[Experimental study on the plastic deformation of underlying mucosa in lower posterior denture caused by occlusal stress after denture wearing].

Abstract

In the treatment of removable dentures including mucosa born, it is essential to secure the occlusion based on adequate consideration of deformation of mucous membrane. This means that it is necessary to clarify the plastic deformation of underlying soft tissues after denture insertion. With the objective of assessing the influence of the difference in the supporting pressure of the underlying soft tissues, the longitudinal changes of the tissue surface after insertion of denture were observed. The non-pressure areas with special conditions were established between the basal surface of the dentures and the surface of the underlying soft tissues. Removable free end dentures with cylindrical non-pressure cavity (3 mm in diameter and 2 mm in depth) in the basal surface were prepared for 20 subjects having a missing of lower posterior region. Such three non-pressure cavities were positioned in the following locations: in a mesio-distal location corresponding to the distal region of the first molar, at the alveolar crest, at a location halfway between the alveolar crest and the buccal denture border, and a location halfway between the alveolar crest and the lingual denture border. Impressions were taken from the subjects' jaws after the fixed numbers of days following initiation of denture wearing. Contours of the non-pressure areas were measured in 100 jaw models. Results. 1. Swelling of the mucous membrane of the non-pressure area 1) Subjects are classified into the following 5 types on the bases of longitudinal changes in the swelling height of the mucous membrane in the non-pressure area. Type S-1: Marked increase in swelling height observed within the first 3 days after insertion of dentures, but practically no change in swelling height until the 30th post installation day. Type S-2: Marked increase in swelling height observed within the first 3 days after insertion of dentures, and swelling height increased continuously until the 30th post installation day. Type S-3: Marked increase in swelling height observed within the first 3 days after insertion of dentures, but swelling height decreased continuously until the 30th post-installation day. Type G: Increase in swelling height comparatively small within the first 3 days after insertion of dentures, but swelling height increased until the 30th post-installation day. Type N: No increase in swelling height observed until the 30th post-installation day. 2) Swelling height and frequency in each location according to type.(ABSTRACT TRUNCATED AT 400 WORDS)