Comparison of the accuracy of three methods for determining maxillomandibular horizontal relationship of the complete denture

doi:10.7518/hxkq.2020.04.009

Abstract

Abstract:

Objective To observe the changes of forward displacement of maxillary complete denture during centric occlusion, three different methods were used to record the changes of vertical overlap and the comfort level of patients before and after the selective grinding of the three dentures made according to maxillo-mandibular horizontal relationship record. Methods Twelve edentulous patients with normal stomatognathic system were recruited in this study. Three types of complete dentures for these 12 edentulous patients were made according to their different maxilla-mandibular horizontal relationship record methods. The amount of displacement of the maxillary complete denture, the vertical overlap of the anterior teeth as well as patient comfort level were recorded before and after selective grinding. Statistical analysis was performed using the SPSS 17.0 software package. Results Before selective grinding, the amount of displacement of denture A was significantly larger than those of dentures B and C (P<0.05). After selective grinding, there was no statistical difference among the three dentures (P>0.05). During selective grinding, the vertical overlap variation of denture A was significantly greater than those of dentures B and C (P<0.05). Before selective grinding, the comfort level of the denture A was the lowest (P<0.05), and no statistical difference was found between dentures B and C (P>0.05). After selective grinding, no statistical difference was found among the three dentures (P>0.05). Conclusion Among the complete dentures with anatomical teeth, the dentures whose horizontal relationship was recorded at 1 mm before the apex of the Gothic arch apex and with checkbite are more in line with clinical repair requirements. Complete dentures whose horizontal relationship was recorded at the apex of Gothic arch need to be adjusted with selective grinding to meet the clinical restoration requirements.

Key words: complete denture, maxillo-mandibular horizontal relationship record, selective grinding, displacement, comfort, accuracy

CLC Number:

R783.4

Yang Liyuan, Liu Guanyi, Zhao Ling, Gao Xu. Comparison of the accuracy of three methods for determining maxillomandibular horizontal relationship of the complete denture[J]. West China Journal of Stomatology, 2020, 38(4): 404-409.

Figures/Tables 5

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移位量	义齿A	义齿B	义齿C
L₁	1.086±0.259*	0.627±0.220	0.558±0.145
L₂	0.220±0.122	0.320±0.123	0.306±0.113
近中位移变化量	0.866±0.273*	0.308±0.199	0.252±0.175