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[A role of periodontal afferents in the control of jaw-closing muscle activities]. 牙周事件在控制合颌肌活动中的作用。
O Saito

The purpose of the present study was to analyse the quantitative relationship between the property of food and the jaw-closing muscle activities as well as how the periodontal afferents participated to establish such a relationship. The following experiments were performed in the urethane anesthetized rabbits: 1) EMG activities of the masseter muscle during the cortically-induced rhythmical jaw movements (CRJMs) before and during chewing rubber strips with different hardness were compared each other. 2) Effects of combined sections of the maxillary and the inferior alveolar nerves on the masseteric EMG responses during chewing a strip were analysed. 3) Effects of the transection of the trigeminal spinal tract on the above masseteric responses were also analysed. The results were as follows: 1) The masseteric activities during the CRJMs differed depending on the site of the cortical stimulation. According to the level of the masseteric activity, CRJMs were divided into two types; one was the opening-dominant jaw movement (ODJM) with small masseteric activity, and the other was the closing-dominant jaw movement (CDJM) with large masseteric activity. In any CRJMs, the masseteric activity became larger during the insertion of a strip, but the increment was more prominent for the ODJM. The rate of increment of the masseteric activity became larger with the hardness of the strip. 2) After the periodontal deafferentation, the rate of increment of the masseteric activity during chewing a strip was remarkably reduced, especially in the ODJM. On the contrary, deafferentation was less effective to that in the CDJM. 3) The effects of the transection of the trigeminal spinal tract were similar to those of the trigeminal deafferentation. From these results, the following conclusions were obtained: 1) The masseteric activity was facilitated with the hardness of the strip. Furthermore, the rate of increment of the masseteric activity during chewing a strip differed depending on the masseteric activity induced before the strip insertion. 2) Periodontal afferents played an important role in the above facilitatory effect, especially when the masseteric activity was small. 3) The contribution of the periodontal afferents which descended through the trigeminal spinal tract was suggested to be involved in the facilitatory response of the masseter muscle during chewing a strip.

本研究的目的是分析食物的性质与合颌肌活动之间的定量关系,以及牙周事件如何参与建立这种关系。对聚氨酯麻醉家兔进行了以下实验:1)比较不同硬度橡胶条咀嚼前和咀嚼过程中咬肌肌电图活动的变化。2)分析上颌和下牙槽神经联合切片对咀嚼条咀嚼肌电反应的影响。3)分析了三叉脊髓束横断对上述咬肌反应的影响。结果表明:1)咀嚼肌活动随皮质刺激部位的不同而不同。根据咬咬活动的程度,将crm分为两类;一种是开口-优势颌运动(ODJM),咬肌活动较小;另一种是闭合-优势颌运动(CDJM),咬肌活动较大。在任何crjm中,咬肌活动在插入条带期间都变得更大,但ODJM的增量更为明显。咬咬活性的增加速率随带材硬度的增大而增大。2)牙周脱牙后,咀嚼条咀嚼过程中咬咬肌活动的增加速率明显降低,特别是在ODJM中。相反,脱牙效果不如CDJM。3)三叉神经脊髓束横断的效果与三叉神经移行的效果相似。结果表明:1)咬咬条硬度越大,咬咬活动越活跃。此外,咀嚼咀嚼条时咬肌活动的增加率取决于咀嚼条插入前引起的咬肌活动。2)牙周事件在上述促进作用中起重要作用,尤其是在咬咬活动较小时。3)经三叉神经脊髓束下行的牙周传入神经的作用被认为与咀嚼条咀嚼时咬肌的促进反应有关。
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引用次数: 0
[A clinical study on occlusal plane in relation with orofacial morphology and stomatognathic function]. 颌面平面与口腔面部形态及口颌功能关系的临床研究。
T Okuda

Occlusal plane is one of the important and fundamental factors that establish the mandibular position and the form of dental arch and prosthesis. The aim of this study is to investigate the morphological and functional importance of occlusal plane in relation with orofacial morphology and stomatognathic function. Cephalograms were taken and electromyograms of masseter, anterior and posterior temporal muscles were recorded during clenching, tapping and chewing movements in 30 normal young adult subjects. Mandibular movements were simultaneously recorded using Sirognathograph (Siemens, West Germany). A correlation analysis was performed to study the relationship between the occlusal plane and morphological and functional parameters. As a result, the occlusal plane angle showed; 1) close correlations with the mandibular plane angle, Camper's plane angle and palatal plane angle, 2) correlations with the duration of activity of anterior temporal muscles and the sagittal angle of chewing pathway. The results suggest that there is a close relationship between the occlusal plane and orofacial morphology. Furthermore, the morphological parameters closely related to the occlusal plane were found to affect stomatognathic function. It is concluded that the occlusal plane is the important factor which harmonizes morphology and function of the stomatognathic system.

咬合平面是决定下颌位置和牙弓及义齿形态的重要基础因素之一。本研究的目的是探讨咬合平面在口腔面部形态和口颌功能中的形态学和功能重要性。对30名正常青年进行握紧、叩击、咀嚼运动时的咬肌、颞前肌、颞后肌的脑电图和肌电图进行记录。下颌运动同时用Sirognathograph (Siemens, West Germany)记录。通过相关分析研究了咬合平面与形态学和功能参数之间的关系。结果:牙合平面角度为;1)与下颌平面角、坎普氏平面角、腭平面角密切相关;2)与颞前肌活动持续时间和咀嚼通路矢状角相关。结果表明,咬合平面与口腔面部形态有密切的关系。此外,还发现与咬合平面密切相关的形态学参数会影响口颌功能。结果表明,咬合平面是协调口颌系统形态和功能的重要因素。
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引用次数: 0
[Thymocyte activating factors in human gingival fibroblast cultures stimulated by oral Bacteroides lipopolysaccharides: induction, identification and modification by various cytokines]. [口服拟杆菌脂多糖刺激人牙龈成纤维细胞培养胸腺细胞激活因子:各种细胞因子的诱导、鉴定和修饰]。
J Mihara

Normal human gingival fibroblasts stimulated in vitro by lipopolysaccharide (LPS) from black pigmented oral Bacteroides species produced cell-free (CF) and cell-associated (CA) thymocyte activating factors (TAF). The LPS from other bacteria, including Escherichia coli and Salmonella species, induced minimum levels of TAF in the cultures. The CF-TAF was partially inhibited by anti-human interleukin (HuIL)-1 beta or HuIL-6 antibody, but not by anti-HuIL-1 alpha antibody. However, complete inhibition of the CF-TAF was not observed upon addition of both anti-HuIL-1 beta and HuIL-6 antibodies. Fibroblasts stimulated with Bacteroides LPS released high levels of CF-IL-6 activity. Recombinant (r) HuIL-6 negligibly exhibited TAF activity even in high doses up to 500 U/ml, although it augmented the TAF activity of rHuIL-1 beta. These findings indicated that the CF-TAF consisted mainly of IL-1 beta, and that IL-6 enhanced TAF activity of IL-1 beta. However, other TAF factor (s) may be present in CF specimens. In contrast to CF-TAF, the CA-TAF was inhibited with anti-HuIL-1 alpha. Recombinant human tumor necrosis factor (rHuTNF) directly stimulated fibroblasts to produce CA-TAF, and it also primed them to enhance CA-TAF induction in response to Bacteroides LPS. On the other hand, natural human interferons (nHuIFN) alpha, beta, and gamma did not induce CF- or CA-TAF in fibroblasts. When fibroblasts were primed with nHuIFN beta or gamma, the CA-TAF production by the cells in response to LPS, but not rHuTNF, was markedly enhanced.(ABSTRACT TRUNCATED AT 250 WORDS)

口服黑色拟杆菌属脂多糖(LPS)体外刺激正常人牙龈成纤维细胞产生无细胞(CF)和细胞相关(CA)胸腺细胞激活因子(TAF)。来自其他细菌的LPS,包括大肠杆菌和沙门氏菌,在培养物中诱导最低水平的TAF。抗人白细胞介素(HuIL)-1 β或HuIL-6抗体对CF-TAF有部分抑制作用,而抗HuIL-1 α抗体对CF-TAF无抑制作用。然而,在添加抗huil -1 β和HuIL-6抗体时,没有观察到CF-TAF的完全抑制。用拟杆菌脂多糖刺激成纤维细胞释放高水平的CF-IL-6活性。重组(r) HuIL-6即使在高达500 U/ml的高剂量下也表现出可忽略不计的TAF活性,尽管它增强了rHuIL-1 β的TAF活性。这些结果表明,CF-TAF主要由IL-1 β组成,IL-6增强了IL-1 β的TAF活性。然而,CF标本中可能存在其他TAF因子。与CF-TAF相比,抗huil -1 α抑制了CA-TAF。重组人肿瘤坏死因子(rHuTNF)直接刺激成纤维细胞产生CA-TAF,并诱导成纤维细胞对拟杆菌脂多糖的诱导。另一方面,天然人干扰素(nHuIFN) α、β和γ在成纤维细胞中不会诱导CF-或CA-TAF。当成纤维细胞被nHuIFN β或γ激发时,细胞对LPS的反应中CA-TAF的产生明显增强,而rHuTNF则没有明显增强。(摘要删节250字)
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引用次数: 0
[Changes in efficiency of orthodontic tooth movement resulting from differences in bracket materials]. 【托架材料不同导致正畸牙齿移动效率的变化】。
S Matsubara, K Tanne, T Shibaguchi, M Sakuda, J Takahashi, H Kimura

The distance of distal movement of the lower canine was measured, using metal tooth with metal bracket and three types of ceramic bracket (polycrystal alumina x 2, zirconia x 1). Sizes of the wires used in this experiment were 0.018" round, 0.016" x 0.022" and 0.17" x 0.022". The bracket slot and the wire surface employed in the experiment were observed by use of stereoscopic microscope and S.E.M. The following results were obtained. 1. The distance of tooth movement with three types of ceramic bracket was significantly less than that with the metal bracket. 2. Rate of decrease in tooth movement with three types of ceramic bracket ranged from 30% to 60% in comparison with the metal bracket. 3. The wire surface was obviously scratched by the ceramic brackets, whereas slight scratch was observed on the wire with the metal bracket. 4. The distance of tooth movement decreased associated with an increase of wire size. 5. The distance retracted from the cuspal position was less than that from the cervical point. It was shown that efficiency of tooth movement was significantly reduced by the use of ceramic brackets in comparison with the metal bracket. This result seems to be caused by the frictional resistance between the wire and ceramic bracket. It is suggested that refinement of ceramic brackets, slot edge and surface in particular, would produce more efficient and desirable tooth movements in clinical orthodontics.

测量下犬齿的远端运动距离,使用金属牙带金属托架和三种陶瓷托架(多晶氧化铝× 2,氧化锆× 1)。实验中使用的金属丝尺寸分别为0.018"圆,0.016" × 0.022"和0.17" × 0.022"。利用立体显微镜和扫描电镜对实验中使用的支架槽和金属丝表面进行了观察,得到如下结果:1. 三种陶瓷托槽的牙体运动距离均明显小于金属托槽。2. 与金属托架相比,三种类型的陶瓷托架的牙齿运动减少率从30%到60%不等。3.陶瓷支架对导线表面有明显的划伤,而金属支架对导线表面有轻微的划伤。4. 齿的运动距离随钢丝尺寸的增大而减小。5. 离牙尖位置的距离小于离颈点的距离。结果表明,与金属托槽相比,陶瓷托槽的使用显著降低了齿的运动效率。这一结果似乎是由金属丝和陶瓷支架之间的摩擦阻力引起的。建议在临床正畸治疗中,改进陶瓷托槽,特别是槽边和槽面,可以使牙齿运动更有效、更理想。
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引用次数: 0
[Molecular cloning and expression of a dextranase gene from Arthrobacter in Streptococcus sanguis]. 血链球菌节杆菌葡聚糖酶基因的克隆与表达
H Toda

The gene coding for a dextranase activity of Arthrobacter CB-8, named dex gene, was isolated and cloned into Escherichia coli and into Streptococcus sanguis. The gene library was screened by transparent halo formation around the colonies grown on agar medium containing blue dextran. DNA fragment consisting of about 3,200 base pairs was prepared for further cloning procedures. Dextranase activity was detected in the periplasmic space of E. coli clones, using pUC19, pVA 838 and their derivatives. Dex gene was also introduced into S. sanguis Challis using pVA 838, a plasmid that is able to replicate in both E. coli and S. sanguis. But the clones did not express the dex gene. For the expression of dex gene in S. sanguis, a new shuttle vector was constructed, which contained the promoter region of a glucosyltransferase gene from S. mutans as well as the terminator region of ribosomal RNA from E. coli. The plasmid was designated pMNK. Using pMNK as vector, dex gene was expressed in S. sanguis. Dextranase activity was detected in the cellular fraction of the clones.

分离到节肢杆菌CB-8葡聚糖酶活性编码基因dex基因,并分别克隆到大肠杆菌和血链球菌中。在含有蓝色葡聚糖的琼脂培养基上生长的菌落周围形成透明的光晕来筛选基因库。制备了约3200个碱基对的DNA片段,用于进一步克隆。用pUC19、pVA 838及其衍生物在大肠杆菌克隆细胞质周围空间检测葡聚糖酶活性。Dex基因也通过pVA 838(一种能够在大肠杆菌和血链球菌中复制的质粒)导入血链球菌。但克隆不表达dex基因。为了在血链球菌中表达dex基因,构建了一种新的穿梭载体,该载体含有变形链球菌糖基转移酶基因启动子区和大肠杆菌核糖体RNA终止子区。质粒命名为pMNK。以pMNK为载体,在血地弓形虫中表达了dex基因。在克隆的细胞部分检测到葡聚糖酶活性。
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引用次数: 0
[Mechanical properties of nickel-titanium alloy wire developed by the diffusion method]. [扩散法制备镍钛合金丝的力学性能]。
M Sakuda, K Tanne, K Araki, H Kinami, H Ishibe, K Kokubu

The present study was conducted to investigate mechanical properties of the nickel-titanium (Ni-Ti) alloy wire developed by the diffusion method, in comparison with the previous Ni-Ti wires. Two types of the wire, work hardening and super elastic wires, were used for three experiments; three-point bending test, tension test and torque test. The following findings were obtained. 1. A newly developed work hardening wire exhibited lower force level with a generous reduction of force at various wire deflections, in comparison with the previous work hardening Ni-Ti wires. It was also found that tension strength and extension ratio of this wire were greater, and its modulus of longitudinal elasticity was smaller than those of the previous wires, indicating high resistibility to breakage. 2. A super elastic wire, developed by the diffusion method, showed similar pattern of force reduction associated with varying wire deflections, although magnitude of force was slightly larger than those of the previous super elastic wires. 3. An interesting finding was that force and its reduction with various deflections were varied by controlling how the wire was ligated onto a bracket, which was more obvious in the work hardening type of the present Ni-Ti wire. 4. Magnitudes of force exerted by Ni-Ti wires were around 200 gf at a deflection of 2 mm with an interbracket distance of 7 mm, and seemed to be beyond an optimal orthodontic force for anterior teeth. A further refinement is expected in terms of improving mechanical properties and/or developing finer wires.

研究了扩散法制备的镍钛(Ni-Ti)合金丝的力学性能,并与以往的Ni-Ti丝进行了比较。采用加工硬化丝和超弹性丝两种钢丝进行了三次实验;三点弯曲试验、拉力试验、扭矩试验。研究结果如下:1. 与以前的加工硬化镍钛丝相比,新开发的加工硬化丝在各种线材挠度下具有较低的力水平,大大减少了力。实验还发现,该钢丝的抗拉强度和延伸比均大于前几种钢丝,其纵向弹性模量小于前几种钢丝,具有较高的抗断裂性。2. 采用扩散法制备的超弹性丝,随着丝的挠度的变化,力的减小也呈现出类似的规律,但力的大小略大于先前的超弹性丝。3.一个有趣的发现是,力和它的减少随不同的挠度是不同的,通过控制如何将金属丝绑在支架上,这在目前的Ni-Ti丝的加工硬化类型中更为明显。4. 镍钛丝在2 mm偏转、托槽间距为7 mm时施加的力约为200 gf,似乎超出了前牙的最佳正畸力。在提高机械性能和/或开发更细的电线方面,期望进一步的改进。
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引用次数: 0
[A broken needle in the pterygomandibular space]. [翼状下颌间隙断针]。
T Mima, K Shirasuna, S Morioka, M Sugiyama, T Matsuya

We encountered a case where a 30 gauge disposable dental needle was accidentally broken and inoculated into pterygomandibular space by a dentist during a block anesthesia for the inferior alveolar nerve. Several approaches including use of a guide needle and roentgenograms were made but all were unsuccessful. Eleven days later, further operation was attempted monitoring the needle on X-ray TV, resulting in that the broken needle was successfully removed. This technique may be useful for removal of mandibular broken needles.

我们遇到了一个病例,30号一次性牙科针不小心折断,接种到翼状下颌间隙由牙医在阻滞麻醉下牙槽神经。采取了几种方法,包括使用导针和x线摄影,但都不成功。11天后,尝试在x线电视上观察针,成功取出断针。这项技术可能对去除下颌骨断针有用。
{"title":"[A broken needle in the pterygomandibular space].","authors":"T Mima,&nbsp;K Shirasuna,&nbsp;S Morioka,&nbsp;M Sugiyama,&nbsp;T Matsuya","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We encountered a case where a 30 gauge disposable dental needle was accidentally broken and inoculated into pterygomandibular space by a dentist during a block anesthesia for the inferior alveolar nerve. Several approaches including use of a guide needle and roentgenograms were made but all were unsuccessful. Eleven days later, further operation was attempted monitoring the needle on X-ray TV, resulting in that the broken needle was successfully removed. This technique may be useful for removal of mandibular broken needles.</p>","PeriodicalId":75367,"journal":{"name":"[Osaka Daigaku shigaku zasshi] The journal of Osaka University Dental Society","volume":"34 2","pages":"418-22"},"PeriodicalIF":0.0,"publicationDate":"1989-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13633820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Biomechanical study on orthodontic tooth movement by means of numerical simulation. Effects of principal stresses in periodontal membrane]. 正畸牙齿移动的数值模拟生物力学研究。牙周膜主应力的影响[j]。
Y Inoue

The effect of biomechanical factors on tooth movement has not been clarified in a quantitative manner. This study was designed to investigate the stresses affecting tooth movement, using a numerical simulation. The influence of decrease in Young's modulus of the periodontal membrane on canine retraction was also examined through the simulation. A two-dimensional finite element model was constructed based on the average anatomic morphology of Japanese canine. A numerical simulation program based on the finite element method was developed for the orthodontic tooth movement. The stresses in the periodontal membrane were evaluated. The principal stress of which absolute is larger was selected as a reference stress. Each nodal point at the alveolar bone-periodontal membrane interface was repositioned in the direction of reference stresses, in response to discrepancy between assumed thresholds and the reference stresses. Moment to force (M/F) ratios at the bracket position of this model were examined for evaluating force conditions. Simulation of tooth movement were executed under three force conditions with different M/F ratios for distal movements and two force conditions for vertical movements. Three types of canine retraction, tipping movement, bodily movement and root movement, were displayed with the numerical simulation. Extrusion and intrusion were also displayed. Analytic movements of the canine were close to the actual tooth movements that have been reported, utilizing the principal stresses with the thresholds of the maximum and minimum principal stresses being about +0.4 gf/mm2 and -0.4 gf/mm2. The decrease in the Young's modulus of the periodontal membrane changed bodily movement to tipping movement under the same force conditions. These results indicate that the value and the direction of the principal stress in the periodontal membrane are key determinants of tooth movement and this numerical simulation is useful for investigating the influence of the biomechanical factors on tooth movement.

生物力学因素对牙齿运动的影响还没有定量的研究。本研究旨在探讨应力对牙齿运动的影响,采用数值模拟。通过模拟研究了牙周膜杨氏模量的降低对犬牙回缩的影响。以日本犬的平均解剖形态为基础,建立了二维有限元模型。开发了基于有限元法的正畸牙齿运动数值模拟程序。评估牙周膜的应力。选取绝对值较大的主应力作为参考应力。牙槽骨-牙周膜界面的每个节点在参考应力方向上重新定位,以响应假设阈值与参考应力之间的差异。对该模型支架位置的力矩与力(M/F)比进行了检查,以评估受力情况。在三种力条件下对远端运动进行模拟,在两种力条件下对垂直运动进行模拟。通过数值模拟显示了犬的三种收缩运动,即倾倒运动、身体运动和牙根运动。挤压和侵入也有显示。利用主应力的最大和最小主应力阈值分别为+0.4 gf/mm2和-0.4 gf/mm2,犬类的解析运动接近于已报道的实际牙齿运动。牙周膜杨氏模量的降低使相同受力条件下的身体运动转变为倾翻运动。结果表明,牙周膜主应力的大小和方向是影响牙齿运动的关键因素,该数值模拟有助于研究生物力学因素对牙齿运动的影响。
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引用次数: 0
[Clinical application of T-scan System. 1. Sensitivity and reproducibility and its application]. t扫描系统的临床应用。灵敏度、再现性及其应用[j]。
Y Maeda, T Ohtani, M Okada, I Emura, M Sogo, T Mori, M Yoshida, T Nokubi, Y Okuno

Analyzing occlusal contacts is significant for establishing the occlusal scheme as well as for the diagnosis on dysfunction of stomatognathic system. We tested a new occlusal contact analyzing device (T-Scan: Tekscan Inc. Boston, U.S.A.) for its sensitivity and reproducibility in relation to its clinical application. Following results were obtained. 1) As the modeling of dental arch of this system was not always correct, much care should be needed for identifying the contact location. 2) The minimum amount of load needed for displaying each five step occlusal force increased linear fashion (step 1: 250 g and step 5: 1750 g) when the sensor was vertically pressed on the intersection of force sensitive line. The minimum amount of force changed with the loading condition such as area and direction. Distortion of the sensor could lead the measurement error. 3) Since the time measurement data by this system were shorter than actual length of time and were measured over about 250 g load, light and early occlusal contacts could not be detected.

分析咬合接触对制定咬合方案和诊断口颌系统功能障碍具有重要意义。我们测试了一种新的咬合接触分析设备(T-Scan: Tekscan Inc.)。波士顿,美国),其敏感性和可重复性与临床应用有关。得到以下结果:1)由于该系统的牙弓建模并不总是正确的,因此在确定接触点位置时需要特别注意。2)当传感器垂直压在力敏线的交点上时,显示每五步咬合力所需的最小载荷增加线性方式(步骤1:250 g和步骤5:1750 g)。最小力随载荷条件(如面积和方向)的变化量。传感器的畸变会导致测量误差。3)由于该系统的时间测量数据短于实际时间长度,并且是在250 g左右的负荷下测量的,因此无法检测到轻微和早期的咬合接触。
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引用次数: 0
[Construction of data base for designing removable partial dentures. 1. Retainer and abutment selection]. 可摘局部义齿设计数据库的构建。1. 保持器和基台的选择]。
Y Maeda, K Ishii, S Idozi, M Okada, T Nokubi, Y Okuno

In designing removable partial dentures (R.P.D.) for edentulous patients, variety of designs are selected with considering the condition of residual teeth, alveolar ridge, occlusion and other factors. We have been trying to develop the computer consultation system for designing R.P.D. (so called "expert system") to rationalize the processes of R.P.D. design. In developing and expanding this system, the construction and enlargement of the rulebase and database are indispensable. In this report, we analyzed R.P.D. designs in student's clinic ('83-'85), in order to find the logic for design (rulebase) and to construct databases. Following results were obtained. 1) Wire clasps were most frequently used in Kennedy classification I, II in maxilla. Double clasps were mostly used in Kennedy class I, II in mandible. Akers' clasps were mostly used in class III. 2) Canine, first and second premolar were more frequently selected for abutment than other teeth.

在为无牙患者设计可摘局部义齿时,考虑残牙、牙槽嵴、咬合等因素,选择了多种设计方案。我们一直在尝试开发产品研发设计的计算机咨询系统(所谓的“专家系统”),以使产品研发设计过程合理化。在该系统的开发和扩展中,规则库和数据库的建设和扩充是必不可少的。本文分析了1983 - 1985年学生诊所的rpd设计,以寻找设计逻辑(规则库)并构建数据库。得到以下结果:1)上颌骨Kennedy分类I、II型中最常使用金属丝卡环。双卡环主要用于下颌骨Kennedy I、II级。埃克斯卡环主要用于III级。2)首选犬牙、第一、第二前磨牙作为基牙的比例高于其他牙。
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引用次数: 0
期刊
[Osaka Daigaku shigaku zasshi] The journal of Osaka University Dental Society
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