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REZUMAT
Scop. Studii recente demonstreaz importana echilibrrii ocluzale a protezelor totale n momentul aplicrii
pe cmpul protetic. Scopul acestui studiu este de a evalua distribuia i numrul de contacte dento-dentare
la proteza total, avnd ca rezultat obinerea coincidenei dintre intercuspidarea maxim i relaia centric.
Material i metod. Studiul a cuprins un lot de 198 de pacieni edentai total ce au fost protezai pe parcursul
a trei ani n cadrul disciplinei de Protetic dentar mobil. Detectarea contactelor dento-dentare a fost realizat cu hrtie de articulaie cu o grosime de 60 microni, prin interpunerea acesteia ntre proteze n momentul
aplicrii lor pe cmpul protetic.
Rezultate. Din totalul de 198 de pacieni studiai, 119 au fost edentai bimaxilar i 79 unimaxilar, astfel c
numrul de proteze examinate a fost de 317. Din 317 proteze totale n cazul pacienilor edentai bimaxilar, un
numr de 87 prezentau contacte bilateral n momentul aplicrii protezelor i nu necesitau edine de echilibrare ocluzal, iar restul prezentau contacte dento-dentare unilateral de intensitate mai sczut i au necesitat edine de echilibrare ocluzal. n cazul pacienilor edentai unimaxilar, procentul de pacieni ce au necesitat echilibrri ocluzale a fost mai mare, acest fapt datorndu-se antagonitilor.
Concluzii. Acest studiu a demonstrat importana echlibrrii ocluzale n momentul aplicrii protezelor. Statistic, s-a demonstrat distribuia inegal a contactelor dento-dentare mai ales n cazul pacienilor edentai total
unimaxilar, dar i prezena unor contacte dento-dentare distribuite echilibrat n cazul protezelor bimaxilare.
Cuvinte cheie: echilibrare ocluzal, durere la aplicarea protezelor,
coinciden ntre intercuspidarea maxim i relaia centric
ABSTRACT
Aim. Recent studies demonstrate the importance of occlusal balance of total removable denture when applying
them in the prosthetic field. The purpose of this study is to assess the distribution and number of dental contacts
in total removable denture resulting total coincidence with the result obtained and the relationship between MCR.
Materials and methods. Study group included a total of 198 patients who were total edentulous in the begining
an have been hearing over three years in Removable Prosthetics dental discipline. Detection of dental tooth contact was made with the joint paper with a thickness of 60 microns by interposing it between their dentures when
applying them on the prosthetic field.
Results. Of the 198 patients studied, 119 were bimaxilar edentulous and 79 unimaxilar so that the number of
implants examined was. Of the total of 317 dentures in bimaxilar edentulous patients a total of 87 had bilateral
contacts in the application of dentures and balancing does not require chewing sessions, and the rest had unilateral dental contact intensity and required less chewing balancing sessions. In unimaxilar edentulous patients
percentage of patients who underwent occlusal equilibration was higher, this being due to antagonists.
Conclusions. This study demonstrated the importance of occlusal balance when applying dentures on edentulous prosthetic fields. Statistically, it was demonstrated an unequal distribution of dental contacts especially in total
unimaxilar edentulous patients, and the presence of dental contacts distributed in balance in bimaxilare denture.
Keywords: occlusal balance, painful prosthetic application,
coincidence with the result obtained and the relationship between MCR
Studii recente demonstreaz importana echilibrrii ocluzale a protezelor totale n momentul aplicrii pe cmpul protetic. Dup controlul extraoral
Adres de coresponden:
Conf. Dr. Elena Gabriela Despa, Facultatea de Medicin Dentar, Universitatea Titu Maiorescu, Str. Gh. Petracu nr. 67A,
Bucureti
E-mail: drancapopescu@gmail.com
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236
MATERIAL I METOD
Studiul a fost realizat pe un lot de 198 de pacieni
edentai total ce au fost protezai pe parcursul a trei
ani n cadrul disciplinei de Protetic dentar mobil
(Tabelul 1).
TABELUL 1. Repartiia lotului de pacieni examinai dup
tipul edentaiei
Total pacieni
examinai
198
Total proteze
examinate
Pacieni edentai
bimaxilar
119
Pacieni edentai
unimaxilar
79
317
237
REZULTATE I DISCUII
CONCLUZII
Acest studiu a demonstrat importana echilibrrii
ocluzale n momentul aplicrii protezelor. Statistic,
s-a demonstrat distribuia inegal a contactelor
dento-dentare, mai ales n cazul pacienilor edentai
total unimaxilar, i prezena unor contacte dentodentare distribuite echlibrat n cazul protezelor bimaxilare. Echilibrarea ocluzal nu se limiteaz numai la o edin.
BIBLIOGRAFIE