›› 2018, Vol. 38 ›› Issue (6): 548-551.

• 临床研究 • 上一篇    下一篇

应用T-scan III系统对楔状缺损患者牙合接触的研究

聂晶晶1,冯加飞2   

  1. 1. 南京大学医学院附属口腔医院,南京市口腔医院
    2. 南京市口腔医院
  • 收稿日期:2017-03-23 修回日期:2017-05-23 出版日期:2018-06-28 发布日期:2018-07-05
  • 通讯作者: 聂晶晶 E-mail:355886355@qq.com

In vivo correlation of wedge-shaped defects and occlusal contact determined with T-scan Ⅲ system

Jing-Jing NIE,Jia-Fei FENG   

  • Received:2017-03-23 Revised:2017-05-23 Online:2018-06-28 Published:2018-07-05
  • Contact: Jing-Jing NIE E-mail:355886355@qq.com

摘要: 目的 测量楔状缺损患牙的接触,探究因素与楔状缺损形成的关系。方法 从32例受检者中选取32颗口内单象限内单颗楔状缺损患牙和34颗同名未患楔状缺损牙分别作为实验组和对照组。应用直接接触测量法及T-scan Ⅲ系统分析受检牙干扰的分布,并应用T-scan Ⅲ系统对受检牙在正中、侧方及前伸运动中的接触进行动态、定量测量。结果实验组中单侧组与双侧组患牙的工作侧干扰牙数百分比(75.0%、70.0%)均高于各自对照牙(17.7%、18.2%),差异有统计学意义(P<0.05);在侧方工作侧运动中,实验组患牙所分担的力及其咬合高点上接触强度,均高于对照牙,差异有统计学意义(P<0.05)。结论 口内单象限内单颗牙楔状缺损的发生与干扰及力负担过重有关。

关键词: 楔状缺损, T-ScanⅢ系统, 工作侧干扰, 接触

Abstract: Objective To measure the occlusion of teeth with wedge-shaped defects and explore the correlation. Methods Following examination from 32 patients, 32 teeth which were the only teeth with wedge-shaped defect in single quadrant were regarded as the experiment group. Also, 34 teeth with no such non-cariouscervical lesions were regarded as the control group. Routine clinical examination method and the t-scan Ⅲ system were used to check the distribution of premature contacts(PC) on the subject teeth, and the t-scan Ⅲ system was used to take a dynamic, quantitative analysis for occlusal contact in centric occlusion, lateral occlusion and protrusion of subject teeth. Results The proportion of the teeth with premature contact (PC) in working side in wedge-shaped defect teeth from two experiment groups(75.0%,70.0%) was much higher than that in their corresponding control teeth (17.7%,18.2%)(P <0.05). In working side, the percentages of occlusal force and the occlusal contact strain of wedge-shaped defect teeth were significantly higher than the control teeth(P <0.05). Conclusion Dysfunction occlusal force can have relation to the progression of wedge - shaped defects occurring on single teeth.

Key words: wedge-shaped defect, occlusal interference, occlusal contact

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