由金属夹固定的可拆卸局部义齿的美学解决方案

Guilherme Andrade Meyer, Francisco Oliveira Barros Júnior, Luciana Valadares Oliveira, Bruno Peixoto de Souza, Felipe Vilasboas Rodrigues, Emilena Maria Castor Xisto Lima
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引用次数: 0

摘要

可移动局部义齿(RPD)的目的是在不破坏生物力学平衡的前提下,将缺失的牙单元整合到口颌系统中。此外,将功能与美学结合起来也是一个巨大的挑战。由于在前牙唇面使用金属卡环难以达到美学上的和谐,因此有必要研究解决这一问题。事实上,与其他治疗方案相比,这种手术对患者来说更简单,成本更低。因此,本研究通过3例前牙单元部分缺失患者的临床病例,提出了RPD的美学解决方案,并提出了常规颊固位金属卡箍与腭区卡箍的比较。为每位患者制作两个假体:1)只优先考虑生物力学原理,2)同时考虑生物力学和美容原理。我们观察到MDL和querilhac卡环是前牙无牙肯尼迪III级和IV级患者获得美观的可行选择。因此,我们可以得出结论,对于前牙部分无牙的人来说,不观察牙齿颊部的金属结构可以改善他们的微笑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SOLUÇÕES ESTÉTICAS PARA PRÓTESES PARCIAIS REMOVÍVEIS RETIDAS POR GRAMPOS METÁLICOS
The construction of a removable partial denture (RPD) aims the replacement of lost dental units, incorporating them into the stomatognathic system, without harming the biomechanical balance. Besides, there is a great challenge today, of combining function and esthetics. The difficulty in achieving esthetic harmony by the presence of metal clasps on labial surfaces of anterior teeth justify studies aimed at solving this problem in the RPDs. There is still the fact that this procedure is simpler and less costly for the patient compared to other treatment options. Therefore, this study presents esthetic solutions for RPD and suggests the comparison among conventional metal clasps on buccal retainers with clips in the palatal area, through three clinical cases of patients with partial absence of anterior dental units. Two prosthetic pieces for each patient were made: 1) prioritizing only the biomechanical principles and 2) considering both the biomechanical and cosmetic principles. It was observed that MDL and Quereilhac clasps are viable alternatives to get esthetics in RPDs of anterior edentulous patients with Class III and IV of Kennedy. Therefore, it can be concluded that there was an improvement in smile of individuals partially edentulous in the anterior region, by not viewing the metal structure on the buccal area of the teeth.
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