长正中《牙合》型下颌全口义齿近中移位量的初步研究

目的 探讨无牙颌患者戴用长正中<牙合>型全口义齿3个月后下颌义齿的近中移位量能否满足患者长正中量的自然要求,从而检验长正中<牙合>型全口义齿的设计理论. 方法 为10例无牙颌患者制作长正中<牙合>型、线性<牙合>型和解剖<牙合>型3种全口义齿,采用哥特式弓描记装置测量无牙颌患者的长正中量,采用三维精密平移台测量3种<牙合>型下颌义齿的近中移位量.对比分析不同<牙合>型下颌义齿近中移位量的差异,并与患者长正中量进行对比. 结果 10例无牙颌患者的长正中量为(1.02±0.36)mm,3种<牙合>型下颌义齿的近中移位量分别为:长正中<牙合>型(1.016±0.348)mm,线性<牙合>型(1.092±0.448)mm,解剖<牙合>型(0.409±0.253)mm. 结论 长正中<牙合>型全口义齿能满足患者长正中量的自然要求,以及在患者正中关系位至肌力闭合道终点的位置之间无障碍的义齿设计要求.

Evaluation of mesial displacement of mandibular complete dentures with long-centric occlusal pattern

Objective To evaluate whether the mesial displacement of the mandibular complete dentures with long-centric occlusal pattern could meet the long centric of edentulous patients and to verify the design theory of the long-centric occlusal pattern of complete dentures. Methods Complete dentures with three different occlusal patterns were made for each of 10 edentulous patients. Gothic arch tracing apparatus was used to record the long centric of edentulous patients. Three-dimensional measuring apparatus was used to measure the mesial displacement of mandibular dentures with three occlusal patterns. Comparison of the mesial displacement of three occlusal pattern dentures was made each other and with the long centric of the patients respectively. Results The mean of long centric was (1.02±0.36) mm. The means of mesial displacement of mandibular complete dentures were as follows: the long-centric occlusal pattern dentures (1.016±0. 348) mm , the linear occlusal dentures (1.092±0. 448) mm, the anatomic occlusal dentures (0. 409±0. 253) mm. Conclusions The mandibular complete dentures with long-centric occlusal pattern can meet the physiological requirement for the long centric of edentulous patients and achieve a free slide from the centric relation position to the muscular contact position of the mandible.