口腔医学研究 ›› 2023, Vol. 39 ›› Issue (3): 259-265.DOI: 10.13701/j.cnki.kqyxyj.2023.03.014

• 口腔修复学研究 • 上一篇    下一篇

牙列缺失开口与闭口式印模三维形态对比研究

黎小桐, 刘明丽*   

  1. 大连市口腔医院种植科 辽宁 大连 116021
  • 收稿日期:2022-09-20 出版日期:2023-03-28 发布日期:2023-03-21
  • 通讯作者: * 刘明丽,E-mail:liumingli0@163.com
  • 作者简介:黎小桐(1994~ ),女,辽宁锦州人,医师,硕士,研究方向:口腔种植修复,现在宁波口腔医院工作。

Three-dimensional Difference Between Open-mouth and Closed-mouth Impressions of Edentulous Jaws: A Clinical Study

LI Xiaotong, LIU Mingli*   

  1. Department of Implantology, Dalian Stomatological Hospital, Dalian 116021, China
  • Received:2022-09-20 Online:2023-03-28 Published:2023-03-21

摘要: 目的: 研究全口义齿开口与闭口式印模不同印模材料与取模方式对印模三维形态的影响。方法: 无牙颌患者7例,分别取红膏藻酸盐印模、个别托盘印模与闭口式印模并灌制模型。光学扫描仓获得三组石膏模型数据转换为STL.导入Geomagic Control 2014 配准后统计分析,评价模型配准是否与临床相符。结果: 配准正确值主要分布上颌硬区、主承托区与副承托区,上颌翼缘封闭区存在显著性差异(P<0.01),下颌舌侧翼缘区存在差异(P<0.05)。结论: 开口与闭口式印模三维形态的差异主要集中在上颌颊侧翼缘区与下颌舌侧翼缘区,红膏藻酸盐印模边缘更易伸展,是否有咬合压力并未对主承托区、副承托区三维形态带来显著影响。

关键词: 二次印模, 牙列缺失, 三维

Abstract: Objective: To study the effects of different impression materials and methods on the three-dimensional shape of open-mouth impression and closed-mouth impression for complete denture. Methods: Seven patients with edentulous jaws were selected to take stock tray open-mouth impression with red paste irreversible hydrocolloid alginate, custom tray open-mouth impression, and closed-mouth impression. Three groups of stone models were obtained by optical scanning chamber and converted into STL. and imported into Geomagic control 2014 software for statistical analysis after registration to evaluate whether the model registration was consistent with the clinical status. Results: The nominal value was mainly distributed in the hard area of upper jaw, the main supporting area, and the secondary supporting area. The areas with large deviation were mainly distributed in the border seal area. There were significant differences in the border seal area of the maxillary (P<0.01) and in the lingual flange area of the mandible (P<0.05). Conclusion: Differences in the three-dimensional morphology between open-mouth and closed-mouth impressions are mainly present in the buccal and lingual maxillary border areas. The edges of alginate impressions with red paste are easier to stretch, and the occlusal pressure dose not significantly affect the three-dimensional morphology of the main and accessory ramus areas.

Key words: secondary impression, dental impression technique, three dimensional