Department of Prosthodontics, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.
Dent Traumatol. 2010 Apr;26(2):191-4. doi: 10.1111/j.1600-9657.2010.00866.x.
Conservative solutions for the restoration of a single edentulous space in the anterior maxilla present an esthetic challenge to the clinician. A 45-year-old male patient whose right upper central tooth was planned to be extracted was referred to our clinic for a conservative, rapid, and economic treatment. After radiographic and clinical examinations, it was decided that the tooth which was to be extracted should be used for the restoration of its own extracted area. The extracted tooth was splinted to adjacent teeth with the aid of the grooves and fiber-reinforced composite (everStick, StickTech Ltd., Turku, Finland). Following an early and unexpected failure of the restoration, the fiber layer was thickened twice with a flowable composite resin (Stick Flow, Stick Tech Ltd.) which fit better to the grooves. The restoration satisfied the patient with a good mechanical behavior, esthetics, and long-term durability after 12 months while. Restoring the missing tooth area with the patient's own tooth is advantageous when combined with modern adhesive techniques. The clinician must pay attention to the mechanical adaptation of the restoration and the technique sensitivity of the applied adhesive system.
对于上前牙单个缺牙间隙的修复,保守治疗方案对临床医生来说是一个美学挑战。一位 45 岁的男性患者,计划拔除右上颌中切牙,被转介到我们诊所,寻求一种保守、快速且经济的治疗方法。经过影像学和临床检查,决定利用牙体预备时形成的沟和纤维增强复合材料(everStick,StickTech Ltd.,图尔库,芬兰)将拟拔除的牙齿固定到相邻牙齿上。修复体早期意外失败后,两次用流动性复合树脂(StickFlow,StickTech Ltd.)加厚纤维层,使其更贴合沟。修复体在 12 个月后满足了患者的机械性能、美观和长期耐用性的要求。当与现代粘接技术结合使用时,用患者自身的牙齿来修复缺失牙区是有利的。临床医生必须注意修复体的机械适应性和应用粘接系统的技术敏感性。