Archive of SID - - PDF document

Archive of SID

يروﺮﻣنﺎﻜﺷﺰﭙﻧاﺪﻧد ﻲﻣﻼﺳا ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻪﻠﺠﻣ /هرود20هرﺎﻤﺷ ،3،ﺰﻴﻳﺎﭘ 1387 ،234-242

ﻗﺐﻟﺎ ﺷور ،ﺖﻨﻠﭙﻤﻳا يﺮﻴﮔنﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ وﻲﻠﺻا يﺎﻬ ﺎﻫ:تﻻﺎﻘﻣ ﺮﺑ يروﺮﻣ

ﺮﺘﻛدنﺎﻴﭽﻧﺎﻤﺴﻳر رﻮﺼﻨﻣ1-دﺮﻓ يﺮﻴﻨﻣ لﻮﺳر ﺮﺘﻛد2

1-آهوﺮﮔ رﺎﻳدﺎﺘﺳانﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﻜﺷﺰﭙﻧاﺪﻧد هﺪﻜﺸﻧاد ﻲﻧاﺪﻧد يﺎﻫﺰﺗوﺮﭘ ﻲﺷزﻮﻣ . 2-ﺰﭙﻧاﺪﻧد هﺪﻜﺸﻧاد ﻲﻧاﺪﻧد يﺎﻫﺰﺗوﺮﭘ ﻲﺷزﻮﻣآ هوﺮﮔ رﺎﻴﺘﺳدنﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﻜﺷ .

هﺪﻴﻜﭼ

فﺪﻫ وﻪﻨﻴﻣز:ﻴﻠﺻا زا ﻲﻜﻳﺖﻨﻠﭙﻤﻳا ﺮﺑ ﻲﻜﺘﻣ ﺰﺗوﺮﭘ ﺖﺧﺎﺳ مﺎﮕﻨﻫ فاﺪﻫا ﻦﻳﺮﺘﺮﭘﻮﺳ ﺖﺧﺎﺳ ،ﺎـﺑ يﺮﭽﻛاﺮﺘﺳا

Passive fitness

يور ﺮـﺑ ﺖﺳا ﺖﻨﻠﭙﻤﻳا.ﺖﻨﻠﭙﻤﻳا زا ﻖﻴﻗد ﺐﻟﺎﻗ ﻚﻳ ﻪﻴﻬﺗ ﺎﻫﺑﺖﻬﺟ ﻪﻦﻳا ندروآ ﺖﺳد

Passive fit

ـﻳا زا فﺪﻫ ﺖﺳا يروﺮﺿ ﻦﺮـﺑ يروﺮـﻣ ﻪـﻟﺎﻘﻣ ﻚﻴﻨﻜﺗ ﺐﻟﺎﻗ رد ﻲﻳﺎﻫ يﺮﻴﮔﻪﺑﻪﻛ ﺖﺳا ﺮﭘﻮﺳ ًﺎﺘﻳﺎﻬﻧ وهدوﺰﻓا ﺐﻟﺎﻗ ﺖﻗد يﺮﭽﻛاﻮﺘﺳا

Passiveﻲﻣ ﻢﻫاﺮﻓ ار دروآ .

ﻲﺳرﺮﺑ شور:يروﺮﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد ﻦﺘﻓﺎﻳ ياﺮﺑ ﺐﻟﺎﻗ ﺎﻬﻧآ عﻮﺿﻮﻣ ﻪﻛ ﻲﺗﻻﺎﻘﻣ ﺖﻨﻠﭙﻤﻳا درﻮﻣ رد يﺮﻴﮔ يﺎﻫ ﻮﺑ ﻲﻧاﺪـﻧد شور ﻚـﻳ زا ﺪـﻧد ﻪﻣﺎﻧﺮﺑ يﻮﺠﺘﺴﺟ يﺰﻳر هﺪﺷ ﺪﺷهدﺎﻔﺘﺳا .

Medline(Ovid)

و

Pubmed

ﺖﻓﺮﮔ راﺮﻗ ﻮﺠﺘﺴﺟ درﻮﻣ.ﻪﻳﺮﺸـﻧ ﻦﻳﺪـﻨﭼ رد ﺰـﻴﻧ ﻲﺘـﺳد يﻮﺠﺘﺴﺟ ﺮﻣ ﺪﺷ مﺎﺠﻧا ﻂﺒﺗ .ﻞﻜﺗوﺮﭘ ﻦﻴﻨﭽﻤﻫ ﻲﻧﺎﭙﻤﻛ ﻂﺳﻮﺗ ﻪﻛ ﻲﻳﺎﻫ ﻲﻣﺮﺸﺘﻨﻣ ﺖﻨﻠﭙﻤﻳا هﺪﻧزﺎﺳ يﺎﻫ ﻮﻣﺰﻴﻧ ﺪﻧدﺮﮔ ﺖﻓﺮﮔ راﺮﻗ ﻲﺑﺎﻳزرا در.تﻻﺎـﻘﻣ ﺎﻬﻨﺗ ﻳزرا درﻮﻣ ﻲﺴﻴﻠﮕﻧا هﺪﻴﻜﭼ ياراد ﺎﻳ نﺎﺑز ﻲﺴﻴﻠﮕﻧاﺪﻧﺪﺸﻧ ﻲﺑﺎﻳزرا هﺪﺸﻧ پﺎﭼ ﻊﺑﺎﻨﻣ وﺪﻨﺘﻓﺮﮔ راﺮﻗ ﻲﺑﺎ . ﻪﺘﻓﺎﻳ ﺎﻫ:عﻮﻤﺠﻣ رد92ﻪﻛهﺪﺷ جاﺮﺨﺘﺳا ﻪﻟﺎﻘﻣ 12درﻮﻣ ﺑﺎﻬﻧآ ﻪترﻮﺻ درﻮﻣ شراﺰﮔ وﺪﻧدﻮﺑ ﻘﻓﻲـﻣ ﻪـﺋارا ار ﻲﻧﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ ﻂوﺪـﻧدﺮﻛ هﺎﺠﻨﭘﻪﻌﻟﺎﻄﻣ ﭻﻴﻫ ﺪﻧدﻮﺑ ﻪﺘﺧادﺮﭘ ﻒﻠﺘﺨﻣ يﺎﻬﺷور يرﺎﻣآ ﻪﺴﻳﺎﻘﻣ ﻪﺑ ﺰﻴﻧ درﻮﻣ

Randomized control trialﺎﻳ وﺪﺸﻧ ﺖﻓﺎﻳ ﺰﻴﻧ ﺰﻴﻟﺎﻧآﺎﺘﻣ .

ﻪﺠﻴﺘﻧ يﺮﻴﮔ:ﺑﺮﻳز دراﻮﻣ نآ ﺞﻳﺎﺘﻧ ﻪﺴﻳﺎﻘﻣ وهﺪﺷ روﺮﻣ تﻻﺎﻘﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﺪﻣآ ﺖﺳد: ﺐﻟﺎﻗ شور يﺮﻴﮔ ﺎﻳ ﻢﻴﻘﺘﺴﻣ

Open-trayﻘﻴﻗد شور ﻢﻴﻘﺘﺴﻣﺮﻴﻏ ﻪﺑ ﺖﺒﺴﻧ يﺮﺘﺎﻳ Close trayﺖﺳا .ودزا ﺶﻴـﺑ دﻮـﺟو دراﻮﻣ رد ﺖـﻨﻠﭙﻤﻳا ،

شور زا هدﺎﻔﺘﺳا

Splinted

زﺮﻈﻧ زا ﻢﻬﻣ ﻖﻃﺎﻨﻣ رد ودراﺪﻧ ﻲﻧاﺪﻨﭼ ﺖﻳﺰﻣﺖﺳا ﺮﺘﻬﺑ ،ﻲﻳﺎﺒﻳنﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ زا مﺮـﻧ ﺞﺴـﻧ ﺖـﺒﺛ دﻮﺒﻬﺑ ياﺮﺑ ﺎﻫ دﺮﻛ هدﺎﻔﺘﺳا . هژاو ﺪﻴﻠﻛ ﺎﻫ:ﺐﻟﺎﻗ يﺮﻴﮔ –ﻲﻧاﺪﻧد ﺖﻨﻠﭙﻤﻳا –ﺐﻟﺎﻗ داﻮﻣ يﺮﻴﮔ –ﺮﭽﻛاﺮﺘﺳا اﺮﭘﻮﺳ-

Passive fit

.

ﻪﻟﺎﻘﻣ لﻮﺻو:30/10/1386/1383ﻲﻳﺎﻬﻧ حﻼﺻا:10/2/1387 ﻪﻟﺎﻘﻣ شﺮﻳﺬﭘ:3/5/1387/1385

لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ:ﻲﺷزﻮﻣآ هوﺮﮔ نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﻜﺷﺰﭙﻧاﺪﻧد هﺪﻜﺸﻧاد ﻲﻧاﺪﻧد يﺎﻫﺰﺗوﺮﭘ e.mail:moniri_r@yahoo.com

ﻪﻣﺪﻘﻣ

ﻴﻠــﺻا زا ﻲــﻜﻳ ﺮــﺑ ﻲــﻜﺘﻣ ﺰــﺗوﺮﭘ ﺖﺧﺎــﺳ مﺎــﮕﻨﻫ فاﺪــﻫا ﻦﻳﺮﺘ ﺎﺑ يﺮﭽﻛاﺮﺘﺳاﺮﭘﻮﺳ ﻚﻳ ﺖﺧﺎﺳ ﺖﻨﻠﭙﻤﻳا

Passive fitness

ﺮـﺑ ﭼيور ﺖــﺳا ﺖــﻨﻠﭙﻤﻳا ﺪــﻨ).1و2(،ﺖــﻐﻟ

Passive–fit

رد ﻢــﻠﻋ ﺖـﻨﻠﭙﻤﻳا ﻪـﻨﺗ ﻪـﻛ ﺖـﺳا ﺰـﺗوﺮﭘ ﻖﺑﺎـﻄﺗ زا ﻲﺘﻟﺎﺣ حﺮﺷ ﺖﻨﻠﭙﻤﻳا قﺎﺒﻄﻧا ياﺮﺑ ﻲﻓﺎﻛ نﻮﻴﺳﺎﺘﭘادا ﻪﺘـﺷاد نﺎـﻣﺰﻤﻫ ﮓـﻨﻴﻟدﻮﻤﻳر و ﺪﺷﺎﺑ.ﻂـﺳﻮﺗ ﻮﻴﺳﺎﭘ ﻖﺑﺎﻄﺗ

Branemark

ﺪـﺣ رد نوﺮـﻜﻴﻣ هد ﺖﺳا هﺪﺷ مﻼﻋا.)2و3(،ﻚﻳﻪﻴﻬﺗ ﺖـﻬﺟ ﺖﻨﻠﭙﻤﻳا زا ﻖﻴﻗد ﺐﻟﺎﻗ ﺑﻪﻦﻳا ندروآ ﺖﺳد

Passive fit

ﺖـﺳا يروﺮﺿ ).3و4(مﺪـﻋ ، ﻦﻳا لﻮﺼﺣ

Passive fit

ﻪﻛ هﺪﺷ ﺖﻨﻠﭙﻤﻳا ﺮﺑ رﺎﺸﻓ لﺎﻤﻋا ﺐﺒﺳ ﻲــﻣ ﺪــﻧاﻮﺗددﺮــﮔ ﺖــﻨﻠﭙﻤﻳا ﺖﺴــﻜﺷ ﻪــﺑ ﺮــﺠﻨﻣ .ردهوﻼــﻋ ﻪــﺑ ﺖﻨﻠﭙﻤﻳا يﺎﻫ

Screw – retainedﻲﻣ ياﺰﺟا ﺖﺴﻜﺷ ﺐﺒﺳ ﺪﻧاﻮﺗ

دﻮﺷ ﺖﻨﻠﭙﻤﻳا).5-7(،ندﻮـﺑ ﻮﻴـﺳﺎﭘ ﺮـﻴﻏ ﺖﻠﻋ ﻪﺑ ﻪﻛ ﻲﻳﺎﻫوﺮﻴﻧ اﺮﭘﻮﺳ ﻲـﻣ دﺎﺠﻳا ﺖﻨﻠﭙﻤﻳا رد ﺮﭽﻛاﺮﺘﺳ ﻲـﻣ ددﺮـﮔ ﺪـﻧاﻮﺗ ﺐﺒـﺳ ﺖﻨﻠﭙﻤﻳا فاﺮﻃا ناﻮﺨﺘﺳا رد ﻲﮕﺘﺴﻜﺷ رﺎـﻣ رد ﻲﻤﻜﺴـﻳا ،ﻦﻳژ ﺮﻴﻏ ﺖــﻓﺎﺑ ﺎــﺑ ﻢﻴﻣﺮــﺗ وﺖــﻨﻠﭙﻤﻳا ﺖــﻨﻠﭙﻤﻳا فاﺮــﻃا رد ﻲﻧﺪــﻌﻣ ددﺮﮔ).8(ﻪـﻛ ﺪـﻧا هدﺮـﻛ نﺎـﻴﺑ ﻒـﻠﺘﺨﻣ تﻻﺎـﻘﻣ لﺎـﺣ ﻦـﻳا ﺎـﺑ ، ﺮﻴﻏ ﻂــﺳﻮﺗ هدوﺪــﺤﻣ ﻚــﻳ رد ﺮﭽﻛاﺮﺘــﺳاﺮﭘﻮﺳ ندﻮــﺑ ﻮﻴــﺳﺎﭘ ﺘﻨﻳاﻮﺌﺘﺳا دﻮﺷ ﻲﻣ ﻞﻤﺤﺗ ﺖﻨﻠﭙﻤﻳا ﻦﺸﻳﺮﮕ).9(ﻴﻳﺄﺗ ًﺎﺒﻳﺮﻘﺗ ﻲﻟو ،ﺪ ﭘﻪــﻛ ﺖــﺳا هﺪــﺷ ﻲــﻣ ﺮﭽﻛاﺮﺘــﺳاﺮﭘﻮﺳ ندﻮــﺒﻧ ﻮﻴــﺳﺎ ﺪــﻧاﻮﺗ ياﺰــﺟا نﺪــﺷ ﻞــﺷ ،ﻲﻜﻴﻧﺎــﻜﻣ ﺖﺴــﻜﺷ ﻦﺘﺴــﻜﺷ وﺖــﻨﻠﭙﻤﻳا ﺪﻧﻮــﺷ ﺐﺒــﺳ ار ﻦﺸــﻳرﻮﺘﺳر).10و11(،زايدﺎــﻳز داﺪــﻌﺗ تﺎــﻌﻟﺎﻄﻣﻲﻫﺎﮕﺸــﻳﺎﻣزآ ﺖــﻗد ﺮــﺑ ﻪــﻛ ار ﻲﻠﻣاﻮــﻋ

Fitness

www.SID.ir

Archive of SID

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نﺎﻜﺷﺰﭙﻧاﺪﻧد ﻲﻣﻼﺳا ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻪﻠﺠﻣ /هرود20هرﺎﻤﺷ ،3،ﺰﻴﻳﺎﭘ 1387

ﺐﻟﺎﻗ ﻠﭙﻤﻳا يﺮﻴﮔنﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ وﻲﻠﺻا يﺎﻬﺷور ،ﺖﻨ ﺎﻫ... ﺑﺮﭽﻛاﺮﺘﺳاﺮﭘﻮﺳ ﻪﺴﻣترﻮﺻﻴﻘﺘ ﻲﻣ ﺮﻴﺛﺄﺗ ﻢدرﻮـﻣ ار ﺪﻧراﺬﮔ هداد راﺮــﻗ ﻲــﺳرﺮﺑ ﺪــﻧا .ﻞــﻣاﻮﻋ ﻦــﻳا تاﺮــﻴﻴﻐﺗ زا ﺪــﻨﺗرﺎﺒﻋ اويرﺎﺘﺧﺎــﺳ ﭻــﮔ يدﺎــﻌﺑـــﺪــﻨﻳآﺮﻓ

Casting

داﻮــﻣ ،ژﺎــﻴﻟآ ﺐــﻟﺎﻗ ﺐــﻟﺎﻗ ﻚــﻴﻨﻜﺗ ويﺮــﻴﮔ يﺮــﻴﮔ)12و13(شور ﻦﻳﺪــﻨﭼ ﺐﻟﺎﻗ ﺐـﻟﺎﻗ هدﺎـﻣ ويﺮﻴﮔ يﺮـﻴﮔ ـﺑ ياﺮـﺑ ﻪﻚـﻳ ندروآ ﺖـﺳد Casting ﺮـــﺑ لﻮـــﺒﻗ ﻞـــﺑﺎﻗ وﻖـــﻴﻗد ﻠﭙﻤﻳا يورﺖـــﻨ يﺎـــﻫ ﺖـﺳا هﺪـﺷ ﻪـﺋارا هﺪـﺷ ﺖﻳﺮﮕﺘﻨﻳاﻮﺌﺘﺳا .ﻪـﻟﺎﻘﻣ ﻦـﻳا زا فﺪـﻫ ﺐـــﻟﺎﻗ ﻲﻠـــﺻا يﺎﻬـــﺷور ﻲـــﺳرﺮﺑ ﺖـــﻨﻠﭙﻤﻳا يﺮـــﻴﮔ وﺎـــﻫ نﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ ﻲﻳﺎﻫ ﺖﺳا ﺐﻟﺎﻗ ﺖﻗد ندﺮﻛ ﺮﺘﻬﺑ ﺖﻬﺟ ﻪﻛ يﺮـﻴﮔ ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ ﻲﺳرﺮﺑ وﻖﻴﻘﺤﺗ درﻮﻣ ﻒﻠﺘﺨﻣ داﺮﻓا ﻂﺳﻮﺗ.

ﻲﺳرﺮﺑ شور

ﻪﻛ ﻲﺗﺎﻌﻟﺎﻄﻣ ﻦﺘﻓﺎﻳ ياﺮﺑ ﺐـﻟﺎﻗ ﺎـﻬﻧآ عﻮﺿﻮﻣ ﺮـﻴﮔ درﻮـﻣ رد ي ﺖﻨﻠﭙﻤﻳا ﻮﺑﻲﻧاﺪﻧد يﺎﻫزا،ﺪﻧد ﻪﻣﺎﻧﺮﺑ يﻮﺠﺘﺴﺟ شور ﻚﻳ يﺰﻳر ﺪﻳدﺮﮔ هدﺎﻔﺘﺳا هﺪﺷ .ﻮﺠﺘﺴـﺟ ﻲﻠﺻا ﻞﺤﻣ

Medline(Ovid) و

ﻪﻜﺒﺷ

PubMedدﻮﺑ .

ﻪﻧﺎﺨﺑﺎﺘﻛ اﺪﺘﺑا رد Cochrane ﺮـﺒﺘﻛا نﺎﻳﺎﭘ ﺎﺗ 2007 ﻦﻳﻻﺪـﻣ و زا 1980 ﺮـﺒﺘﻛا يﺎـﻬﺘﻧا ﺎﺗ 2007ﺎﺑوﻲﺗﺎـﻋﻼﻃا ﻚـﻧ

Embase

زا ﺰﻴﻧ1985ﻳاﺎﺗ ﻦﺖﻓﺮﮔ راﺮﻗ ﻮﺠﺘﺴﺟ درﻮﻣ ﺦﻳرﺎﺗ . ﻪﻳﺮﺸﻧ يﺎﻫ ﺑﺰﻴﻧ ﺮﻳز ﻪرددﻮـﺟﻮﻣ نﺎـﻣز زا ﻲﺘـﺳد ترﻮـﺻ ﺪﻨﺘﻓﺮﮔ راﺮﻗ ﻲﺳرﺮﺑ درﻮﻣ نﻮﻨﻛﺎﺗ ﻪﻧﺎﺨﺑﺎﺘﻛ:

Clinical Implant Dentistry, International Journal of Oral and Maxillofacial Implant, International Journal

• f Prosthodontics , Journal of Prosthetic Dentistry.

هﺪﺸـﻧ پﺎـﭼ ﻊﺑﺎـﻨﻣ درﻮـﻣ رد ﻲﻳﻮﺠﺘﺴﺟ ﭻﻴﻫ ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد ﺪﺸﻧ مﺎﺠﻧا .هژاوﺪﻴﻠﻛ ﻞﻣﺎﺷ ﻪﺘﻓﺮﮔ راﺮﻗ ﻮﺠﺘﺴﺟ درﻮﻣ يﺎﻫ ﻦﻳا ﺖـــﺳا دراﻮـــﻣ :

Dental implan

• Dental implantation

– Impressio

–

Impression making

• Implant support
• Direct impression
• Open tray
• Soft tissue impression
• Impression material

زا ﻲﺒﻴﻛﺮﺗ و»

And « ، » Or «ﻪﻤﻠﻛ هد زا ﻻﺎﺑ. عﻮــﻤﺠﻣ رد92ﺪــﺷ جاﺮﺨﺘــﺳا ﻪــﻟﺎﻘﻣ ﻪــﻛ 12ــﺑ ﺎــﻬﻧآدرﻮﻣ ﻪ ترﻮﺻ درﻮﻣ شراﺰﮔ ﻘﻓﻪﻛ ﺪﻧدﻮﺑ ﻪـﺋارا ار ﻲﻧﻮﻴـﺳﺎﻜﻴﻔﻳﺪﻣ ﻂ ﻲﻣ هﺎﺠﻨﭘ وﺪﻧدﺮﻛ يﺎﻬـﺷور يرﺎـﻣآ ﻪﺴـﻳﺎﻘﻣ ﻪـﺑ ﺰـﻴﻧ درﻮـﻣ ﺪــﻧدﻮﺑ ﻪــﺘﺧادﺮﭘ ﻒــﻠﺘﺨﻣ.ﻪــﻌﻟﺎﻄﻣ ﭻﻴــﻫ ﻲﻨﻴﻟﺎــﺑ ﻲﻳﺎــﻣزآرﺎﻛ هﺪﺷ لﺮﺘﻨﻛ ﻲﻓدﺎﺼﺗ وﺎﻳﺪﺸﻧ ﺖﻓﺎﻳ ﺰﻴﻧ ﺰﻴﻟﺎﻧآﺎﺘﻣ .

تﻻﺎﻘﻣ ﺮﺑيروﺮﻣ

ﺖـﻨﻠﭙﻤﻳا ﺖﻴﻌﻗﻮﻣ لﺎﻘﺘﻧا ﺖﻬﺟ ودرﺎـﻛ ﺖﺴـﻛ ﻪـﺑ نﺎـﻫد زا ﺎـﻫ ﺐﻟﺎــﻗ ﻲﻠـﺻا ﻚـﻴﻨﻜـﺗ يﺮــﻴﮔ ـﺑ ﻪـﻛ دراد دﻮـﺟو ــﻧﻪـيﺎﻬﻣﺎ Direct impression techniqueو

Indirect Impression technique ﻮﺧ ﻲـﻣ هﺪﻧا ﺪﻧﻮـﺷ).14و15(،شور رد Direct ﺎـﻳ

ﻢﻴﻘﺘﺴﻣ

Impression transfer copping ﻫﺐـﻟﺎﻗ ﻂـﺳﻮﺗ مﺎـﮕﻨ

ﻲـﻣ ﻪﺘـﺷادﺮﺑ نﺎـﻫد زا جوﺮﺧ دﻮـﺷ.)

Pick – up (ﻚـﻴﻨﻜﺗ ﻦـﻳا

ﺐـﻟﺎﻗ يﺮـﺗ ﺮـﻳز رد ﺎﻬﭽﻴﭘ ﻪﺑ ﻲﺳﺮﺘﺳد ﺖﻬﺟ يﺮـﻴﮔ ﺪـﻨﻣزﺎﻴﻧ ارﻮﺳ دﻮﺟو ﺎﻬﺧارﻮﺳ ﻦﻳا ﻪﻛ ﺖﺳا يﺮﺗ يور ﺮﺑ خًﺎـﻘﻴﻗد ﺪﻳﺎﺑ ﺑاﺮﻗ ﻞﺤﻣ يور ﺮيﺮﻴﮔر ﮓﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ يﺎﻫ يﺮﻴﮔ ـﺷاد راﺮـﻗ ﻪﺘ ﻲـﺘﺣار وﺐﺳﺎﻨﻣ ﻲﺳﺮﺘﺳد ﺎﺗ ﺪﻨﺷﺎﺑ ﻛلﺎـﺒﻧد ﻪـﺑ ار ﻦﻴﺴـﻴﻨﻴﻠ ﺪﺷﺎﺑ ﻪﺘﺷاد.)

Open tray (

)ﻞﻜﺷ1(شور ترﻮـﺻ ﻦﻳﺪـﺑ رﺎـﻛ ﮓﻨﻴﭘﻮﻛ ﻪﻛ ﺖﺳا ﺐﻟﺎﻗ يﺎﻫ ﺮﻴﮔ ﺖـﻨﻠﭙﻤﻳا يور ﺮﺑ يوﻪﺘﺴـﺑ ﺎـﻫ ﺐﻟﺎﻗ هدﺎﻣ زا يﺮﺗ يﺮﻴﮔ هﺪﻧﺎﺸـﻧ نﺎـﻫد رد هﺪﺷ ﺮﭘ ﻲـﻣ دﻮـﺷ . نﺪﺷ ﺖﺨﺳ زا ﺲﭘهدﺎﻣ،ﮓـﻨﻴﭘﻮﻛ ﻦﺷﺮﭙﻤﻳا ﭻﻴﭘ ﻖـﻳﺮﻃ زا ﺎـﻫ يﺎﻬﺧارﻮﺳ يﺮﺗ ﻲـﻣ جرﺎـﺧ نﺎـﻫد زا يﺮـﺗ هﺪـﺷ زﺎـﺑ ددﺮـﮔ . ﺗﻪـﺑ نآ زا ﻪـﻛ ﺮـﮕﻳد ﻚﻴﻨﻜ هدﺮـﺑ مﺎـﻧ ﻢﻴﻘﺘﺴـﻣﺮﻴﻏ ناﻮـﻨﻋ ﺪـﻧا ﺐﻟﺎﻗ ﮓﻨﻴﭘﻮﻛ يﺮﻴﮔ ﺖـﻨﻠﭙﻤﻳا يور ﺮـﺑ ﺐـﻟﺎﻗ ﻦﺘـﺷادﺮﺑ زا ﺪـﻌﺑ ﺪﻧﺎﻣ ﺪﻫاﻮﺧ ﻲﻗﺎﺑ.ﻜﺗﻪﺑﺎﺸﻣ ﻞﺣاﺮﻣ ﺮﻳﺎﺳ ﻲﻟاﻮﺗ ،ﺖﺳا ﻞﺒﻗ ﻚﻴﻨ توﺎﻔﺗ ﻦﻳا ﺎﺑ ﮓﻨﻴﭘﻮﻛ ﻪﻛ يﺎﻫ ﺐﻟﺎﻗ رﺎـﻛ زا ﺪـﻌﺑ ﺪـﻳﺎﺑ يﺮﻴﮔ رد دﻮﺷ يراﺬﮕﻳﺎﺟ ﺐﻟﺎﻗ ﻞﺧاد .ﻚﻴﻨﻜﺗ ﻪﭼ ﺮﮔا ﻢﻴﻘﺘﺴﻣﺮﻴﻏ ﺮﻈﻧ زا ﻦﻴﺴﻴﻨﻴﻠﻛ ﻂﺳﻮﺗ ﻲﻜﻴﻨﻴﻠﻛ ﻲـﻣ هداد ﺢﻴﺟﺮـﺗ ﺎـﻫ ردﻲـﻟو ،دﻮـﺷ ﮓﻨﻴﭘﻮﻛ تﺎﻗوا ﺐﻠﻏا ﺐﻟﺎﻗ يﺎﻫ راﺮـﻗ ﺐـﻟﺎﻗ رد ﻲﺘﺳرد ﻪﺑ يﺮﻴﮔ ﻲﻤﻧ دﺮﻴﮔ).16و17(،ﺮﺑﻢﺘﺴـﻴﺳ ﻲـﺧ ﺎـﻫ ﺖـﻨﻠﭙﻤﻳا ﻪـﻠﻤﺟ زا

ITI

ﻴﺳ ﺐـﻟﺎﻗ ﻢﺘﺴ يﺮـﻴﮔ

Snap-on

ﺖـﺳا هدﺮـﻛ ﻪـﺋارا ار .ﻦـﻳا رد ﻚﻳ زا ﻚﻴﻨﻜﺗ

Positioning cylinder

ﻚـﻳ هاﺮـﻤﻫ ﻪـﺑ ﮓـﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ ﻲﻣهدﺎﻔﺘﺳا يﺮﻴﮔ ددﺮـﮔ)ﺖـﻨﻤﺗﺎﺑا درﻮـﻣ رد يﺎـﻫ

Solid

( ﮓﻨﻴﭘﻮﻛ ﻦﻳا ﺎﻫزاﺐﻟﺎﻗ هاﺮﻤﻫ ﻲـﻣ ﻪﺘﺷادﺮﺑ نﺎﻫد ﺪﻧﻮـﺷ نوﺪـﺑ دﻮــﺷ زﺎــﺑ نﺎــﻫد ﻞــﺧاد زا ﺖــﻨﻤﺗﺎﺑا ﺪــﺷﺎﺑ زﺎــﻴﻧ ﻪــﻜﻨﻳا.ــﻳا ﻦ ــﺑ نﻮﻴــﺳﺎﻜﻴﻔﻳﺪﻣﻲــﻣ ﺮــﻈﻧ ﻪوﻢﻴﻘﺘﺴــﻣ شور يﺎــﻳاﺰﻣ ﺪــﺳر ﺮﻴﻏ ﺪﺷﺎﺑ ﻪﺘﺷاد ار ﻢﻴﻘﺘﺴﻣ.ﻚﻴﻨﻜﺗ ﻦﻳا ﻦﻴﻨﭽﻤﻫ وهدﻮـﺑ نﺎﺳآ اﺮﺟا ﻞﺑﺎﻗ ﻲﺘﺣار ﻪﺑﺖﺳ.ﻪـﺳ تﺎﺒﺛ درﻮﻣ رد زﻮﻨﻫ لﺎﺣ ﻦﻳا ﺎﺑ يﺪــﻌﺑ

Positioning cylinder

ﮓــﻨﻴﭘﻮﻛ هاﺮــﻤﻫ ﻪــﺑ ﺎــﻫ يﺎــﻫ ﺐﻟﺎﻗ يﺮﻴﮔ دراد دﻮﺟو ﻚﺷ ﺐﻟﺎﻗ ﻞﺧاد رد ).18(،ـﻛذ ﻪﺑ مزﻻ ﺮ ﺖــﺳا ﻪــﻛ ﻚــﻴﻨﻜﺗ ﻦــﻳا ﻪــﺑ

Abutment level impression

ﻲﻣ ﺪﻨﻳﻮﮔ).ﻞﻜﺷ2(

www.SID.ir

Archive of SID

236

نﺎﻜﺷﺰﭙﻧاﺪﻧد ﻲﻣﻼﺳا ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻪﻠﺠﻣ /ودهر20هرﺎﻤﺷ ،3،ﺰﻴﻳﺎﭘ 1387

رﺎﻜﻤﻫ ونﺎﻴﭽﻧﺎﻤﺴﻳر رﻮﺼﻨﻣ ﺮﺘﻛد

ﻞﻜﺷ1:ﺐﻟﺎﻗ شور ﻪﺑ يﺮﻴﮔ Open tray ﻞﻜﺷ2:ﺐﻟﺎﻗ شور ﻪﺑ يﺮﻴﮔ Abutment level

ﻚـﻴﻨﻜﺗ ﻞـﺑﺎﻘﻣ رد

Fixture level impression ﻲﻳﺎﻬـﺷور ﻪـﺑ

ﻲﻣ قﻼﻃا ددﺮﮔ ﻪﻛ ﺐﻟﺎﻗ ﺮﺳزا يﺮﻴﮔ

Fixture

ﻲـﻣ مﺎـﺠﻧا ﮔدﺮـﻴ ﻚﻴﻨﻜﺗ ﻞﺜﻣ ﻢﻴﻘﺘﺴﻣﺮﻴﻏ وﻢﻴﻘﺘﺴﻣ يﺎﻫ).19(يﺎﻬﺷور ﻪﻠﻤﺟ زا ، ﺐﻟﺎﻗ يﺮﻴﮔ ﺐـﻟﺎﻗ ﺖـﻗد ﺶﻳاﺰـﻓا ﺖـﻬﺟ هﺪﺷ ﻪﺋارا يﺮـﻴﮔ شور

Splintedﻲــﻣ ﺪــﺷﺎﺑ .ﺖــﻗد ﺶﻳاﺰــﻓا ياﺮــﺑ شور ﻦــﻳا رد

ﺐﻟﺎﻗ ﺖﻨﻠﭙﻤﻳا يﺮﻴﮔ ،ﺎـﻫ ﺖﺨـﺳ دﻮـﺧ ﻚـﻴﻠﻳﺮﻛآ ﻦـﻳزر ﻂـﺳﻮﺗ رد ﻲﺘﻳزﻮﭙﻣﺎﻛ ﻦﻳزر ﺎﻳ هﺪﻧﻮﺷ ﻞﺼـﺘﻣ ﺮﮕﻳﺪﻤﻫ ﻪﺑ نﺎﻫد ﻞﺧاد ﻲﻣ ﮔددﺮ).20و21( ﺪﻣ ﺐـﻟﺎﻗ ﮓﻨﻴﭘﻮﻛ ود لﺎﺼﺗا ﻚﻴﻨﻜﺗ ﻦﻳا ﺮﮕﻳد نﻮﻴﺳﺎﻜﻴﻔﻳ يﺮـﻴﮔ رﺎﺑ ﻚﻳ ﻂﺳﻮﺗ

Solid ﺖﺳا ﺮﮕﻳﺪﻤﻫ ﻪﺑ).22و23(،ﻚﻴﻨﻜﺗ ﻦﻳا رد

ﺲﻨﺟ زا ﺮﭘﻮﺗ رﺎﺑ ﻚﻳ

Vacuum – formed material

هزاﺪﻧا ﻪﺑ ﻲﻣ ﻪﺘﺧﺎﺳ ﺖﻨﻠﭙﻤﻳا ود ﻦﻴﺑ ﻪﻠﺻﺎﻓ دﻮﺷ .ﻪﻠﺻﺎﻓ5/0ﻲـﻠﻴﻣ ﺮـﺘﻣ رﺎﺑ ﻦﻳا نﺎﻴﻣ ﺐﻟﺎﻗ ﮓﻨﻴﭘﻮﻛ وﻴﮔﻲﻣﻪﻴﺒﻌﺗ يﺮ ددﺮﮔ لﺎﺼـﺗا ﻪـﻛ ﻛآ ﻦــﻳزر ﻂــﺳﻮﺗ نآ ترﻮــﺻ هﺪﻧﻮــﺷ ﺖﺨــﺳ دﻮــﺧ ﻚــﻴﻠﻳﺮ ﻲﻣ دﺮﻴﮔ).ﻞﻜـﺷ3(نﻮﻴـﺳﺎﻜﻴﻔﻳﺪﻣ زا ﺮـﮕﻳد ﻲـﻜﻳ لﺎﺼـﺗا يﺎـﻫ ﮓﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ يﺎﻫ ﺖﻨﻠﭙﻤﻳا درﻮﻣ رد ﻪﻛ يﺮﻴﮔ يﺎﻫ ـﺑ ﻲﻜﺗ رﺎـﻛ ﻪ ﻲﻣ ﮓﻨﻴﭘﻮﻛ ندﺮﻛ ﺖﺳﻼﺑ ﺪﻨﺳ دور ﺐﻟﺎﻗ يﺎﻫ يﺮﻴﮔ وهدﺎﻔﺘـﺳا ﭼزا ﺐـﻟﺎﻗ هدﺎـﻣ صﻮﺼـﺨﻣ ﺐﺴ ورﺮـﺑ يﺮـﻴﮔآيياﺮـﺑ ﺎـﻬﻧ ولﺎﺼــﺗا ندوﺰــﻓا ﺐــﻟﺎﻗ هدﺎــﻣ ﻞــﺧاد رد ﺎــﻬﻧآ ﺮــﻴﮔ يﺮــﻴﮔ ﺖــﺳا).24(ﺮــﮕﻳد شور ،زاهدﺎﻔﺘــﺳا ،ﺖــﻨﻤﺗﺎﺑا ﻚــﻳ

UCLA

ﺑهﺪﺷ ﻦﻴﺷﺎﻣ ﺐﻟﺎﻗ ﮓﻨﻴﭘﻮﻛ يﺎﺟ ﻪﺖﺳا يﺮﻴﮔ .ﻲـﻣ ﻪﺘﻔﮔ دﻮـﺷ ﺖﻨﻤﺗﺎﺑا ﻦﻳا ﺎﻫـﺑﺎﺟ رد يﺮـﺘﻤﻛ لﺎـﻤﺘﺣا ﻪردﺶﺧﺮـﭼ وﻲﻳﺎـﺟ ﺐــﻟﺎﻗ هدﺎــﻣ ﻞــﺧاد يﺮــﻴﮔﺪــﻧراد ).25(،شور ﻦــﻳا رد ــﻳ زا ﻚ

UCLA

ﻲﻣهدﺎﻔﺘﺳا هﺪﺷ ﻦﻴﺷﺎﻣ دﻮـﺷ .ﺖﻤﺴـﻗ Castableآن ﻮﺗ ﻲﻣ ﻞﺼﺘﻣ يﺰﻠﻓ ﺖﻤﺴﻗ ﻪﺑ ﻦﻳزر ﻂﺳ ددﺮـﮔ ﻞـﻛ ﻪـﺑ ﺲﭙـﺳ ﺮﭙﻤﻳا ﺐﺴﭼ ﻪﻋﻮﻤﺠﻣ ﺐـﻟﺎﻗ وهﺪـﺷ هدز مﺎـﮔ شور ﻪـﺑ يﺮـﻴﮔ ﻲﻣ مﺎﺠﻧا لﻮﻤﻌﻣ دﺮﻴﮔ .

ﻞﻜﺷ3:ﺐﻟﺎﻗ شور ﻪﺑ يﺮﻴﮔ Splinted

ﻲﻳﺎﻬﺷور زا ﺮﮕﻳد ﻲﻜﻳ ﺐﻟﺎﻗ ﺖﻗد ندﺮﺑ ﻻﺎﺑ ياﺮﺑ ﻪﻛ ﻴﮔيﺮـﺑﻪ ﻓر رﺎﻛ ﻨﻴﭘﻮﻛ لﺎﺼﺗا ﺖﺳا ﻪﺘﮓﺐﻟﺎﻗ يﺎﻫ رﺎـﻛ زا ﺪﻌﺑ يﺮﻴﮔ ﻪـﺑ ﻲـﻣ ﺮﮕﻳﺪﻜﻳ ﺪـﺷﺎﺑ.ﻞﻜـﺷ ﻪـﺑ يﺮـﺗ شور ﻦـﻳا رد ـﺑلﻮـﻤﻌﻣ ﻪ ترﻮﺻزﺎﺑ ﻲـﻣ يزﺎـﺳ هدﺎﻣآ ددﺮـﮔ ﺐـﻟﺎﻗ هدﺎـﻣ ويﺮـﻴﮔ رد ﻤﻳا فاﺮﻃا ﻲـﻣ هﺪﻧﺎﺸـﻧ يﺮـﺗ هﺪـﺷ ﻖﻳرﺰﺗ ﺖﻨﻠﭙ دﻮـﺷ.زاﺲـﭘ وتﺎﻓﺎــﺿا ﺖـﺷادﺮﺑﻢﻴــﻈﻨﺗ ﺐـﻟﺎﻗ هدﺎــﻣ ﮓــﻨﻴﭘﻮﻛ يﺮــﻴﮔ يﺎــﻫ ﺐﻟﺎﻗ يﺮﻴﮔ ﻚـﻴﻠﻳﺮﻛآ ﻦـﻳزر ﻂﺳﻮﺗ ﻪـﺑ هﺪﻧﻮـﺷ ﺖﺨـﺳ دﻮـﺧ شور

Incremental

ﻲـﻣ ﻞﺼـﺘﻣ يﺮـﺗ ﻪﺑ وﺮﮕﻳﺪﻜﻳ ﻪﺑ ﺪﻧﻮـﺷ . ﭽﻴﭘ ﺲﭙــﺳﺎــﺑ ﺎــﻬ هاﺮــﻤﻫ ﻪــﺑ يﺮــﺗ وهﺪــﺷ زﮓــﻨﻴﭘﻮﻛ يﺎــﻫ ﺐﻟﺎﻗ ﻲﻣجرﺎﺧ يﺮﻴﮔ ددﺮﮔ).26( ﻲــﻠﭘ ﻞــﻴﻨﻳو ﻂــﺳﻮﺗ ﻪــﻴﻟوا ﺐــﻟﺎﻗ يﺮــﮕﻳد ﻪــﻴﻔﻳﺪﻣ ﻚــﻴﻨﻜﺗ رد ﻲﻟﺎـــﺣ رد نﺎﺴـــﻛﻮﻠﻳﺎﺳ ﻪـــﻛ ﺎـــﻬﻨﺗ

Healing–capيور ﺮـــﺑ

ﻠﭙﻤﻳاﺖﻨﻲـﻣ ﻪـﺘﻓﺮﮔ دراد راﺮﻗ ﺎﻫ يﻻﺎـﺑ ﺖﻤﺴـﻗ ﺲﭙـﺳ ،دﻮـﺷ ﺖﻨﻠﭙﻤﻳا ﺗزا ﺎﻫ ﺐﻟﺎﻗ هدﺎﻣ ويﺮ ،هﺪﻳﺮﺑ يﺮﻴﮔ ﻲﺘﻗو ﻪﻛ يﻮﺤﻧ ﻪﺑ ﮓﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ يﺎﻫ يﺮﻴﮔ جرﺎﺧ ﺎﻬﻧآ يﺎﻬﺘﻧا ﺪﺷ ﻞﺼﺘﻣ نآ يور رد ﻪﺘﺸـﮔ طﻮﻠﺨﻣ هﺪﻧﻮﺷ ﺖﺨﺳ دوز ﺮﺘﺳﻼﭘ ﭻﮔ ﺲﭙﺳ ددﺮﮔ ﻲﻟﺎﺣ ﻪﻛردﻲﻧﻮﻜﻴﻠﻴﺳ ﺐﻟﺎﻗ يوﺎﺣ يﺮﺗ راد راﺮﻗ نﺎﻫدﻣدنﺎـﻴ ﮓﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ يﺎﻫ ﻲﻣراﺮﻗ يﺮﻴﮔ ﻲـﻣ هداد هزﺎـﺟا ودﺮﻴﮔ دﻮـﺷ ددﺮﮔ ﺖﺨﺳ ﭻﮔ ﺲـﭘ ﭽﻴﭘ نآ زا ﺎـﻬ نﺎـﻫد زا يﺮـﺗ هﺪـﺷ زﺎـﺑ ﻲﻣ جرﺎﺧ دﻮﺷ).27( ﻚﻴﻨﻜﺗ

Dual impressionﺑﺎـﺑ ناﺪـﻧد ﻲـﺑ ﻚـﻓ ﻚـﻳ ﺖـﺒﺛ ياﺮ

ﺖﻳﺎﻤﺣ ﭙﻤﻳا ﻨﻠﺑﺖﻲﻣرﺎﻛ ﻪدور .ﺛشور ﻦﻳا زا فﺪﻫ ﺞﺴـﻧ ﺖـﺒ ﺖﻨﻠﭙﻤﻳا ورﺎﺸﻓ ﺖﺤﺗ مﺮﻧ ﺎﻫﺑـﺻﻪآترﻮ ﺖـﺳا ﻚـﻴﻣﻮﺗﺎﻧ.رد ﺐﻟﺎﻗ داﻮﻣ زا شور ﻦﻳا يﺮﻴﮔ ﻲﺣاﻮـﻧ ﺖـﺒﺛ ياﺮـﺑ يﺰﻠﻓ ﺪﻴﺴﻛا

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نﺎﻜﺷﺰﭙﻧاﺪﻧد ﻲﻣﻼﺳا ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻪﻠﺠﻣ /هرود20هرﺎﻤﺷ ،3،ﺰﻴﻳﺎﭘ 1387

ﺐﻟﺎﻗ ﻠﭙﻤﻳا يﺮﻴﮔنﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ وﻲﻠﺻا يﺎﻬﺷور ،ﺖﻨ ﺎﻫ... رﺎﺸــﻓ ﺖــﺤﺗﺮــﺑ ﺮــﺗا ﻲــﻠﭘ زاو ﺖــﻨﻠﭙﻤﻳا ﺖــﺒﺛ يا هدﺎﻔﺘــﺳا ﺎــﻫ ﻲﻣ ددﺮﮔ).28)(ﻞﻜﺷ4(

ﻞﻜﺷ4:ﺐﻟﺎﻗ شور ﻪﺑ يﺮﻴﮔ Dual impression

ﺑﺖﻨﻠﭙﻤﻳا ﻖﻴﻗد ﻞﺤﻣ ﺖﺒﺛ زا ﺮﻴﻏ ﻪﺎﻫﻪـﺑ ﺖﺒﺴﻧ ﺎﻳ ﻢﻫ ﻪﺑ ﺖﺒﺴﻧ ﺒﺛ ﺎﻬﻧاﺪﻧد ﺮﻧ ﺖﻓﺎﺑ ﺖﺐـﻟﺎﻗ مﺎـﮕﻨﻫ رد ﺖـﻨﻠﭙﻤﻳا فاﺮـﻃا ميﺮـﻴﮔ وﻲﻳﺎــﺒﻳز ﺮــﻈﻧ زا ﺐــﺳﺎﻨﻣ ﻦﺸــﻳرﻮﺘﺳر ﻚــﻳ ﺖﺧﺎــﺳ ياﺮــﺑ ﺖـﺳا يروﺮـﺿ مﻮﻴﺸﻧدﻮﻳﺮﭘ جﺎﺴﻧا ﺖﻣﻼﺳ).29-32(،ياﺮـﺑ ﺎﻜﻴﻔﻳﺪﻣ ﺪــﻨﭼ مﺮــﻧ جﺎﺴــﻧا ﺮــﺘﻬﺑ ﺖـﺒﺛ يﺎﻬــﺷور ياﺮــﺑ نﻮﻴــﺳ ﺐﻟﺎﻗ لﻮﻤﻌﻣ ﺖـﺳا هﺪـﺷ ﺮﻛذ يﺮﻴﮔ .ﻚـﻳ زا لﻮـﻤﻌﻣ شور رد ناﻮﻨﻋ ﺖﺤﺗ ﻲﻧﻮﻜﻴﻠﻴﺳ هدﺎﻣ

Gingival–mask

ﺖﻬﺟ يزﺎﺳزﺎﺑ فاﺮﻃا مﺮﻧ ﺖﻓﺎﺑ ﻲﻣ هدﺎﻔﺘﺳا ﺖﻨﻠﭙﻤﻳا دﻮـﺷ).15-33.(زاﻲـﻜﻳ ﺛيﺎﻬﺷورﺖﺒﻻﺎـﺑ ﻚـﻓ ماﺪـﻗ رد مﺮﻧ ﺖﻓﺎﺑ ﻖﻴﻗد ﻚـﻳ ﺖﺧﺎـﺳ ﺐﻟﺎﻗ ﮓﻴﻨﭘﻮﻛ يﺮـﻴﮔ ﺖـﺳا ﺖـﻳزﻮﭙﻣﺎﻛ ﺲﻨـﺟ زا ﻪـﻴﻔﻳﺪﻣ ).34(، زا ﻲﺘﻗﻮــﻣ ﺰـﺗوﺮﭘ ﻪـﻛ ﻲﻧﺎـﻣز ﻪﺘــﺷادﺮﺑ ﻲﻣاﺪـﻗ ﺖـﻨﻠﭙﻤﻳا يور ﻲﻣ ﺐﻟﺎﻗ ﮓﻨﻴﭘﻮﻛ ﺎﺗ دﻮﺷ يﺮﻴﮔ ﻪﺑ ﺖـﻓﺎﺑ دﻮـﺷ ﻞﺼـﺘﻣ ﺖﻨﻠﭙﻤﻳا دراد دﻮﺟو ﺖﻨﻠﭙﻤﻳا يﻻﺎﺑ ﻪﻛ ﻲﻳﺎﻀﻓ ﻞﺧاد ﻪﺑ ﺖﺳا ﻦﻜﻤﻣ مﺮﻧ ﺪﻨﻳﺎﻤﻧ ﺲﭘﻼﻛ).35(ﮓـﻨﻴﭘﻮﻛ ﺐـﻠﻏا ﻦﻴﻨﭽﻤﻫ ،ﺐـﻟﺎﻗ يﺎـﻫ يﺮـﻴﮔ ﻲﻤﻧ ﺪﻨﻧاﻮﺗ ﺮﻧ ﺖﻓﺎﺑ ،ﺪـﻨﻨﻛ ترﻮﭘﺎـﺳ ﺐـﺳﺎﻨﻣ راﺪـﻘﻣ ﻪﺑ ار مرد ﺠﻴﺘﻧ ﺐﻟﺎﻗ ﮓﻨﻴﭘﻮﻛ ﻚﻳ زا هدﺎﻔﺘﺳا ﻪﻲـﻣ ﻪﻴﻔﻳﺪﻣ يﺮﻴﮔ ﺪـﻧاﻮﺗ رد ﺑﻪندروآ ﺖﺳد ﺎﺒﻳز ﺪـﺷﺎﺑ ﺪﻨﻣدﻮﺳ رﺎﻴﺴﺑ ﻲﻳﺎﻬﻧ ﻲﻳ .ـﺑﻪرﺎـﻛ ﭘﻚﻳ ندﺮﺑ ﺐﻟﺎﻗ يﺮﺗ ﻲﻟﺎﻛﺎﺑ ﺢﻄﺳ رد هﺮﺠﻨ ﻖﻳرﺰﺗ ﺖﻬﺟ يﺮﻴﮔ ﺐﻟﺎﻗ هدﺎﻣ يﺮﻴﮔ ﺮـﮕﻳد ﻚﻳ ﺖﻨﻠﭙﻤﻳا فاﺮﻃا رد ـﺑيﺎﻬـﺷور زا ﻪ ﻘﻴﻗد ﺖــﺒﺛ ياﺮــﺑ ﻪــﺘﻓر رﺎــﻛﺖــﻓﺎﺑ ﺮــﺘ ﺖــﻨﻠﭙﻤﻳا فاﺮــﻃا مﺮــﻧ ﺖﺳا).36(نﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ زا ﺮﮕﻳد ﻲﻜﻳ ،ﺎـﻫ ﺶـﻛور زا هدﺎﻔﺘـﺳا ﺑﺖﻗﻮﻣ ناﻮﻨﻋ ﻪﺐﻟﺎﻗ ﺖﻨﻤﺗﺎﺑا يﺮـﻴﮔ ﻖـﻴﻗد ﺖـﺒﺛ ياﺮـﺑ ﻲﻳﺎـﻬﻧ يﺎﻫرﻮﺘﻧﺎﻛ رد مﺮﻧ ﺞﺴﻧ ﺖـﺳا ﻲﻳﺎـﺒﻳز ﻪـﻴﺣﺎﻧ.شور ﻦـﻳا رد ﻲﻟﺎﺣ رد ﻲﻳﺎﻬﻧ ﺐﻟﺎﻗ ﻪﻛﺖـﻗﻮﻣ ﻦﺸﻳرﻮﺘﺳر )

Screw type (ﺮـﺑ

ور ﻲـﻣ ﻪﺘﻓﺮﮔ دراد راﺮﻗ ﺖﻨﻠﭙﻤﻳا يدﻮـﺷ ﻦﺸـﻳرﻮﺘﺳر ﺲﭙـﺳ ﺮﭽﺴﻜﻴﻓ گﻮﻟﺎﻧآ ﻚﻳ ﻪﺑ ﺖﻗﻮﻣ راﺮـﻗ ﺐـﻟﺎﻗ ﻞﺧاد ﻪﺘﺸﮔ ﻞﺼﺘﻣ ﻲﻣ ﺨﻳر ﺐﻟﺎﻗ ودﺮﻴﮔ ﻲـﻣ ﻪـﺘ دﻮـﺷ.يﺎـﻫرﻮﺘﻧﺎﻛ ﺐـﻴﺗﺮﺗ ﻦﻳﺪـﺑ ﻢـﺋاد ﻦﺸـﻳرﻮﺘﺳر ﻪـﺑ لﺎـﻘﺘﻧا ﻞـﺑﺎﻗ ًﺎـﻘﻴﻗد ﺖﻗﻮﻣ ﻦﺸﻳرﻮﺘﺳر دﻮﺑ ﺪﻫاﻮﺧ.)29(

ﺐﻟﺎﻗ ﻞﻳﺎﺳو وداﻮﻣ يﺮﻴﮔ

ﻚﻴﻨﻜﺗ زا ﻪﻛ ﻲﻧﺎﻣز ﺐﻟﺎﻗ ﺖﻬﺟ ﻢﻴﻘﺘﺴﻣ هدﺎﻔﺘـﺳا ﺖﻨﻠﭙﻤﻳا يﺮﻴﮔ ﻲﻣ ﺐﻟﺎﻗ هدﺎﻣ دﻮﺷ يﺮﻴﮔ ـﺑ ودﺪـﻳﺎﺑ ﻪـﺘﻓر رﺎـﻛ ﻪﺖﻴﺻﻮﺼـﺧ ﺪﺷﺎﺑ ﻪﺘﺷاد،ﻲﺘﺨﺳ ﻲﻜﻳ )

Rigidity (ﻓﺎﻛ زايﺮﻴﮔﻮـﻠﺟ ﺖﻬﺟ ﻲ

ﮓﻨﻴﭘﻮﻛ ﺶﺧﺮﭼ ﺐﻟﺎﻗ يﺎﻫ يﺮـﻴﮔ ﻳﺮـﺘﻤﻛ يﺮـﮕﻳد وﺐـﻟﺎﻗ رد ﻦ نﺎــﻫد ﻪــﺑ ﺖﺒﺴــﻧ يدﺎــﻌﺑا تاﺮــﻴﻴﻐﺗ .ﺎــﻣ ود رد ﻪــﻛ ﻲﻠــﺻا هد يﺎﻬﻘﻴﻘﺤﺗ ﺖـﻨﻠﭙﻤﻳا ﻖﻴﻗد ﺖﺒﺛ ياﺮﺑ ﻒﻠﺘﺨﻣ ﺎـﻫ ـﺑ ﻪـﺘﻓﺮﮔ رﺎـﻛ ﻪ هﺪــﺷ نﻮﻜﻴﻠﻴــﺳ ﻲــﻜﻳ ﺪــﻧا يﺎــﻫ ﺮــﺗا ﻲــﻠﭘ يﺮــﮕﻳدو ﻲﺸــﻳاﺰﻓا ﺖﺳا).37-39(ﻲﻠﭘ ،ﻦﺘﺷاد ﺖﻠﻋ ﻪﺑ ﺮﺗا ﻲﺘﺨﺳ ﻲـﻣ ﻲﻓﺎﻛ ﺪـﻧاﻮﺗ ﮓﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ يﺎﻫ اريﺮﻴﮔ ﭻﻴﻫ نوﺪﺑ وﻲﺑﻮﺧ ﻪﺑ ﻪﻧﻮﮔ يﺮﻴﻴﻐﺗ ﺪﻳﺎﻤﻧ ﻆﻔﺣ دﻮﺧ رد.رﺎﺸـﻓ هدﺎـﻣ ﻦـﻳا ﻦﻴﻨﭽﻤﻫ ﻦﻴـﺣ ار ﻲـﻤﻛ ﻲﻣ اﺪﻴﭘ نﺪﺷ هدﺮﺸﻓ ﺑﺖﻣوﺎﻘﻣ ﻚﻳ وﺪﻨﻛ ﻲﻳﻻﺎـﺑ رﺎﻴﺴـﺑ ﻲﺷﺮ دراد).40(،ﺰﻴﻧ ونﻮﻜﻴﻠﻴﺳ داﻮـﻣ ﻦﻳﺮـﺘﻘﻴﻗد زا ﻲﺸـﻳاﺰﻓا يﺎـﻫ ﺐﻟﺎﻗ يﺮﻴﮔ ﺪﻨﺘﺴﻫ دﻮﺟﻮﻣ ).41و42(ﻪـﻛ ﺐـﻟﺎﻗ ياﺮـﺑ زايﺮـﻴﮔ ﺖﻨﻠﭙﻤﻳا ﻲﻣلﻮﺒﻗ درﻮﻣ ﺎﻫ ﺪﻨﺷﺎﺑ).43(ﺆﻣﺮﮕﻳد دراﻮﻣ زا ،ﺮـﺑ ﺮﺛ هدﺎﻔﺘـﺳا هﺪﺷ ﻪﻴﻬﺗ ﺐﻟﺎﻗ ﺖﻗد ﻞـﺑﺎﻘﻣ رد ﻲﺻﺎﺼـﺘﺧا يﺮـﺗ زا ــﺗـﻴﻏيﺮـﺮﻲﺻﺎﺼــﺘﺧا )

Stock (يﺮـــﺗ زا هدﺎـــﻔﺘﺳا ويﺎــﻫ Dual-arch

ﺖﺳا .ﻴﺴﺑ يﺎـﻬﺒﻟﺎﻗ ﺖـﻗد ﺪـﻳﺪﺟ تﺎـﻌﻟﺎﻄﻣ زا يرﺎ ﺖﻨﻠﭙﻤﻳا زا هﺪﺷ ﻪﻴﻬﺗ ﻮﺗار ﺎﻫ يﺮﺗ وﻲﺻﺎﺼﺘﺧا يﺮﺗ ﻂﺳ يﺎﻫ ﺪـﻧا هداد راﺮـﻗ ﻪﺴﻳﺎﻘﻣ درﻮﻣ ﻪﺘﺧﺎﺳ ﺶﻴﭘ).44-46(،تﺎـﻌﻟﺎﻄﻣ هداد نﺎﺸﻧ ﺐﻟﺎﻗ هدﺎﻣ دﺎﻳز نﺪﺷ ﻢﻴﺨﺿ ﺖﺳا يﺮﻴﮔ رد ﻞـﺧاد ﺐﻟﺎﻗ ﺖﻗد ﺶﻫﺎﻛ ﺐﺒﺳ يﺮﺗ ﻲـﻣ يﺮﻴﮔ ددﺮـﮔ.)47(يﺮـﺗ ،يﺎـﻫ

Dual

ﺐﻟﺎﻗ ويﺮﻴﮔ لﺎـﺳ رد ﻪﺘﺴﺑ نﺎﻫد ﺎﺑ 1980 اﺪـﻴﭘ رﻮـﻬﻇ دﺮﻛ).48(ﻴﺑﻲﺘﺣار ﺖﻠﻋ ﻪﺑ ورﺎـﻤ ﺑرﺎـﻛ ﻲﮔدﺎـﺳ ،ﻪﻓﺮـﺻ ودﺮ ﺐﻟﺎﻗ داﻮﻣ رد ﻲﻳﻮﺟ ويﺮﻴﮔﺖﻗد،دﺮـﻛ اﺪﻴﭘ يدﺎﻳز ناراﺪﻓﺮﻃ . يﺮﺗ ﻦﻳا تاداﺮﻳا زا ﺎﻫﻞﺧاﺪـﺗ دﻮـﺟو لﺎﻤﺘﺣا ردﻚﻳﺮﺘﻨـﺳ رد ﺖﺳا ﻲﻳﺎﻬﻧ ﻦﺸﻳرﻮﺘﺳر .يﺮﺗ ﻦﻳا زا هدﺎﻔﺘﺳا ﺐﻟﺎﻗ رد ﺎﻫ يﺮﻴﮔ ﺖﻨﻠﭙﻤﻳا زا ﺎﻫﺖﺳا هدﺮﻛ اﺪﻴﭘ شﺮﺘﺴﮔ روﺮﻣ ﻪﺑ ﺰﻴﻧ ).49و50(

ﺚﺤﺑ

ﻮﻣ زا ﻲﻜﻳﻲﻣﻪﺘﻔﮔ ﻪﻛ يدرا ﺐـﻟﺎﻗ ﺖﻗد ﺶﻳاﺰﻓا رد دﻮﺷ يﺮـﻴﮔ ﻤﻳا ﮓﻨﻴﭘﻮﻛ لﺎﺼﺗا دراد ﺖﻴﻤﻫا ﺖﻨﻠﭙ ﺐﻟﺎﻗ يﺎﻫ يﺮـﻴﮔ ﻞـﺧاد رد ﺖﺳا ﻚﻴﻠﻳﺮﻛا ﻦﻳزر ﻂﺳﻮﺗ نﺎﻫد .ـﻴﻳﺄﺗ رد يدﺪـﻌﺘﻣ تﻻﺎـﻘﻣ ﺪ ﻈﻧ ﻦﻳاـﺟوﻪﻳﺮـدراد دﻮ).51-54(ﻈﻧﻦﻳا سﺎﺳا ،ـﻪﻳﺮ ﺖﺳا نآ

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238

نﺎﻜﺷﺰﭙﻧاﺪﻧد ﻲﻣﻼﺳا ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻪﻠﺠﻣ /ودهر20هرﺎﻤﺷ ،3،ﺰﻴﻳﺎﭘ 1387

رﺎﻜﻤﻫ ونﺎﻴﭽﻧﺎﻤﺴﻳر رﻮﺼﻨﻣ ﺮﺘﻛد ﺼﺗا ﻪﻛـلﺎﺖﺨﺳ ﮓﻨﻴﭘﻮﻛ ـﻫــﮕﻳﺪﻤﻫ ﻪـﺑ ﺎـﻲـﻣ ﺮﺪـﻧاﻮﺗ ﺐﺒـﺳ ﺛـﺒـﺘﻬﺑ تﺎـﺮـﻛـﮓﻨﻴﭘﻮ ـﻫــﻣرد ﺎــﻗهدﺎـﺐﻟﺎ ﮔــﻴـزاهﺪـﺷ يﺮ

Micro movement

گﻮﻟﺎﻧآ ﻦﺘﺴﺑ ﻦﻴﺣ ﺎﻫ زﺎـﺑ ﺎـﻳ وﺮﭽﺴﻜﻴﻓ ﭽﻴﭘ ﻦﺘﺴﺑ وندﺮﻛ دروآ ﻞـﻤﻋ ﻪـﺑ يﺮﻴﮔﻮﻠﺟ ﺎﻬ.ﻦـﻳا ﻦﻴـﻨﭽﻤﻫ اﺮﺛا زا ﻊﻧﺎﻣ لﺎﺼﺗا ﺐﻟﺎﻗ هدﺎﻣ نﺪﺷ ﺖﺨﺳ ﻦﻴﺣ ضﺎﺒﻘﻧ يﺮـﻴﮔ ﺖﻨﻠﭙﻤﻳا ﻞﺤﻣ يور ﺮﺑ ﻲﻣﺎﻫ ددﺮﮔ .ﻪـﺘﻓﺎﻳ ﺮـﮕﻳد فﺮـﻃ زا ﺎـﻫ ي ﻲﻣ نﺎﺸﻧ ﺮﮕﻳد ﻦﻳزر يﻻﺎﺑ ضﺎﺒﻘﻧا ﻪﻛ ﺪﻫد يﺎﻫ دوز ﻚـﻴﻠﻳﺮﻛآ هﺪﻧﻮﺷ ﺖﺨﺳ ﻲﻣ ﺪﻧاﻮﺗ ﻪـﺠﻴﺘﻧ ﻪﺘـﺷاﺬﮔ ﺮﻴﺛﺄـﺗ ﺐـﻟﺎﻗ ﺖـﻗد ﺮـﺑ ﺪﻳﺎﻤﻧ دﺎﺠﻳا سﻮﻜﻌﻣ).26-55(،ﻲﻟو ﺎﻬﻘﻴﻘﺤﺗ ﺮﺘﺸﻴﺑ ﺮـﻛذ ﻦﻴﻨﭼ هدﺮﻛ ﺎـﻬﺗوﺎﻔﺗ ﻪﻛ ﺪﻧا شور ﺎـﺑ

Splinted

ـﻈﻧ زا ﺖـﺳا ﻦـﻜﻤﻣ ﺮ ﺎﻬﻘﻴﻘﺤﺗ ﻲﻀﻌﺑ رد يرﺎﻣآﻲﻨﻌﻣ راد ﻲـﻟو ﺪـﺷﺎﺑ هدﻮـﺑ ﺮـﻈﻧ زا ًﻼﻣﺎـﻛ ﺞﻳﺎـﺘﻧ ﻚـﻴﻨﻜﺗ ﻦـﻳا ندﻮـﺑ ﺮﺑ نﺎﻣز ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻲﻜﻴﻨﻴﻠﻛ دراﺪﻧ ﺮﺑ رد يرﺎﻜﺷآ.)7،16،26( شور ﻦﻴﺑ ﻪﺴﻳﺎﻘﻣردﺮﻴﻏ وﻢﻴﻘﺘﺴﻣ يﺎﻬﻴﺳرﺮﺑ ﻢﻴﻘﺘﺴﻣدﺎﻳز ي ﺖـﺳا هﺪـﺷ مﺎﺠﻧا.ﻚـﻴﻨﻜﺗ ﻪـﻛ ﺪـﻧﺪﻘﺘﻌﻣ نﺎـﻘﻘﺤﻣ زا يرﺎﻴﺴـﺑ ﺐﻟﺎﻗ ﻨﻴﻳﺎـﭘ ﺖـﻗدزا ﻢﻴﻘﺘﺴـﻣﺮﻴﻏ يﺮـﻴﮔ ﻚـﻴﻨﻜﺗ ﻪـﺑ ﺖﺒﺴـﻧ يﺮﺘ درﻮــﺧﺮﺑ ﻢﻴﻘﺘﺴــﻣﺖــﺳا را).4،26،42،56(،ردنﺎــﻘﻘﺤﻣ ﺮــﺜﻛا ﺐــﻟﺎﻗ شور يﺮــﻴﮔ وﺢــﺟرا ار ﻢﻴﻘﺘﺴــﻣ شور ﻲــﺘﻨﻠﭙﻤﻳا ﺪــﻨﭼ ـﺑ هدﺎﻔﺘﺳا ﻪﺑ دوﺪﺤﻣ ار ﻢﻴﻘﺘﺴﻣﺮﻴﻏ شور دﺮـﻔﻨﻣ دراﻮـﻣ ياﺮ ﻲﻣ ﺖﻨﻠﭙﻤﻳا ﺪﻨﻧاد .يرﺎـﻣآ يﺎـﻬﺗوﺎﻔﺗ دﻮـﺟو ﺎﺑ ﺰﻴﻧ ﻲﻀﻌﺑ ﻲﻟو ﻲﻨﻌﻣ ودراد ﺘﺴـﻧاد لﻮـﺒﻗ ﻞـﺑﺎﻗ ﻲﻜﻴﻨﻴﻠﻛ ظﺎﺤﻟ زا ار شور وﻪ ﺎﻗ ار ﺎﻫﺎﻄﺧﻲﻣضﺎﻤﻏا ﻞﺑ ﺪﻨﻧاد. ﮓﻨﻴﭘﻮﻛ ﻪﻌﻟﺎﻄﻣ ﻚﻳ رد ﺐـﻟﺎﻗ يﺎـﻫ يﺮـﻴﮔ هﺪـﺷ ﺖـﺳﻼﺑﺪﻨﺳ و ﮓـﻨﻴﭘﻮﻛ ﻪـﺑ ﺖﺒﺴـﻧ هﺪﺷ هدز ﺐﺴﭼ يﺎـﻫ ﺮـﻴﻏ ﺮـﻴﻴﻐﺗ نوﺪـﺑ ار يﺮﺘﻤﻛ ﺖﻗد ﻞﺼﺘﻣ ﻚﻴﻨﻜﺗ ﻪﺑ ﺖﺒﺴﻧ ويﺮﺘﺸﻴﺑ ﺖﻗد ﻞﺼﺘﻣ ﺪـﻧداد نﺎﺸﻧ دﻮﺧ زا .ﻦـﻳا ﺎـﺑ ـﺑلﺎـﺣ ﻲـﻣ ﺮـﻈﻧ ﻪﺪـﺳر ﺎـﺠﻳا د ﮓﻨﻴﭘﻮﻛ يور ﺮﺑ ﻲﺤﻄﺳ تاﺮﻴﻴﻐﺗ ﺐﻟﺎﻗ يﺎﻫ دراﻮـﻣ رد يﺮــﻴﮔ ﻲﻣ ﻲﻜﺗ ﺖﻨﻠﭙﻤﻳا ﺪﻧاﻮﺗﺪﺷﺎﺑ ﺪﻨﻣدﻮﺳ ).54( ﺑﻪﻧﻲﻣﺮﻈ ﺪﺳر ﻚـﻳ زا هدﺎﻔﺘـﺳا ﺎـﻳ وﺮﺘﺳﻼﺑ ﭻﮔ زا هدﺎﻔﺘﺳا زر ﺎﺑ نآ لﺎﺼﺗا ﺲﭙﺳ وﺮﭘﻮﺗ رﺎﺑ لﺎﺼـﺗا ياﺮـﺑ ﻚـﻴﻠﻳﺮﻛا ﻦﻳ ﮓﻨﻴﭘﻮﻛ ﺐﻟﺎﻗ يﺎﻫ يﺮﻴﮔ ﺷور ﺪﻧاﻮﺘﺑ ﺮﮕﻳﺪﻤﻫ ﻪﺑ ياﺮﺑ ﺐﺳﺎﻨﻣ ﻲ ﻮﺒﻬﺑ ﺐﻟﺎﻗ ﺖﻗد ديﺮﻴﮔ زا شور ﻦـﻳا ﺪـﻴﻳﺄﺗ ياﺮـﺑ ﻲـﻟو ﺪـﺷﺎﺑ ﻲﻣ يﺮﺘﻌﻣﺎﺟ تﺎﻌﻟﺎﻄﻣ ﻪﺑ زﺎﻴﻧ يرﺎﻣآ ﺮﻈﻧ ﺪﺷﺎﺑ.زاﺎﻬﻨﺗ ظﺎﺤﻟ يﺮﻈﻧ ﻲﻣ ناﻮﺗ دﻮﺒﻬﺑ لﺎﻤﺘﺣا ﺖﻔﮔ ﻦـﻜﻤﻣ ﺎﻬـﺷور ﻦﻳا ﺎﺑ ﺞﻳﺎﺘﻧ ﺖﺳا .

ﺐﻟﺎﻗ داﻮﻣ ﻪﺴﻳﺎﻘﻣ يﺮﻴﮔ

ﺐﻟﺎﻗ داﻮﻣ ﻪﺘﻳزﻮﻜﺴـﻳو ﺎـﺑ ﻲﻔﻠﺘﺨﻣ يﺮﻴﮔ ﺖـﻬﺟ ﻒـﻠﺘﺨﻣ يﺎـﻫ ﺐﻟﺎﻗ يﺮﻴﮔ ارﻮﻣ ﺖﻨﻠﭙﻤﻳ ﻪﺘﻓﺮﮔ راﺮﻗ ﻪﻌﻟﺎﻄﻣ دﺪﻧا ﺖﺒﺴـﻧ ﺮﺗا ﻲﻠﭘ راﺮـﻗ ﺪـﻴﺋﺄﺗ درﻮﻣ ﺮﺘﺸﻴﺑ تﻻﺎﻘﻣ رد يﺮﻴﮔ ﺐﻟﺎﻗ داﻮﻣ ﺮﮕﻳد ﻪﺑ ﺖﺳا ﻪﺘﻓﺮﮔ.)4،26،42،46و56(نﻮﻜﻴﻠﻴﺳ يﺎﻫ داﻮﻣ ﻲﺸﻳاﺰﻓا ﺖـﻗد زا ،ﺮﺘﺸـﻴﺑ ﻲﺘﺣ وﺮﺗا ﻲﻠﭘ هزاﺪﻧا ﻪﺑ ﻪﻛ ﺪﻨﺘﺴﻫ يﺮﺗﺪﻳﺪﺟ ﺪـــﻧرادرﻮﺧﺮﺑ يدﺎـــﻌﺑا )39،53و57(دوهﺪﻜﺸـــﻧادر يﺎـــﻫ ﺰﭙﻧاﺪﻧد ﺐـﻟﺎﻗ ﺖـﻬﺟ ار هدﺎﻔﺘـﺳا ﻦﻳﺮﺘﺸـﻴﺑ هﺪﺤﺘﻣ تﻻﺎﻳا ﻲﻜﺷ ﺪﻧراد ﺖﻨﻠﭙﻤﻳا يﺮﻴﮔ).58(ﻲﺑدراﻮﻣ ياﺮﺑ ،هدﺎﻔﺘﺳا ﻞﻣﺎﻛ ناﺪﻧد ﺮﺗا ﻲﻠﭘ زا ﺎﻫدﻮـﺟو دراﻮـﻣ رد ﻲـﻟو دراد ار ﺖـﻳﺰﻣ ﻦﻳﺮﺘﺸﻴﺑ ﺖﻠﻋ ﻪﺑ ناﺪﻧدﻲﺘﺨﺳ رد نﺪـﺷ سﻮﺒﺤﻣ لﺎﻤﺘﺣا ﺮﺗا ﻲﻠﭘ يﻻﺎﺑ جوﺮﺧ ﻲﺘﺨﺳ وﺎﻬﻧاﺪﻧد نﺎﻴﻣ دراد دﻮـﺟو نﺎـﻫد زا يﺮـﺗ .رد نﻮﻜﻴﻠﻴﺳ دراﻮﻣ ﻦﻳا ﻲﻣهداد ﺢﻴﺟﺮﺗ ﻲﺸﻳاﺰﻓا يﺎﻫ ﺪﻧﻮﺷ).59(، نﻮﻜﻴﻠﻴﺳ زا هدﺎﻔﺘﺳا يﺎﻫ يﺮـﺗ وﻂـﺳﻮﺘﻣ ماﻮـﻗ ﺎـﺑ ﻲﺸـﻳاﺰﻓا ﻚـﻴﻨﻜﺗ زا هدﺎﻔﺘـﺳا ﻢﻫ وﺖﺳا ﺮﻳﺬﭘ نﺎﻜﻣا ﻲﺻﺎﺼﺘﺧا

Putty- wash

) 39 (ﻪـﺑ ﻲـﻟو ﺖﺳا مﺎﺠﻧا ﻞﺑﺎﻗ ﺖﻨﻠﭙﻤﻳا ياﺮﺑ ﻚﻴﻨﻜﺗ ﻦﻳا ﻂـﺧ ندﻮـﺑ ﻊﻴـﺳو ﺖﻠﻋ ﺖـﻨﻠﭙﻤﻳا ﻪـﻤﺗﺎﺧ ﺎـﻫ ًﻻﻮـﻤﻌﻣ ﻪـﺑ زﺎـﻴﻧ داﻮﻣ زا هدﺎﻔﺘﺳا

Light-body

ﻲـﻤﻧ تﺎـﻴﺋﺰﺟ ﺖـﺒﺛ ياﺮﺑ ﺪـﺷﺎﺑ . ياﺮـﺑ ﺰـﻴﻧ ﻂـﺳﻮﺘﻣ ﻪﺘﻳزﻮﻜﺴـﻳو ﺎﺑ ﺎﻫﺪﻴﻔﻟﻮﺳ ﻲﻠﭘ زا هدﺎﻔﺘﺳا ﺖﻨﻠﭙﻤﻳا ﻲـﻠﺒﻗ هدﺎﻣ ود زا ﺮﺘﻨﻴﻳﺎﭘ ﺖﻗد ظﺎﺤﻟ زا ﻲﻟو ﻪﺘﺸﮔ ﺮﻛذ ﻲﻣ ﺪﺷﺎﺑ.

وﻲﺻﺎﺼﺘﺧا يﺮﺗ ﻪﺴﻳﺎﻘﻣ

Stock

:

نﺎــﻘﻘﺤﻣ زا يرﺎﻴﺴــﺑيﺮــﺗ زاﺮــﺘﻘﻴﻗد ار ﻲﺻﺎﺼــﺘﺧا يﺎــﻫ يﺮـﺗ يﺎﻫ ﻪﺘﺴـﻧاد ﻲـﻌﻴﺒﻃ يﺎﻬﻧاﺪـﻧد رد ﻪﺘﺧﺎﺳ ﺶﻴﭘ ﺪـﻧا.)45، 60و61(،دﻮـﺟو ﺖـﻨﻠﭙﻤﻳا وﻲـﻌﻴﺒﻃ ناﺪـﻧد نﺎـﻴﻣ ﻲﺗوﺎﻔﺗ ﻲﻟو نآ ودراد زﺎﺑ يﺮﺗ ندﻮﺑ يﺎﻫ ﺖـﺳا ﺖـﻨﻠﭙﻤﻳا .ﺐـﻟﺎﻗ رد يﺮـﻴﮔ يﺮـﺗ ﺰﻴﻧ ﺖﻨﻠﭙﻤﻳا يﺎـﻫ ﻪـﺑ ﺖﺒﺴـﻧ يﺮـﺘﻬﺑ ﺞﻳﺎـﺘﻧ ﻲﺻﺎﺼـﺘﺧا يﺮﺗ يﺎﻫ ﺑﻪﺘﺧﺎﺳ ﺶﻴﭘ ﻪﺪـﻧدروآ ﺖﺳد،يﺮـﺗ ﻦﻴـﻨﭽﻤﻫ يﺎـﻫ Close –fit ﺎـﺑ هﺪﺷ ﻪﺘﺧﺎﺳ يﺎﻫ يﺮﺗ ﻪﺑ ﺖﺒﺴﻧ ﻪﻠـﺻﺎﻓ ﺞﻳﺎـﺘﻧ ﺪﻧداد نﺎﺸﻧ ار يﺮﺘﻬﺑ .ﻪﻛﺖﺳا ﺐﻠﻄﻣ ﻦﻳا ﺮﺑ ﺞﻳﺎﺘﻧ ﻦﻳا سﺎﺳا ﺐﻟﺎﻗ هدﺎﻣ ﺖﻣﺎﺨﺿ ﻪﭼ ﺮﻫ يﺮﻴﮔ ﺖـﻠﻋ ﻪـﺑ دﻮﺷ دﺎﻳز يﺮﺗ رد ﺐﻟﺎﻗ هدﺎﻣ ﺞﻴﻜﻨﻳﺮﻴﺷ ﻪﻜﻨﻳا ﻲـﻣ يﺮﺘﺸـﻴﺑ يﺮﻴﮔ ددﺮـﮔ،لﺎـﻤﺘﺣا ﺮﺘﺸﻴﺑ ﺰﻴﻧ يدﺎﻌﺑا تاﺮﻴﻴﻐﺗﻲﻣدﻮﺷ،ﻦﻳا ﺎﺑ لﺎﺣ ﺖﺨـﺳ ندﻮـﺑ ﺖﺳا رادرﻮﺧﺮﺑ يدﺎﻳز رﺎﻴﺴﺑ ﺖﻴﻤﻫا زا يﺮﺗ.لﺎﺼﺗا ﻦﻴﻨﭽﻤﻫ ﺐــﻟﺎﻗ هدﺎــﻣ ﻢــﻜﺤﻣ يﺮــﻴﮔ ﺮــﻴﻏ ﺎــﻳ ﻲﺻﺎﺼــﺘﺧا زا يﺮــﺗ ﻪــﺑ ﺎﺼﺘﺧاﺪﻧراد يﺮﺘﺸﻴﺑ ﺖﻴﻤﻫا يﺮﺗ ندﻮﺑ ﻲﺻ).62(

ﻪﺠﻴﺘﻧ يﺮﻴﮔ

روﺮﻣ تﻻﺎﻘﻣ ﻪﺑ ﻪﺟﻮﺗﺎﺑ آﺞﻳﺎﺘﻧ ﻪﺴﻳﺎﻘﻣ وﻦﺘﻣ ﻦﻳا رد هﺪﺷ ﺎﻬﻧ ﺐﻟﺎﻗ رد ﺮﻳز دراﻮﻣ يﺮﻴﮔﻲﻣﻪﻴﺻﻮﺗ ﺖﻨﻠﭙﻤﻳا ﮔددﺮ :

• ﺐﻟﺎﻗ رد ﻢﻴﻘﺘﺴﻣ شور زا هدﺎﻔﺘﺳا يﺮﻴﮔ .

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نﺎﻜﺷﺰﭙﻧاﺪﻧد ﻲﻣﻼﺳا ﻪﻌﻣﺎﺟ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻪﻠﺠﻣ /هرود20هرﺎﻤﺷ ،3،ﺰﻴﻳﺎﭘ 1387

ﺐﻟﺎﻗ ﻠﭙﻤﻳا يﺮﻴﮔنﻮﻴﺳﺎﻜﻴﻔﻳﺪﻣ وﻲﻠﺻا يﺎﻬﺷور ،ﺖﻨ ﺎﻫ...

• ﺖﻨﻠﭙﻤﻳا لﺎﺼﺗا ﻲﺘﻨﻠﭙﻤﻳا ﺪﻨﭼ دراﻮﻣ رد ﺎﻫﻪـﺠﻴﺘﻧ ﺮﮕﻳﺪـﻤﻫ ﻪـﺑ

ﺑﻲﻳﺎﻬﻧ ﺐﻟﺎﻗ رد يﺮﺘﻬﺑدراﺪﻧ لﺎﺒﻧد ﻪ.

• نﻮﻴــﺳﺎﻜﻴﻔﻳﺪﻣ زا هدﺎﻔﺘــﺳا يﺎــﻫ ﻖﻃﺎــﻨﻣ رد هﺪــﺷ شراﺰــﮔ

زمﺮﻧ ﺞﺴﻧ ﺮﺘﻬﺑ ﺖﺒﺛ رﻮﻈﻨﻣ ﻪﺑ ﻲﻳﺎﺒﻳ .ﻚـﻤﻛ ﻪـﺑ ناﻮـﺘﺑ ﺎـﺗنآ ﺒﺳﺎﻨﻣ ﺖﻨﻤﺗﺎﺑا يﺮﺘادﺮﻛ بﺎﺨﺘﻧ .

• ﺎﻳﺮﺗا ﻲﻠﭘ زا هدﺎﻔﺘﺳا

Polyvinylesiloxane (PVS) ناﻮﻨﻋ ﻪﺑ

ﺐﻟﺎﻗ هدﺎﻣ يﺮﻴﮔ.

• ﺐﻟﺎﻗ رد ﻲﺻﺎﺼﺘﺧا يﺮﺗ زا هدﺎﻔﺘﺳا يﺮﻴﮔ يروﺮـﺿ ﻲﻳﺎﻬﻧ

دراد لﺎﺒﻧد ﻪﺑ يﺮﺘﻬﺑ ﺞﻳﺎﺘﻧ وﺖﺳا.

• يﺮﺗ زا هدﺎﻔﺘﺳا يﺎﻫ

Dual

ﻊﻧﺎﻣ ﻼﺑ هﺪﻨﻨﻛ ﻞﻤﻋ ﺮﻈﻧ ﻪﺑ ﻪﺘﺴﺑ ﺖﺳا .

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• 54. Humphries RM, Yaman P, Bloem T.J. The accuracy of implant master casts constructed from transfer

impressions, Int J Oral Maxillofac Implants. 1990 Winter;5(4):331-336.

• 55. Vigolo P, Fonzi F, Majzoub Z, Cordioli G. An evaluation of impression techniques for multiple internal

connection implant prostheses.J Prosthet Dent. 2004 Nov;92(5):470-6.

• 56. Burawi G, Houston F, Byrne D, Claffey N.A comparison of the dimensional accuracy of the splinted and

unsplinted impression techniques for the Bone-Lock implant system.J Prosthet Dent. 1997 Jan;77(1):68-75.

• 57. Tautin FS, Impression making for osseointegrated dentures, J Prosthet Dent. 1985 Aug;54(2):250-251.
• 58. Schneider RL, Wee AG , Fabricating low-fusing metal casts for more accurate implant prosthodontics, J
• Prosthodont. 1996 Dec;5(4):301-303.
• 59. Arbree NS, Fleck F, Askinas SW, The results of a brief survey of complete denture prosthodontic techniques in

predoctoral programs in North American dental schools, J Prosthodont. 1996 Sep;5(3):219-225.

• 60. J Chai, Y Takahashi, EP Lautenschlager, Clinically relevant mechanical properties of elastomeric impression

materials, Int J Prosthodont. 1998 May-Jun;11(3):219-223.

• 61. Millstein P, Maya A, Segura C.Determining the accuracy of stock and custom tray impression/casts.J Oral
• Rehabil. 1998 Aug;25(8):645-8.
• 62. Wassell RW, Ibbetson RJ.The accuracy of polyvinyl siloxane impressions made with standard and reinforced

stock trays.J Prosthet Dent. 1991 Jun;65(6):748-57.

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