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论文摘要

不同颌位关系记录法对全口义齿再修复患者义齿调 量影响的研究

Differences in the occlusional grinding among various methods of jaw relationship recording in complete denture replacement

作者:孙学武 柳忠豪 朱详奎 杨柳

Author:Sun Xuewu, Liu Zhonghao, Zhu Xiangkui, Yang Liu.

收稿日期:2013-10-11          年卷(期)页码:2014,41(2):146-148

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:全口义齿,覆HE,覆盖,哥特式弓,面弓,

Key words:complete denture,overbite,overjet,gothic arch tracing,face-bow,

基金项目:

烟台市科技发展计划(2008147-1)

中文摘要

目的 通过研究3种方法记录颌位关系的全口义齿再修复患者义齿调 量的差异,为此类患者探寻最佳颌位记录方法,并为临床提供参考。方法 随机选择20名全口义齿再修复患者,采用自身对照的研究,对患者分别采用直接咬合法、哥特式弓描记法、哥特式弓联合面弓转移颌位关系法制作3副全口义齿,并比较不同方法在调 前后覆 、覆盖的差异。结果 用哥特式弓联合面弓转移颌位关系法制作的全口义齿调 前后覆 、覆盖的变量差异大于直接咬合法及哥特式弓描记法,其差异具有统计学意义(P0.05)。结论 使用哥特式弓描记法与哥特式弓联合面弓转移颌位关系法确定的颌位更符合生理功能,为全口义齿再修复患者提供更可靠的颌位记录方法,提高医生的工作效率和患者的满意度。

英文摘要

Objective The differences in the occlusional grinding among various methods of jaw relationship recording in complete denture replacement were compared to determine the most reliable method to provide references for clinical practice. Methods With the use of randomized self-controlled trial, 20 patients were selected and subjected to complete denture replacement. Three methods of jaw relationship recording were used for each patient: direct interocclusal records, gothic arch tracing, and gothic arch tracing combined with face-bow. Subsequently, the overbite and the overjet of the complete dentures under the three methods were compared before and after occlusion grinding. Results Data from gothic arch tracing combined with face-bow were significantly smaller than those from direct interocclusal records or gothic arch tracing(P0.05). Conclusion Jaw relationship recording by gothic arch tracing and gothic arch tracing combined with face-bow were more in line with physiological function and considered as the most reliable methods in complete denture replacement. These methods could improve the working efficiency of dentists and increase patient satisfaction.

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