complete denture

全口义齿
  • 文章类型: Case Reports
    不合适和不稳定的全口义齿假体是再吸收脊受损的患者最常面临的问题。保留,支持,假牙的稳定性在严重吸收的脊中受损,导致咀嚼和吞咽困难。可以通过使用适当的粘膜静压印模技术来管理松弛的组织,并且可以通过使用中性区域布置人造牙齿来协调全口义齿假体与神经肌肉功能来管理严重吸收的脊。此病例报告介绍了Hobkirk技术和中性区概念的结合,以修复松弛组织和严重吸收的牙槽。
    The ill-fitting and unstable complete denture prosthesis is the most commonly faced problem by patients with compromised resorbed ridge. The retention, support, and stability of dentures are compromised in severely resorbed ridges, leading to difficulty in mastication and swallowing. The flabby tissue can be managed by using appropriate mucostatic impression techniques, and severely resorbed ridges can be managed by the coordination of a complete denture prosthesis with the neuromuscular function using a neutral zone for the arrangement of artificial teeth. This case report presents a combination of the Hobkirk technique and the neutral zone concept for the rehabilitation of the flabby tissue and severely resorbed alveolar ridge.
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  • 文章类型: Journal Article
    患者对完全无牙患者的全口义齿治疗的益处和风险的看法令人感兴趣。该研究由79名参与者组成,他们参加了全口义齿治疗。使用经过验证的问卷记录参与者对全口义齿治疗的看法。问卷的答案在三个领域进行了评估:(1)全口义齿治疗的益处(积极感知)(2)全口义齿治疗的风险(消极感知)和(3)不治疗的后果。将数据制成表格用于描述性分析。总人口的平均年龄为62.22,范围为58至80岁。研究中包括的总人口对全口义齿治疗表现出积极的看法。全口义齿治疗的益处显示所有参与者的得分最高(1817),而全口义齿治疗的风险显示得分最低(237)。性别,义齿经验和社会经济地位对全口义齿治疗的看法没有影响。参与者对全口义齿治疗表现出积极的看法,其益处得分最高,而全口义齿治疗的风险得分最低。对全口义齿治疗的看法不受性别的影响,假牙经验和社会经济地位。
    The perceptions of the patients regarding the benefits and risk of complete denture treatment in completely edentulous patients are of interest. The study composed of 79 participants who presented themselves for complete denture therapy. The perception of the participants towards the complete denture therapy was recorded using a validated questionnaire. The answers of the questionnaire were evaluated in three domains: (1) Benefits (positive perception) of the complete denture therapy\' (2) Risks (Negative perception) of the complete denture therapy and (3) Consequences of no treatment. The data were tabulated for descriptive analysis. The average age of the total population was 62.22 ranging from 58 to 80 years. Total population included in the study shows positive perception regarding the complete denture therapy. The benefits of the complete denture therapy show highest score (1817) by all the participants while the risks of the complete denture therapy show lowest score (237). The gender, denture experience and the socioeconomic status had no influence on the perception towards the complete denture therapy. Participants showed positive perception towards the complete denture therapy with highest score in benefits and lowest score for the risks of the complete denture therapy. The perception of the complete denture therapy was not influenced by the gender, denture experience and the socioeconomic status.
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  • 文章类型: Case Reports
    一个人的面部外观在社交和职业环境中都很重要。失去牙齿会影响语音和咀嚼,但它也有一个美学效果下脸\的外观。面颊下沉是由肌肉张力降低和牙槽脊吸收速率增加引起的。如果无牙患者接受面部和牙齿康复,他们将在美学上转变。因此,患者的社会接触和自我价值感都得到了改善。当个体表现出明显的肺泡过程吸收时,传统假牙无法提供足够的支持,因此需要补充脸颊支撑。用于提升或丰满脸颊的器具可以用于此。一名68岁的男性患者向口腔修复科报告,主要抱怨牙齿缺失和美学不良。经过全面检查,计划使用带有可拆卸脸颊丰满器的全口义齿假体。由于其易于安装和使用,因此对脸颊水管的按钮保持是一个优势。这篇文章概述了一个简单的,便宜,和非侵入性的过程,为那些无牙的人使用一个按钮创建一个不可拆卸的脸颊丰满。二合一假体增强了面部的外观,同时还可以替换丢失的牙齿。
    A person\'s facial appearance matters in both social and professional contexts. Losing teeth has an impact on phonetics and mastication, but it also has an aesthetic effect on the lower face\'s appearance. Cheek sinking is caused by a decrease in muscular tone and an increase in the rate of resorption of the alveolar ridges. An edentulous patient will transform aesthetically if they receive facial as well as dental rehabilitation. The patient\'s social contacts and sense of self-worth both improve as a result. When an individual exhibits significant alveolar process resorption, traditional dentures are unable to offer sufficient support, hence requiring supplementary cheek support. Appliances for elevating or plumping the cheeks can be used for this. A 68-year-old male patient reported to the department of prosthodontics with a chief complaint of missing teeth and poor aesthetics. After a complete examination, a complete denture prosthesis with a detachable cheek plumper was planned. Press button retention for cheek plumpers is an advantage due to its easy installation and use. This article outlines a straightforward, inexpensive, and non-invasive process for creating a non-detachable cheek plumper using a press button for those who are edentulous. The two-in-one prosthesis enhances the appearance of the face while also replacing lost teeth.
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  • 文章类型: Case Reports
    影响下颌或上颌骨牙槽脊的常见临床状况称为“松弛脊”。“这种情况涉及可移动软组织的浅表区域。它在长期假牙使用者中特别普遍,尤其是在前下部区域。当增生性软组织取代牙槽骨时,就会出现松弛脊,导致移动,hypermobile,和经常水肿的组织。这种情况最常见于口腔无牙区域,尤其是在上颌前区。为患者提供良好的配合,有必要创造一个具有精确形态的义齿,独特的轮廓,和松弛组织的流动性。松弛脊的存在会显著影响稳定性,fit,和假牙的功能。管理的松弛组织包括各种方法,如印模技术,手术干预,和义齿设计。本病例报告旨在提供聚乙烯基硅氧烷印模材料在治疗松弛组织状况方面的改进和受控应用。这是牙科实践中常用的。它提出了一种改进的窗口技术,用于使下颌前松弛组织的自然印象,不扭曲的状态,导致更准确和稳定的义齿配合。
    A common clinical condition affecting the alveolar ridges of the mandibular or maxillary arches is known as a \"flabby ridge.\" This condition involves a superficial region of movable soft tissue. It is particularly prevalent among long-term denture users, especially in the lower anterior region. Flabby ridges occur when hyperplastic soft tissue replaces the alveolar bone, resulting in mobile, hypermobile, and frequently edematous tissue. This condition is most commonly found in the edentulous areas of the oral cavity, especially in the maxillary anterior region. To provide a good fit for the patient, it is necessary to create a denture with accurate morphology, unique contours, and mobility of flabby tissue. The presence of a flabby ridge can significantly impact the stability, fit, and functionality of dentures. Management of flabby tissue includes various methods such as impression techniques, surgical intervention, and denture designing. This case report aims to provide an improved and controlled application of polyvinyl siloxane impression material in managing flabby tissue conditions, which is commonly used in dental practices. It presents a modified window technique for making impressions of anterior mandibular flabby tissues with their natural, undistorted state, leading to a more accurate and stable denture fit.
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  • 文章类型: Case Reports
    跨越脊的组织生长是下颌和上颌弓的典型临床特征。这种多余的组织被称为松弛的脊。由于所施加的力,可移动组织在整个印模制作过程中可能变形。如果没有充分维护,咀嚼力会使假牙移位,最终会导致假牙失去稳定性,支持,和保留。特殊的印模技术促进了准确记录松弛的山脊。几种策略,包括植入治疗,平衡咬合负荷分布,手术管理,和特殊的印象技巧,可用于治疗带有松弛脊的可移动义齿。“这个案例研究展示了使用专门的印模技术在有松弛脊的患者中构建全口义齿的方法。这种印模技术有助于以最小的位移记录松弛的组织,提高稳定性,支持,和保留完整的假牙。
    Tissue growth across the ridges is a typical clinical feature in the mandibular and maxillary arches. This excess tissue is known as flabby ridges. The mobile tissue may be distorted throughout the impression-making process due to the forces applied. The chewing forces will displace the denture if it is not adequately maintained, which will eventually cause the denture to lose its stability, support, and retention. The particular impression technique promoted accurately documenting flabby ridges. Several strategies, including implant therapy, balanced occlusal load distribution, surgical management, and special impression techniques, can be used to treat removable dentures with \"flabby ridges.\" This case study demonstrates the method for constructing a complete denture in a patient with flabby ridges using a specialized impression technique. This impression technique helps to record flabby tissue with minimal displacement, improving the stability, support, and retention of complete dentures.
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  • 文章类型: Journal Article
    进行本研究以评估完全无牙和糖尿病(DM)患者的口腔健康相关生活质量。该调查的零假设是,无牙和糖尿病对患者口腔健康相关的生活质量没有影响。
    一项描述性横断面研究。
    测试组:将研究人群分为三组:•第1组:非糖尿病患者,戴全口义齿.第2组:糖尿病患者,戴全口义齿.第3组:糖尿病,完全无牙的病人。样本量:总计,332例(男性200例,女性132例)。
    采用电话和访谈调查方法对患者进行评估。
    平均值,使用单向方差分析(ANOVA)计算标准偏差(SD)和P值.显著性水平设定为5%(*P值<0.05,***P值<0.001,NS:统计学上无显著性)。分数越高,影响越大,反之亦然。组间比较采用事后Bonferroni检验进行多组比较。
    从调查中收集的数据具有统计学意义,结果在戴假牙的完全无牙患者和糖尿病无牙患者之间进行了记录。虽然DM是牙周炎的有效危险因素,导致开门红,这项研究的统计分析表明,口腔健康相关的生活质量仅由于开胃而非DM而受到显著影响.这表明,假体本身的质量决定了与口腔健康相关的整体生活质量,无论患者是否是糖尿病患者。因此,可以说,目前DM患者的口腔修复管理趋势正在成功地恢复患者的生理,心理和社会需求。
    完全无性症是涉及生物因素和患者相关因素的多因素过程的最终结果。糖尿病和缺牙症都是控制口腔健康相关生活质量的潜在共病因素。两者之间的相关性是复杂的,需要在当前的临床实践中进行全面评估以改善患者的整体健康状况。
    UNASSIGNED: The current study was conducted to assess the oral health-related quality of life in completely edentulous and diabetes mellitus (DM) patients. The null hypothesis of the survey is that there is no effect of both edentulism and diabetes on the oral health-related quality of life of patients.
    UNASSIGNED: A descriptive cross-sectional study.
    UNASSIGNED: Test Groups: The study population was divided into three groups: • Group 1: Non-diabetic patients, wearing a complete denture. • Group 2: Diabetic patients, wearing a complete denture. • Group 3: Diabetic, completely dentulous patients. Sample Size: In total, 332 (200 males and 132 females) patients.
    UNASSIGNED: Telephonic and interview methods of surveying were employed to evaluate patients.
    UNASSIGNED: The mean values, standard deviation (SD) and P value were calculated using a one-way analysis of variance (ANOVA). The level of significance was set at 5% (*P value < 0.05, ***P value < 0.001, NS: statistically non-significant). The higher the score, the higher the impact and vice-versa. Inter-group comparisons were done with post-hoc Bonferroni\'s test for multiple group comparisons.
    UNASSIGNED: Data collected from the survey were statistically significant, results were noted between the completely edentulous patients wearing dentures and diabetic dentulous patients. Though DM is a potent risk factor for periodontitis, leading to edentulism, statistical analysis of this study suggested that the oral health-related quality of life was affected significantly only due to edentulism and not due to DM. This is indicative of the fact that the quality of the prostheses itself determines the overall oral health-related quality of life, irrespective of whether the patient is a diabetic or not. Therefore, it can be said that the present trends of prosthodontic management of patients with DM are successfully restoring the patients physiological, psychological as well as social needs.
    UNASSIGNED: Complete edentulism is the terminal outcome of a multifactorial process involving biological factors and patient-related factors. Diabetes and edentulism are both potential comorbid factors governing the oral health-related quality of life. The correlation between the two is complex and needs a thorough evaluation to improve the overall health of patients in the current clinical practice.
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  • 文章类型: Journal Article
    本研究旨在比较完全无牙患者(EDP)与热塑性传统全口义齿(CD)和单种植体保留的下颌覆盖义齿的咀嚼能力(PrMA)。
    目前的研究是在门诊病人口腔修复诊所进行的,牙科医学院,Al-AzharUniversity,开罗,埃及。在45例完全无牙患者中评估了PrMA(46%的男性,平均年龄50.4±4.7岁)。每位患者都接受了热塑性PMMA全口义齿(PolyanICTMBredentGmbH&Co.KG,德国)。在义齿使用的一个月和六个月间隔评估PrMA。每位患者都将立即加载的单个植入物放置在中间联合处,并调整了义齿。随后,在1个月和6个月后重新评估PrMA.收集数据并使用SPSS@V25进行统计分析,以评估PrMA的变化。
    PrMA在使用热塑性传统义齿6个月后表现出改善。然而,这一改善无统计学意义(p=0.405).此外,与传统义齿相比,在使用覆盖义齿的1个月和6个月(p<0.001)时,一次植入物放置后,PrMA显着增加。单个种植体保留覆盖义齿使用六个月后,PrMA无明显改善(p=0.397)。
    研究结果表明,在完全无牙患者中,使用即刻加载单种植体保留的下颌覆盖义齿可显着改善PrMA。
    UNASSIGNED: This study aimed to compare the perceived masticatory ability (PrMA) in completely edentulous patients (EDPs) with thermoplastic conventional complete dentures (CDs) versus single implant-retained mandibular overdentures.
    UNASSIGNED: The current study was conducted in the outpatient Prosthodontic Clinic, Faculty of Dental Medicine, Al-Azhar University, Cairo, Egypt. PrMA was evaluated in 45 completely edentulous patients (46% males, mean age 50.4 ± 4.7 years). Each patient received a thermoplastic PMMA complete denture (Polyan IC TM Bredent GmbH & Co.KG, Germany). The PrMA was evaluated at one-month and six-month intervals of denture use. An immediate loading single implant was placed into the mid-symphyseal for each patient, and the denture was adjusted. Subsequently, the PrMA was reevaluated after one month and six months. The data were collected and statistically analyzed using the SPSS@V25 to assess the changes in PrMA.
    UNASSIGNED: The PrMA demonstrated improvement after six months of thermoplastic conventional denture use. However, this improvement was not statistically significant (p = 0.405). In addition, the PrMA showed a substantial increase following a single implant placement at one and six months (p < 0.001) of the overdenture use compared to the conventional denture. The PrMA insignificantly improved (p = 0.397) after six months of the single implant retained overdenture use.
    UNASSIGNED: The study\'s findings indicate that using immediate loading single implant-retained mandibular overdentures significantly improved PrMA in completely edentulous patients.
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  • 文章类型: Journal Article
    目的:这项诊断研究的目的是评估与常规技术相比,在初步铸模上绘制义齿基础延伸轮廓的数字方法的准确性和时间效率。
    方法:使用实验室扫描仪将总共28个没有解剖标志的初步无牙颌铸型数字化。在初步铸模上对义齿的整个基座进行了概述并进行了数字化。将没有扩展轮廓的演员数字化,并使用软件绘制轮廓(DWOS,Straumann)。在软件(GOMInspect;GOMGmbH)中通过文件叠加评估了两种技术之间概述的扩展的准确性。应用特异性和灵敏度测试来测量准确性。使用配对t检验(95%CI)比较平均总面积和工作时间。
    结果:准确度范围为0.57至0.92。颊和唇系带在上颌骨中显示出较低的值(0.57);而磨牙后垫和颊系带之间的区域(0.64)在下颌骨中显示出较低的评分。数字方法的上颌义齿基础和两个牙弓的工作时间均明显更长(P<.001)。
    结论:义齿基托延伸轮廓对于数字方法表现出足够出色的准确性,上颌前区除外。然而,数字方法需要更长的工作时间。
    OBJECTIVE: The purpose of this diagnostic study was to assess the accuracy and time efficiency of a digital method to draw the denture foundation extension outline on preliminary casts compared with the conventional technique.
    METHODS: A total of 28 preliminary edentulous casts with no anatomical landmarks were digitized using a laboratory scanner. The outlining of the entire basal seat of the denture was performed on preliminary casts and digitized. Casts with no extension outline were digitized and outlines were drawn using software (DWOS, Straumann). The accuracy of the extension outlined between both techniques was evaluated in the software (GOM Inspect; GOM GmbH) by file superimposition. Specificity and sensitivity tests were applied to measure accuracy. The paired t-test (95% CI) was used to compare the mean total area and the working time.
    RESULTS: The accuracy ranged from 0.57 to 0.92. The buccal and labial frenulum showed a lower value in the maxilla (0.57); while the area between the retromolar pad and buccal frenulum (0.64) showed a lower score in the mandible. The maxillary denture foundation and the working time for both arches were significantly longer for the digital method (P < .001).
    CONCLUSIONS: The denture foundation extension outline exhibited a sufficiently excellent accuracy for the digital method, except for the maxillary anterior region. However, the digital method required a longer working time.
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  • 文章类型: Journal Article
    比较通过使用TENS(经皮神经电刺激)促进印模制作与手动印模修复的参与者的全口义齿质量和生活质量。
    十名完全无牙的参与者参加了交叉,试点研究。参与者被随机分为2组。每组5名参与者通过TENS促进的确定印模技术(T组)和常规印模技术(C组)制造的假牙进行修复。在T组,为参与者完成了生物电边界成型,使用电刺激供应肌肉的神经。C组,使用建模塑料印模化合物进行增量边界成型。每组参与者使用假牙3个月。三个月后,从参与者那里获得OHIP-EDENT问卷答复,以观察口腔健康相关的生活质量。牙科专家通过Kapur评分标准记录义齿质量。经过一个月的清洗期,两组之间进行了治疗互换.使用3个月后,记录替代假牙的OHIP-EDENT评分和Kapur评分。描述性分析后进行MannWhitney检验,比较T组和C组OHIP-EDENT的总分,OHIP-EDENT各个域的分数,和Kapur评分用于义齿评估(α=0.05)。
    与C组相比,T组每个领域的OHIP-EDENT总体评分较低,T组的Kapur评分高于C组。差异具有统计学意义,即分别为P=0.002和0.003。
    T组OHIP-EDENT评分较低意味着由于口颌系统的性能更好,因此对个体生活质量的感知更好。当TENS用于确定的印模制作时,T组的Kapur得分较高表示假牙的质量更好。
    UNASSIGNED: To compare the quality of complete dentures and quality of life of participants rehabilitated by using TENS (Transcutaneous electric nerve stimulation) facilitated impression making with manual impressions.
    UNASSIGNED: Ten completely edentulous participants were enrolled in the crossover, pilot study. Participants were randomized in 2 groups. Five participants in each group were rehabilitated by dentures fabricated with TENS facilitated definitive impression technique (group T) and conventional impression technique (group C). In group T, Bioelectric border molding was done for the participants, that uses electric stimulation of the nerves supplying the muscles. In group C, incremental border molding using modeling plastic impression compound was carried out. Participants in each group used the dentures for 3 months. After 3 months, OHIP-EDENT questionnaire responses were obtained from the participants to observe the oral health related quality of life. A dental specialist recorded denture quality by Kapur scoring criteria. After one month wash period, the treatment was swapped between the groups. OHIP-EDENT scores and Kapur score were recorded for the alternate dentures after 3 months of use. Descriptive analysis was followed by Mann Whitney test to compare the overall scores between group T and group C for OHIP-EDENT, the scores for individual domains of OHIP-EDENT, and Kapur score for denture evaluation (α = 0.05).
    UNASSIGNED: The overall OHIP-EDENT scores within each domain were less in group T when compared with the scores in group C and Kapur score for group T was more than group C. The difference was statistically significant i.e. P = 0.002 & 0.003 respectively.
    UNASSIGNED: Less OHIP-EDENT scores in group T imply better perception of quality of life of individuals due to better performance of stomatognathic system. The higher Kapur scores in group T signifies better quality of dentures when TENS was used for definitive impression making.
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  • 文章类型: Journal Article
    数字与常规制造的全口义齿:关于成本效率分析和患者报告结果指标(PROMs)的系统评价。Tew,在Meei,SuetYeoSoo,和EdmondHoNangPow.“假肢牙科杂志”(2023年)。
    没有收到资金。
    系统评价。
    Digitally versus conventionally fabricated complete dentures: A systematic review on cost-efficiency analysis and patient-reported outcome measures (PROMs). Tew, In Meei, Suet Yeo Soo, and Edmond Ho Nang Pow.The Journal of Prosthetic Dentistry (2023).
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