者同时佩戴全口义齿和局部义齿,6%的人戴着假牙。大多数参与者(88.47%)的假牙由丙烯酸材料制成。此外,43%的参与者在睡觉时戴假牙,61.3%的假牙存放在干燥的地方,不使用时没有装水的容器。最常报道的清洁方法是仅用水(24.4%),其次是水和肥皂(19.4%)。此外,大部分参与者(59.4%)接受了牙医的义齿护理信息.然而,大多数(59%)没有去看牙医进行定期义齿维护或任何义齿相关问题.数据分析未显示年龄或受教育程度与义齿清洁方法之间有任何显着关联。
    结论:这项横断面调查深入了解了也门可摘义齿佩戴者的卫生知识和实践。调查结果强调了在该人群中加强口腔卫生教育和意识的必要性。该研究为口腔健康专业人员设计有针对性的干预措施和教育举措提供了宝贵的见解,旨在促进适当的义齿护理和维护。这些努力有可能增强可摘义齿佩戴者的口腔健康和整体健康。
    There is a lack of data regarding the hygiene practices and sources of care among individuals in Yemen who wear removable complete and partial dentures. The purpose of this study was to explore the behaviors, hygiene habits, and sources of care information among patients who utilize complete and partial dentures in Yemen.
    A descriptive cross-sectional research design was utilized, and a sample of 217 consecutive participants who wore removable complete and/or partial dentures were enlisted. A questionnaire was employed to collect data on demographic information, educational attainment, denture habits, denture cleaning practices, and encountered difficulties. Statistical analysis was conducted using SPSS software, and significance was determined using chi-square tests, with a significance level of .05.
    The data analysis revealed that a majority of the participants were male (72.4%) and had an average age of 65.14 years. Fifty-three percent of the participants wore partial dentures, while 34.6% wore complete dentures. Only 6.5% of the participants wore both complete and partial dentures, and 6% wore overdentures. The majority of participants (88.47%) had dentures made of acrylic material. Additionally, 43% of participants wore dentures while sleeping, and 61.3% stored their dentures in dry places without a water-filled container when not in use. The most commonly reported cleaning methods were water only (24.4%), followed by water and soap (19.4%). Furthermore, a large portion of the participants (59.4%) received denture care information from dentists. However, the majority (59%) did not visit a dentist for regular denture maintenance or any denture-related issues. The data analysis did not reveal any significant association between age or education level and denture cleaning methods.
    This cross-sectional survey provides insight into the hygiene knowledge and practices of removable denture wearers in Yemen. The findings underscore the necessity for enhanced oral hygiene education and awareness within this population. The study offers valuable insights for oral health professionals to design targeted interventions and educational initiatives aimed at promoting proper denture care and maintenance. These efforts have the potential to enhance the oral health and overall well-being of removable denture wearers.
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  • 文章类型: Journal Article
    背景:部分牙弓的成年人的患病率预计将超过想象,需要更换缺失牙齿的患者数量也在缓慢增加。与固定或植入假体相比,已知可移动局部义齿可提供对缺失牙齿的大量替代,同时还具有额外的优势。主要是老年患者。润湿性和水接触角对义齿基托材料的性能和耐久性有很大影响。在假牙的情况下,必须有足够的水分分布以确保出色的润湿性,这对舒适度和口腔健康有影响。进行这项研究的目的是找出使用PEEK(聚醚醚酮)所取得的进步是否会被证明比当前材料谱中的当前升级更有益。
    方法:本研究在体外条件下进行。所有的制造和处理仅由一个操作者完成。所使用的材料被分成三组,每组包括20个样品。A组是改性聚甲基丙烯酸甲酯(BredentPolyan),B组为聚甲醛缩醛树脂(Biodentaplast),C组为PEEK。使用OssilaGonometer测量接触角。用于测试的三种液体包括蒸馏水,天然唾液和口腔润湿溶液(湿口液体,ICPA印度)。从没有医学状况和正常唾液分泌的个体收集人唾液。
    结果:使用单向ANOVA检验和使用PostHocTukey的诚实显着差异进行成对比较来分析数据。表1包括义齿基托材料的平均水接触角和各种义齿基托材料的平均接触角。在唾液中,口腔润湿溶液和蒸馏水,平均接触角最高,平均接触角最小分别见于Polyan和Biodentapast。在进一步比较中,PEEK和Polyan以及Biodentaplast和Polyan之间存在显着差异。
    结论:从我们掌握的资源和材料中,可以得出结论,Polyan,Biodentaplast和PEEK可用作铸造局部义齿框架的可行选择。
    BACKGROUND: The prevalence of adults with partially dental arches is expected to be more than imagined and patients requiring replacement of missing teeth are slowly increasing in number too. Removable partial dentures are known to provide for substantial replacement for the missing teeth with also added advantages when compared to fixed or implant prosthesis, mainly in elderly patients. Denture base material performance and durability are greatly influenced by wettability and water contact angle. In the case of dentures; adequate moisture distribution is necessary to ensure excellent wettability which has an influence on comfort and oral health. The purpose of conducting this study was to find out whether the advancements made using PEEK (Polyether ether ketone) would prove to be more beneficial than the current upgrades in the current material spectrum.
    METHODS: This study was performed under in vitro conditions. All the fabrication and processing was done only by one operator. The materials used were divided into three groups each comprising 20 samples. Group A was modified polymethylmethacrylate (Bredent Polyan), Group B was polyoxymethylene acetal resin (Biodentaplast) and Group C was PEEK. An Ossila Goniometer was used to measure the contact angle. The three types of liquids used for the testing included distilled water, natural saliva and mouth wetting solution (Wet Mouth Liquid, ICPA India). Human saliva was collected from an individual with no medical conditions and normal salivary secretion.
    RESULTS: The data was analyzed using One-way ANOVA test and a pairwise comparison using the Post Hoc Tukey\'s Honest Significant Difference. Table 1 consists of the mean water contact angles of the denture base materials and mean contact angles of various denture base materials. In saliva, mouth wetting solution and distilled water, the highest mean and least mean contact angle was seen in Polyan and Biodentaplast respectively. A signicant difference was seen between PEEK and Polyan and Biodentaplast and Polyan on further comparison.
    CONCLUSIONS: From the resources and the materials at our disposal, it could be concluded that Polyan, Biodentaplast and PEEK and could be used as viable options in cast partial denture framework.
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  • 文章类型: Journal Article
    目的:这项研究的目的是分析和比较与植入物辅助的可移动局部义齿一起使用时,牙科植入物在各种位置上的应力分布。
    方法:这是一项体外研究。
    方法:代表下颌双侧部分缺牙的模型,缺少前磨牙和磨牙,使用环氧树脂制造。两个直径相似的植入物,尺寸为4.0mm×10mm(Dentium,韩国)被插入模型任一侧的第二磨牙和第二前磨牙区域,以比较各种植入物位置的生物力学效果。使用通用试验机在前磨牙和磨牙区域垂直施加两种类型的载荷100N和125N。使用微应变仪通过物理应力分析来测量铸造局部义齿下方的植入物上的载荷。
    方法:使用Mann-WhitneyU检验,比较了由于施加100N和125N载荷而在前磨牙与磨牙区域观察到的最大应力。
    结果:在物理应力分析中,获得的结果进行统计分析,种植体位置变化无统计学意义(100N时P=0.435,125N时P=0.718)。
    结论:在当前的研究中,物理应力的统计分析显示,前磨牙和磨牙区域的载荷之间的应力值没有显着差异。这表明植入物可以基于骨的可用性放置在前磨牙或磨牙区域而不影响应力分布。
    OBJECTIVE: The aim of this study was to analyze and compare the stress distribution on dental implants in various positions when used with implant-assisted removable partial dentures.
    METHODS: This was an in vitro study.
    METHODS: A model representing a mandibular bilateral partially edentulous condition, with missing premolars and molars, was fabricated using epoxy resin. Two implants of similar diameter measuring 4.0 mm × 10 mm (Dentium, Korea) were inserted in the second molar and the second premolar region on either side of the model for comparing the biomechanical effect of various implant locations. Two types of loads 100N and 125N were applied vertically using universal testing machines in the premolar and molar regions. The loads on the implants beneath the cast partial denture were measured by physical stress analysis using a microstrain gauge.
    METHODS: A comparison of maximum stress observed at the premolar versus molar regions due to the application of the 100N and 125N loads was done using the Mann-Whitney U-test.
    RESULTS: In physical stress analysis, obtained results were statistically analyzed, and the result was statistically not significant (P = 0.435 at 100N and P = 0.718 at 125N) in positional changes of implant.
    CONCLUSIONS: In the current study, the statistical analysis of physical stress revealed no significant differences in stress values between the loadings at the premolar and molar regions. This suggests that the implant can be placed in either the premolar or molar region based on the availability of bone without affecting stress distribution.
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  • 文章类型: Journal Article
    背景:传统的可摘局部义齿(RPD)制造正在逐步淘汰,取而代之的是计算机辅助设计和计算机辅助制造(CAD-CAM)技术以及快速原型(RP),这提供了更有效的生产RPD框架的方法。然而,在RPD框架上比较这些方法的准确性和表面粗糙度的研究仍然很少。
    目的:这项体外研究的目的是评估使用2种不同的CAD-CAM技术数字化构建的I类钴铬(Co-Cr)可摘局部义齿框架的准确性和表面粗糙度:直接铣削(DM)和选择性激光熔化(SLM)。
    方法:在休息座椅准备后,扫描教育上颌石铸件以创建树脂模型。扫描了树脂模型,RPD框架是数字化设计的。构建了16个框架(n=8)。定义两组。在直接铣削(DM)组中,RPD框架的标准镶嵌语言(STL)文件用于直接从Co-Cr空白铣削设计。在选择性激光熔化(SLM)组中,RPD框架的STL文件用于使用选择性激光熔化技术从Co-Cr粉末打印设计。GeomagicControlX软件程序用于测量制造框架的精度。使用光学轮廓术测试表面粗糙度。采用非配对t检验比较2组(α=0.05)。
    结果:与SLM组(456±122µm)相比,DM组显示出明显更高的平均值±标准偏差准确性(189±9µm)(P<.001)。关于表面粗糙度,DM组(0.157±0.001mm)表面粗糙度明显低于SLM组(0.256±0.001mm)(P<.001)。
    结论:与三维打印SLM技术相比,直接铣削制造技术能够以更高的精度和更低的表面粗糙度制造Co-CrRPD框架。
    BACKGROUND: Traditional removable partial denture (RPD) manufacture is being phased out in favor of computer-aided design and computer-aided manufacturing (CAD-CAM) techniques and rapid prototyping (RP), which provide more efficient methods of producing RPD frameworks. However, studies comparing the accuracy and surface roughness of these approaches on RPD frameworks are still scarce.
    OBJECTIVE: The purpose of this in vitro study was to evaluate the accuracy and surface roughness of class I cobalt chromium (Co-Cr) removable partial denture frameworks digitally constructed using 2 different CAD-CAM technologies: direct milling (DM) and selective laser melting (SLM).
    METHODS: An educational maxillary stone cast was scanned to create a resin model after rest seat preparation. The resin model was scanned, and an RPD framework was digitally designed. Sixteen frameworks were constructed (n=8). Two groups were defined. In the direct milling (DM) group, the standard tessellation language (STL) file of the RPD framework was used to mill the design from a Co-Cr blank directly. In the selective laser melting (SLM) group, the STL file of the RPD framework was used to print the design from Co-Cr powder using the selective laser melting technique. Geomagic Control X software program was used to measure the accuracy of the fabricated frameworks. Surface roughness was tested using optical profilometry. An unpaired t test was used to compare the 2 groups (α=.05).
    RESULTS: The DM group showed significantly higher mean ±standard deviation accuracy (189 ±9 µm) (P<.001) compared with the SLM group (456 ±122 µm). Regarding the surface roughness, the DM group (0.157 ±0.001 mm) showed significantly lower surface roughness (P<.001) compared with the SLM group (0.256 ±0.001 mm).
    CONCLUSIONS: The direct milling fabrication technique enabled the fabrication of Co-Cr RPD frameworks with higher accuracy and less surface roughness when compared with the 3-dimensionally printed SLM technique.
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  • 文章类型: Journal Article
    目的:分析局部义齿咬合特征与颞下颌关节(TMJ)关节痛发生率之间的潜在关联。
    方法:共收集了101名局部义齿佩戴者,45例根据颞下颌关节疾病诊断标准(DC/TMD)诊断为单侧TMJ关节痛。采用二元Logistic回归分析。TMJ无症状组(n=45)量化为0,而TMJ关节痛组(n=56)量化为1。总的来说,分析了13个闭塞变量:性别,年龄,假牙的数量,带有假牙的牙列象限的数量,上颌或下颌牙列的前或后假体位置,闭塞的假体对,前过度喷射,和过咬关系。采用了简单和多元二元逻辑模型,因此,它们对TMJ关节痛的风险影响。
    结果:将咬合(OR=2.238)和上颌前牙(OR=0.305)输入简单的二元逻辑模型;而咬合(OR=2.774)加上上颌前牙(OR=0.347),咬合(OR=3.425)加单侧上颌后假体(OR=4.672),并将过咬(OR=3.476)加过喷射(OR=0.436)和下颌前假体(OR=0.177)输入到多变量逻辑回归模型中(所有,P<0.05)。
    结论:深覆牙的局部义齿佩戴者,尤其是那些单侧上颌后假体,单侧TMJ关节痛的患病率较高。
    OBJECTIVE: To analyze the potential association between the occlusion features and the incidence of temporomandibular joint (TMJ) arthralgia in patients with partial dentures.
    METHODS: A total of 101 partial denture wearers were collected, 45 with unilateral TMJ arthralgia diagnosed according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Binary logistic regression analysis was adopted. The TMJ asymptomatic group (n = 45) was quantified as 0, while the TMJ arthralgia group (n = 56) was quantified as 1. In total, 13 occlusion variables were analyzed: gender, age, number of prosthetic teeth, number of dentition quadrants with a prosthetic tooth, anterior or posterior prosthesis location in maxillary or mandibular dentition, occluded prosthesis pair, anterior overjet, and overbite relation. Simple and multiple binary logistic models were adopted, accordingly, for the risk impact of them on TMJ arthralgia.
    RESULTS: Overbite (OR = 2.238) and maxillary anterior prosthesis (OR = 0.305) were entered into the simple binary logistic model; while overbite (OR = 2.774) plus maxillary anterior prosthesis (OR = 0.347), overbite (OR = 3.425) plus unilateral maxillary posterior prosthesis (OR = 4.672), and overbite (OR = 3.476) plus overjet (OR = 0.436) and mandibular anterior prosthesis (OR = 0.177) were entered into the multivariate logistic regression model (all, P < .05).
    CONCLUSIONS: Partial denture wearers with a deep overbite, especially those with a unilateral maxillary posterior prosthesis, had a higher prevalence of unilateral TMJ arthralgia.
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  • 文章类型: English Abstract
    OBJECTIVE: To develop a protocol for setting artificial teeth in a complete removable denture without landmarks on the bite ridges.
    METHODS: Based on the analysis of the literature of various areas of dentistry and the clinical experience of doctors corresponding to each of the disciplines of the specialty, a protocol for setting teeth in a full prosthesis was developed and its theoretical justification was given.
    RESULTS: Using the method proposed by us, 324 prostheses were made for 162 patients with complete secondary adentia of two jaws. A clinical study and comparison with the generally accepted method of manufacturing prostheses using wax rollers was carried out. The method proposed by us showed greater efficiency based on a comparison of the results of functional tests after prosthetics.
    CONCLUSIONS: The described method is part of the concept of manufacturing a functional prosthesis, is used in removable prosthetics, but can also be used in non-removable prosthetics, allows highly accurate, in accordance with individual anatomical parameters and features, to restore the occlusion of the patient during the reconstruction of the dentition, taking into account individual anatomical and functional parameters.
    UNASSIGNED: Разработать протокол постановки искусственных зубов в полном съемном протезе без ориентиров на прикусных валиках.
    UNASSIGNED: Исследование проводили в двух группах пациентов с полным отсутствием зубов: в 1-й группе зубные ряды были поставлены по общеизвестной методике, во 2-й группе — по предложенной нами методике. В каждой группе было исследовано качество восстановления функции речи и жевания. Измерения проводили через 1 нед после установки протезов, через 3 мес и 6 мес после окончания лечения.
    UNASSIGNED: Было изготовлено 324 протеза для 162 пациентов с полным отсутствием зубов. Проведено клиническое исследование и сравнение с общепринятым методом изготовления протезов с использованием восковых валиков. Предложенный нами метод показал бóльшую эффективность на основании сравнения результатов функциональных тестов после протезирования.
    UNASSIGNED: Описанный способ является частью концепции изготовления функционального протеза. Возможно его применение как при съемном, так и при несъемном протезировании. Позволяет с высокой точностью восстановить окклюзию пациента при реконструкции зубного ряда с учетом индивидуальных анатомических и функциональных параметров.
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  • 文章类型: Journal Article
    目的:介绍了新开发的非侵入性方法,用于使用树脂复合材料替换缺失的牙齿并关闭后部区域的单齿间隙。
    方法:四种不同的非侵入性方法和技术程序,使用的材料和仪器在案例系列中介绍。这些包括直接口腔内插入复合材料(有和没有单独的成型辅助)和间接修复,传统或数字制造并粘合。
    结果:病例系列显示,所有四种方法均可用于替换后部区域的单颗缺失牙齿,满足当前临床要求。特别注意桥体的设计,连接器区域的尺寸,与相邻牙齿的近端接触牢固,卫生,以及非预备桥(NPB)的出现。详细比较了本案例系列中说明的直接和间接技术的优缺点。
    结论:目前已有几种直接和间接的非侵入性单齿置换方法。虽然证据仍然有限,有可能对NPB进行节俭的牙科干预。进一步的实验和临床研究是必要的,以证明它们可靠地满足质量要求(包括足够的存活率),满足成本效益标准(与治疗替代方案相比),并且人口有需求。
    OBJECTIVE: Newly developed non-invasive methods for replace a missing tooth and closing single-tooth gaps in the poster- ior region using resin composite are presented.
    METHODS: Four different non-invasive methods and the technical procedures, materials and instruments used are presented in a case series. These include the direct intraoral insertion of composite (with and without individual shaping aids) and indirect restorations, which are fabricated conventionally or digitally and bonded.
    RESULTS: The case series showed that all four methods can be used to replace single missing teeth in the posterior region, meeting current clinical requirements. Particular attention was paid to the design of the pontics, the dimension of the connector area, firm proximal contacts to the adjacent teeth, hygiene, and appearance of the non-prep bridges (NPBs). The advantages and disadvantages for both the direct and indirect techniques illustrated in this case series were com- pared in detail.
    CONCLUSIONS: Several direct and indirect non-invasive methods for single-tooth replacement are available today. Although the evidence is still limited, there is a potential for frugal dental interventions with NPBs. Further experimental and clinical studies are necessary to demonstrate that they reliably meet quality requirements (including sufficient survival rates), satisfy the criteria of cost-effectiveness (compared to treatment alternatives) and that there is a demand from the population.
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  • 文章类型: Editorial
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