人工牙排列位置对下颌全口义齿固位及支持组织的影响

采用ＣＴ－数字化仪－ＣＡＤ系统建立了下颌无牙颌骨及其义齿的３个三维有限元模型，探讨在Ｈｅ力，口周肌力作用下，下颌人工牙排列位置对义齿固位和支持组织应力分布的影响，并测量了１０例口周肌动力及传统型全口义 工牙排列位置的差异。结果表明；Ｈｅ力作用下，人工牙排列干剩余牙槽嵴顶及水平偏离槽嵴顶舌，颊侧３ｍｍ，对牙骨应力分布无明显影响，但后牙位于下颌骨外斜嵴区对支持组织有利；正中Ｈｅ时，磨牙排列于牙槽嵴顶颊

The Influence of Teeth Positions to Lower Complete Denture Retention and Health of Supporting Tissues

Three kinds of three dimension finite element models of edentulous mandibile and the complete denture were established to investigate the influence of artificial teeth positions to denture retention and the supporting tissue. Ten myodynamic and traditional complete dentures were constructed to compare the difference of artificial teeth positions to alveolar ridge. The results indicated: 1. The stress was not obvious different in mandible when teeth were placed over the crest of the ridge or moved lingually or buccally to the ridge in 3 mm; 2. Under occlusion force, it was beneficial for the lower supporting tissue with artificial molars being placed over the slope of mandible and beneficial for denture retention with molars teeth being placed on the crest of ridge buccally; 3. With the effects of oral muscles, the teeth on the crest of ridge buccally or lingually in 3 mm in molar and premolar regions were respectively available; 4. There were obvious difference in arch width of artificial teeth arrangement between traditional and myodynamic complete dentures, the arch was wider in myodynamic complete denture than that of traditional complete denture at molar region.