Th دراسة سريريّة مقارنة بين الأجهزة الكاملة العلويّة ذات القواعد المصمّمة والمصنّعة حاسوبيّاً مع الأجهزة الكاملة العلويّة التقليديّة
الكلمات المفتاحية:
(CAD/CAM)، الفكّ العلويّ، PMMA، الأجهزة الكاملة السنيّة المتحرّكة(CAD/CAM)، الفكّ العلويّ، PMMA، الأجهزة الكاملة السنيّة المتحرّكة
الملخص
المقدّمة:
يُعتبر استعمال الأجهزة الكاملة السنيّة التقليديّة في التعويض لدى مرضى الدردِ الكاملِ ذو نتائجَ مقبولة عند معظم المرضى على الرغم من بعض العيوب الّتي تعتريها نتيجةً لذلك أتت الطّريقة الحاسوبيّة (CAD/CAM) في صناعة الأجهزة السنيّة الكاملة للتغلبِ على معظمِ مساوئِ الأجهزةِ التقليديّة.
الهدف من البحث:
يهدفُ هذا البحث إلى تحرّي إمكانّيّةَ استخدام الطّريقة الحاسوبيّة (CAD/CAM) في صناعةِ الأجهزةِ الكاملةِ العلويّةِ التقليديّةِ، وتأثيرها على ثبات الأجهزة الكاملة السنية.
الموادّ والطّرائق:
شملت عيّنة البحثِ الحاليِّ 12 مريض دردٍ كاملٍ (عيّنة متصالبة) تراوحت أعمارهم بين 52-66 سنة، (6 ذكور و6 إنّاث).
صُنع لكلّ مريضٍ جهازين كاملين علويّين أحدهما بالطّريقة التقليديّة والآخر صُنعت قاعدته بالطّريقة الحاسوبيّة (CAD/CAM) من بلوكات مصنوعة من مادة البولي ميتيل ميتاأكريلات [PMMA]، ثم استُكملت بقيّة المراحلِ بالطّريقة التقليديّةِ. ثم تم قياس مقدار ثبات الجهاز الكامل العلوي (بالنيوتن) لكل جهاز كامل علوي من الأجهزة الكاملة العلوية باستخدام جهاز قياس الثبات الإلكتروني (الربيعة).
تمّ تحليلُ النّتائج باستخدام اختبار T ستيودنت للعيّنات المستقلّة، واعتُمِد مستوى الثّقة 95%.
النّتائج:
توجد فروق دالّة إحصائيّاً في متوسط قيم مقدار ثبات الجهاز الكامل العلوي (بالنيوتن) بين مجموعة الأجهزة الكاملة العلوية بقواعد مصمّمة ومصنّعة حاسوبياً ومجموعة الأجهزة الكاملة العلوية التقليدية في عينة البحث عند مستوى دلالة أصغر بكثير من القيمة 0.05 (P-value=0.00 ).
الاستنتاجات:
أظهرتِ النّتائج أنّ استخدام الطّريقة الحاسوبيّة (CAD/CAM) في صناعة قواعد الأجهزة الكاملة العلويّة يساهمُ في زيادة ثبات الأجهزة الكاملة العلوية
المراجع
AlHelal A, AlRumaih HS, Kattadiyil MT, et al: Comparison of retention between maxillary milled and conventional denture bases: A clinical study. J Prosthet Dent 2017; 117:233-238.
AlRumaih HS, AlHelal A, Baba NZ, et al: Effects of denture adhesive on the retention of milled and heat-activated maxillary denture base: A clinical study. J Prosthet Dent 2018; 120:361-366.
Al Quran F, Clifford T, Cooper C, et al: Influence of psychological factors on the acceptance of complete dentures. Gerodontology 2001; 18:35-40.
Atkinson HF, Grant AA: An investigation into tooth movement during the packing and polymerizing of acrylic resin denture base materials. Aust Dent J 1962; 7:101-8.
Ayman AD: The residual monomer content and mechanical properties of CAD/CAM resins used in the fabrication of complete dentures as compared to heat cured resins. Electron Physician 2017; 9:4766-4722.
Bidra AS, Taylor T, Agar JR. Computer aided technology for fabricating complete dentures: systematic review of historical background, current status and future perspectives. J Prosthet Dent 2013; 109:361-6.
Busch M, Kordass B. Concept and development of a computerized positioning of prosthetic teeth for complete dentures. Int J Comput Dent 2006; 9:113-20.
Carlsson GE, Omar R: The future of complete dentures in oral rehabilitation. A critical review. J Oral Rehabil 2010; 37:143-156 4.
Cawood, J.I. and Howell, R.A. (1988) A Classification of the edentulous jaws. International Journal of Oral and Maxillofacial Surgery, 17. 232-236.
Goodacre, B.J.; Goodacre, C.J.; Baba, N.Z.; Kattadiyil, M.T. Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. J. Prosthet. Dent. 2016, 116, 249–256.
Grant GT, Campbell SD, Masri RM: The American College of Prosthodontists Digital Dentistry Glossary Development Task Force. Glossary of digital dental terms. JProsthodont 2016; 25:S2-S9.
Glossary of Prosthodontic Terms. J Prosthet Dent. 2005; 94:10–92. Crossref
Hardy IR, Kapur KK. Posterior border seal: Its rationale and importance. J Prosthet Dent. 1958; 8:386–97. Crossref 7.
Ismail YH and Bowman JF. Position of the occlusal plane in natural and artificial teeth. The Journal of prosthetic dentistry. 1968; 20(5): 407-411.
Jacob RF. The traditional therapeutic paradigm: complete denture therapy. J Prosthet Dent 1998; 79:6-13.
Kattadiyil MT, Jekki R, Goodacre CJ, et al: Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting. J Prosthet Dent 2015; 114:818-825.
Koike T, Ishizaki K, Ogami K, et al: Influence of anterior palatal coverage on perception and retention in complete dentures. J Prosthet Dent 2011; 105:272-9.
Lima JM, Anami LC, Araujo RM, Pavanelli CA. Removable partial dentures: Use of rapid prototyping. J Prosthodont 2014; 23:588-91.
Maeda Y, Minoura M, Tsutsumi S, Okada M, Nokubi T. A CAD/CAM system for removable denture. Part 1: Fabrication of complete dentures. Int J Prosthodont 1994; 7:17-21.
Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: Current status and future perspectives from 20 years of experience. Dent Mater J 2009; 28:44-56.
Mohamed WS, Helal A and Sakr M. the Masticatory Performance of Complete Denture Wearers. .Al-Azhar: journal of Dental Science 2006.
Muller F. Oral hygiene reduces the mortality from aspiration pneumonia in frail elders, J. Dent. Res. 94 (3 Suppl) (2015) 14S–16S.
Quran FAA, Hazza’a A and Nahass NA. The position of the occlusal plane in natural and artificial dentitions as related to other craniofacial planes. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry. 2010; 19(8): 601-605.
Steinmassl O, Dumfahrt. H, I. Grunert, P.A. Steinmassl, Influence of CAD/CAM fabrication on denture surface properties, J. Oral Rehabil. 45 (5) (2018) 406–413.
Srinivasan M, Schimmel M, Naharro M, et al: CAD/CAM milled removable complete dentures: time and cost estimation study. J Dent 2019; 8:75-79.
Tasaka A, Matsunaga S, Odaka K, et al: Accuracy and retention of denture base fabricated by heat curing and additive manufacturing. J Prosthodont Res 2019; 63:85-89.
Tharakan et al, Retention of removable complete dentures made with different posterior palatal seal techniques and oral health quality of life: A clinical study J Prosthet Dent 2020; 126 (3)393-397.
Thomason JM, Heydecke G, Feine JS, Ellis JS. How do patients perceive the benefit of reconstructive dentistry with regard to oral health‐related quality of life and patient satisfaction? A systematic review. Clin Oral Implants Res. 2007; 18 (Suppl 3):168‐188.
Van Noort R. The future of dental devices is digital. Dent Mater.2012; 28(1):3-12.
Venugopalan SK, SatishBabu C and Rani M. Determination of the relative parallelism of occlusal plane to three ala-tragal lines in various skeletal malocclusions: A cephalometric study. Indian Journal of Dental Research. 2012; 23(6): 719.
Woelfel JB, Paffenbarger GC, Sweeney WT: Dimensional changes occurring in dentures during processing. J AM Dent Assoc 1960; 61:413-30.
Wong DM, Cheng LY, Chow TW, et al: Effect of processing method on the dimensional accuracy and water sorption of acrylic resin dentures. J Prosthet Dent 1999; 81:300-4.
Zarb, George A, Charles L Bolender, and Gunner E Carlsson. 1997. Boucher's prosthodontic treatment for edentulous patients (Mosby St. Louis):284-297.
AlRumaih HS, AlHelal A, Baba NZ, et al: Effects of denture adhesive on the retention of milled and heat-activated maxillary denture base: A clinical study. J Prosthet Dent 2018; 120:361-366.
Al Quran F, Clifford T, Cooper C, et al: Influence of psychological factors on the acceptance of complete dentures. Gerodontology 2001; 18:35-40.
Atkinson HF, Grant AA: An investigation into tooth movement during the packing and polymerizing of acrylic resin denture base materials. Aust Dent J 1962; 7:101-8.
Ayman AD: The residual monomer content and mechanical properties of CAD/CAM resins used in the fabrication of complete dentures as compared to heat cured resins. Electron Physician 2017; 9:4766-4722.
Bidra AS, Taylor T, Agar JR. Computer aided technology for fabricating complete dentures: systematic review of historical background, current status and future perspectives. J Prosthet Dent 2013; 109:361-6.
Busch M, Kordass B. Concept and development of a computerized positioning of prosthetic teeth for complete dentures. Int J Comput Dent 2006; 9:113-20.
Carlsson GE, Omar R: The future of complete dentures in oral rehabilitation. A critical review. J Oral Rehabil 2010; 37:143-156 4.
Cawood, J.I. and Howell, R.A. (1988) A Classification of the edentulous jaws. International Journal of Oral and Maxillofacial Surgery, 17. 232-236.
Goodacre, B.J.; Goodacre, C.J.; Baba, N.Z.; Kattadiyil, M.T. Comparison of denture base adaptation between CAD-CAM and conventional fabrication techniques. J. Prosthet. Dent. 2016, 116, 249–256.
Grant GT, Campbell SD, Masri RM: The American College of Prosthodontists Digital Dentistry Glossary Development Task Force. Glossary of digital dental terms. JProsthodont 2016; 25:S2-S9.
Glossary of Prosthodontic Terms. J Prosthet Dent. 2005; 94:10–92. Crossref
Hardy IR, Kapur KK. Posterior border seal: Its rationale and importance. J Prosthet Dent. 1958; 8:386–97. Crossref 7.
Ismail YH and Bowman JF. Position of the occlusal plane in natural and artificial teeth. The Journal of prosthetic dentistry. 1968; 20(5): 407-411.
Jacob RF. The traditional therapeutic paradigm: complete denture therapy. J Prosthet Dent 1998; 79:6-13.
Kattadiyil MT, Jekki R, Goodacre CJ, et al: Comparison of treatment outcomes in digital and conventional complete removable dental prosthesis fabrications in a predoctoral setting. J Prosthet Dent 2015; 114:818-825.
Koike T, Ishizaki K, Ogami K, et al: Influence of anterior palatal coverage on perception and retention in complete dentures. J Prosthet Dent 2011; 105:272-9.
Lima JM, Anami LC, Araujo RM, Pavanelli CA. Removable partial dentures: Use of rapid prototyping. J Prosthodont 2014; 23:588-91.
Maeda Y, Minoura M, Tsutsumi S, Okada M, Nokubi T. A CAD/CAM system for removable denture. Part 1: Fabrication of complete dentures. Int J Prosthodont 1994; 7:17-21.
Miyazaki T, Hotta Y, Kunii J, Kuriyama S, Tamaki Y. A review of dental CAD/CAM: Current status and future perspectives from 20 years of experience. Dent Mater J 2009; 28:44-56.
Mohamed WS, Helal A and Sakr M. the Masticatory Performance of Complete Denture Wearers. .Al-Azhar: journal of Dental Science 2006.
Muller F. Oral hygiene reduces the mortality from aspiration pneumonia in frail elders, J. Dent. Res. 94 (3 Suppl) (2015) 14S–16S.
Quran FAA, Hazza’a A and Nahass NA. The position of the occlusal plane in natural and artificial dentitions as related to other craniofacial planes. Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry. 2010; 19(8): 601-605.
Steinmassl O, Dumfahrt. H, I. Grunert, P.A. Steinmassl, Influence of CAD/CAM fabrication on denture surface properties, J. Oral Rehabil. 45 (5) (2018) 406–413.
Srinivasan M, Schimmel M, Naharro M, et al: CAD/CAM milled removable complete dentures: time and cost estimation study. J Dent 2019; 8:75-79.
Tasaka A, Matsunaga S, Odaka K, et al: Accuracy and retention of denture base fabricated by heat curing and additive manufacturing. J Prosthodont Res 2019; 63:85-89.
Tharakan et al, Retention of removable complete dentures made with different posterior palatal seal techniques and oral health quality of life: A clinical study J Prosthet Dent 2020; 126 (3)393-397.
Thomason JM, Heydecke G, Feine JS, Ellis JS. How do patients perceive the benefit of reconstructive dentistry with regard to oral health‐related quality of life and patient satisfaction? A systematic review. Clin Oral Implants Res. 2007; 18 (Suppl 3):168‐188.
Van Noort R. The future of dental devices is digital. Dent Mater.2012; 28(1):3-12.
Venugopalan SK, SatishBabu C and Rani M. Determination of the relative parallelism of occlusal plane to three ala-tragal lines in various skeletal malocclusions: A cephalometric study. Indian Journal of Dental Research. 2012; 23(6): 719.
Woelfel JB, Paffenbarger GC, Sweeney WT: Dimensional changes occurring in dentures during processing. J AM Dent Assoc 1960; 61:413-30.
Wong DM, Cheng LY, Chow TW, et al: Effect of processing method on the dimensional accuracy and water sorption of acrylic resin dentures. J Prosthet Dent 1999; 81:300-4.
Zarb, George A, Charles L Bolender, and Gunner E Carlsson. 1997. Boucher's prosthodontic treatment for edentulous patients (Mosby St. Louis):284-297.
منشور
2022-10-13
كيفية الاقتباس
راجحر., & الحجّي جنيد ف. (2022). Th دراسة سريريّة مقارنة بين الأجهزة الكاملة العلويّة ذات القواعد المصمّمة والمصنّعة حاسوبيّاً مع الأجهزة الكاملة العلويّة التقليديّة. مجلة جامعة حماة, 5(12). استرجع في من https://hama-univ.edu.sy/ojs/index.php/huj/article/view/991
القسم
قسم طب الأسنان
