Vailati Francesca, Belser Urs Christoph
Department of Fixed Prosthodontics and Occlusion, University of Geneva, Geneva, Switzerland.
Eur J Esthet Dent. 2011 Autumn;6(3):268-78.
Minimally invasive principles should be the driving force behind rehabilitating young individuals affected by severe dental erosion. The maxillary anterior teeth of a patient, class ACE IV, has been treated following the most conservatory approach, the Sandwich Approach. These teeth, if restored by conventional dentistry (eg, crowns) would have required elective endodontic therapy and crown lengthening. To preserve the pulp vitality, six palatal resin composite veneers and four facial ceramic veneers were delivered instead with minimal, if any, removal of tooth structure. In this article, the details about the treatment are described.
微创原则应成为修复受严重牙体侵蚀影响的年轻患者的驱动力。一名ACE IV类患者的上颌前牙采用了最保守的方法即三明治方法进行治疗。这些牙齿如果采用传统牙科方法修复(如冠修复),则需要进行选择性牙髓治疗和牙冠延长术。为了保留牙髓活力,最终采用了六颗腭侧树脂复合贴面和四颗唇侧陶瓷贴面,对牙体组织的去除极少,甚至可以忽略不计。本文描述了该治疗的详细情况。