[应力破鞍框架或应力破鞍框架]1. 原则)。

Les Cahiers de prothese Pub Date : 1990-06-01
G Jourda
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引用次数: 0

摘要

可摘局部义齿治疗的成功与否取决于基托结构、牙基牙和软硬组织的好坏。为了实现这一目标,假体应符合以下基本原则:组织对偶性(STEIGER图);粘膜粘弹性行为(TURK, KYDD, DALY, PICTON WILLS);琼斯、勒里奇和波利卡德原则。提出的假体解决方案,应力断路器框架允许马鞍和框架之间以及不同马鞍之间的断开。这个概念的独创性是由于框架的特殊设计,它允许马鞍的分离。由于其原理,只有当咀嚼力施加在义齿上时,鞍座的位移才会发生。这些运动刺激骨组织。应力破坏架的临床构造可以适应于所有类型的牙列,以及小全口义齿。临床结果表明,经过12年的经验,应力破坏框架可以保护基台和骨-粘膜组织(无需重新基托)。进行了几项实验研究。试验银行的工作表明,与半刚性框架相比,应力破坏框架对桥台施加的应力更小,并在鞍座下方提供更好的基础表面。其他研究主要涉及马鞍的位移以及假体系统的疲劳测试。这些研究导致了特定预成型系统的发展。
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[Stress breaking saddle framework or stress breaking framework. 1. Principles].

The treatment success of a removable partial denture is conditioned by the respect of the base structures, tooth abutments and hard and soft tissues. In order to achieve this goal, the prosthesis should be in accordance with the following fundamentals: tissue duality (STEIGER diagram); visco-elastic behaviour of the mucous membrane (TURK, KYDD, DALY, PICTON WILLS); JORES, LERICHE and POLICARD principles. The proposed prosthetic solution, the stress breaker framework allows the disconnexion between the saddle and the framework as well as between the different saddles. The originality of the concept is due to the particular design of the framework, which permits the disconnexion of the saddle. Due to its principle, the displacement of the saddle takes place only when mastication forces are applied on the prosthetic teeth. These movements stimulate the bony tissues. The clinical construction of a stress breaker framework can be adapted to all types of edentation, as well as to sub-total dentures. The clinical results shown that, after twelve years of experience, the stress breaker framework allows the preservation of the abutments as well as the conservation of osseo-mucous tissues (no need of rebase). Several experimental research investigations have been carried out. Work on trial banks have revealed that, compared with the semi-rigid framework, the stress breaker framework lays less stress on the abutment and provides a better base surface beneath the saddle. Other studies have dealt notably with the displacement of the saddle as well as with fatigue tests of the prosthetic system. These studies have led to the development of specific preformed systems.

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Dental Implants and Bone Grafts [Grooved bonded bridges. Protocols for fabrication and bonding]. [Esthetic aspects of crown lengthening]. [Ceramic fracture on large bridges. A restorative solution]. [Removable dentures for children].
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