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磨损牙列的诊断与管理:保守修复方案

Diagnosis and management of the worn dentition: conservative restorative options.

作者信息

Meyers Ian A

机构信息

School of Dentistry, University of Queensland, Brisbane, Queensland.

出版信息

Ann R Australas Coll Dent Surg. 2008 Jun;19:31-4.

PMID:19728627
Abstract

A technique is presented for the use of a transparent polyvinyl siloxane template constructed from a diagnostic wax-up to rapidly reproduce the anatomical structure with direct restorative materials in the mouth. This technique is beneficial for a number of geriatric patients who would be unable to undertake long and complex dental treatment sessions and provides an alternative for those unable to meet the immediate costs of multiple indirect restorations. Consideration of increases in vertical dimension to create space for the new restorations and reconstruction utilizing a combination of direct and indirect procedures provides control and predictability over the final restorative result. In the short to medium term, the use of minimally invasive adhesive techniques enables tooth surface loss to be replaced with minimal destruction of the remaining sound tooth material, yet still enables the option for a more definitive restorative option at a later date.

摘要

本文介绍了一种技术,该技术使用由诊断性蜡型构建的透明聚乙烯基硅氧烷模板,在口腔中用直接修复材料快速复制解剖结构。这项技术对许多无法接受长时间复杂牙科治疗的老年患者有益,并且为那些无法承担多个间接修复即时费用的患者提供了一种选择。考虑增加垂直距离以为新修复体创造空间,并采用直接和间接程序相结合的方法进行重建,能够对最终修复结果进行控制并实现可预测性。在短期至中期,使用微创粘接技术能够在对剩余完好牙体组织破坏最小的情况下修复牙体表面缺损,同时仍为日后选择更确定性的修复方案提供可能。

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