三种烧瓶封口方法对上颌义齿线性尺寸精度的比较。一项体外研究。

P Pachauri, R Sangur, L Rao Bathala, T Mahajan
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摘要

目的:评价和比较不同烧瓶封口方式对标准化模拟上颌全口义齿线性尺寸变化的影响。材料和方法:用硅胶模具制作30个铸型,代表无牙颌弓。制作30个相同的上颌义齿,随机分为3个实验组(A、B、C)。A组在试合后将烧瓶直接置于压力钳中。B组:最后闭合在液压机中完成,然后转移到压力钳。C组:试封后的烧瓶放置在限制系统烧瓶封法(RSFC)的两块铁板之间。然后用数字卡尺测量聚合前后3次直线距离:右门牙到左门牙(RI-LI)、右前臼齿到左前臼齿(RPM-LPM)、右臼齿到左臼齿(RM-LM)、左门牙到左臼齿(LI-LM)和右门牙到右臼齿(RI-RM),精度为0.01mm。各组间比较采用方差分析和Tuckey检验(p < 0.05)。结果:加工后磨牙间(LM-RM)尺寸变化最大,包装工艺对线性尺寸影响不显著。结论:在本研究的局限性内,限制系统烧瓶封闭(RSFC)方法与其他烧瓶封闭方法相比,在减少牙齿运动方面表现出相似的性能。义齿加工后后牙区可能出现牙位变化,需要临床调整。
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Comparison of the linear dimensional accuracy of the maxillary denture teeth by three flask closure methods. An in vitro study.

Purpose: This laboratory study conducted to evaluate and compare the influence of different flask closure methods on linear dimensional changes of standardized simulated maxillary complete dentures.

Materials and methods: Thirty casts were made from a silicone mold representing an edentulous maxillary arch. Thirty identical maxillary dentures were made and randomly assigned to 3 test groups (A, B, C). In Group A, flasks were placed directly in pressure clamp after trial closure. Group B: The final closure was done in a hydraulic press then transferred to pressure clamp. Group C: After trial closure flask was positioned between the two iron plates of the Restriction System flask closure (RSFC) method. Then linear distances were measured three times before and after polymerization: right incisor to left incisor (RI-LI), right premolar to left premolar (RPM-LPM), right molar to left molar (RM-LM) and left incisor- to- left molar (LI-LM) and right incisor- to- right molar (RI-RM) with the help of digital caliper with an accuracy of 0.01mm. ANOVA and Tuckey's test were used to compare the groups (p < 0.05).

Results: Inter molar (LM-RM) width showed the greatest dimensional change after processing and Linear dimensions were not significantly influenced by the packing procedure.

Conclusion: Within the limitations of this study, Restriction System flask closure (RSFC) method demonstrated a similar performance in reducing the tooth movement when compared with other flask closure methods. The posterior region of the denture may present changes in the tooth position after processing, which need to be clinically adjusted.

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