数字印模和模型在肯尼迪Ⅰ类和Ⅱ类牙列缺损可摘局部义齿中的应用。

Jianbo Huang, Ziyu Mei, Gang Huang, Yalin Guo, Xiangfeng Meng
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摘要

研究目的本研究旨在评估数字模型和树脂模型技术在可摘局部义齿(RPD)治疗肯尼迪Ⅰ类和Ⅱ类牙列缺损中的应用:选择肯尼迪Ⅰ类或Ⅱ类牙列缺损患者,按照以下义齿制作工艺进行分组:数码印模/树脂模型/铸造钴铬合金牙架组(A组)、数码印模/树脂模型/激光打印钛合金牙架组(B组)、藻酸盐印模/石膏模型/铸造钴铬合金牙架组(C组)、藻酸盐印模/石膏模型/激光打印钛合金牙架组(D组),每组40例。对最终的 RPD 在口腔中的就位情况进行检查,评价指标包括夹环的固位力、连接体和基托的松紧度以及咬合的准确性。各项指标的评价得分采用 Kruskal-Wallis 秩和检验进行分析:结果:四组 RPD 各项指标得分差异无统计学意义:结论:使用数字印模和树脂模型的铸造钴铬合金和激光打印钛骨架RPD能满足肯尼迪Ⅰ、Ⅱ类牙列缺损患者的临床修复要求。
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Application of digital impression and model in removable partial dentures for Kennedy classⅠandⅡdentition defects.

Objectives: This study aimed to evaluate the application of digital impression and resin model technology in removable partial dentures (RPD) for Kennedy classⅠandⅡdentition defects.

Methods: Patients with Kennedy classⅠorⅡdental defect were selected and grouped in accordance with the following denture production processes: digital impression/resin model/cast cobalt-chromium alloy framework group (group A), digital impression/resin model/laser printed titanium framework group (group B), alginate impression/plaster model/cast cobalt-chromium alloy framework group (group C), and alginate impression/plaster model/laser printed titanium framework group (group D), with 40 cases in each group. The final RPD was examined in place in the mouth, and the evaluation indicators included the retention force of clamp ring, the tightness of connector and base, and the accuracy of occlusion. The evaluation scores of each index were used for analysis on the Kruskal-Wallis rank-sum test.

Results: No statistically significant difference in the score of each index was found among the four groups in RPD.

Conclusions: The cast cobalt-chromium alloy and laser-printed titanium framework RPD using digital impression and resin model can meet the clinical restoration requirements of patients with Kennedy classⅠandⅡdentition defects.

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