Department of Prosthodontics, Ludwig-Maximilians-University, Goethestrasse 70, D-80336 Munich, Germany.
J Am Dent Assoc. 2011 Apr;142 Suppl 2:14S-9S. doi: 10.14219/jada.archive.2011.0338.
Encompassing a vast array of materials, today's all-ceramic systems are suitable for a large range of indications in almost all areas of fixed restorative dentistry.
The authors describe five clinical cases involving different indications to illustrate the use of different ceramic materials and combinations of materials. They describe the collaboration between the dentist and dental technician for single-tooth restorations and for complex cases, including all stages of the restorative procedures from treatment planning with an analytic wax-up to the selection of appropriate materials, tooth preparation and cementation.
The patients described experienced significant functional and esthetic improvement, even those who had severely discolored teeth. This was possible because the authors executed the working steps in a strictly synchronized manner and selected the restorative materials carefully to meet the specific needs of each patient.
All-ceramic systems have expanded the range of restorative treatment options significantly; at the same time, their handling has been simplified substantially. The use of lithium disilicate glass-ceramic-and zirconium oxide-based frameworks along with an identical veneering ceramic enables the dental care professional to cover almost all indications in fixed prosthodontics while achieving the same esthetic results.
当今的全瓷系统涵盖了大量的材料,适用于固定修复牙科中几乎所有领域的各种适应证。
作者描述了五个涉及不同适应证的临床病例,以说明不同陶瓷材料和材料组合的使用。他们描述了牙医和牙科技师之间的合作,包括单颗牙修复和复杂病例,涵盖了从治疗计划到分析蜡型、选择合适材料、牙齿预备和粘固等修复过程的所有阶段。
所描述的患者在功能和美观方面都有显著改善,即使是那些牙齿严重变色的患者也得到了改善。这是因为作者严格同步执行工作步骤,并仔细选择修复材料,以满足每个患者的具体需求。
全瓷系统大大扩展了修复治疗的选择范围;同时,其操作也大大简化。使用锂硅玻璃陶瓷和氧化锆基框架以及相同的饰瓷,可以使口腔保健专业人员在固定修复中覆盖几乎所有适应证,同时达到相同的美观效果。