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机构地区:[1]上海市口腔病防治院,上海200031 [2]上海应用技术学院机械与自动化学院,上海200233
出 处:《上海口腔医学》2014年第1期46-50,共5页Shanghai Journal of Stomatology
摘 要:目的:针对Atwood 3级无牙下颌牙槽嵴制作下半口义齿,分析其使用义齿稳固剂前、后,在正中咬合力加载时牙槽骨的应力分布情况。方法:应用三维光弹实验方法,在Atwood 3级无牙颌环氧树脂光弹模型上制作全口义齿,并在下半口义齿组织面内使用和不使用义齿稳固剂,进行正中咬合下应力加载冻结,比较其应力分布。结果:下半口使用义齿稳固剂后,正中咬合加载时,牙槽嵴顶和颊、舌侧应力分布更均匀,牙槽嵴顶较不使用稳固剂应力明显上升。结论:临床上对于Atwood 3级牙槽嵴患者,采用下半口义齿修复时,使用义齿稳固剂不仅可以增加义齿稳定性,还可使下颌后牙牙槽嵴的主副承托区应力分布更趋均匀,减少应力集中导致的局部压痛。PURPOSE: To compare the stress distribution of supporting tissues in Atwood level 3 alveolar bones under the mandibular complete dentures with and without denture adhesives. METHODS: Photoelastie models of epoxy were fabricated according to the standard Atwood level 3 edentulous model. 1.5 kg force was vertically applied on the bite force loading device. After stress frozen, photoelastic model slices in posterior teeth area were observed and analyzed. RESULTS: When using denture adhesives, stresses distributed more adequately in the buccal and lingual side and the force of alveolar crest increased remarkably. CONCLUSIONS: To those with Atwood level 3 alveolar ridge and complete denture, denture adhesives can not only increase stability but also prevent local pressure under uneven stress distribution.
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