Seay Amanda
Compend Contin Educ Dent. 2012 Nov-Dec;33(10):758-63.
Restoration of a worn dentition has many challenges and considerations for the restorative dentist. Decisions on how to reconstruct the tooth structure that was lost as well as eliminating the risk factors that caused the problem must be addressed. Adding to the complexity is the ever-present demand for minimal dentistry that will satisfy the goals of the treatment while not increasing the long-term risks. A systematic approach to analyze periodontal, biomechanial, functional, and dentofactial risk must be considered before making treatment recommendations to the patient. The patient's esthetic concerns were addressed in this case using minimal- to no-preparation techniques. The placement of transitional bonding with the aid of a Kois deprogrammer allowed the restorative dentist and laboratory technician to meet the functional and esthetic requirements of the case.
对于修复牙医来说，磨损牙列的修复存在诸多挑战和需要考虑的因素。必须解决如何重建已丧失的牙齿结构以及消除导致问题的风险因素等决策问题。使情况更为复杂的是，始终存在着对微创牙科的需求，即在不增加长期风险的情况下满足治疗目标。在向患者提出治疗建议之前，必须考虑一种系统的方法来分析牙周、生物力学、功能和牙面风险。在本病例中，采用了微创至无创技术来解决患者的美学问题。借助Kois去程序化器进行过渡性粘结，使修复牙医和实验室技术人员能够满足该病例的功能和美学要求。
