Selz Christian F, Vuck Alexander, Guess Petra C
Quintessence Int. 2016 Feb;47(2):115-21. doi: 10.3290/j.qi.a34808.
Esthetic full-mouth rehabilitation represents a great challenge for clinicians and dental technicians. Computer-aided design/ computer-assisted manufacture (CAD/CAM) technology and novel ceramic materials in combination with adhesive cementation provide a reliable, predictable, and economic workflow. Polychromatic feldspathic CAD/CAM ceramics that are specifically designed for anterior indications result in superior esthetics, whereas novel CAD/CAM hybrid ceramics provide sufficient fracture resistance and adsorption of the occlusal load in posterior areas. Screw-retained monolithic CAD/CAM lithium disilicate crowns (ie, hybrid abutment crowns) represent a reliable and time- and cost-efficient prosthetic implant solution. This case report details a CAD/CAM approach to the full-arch rehabilitation of a 65-year-old patient with toothand implant-supported restorations and provides an overview of the applied CAD/CAM materials and the utilized chairside intraoral scanner. The esthetics, functional occlusion, and gingival and peri-implant tissues remained stable over a follow-up period of 3 years. No signs of fractures within the restorations were observed.
美学全口修复对临床医生和牙科技术人员来说是一项巨大的挑战。计算机辅助设计/计算机辅助制造（CAD/CAM）技术以及新型陶瓷材料与粘结剂相结合，提供了一种可靠、可预测且经济的工作流程。专门为前牙适应症设计的多色长石质CAD/CAM陶瓷具有卓越的美学效果，而新型CAD/CAM混合陶瓷在后部区域提供了足够的抗折性和咬合负荷吸附能力。螺丝固位的整体式CAD/CAM二硅酸锂全冠（即混合基台全冠）是一种可靠且节省时间和成本的修复种植体解决方案。本病例报告详细介绍了一种CAD/CAM方法，用于对一名65岁患者进行牙和种植体支持修复的全牙弓修复，并概述了所应用的CAD/CAM材料以及所使用的椅旁口腔内扫描仪。在3年的随访期内，美学效果、功能性咬合以及牙龈和种植体周围组织保持稳定。修复体内未观察到骨折迹象。
