›› 2021, Vol. 41 ›› Issue (9): 810-815.

• 临床研究 • 上一篇    下一篇

不同咬合记录方式制作后牙单冠的咬合适合性研究

谢培进1,刘伟才2,王灿2,叶俊1,吴珺华2   

  1. 1. 同济大学附属口腔医学院
    2. 同济大学附属口腔医院
  • 收稿日期:2021-01-21 修回日期:2021-03-14 出版日期:2021-09-28 发布日期:2021-09-23
  • 通讯作者: 吴珺华 E-mail:wujunhua_sh@tongji.edu.cn
  • 基金资助:
    上海市科委西医引导项目

Study on the occlusal suitability of posterior single crowns made by different occlusal recording methods

  • Received:2021-01-21 Revised:2021-03-14 Online:2021-09-28 Published:2021-09-23

摘要: 目的 评估不同咬合记录方式在后牙单冠修复体咬合适合性方面的差异。方法 选择10例拟后牙单冠修复的患者,利用5种不同的咬合记录方式分别制作5个单冠。实验分组:以Co组(Artex CR + O-Bite咬合记录)为参照,其他4种咬合记录方式为实验组,包括3s组(3Shape TRIOS 3静态咬合记录)和3d组(3Shape TRIOS 3动态咬合记录)、Ka组(KaVo ARCUS digma)、Pr组(Dentograf)。通过患者满意度评分,T-scan Ⅲ咬合记录分析仪记录咬合时间(occlusion time,OT)和咬合分离时间(disocclusion time,DT)及医师椅旁调牙合时间来评价单冠修复体咬合的适合性。结果 5种咬合记录方式在制作后牙单冠的患者满意度评分、ΔOT和ΔDT值以及医师椅旁调牙合时间上都没有统计学差异(P>0.05)。结论 后牙单冠制作时,多种结合下颌运动的咬合记录方式都可以取得良好的临床效果。

关键词: 咬合适合性, 咬合记录, 下颌运动

Abstract: Objective To compare the suitability of the occlusal surface of single-crown restorations with different interocclusal recording methods. Methods Ten patients needing posterior single crown restoration were selected and 5 single crowns were made using 5 different occlusal recording methods. Experimental grouping:the Co group (Artex CR+ O-Bite bite registration) was taken as the reference, and the other four interocclusal recording methods as the experimental group, including the 3s group (3Shape TRIOS 3 static interocclusal record), 3d group (3Shape TRIOS 3 dynamic interocclusal record), Ka group (KaVo ARCUS digma) and Pr group (Dentograf). Through the patient satisfaction score, the occlusion time (OT)、disocclusion time (DT) recorded by the T-scan Ⅲ system and the clinician's chairside occlusal adjustment time to evaluate the occlusal suitability of the restoration. Results There were no statistically significant differences in the patient satisfaction scores, ΔOT and ΔDT values of the posterior single crowns made with the five interocclusal recording methods and the clinicians chairside occlusal adjustment time (P>0.05). Conclusion A variety of interocclusal recording methods combined with jaw movement can all achieve good clinical results in making a single crown of the posterior teeth.

Key words: occlusal suitability, interocclusal recording, jaw movement

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