Neumann P, Brausewetter L
Neumann Brausewetter & Collegen, Berlin, Germany.
Int J Comput Dent. 2005 Oct;8(4):325-35.
Cerec 3D software is now able to restore occlusal tooth surfaces safely and reproducibly. With an existing morphology worth adopting and/or by making use of an opposing bite registration, the user can reproduce the central contacts to the opposing jaw with the aid of the correlation mode. However, this assumes that the existing maxillo-mandibular relation is physiological. In prosthetic treatment, it is essential to differentiate between a healthy patient and patients with functional disorders. In the first case, the possibilities of performing an accurate and exact reconstruction of the healthy parameters are given and can be myocentrically controlled and corrected with suitable means. However, in the presence of functional disorders, the pathological situation should not serve at the basis for the reconstruction. Adjustment and, if necessary, stabilization of the function is essential. The following article illustrates by reference to a complex patient case how Cerec restorations can be produced correctly chairside with the aid of the IPR technique even in the case of functional disorders.
Cerec 3D软件现在能够安全且可重复地修复牙齿咬合面。通过采用现有的值得采用的形态和/或利用对颌咬合记录,用户可以借助相关模式重现与对颌牙的中央接触。然而,这假定现有的上下颌关系是生理性的。在修复治疗中,区分健康患者和有功能障碍的患者至关重要。在第一种情况下,可以进行健康参数的准确精确重建,并且可以通过适当手段进行肌源性控制和校正。然而,在存在功能障碍的情况下,不应将病理情况作为重建的基础。功能的调整以及必要时的稳定至关重要。以下文章通过一个复杂的患者案例说明,即使在存在功能障碍的情况下,如何借助IPR技术在椅旁正确制作Cerec修复体。