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采用 CAD-CAM 系统制作硅酸锂嵌体:一种功能与美观兼具的方案。

Lithium silicate endocrown fabricated with a CAD-CAM system: A functional and esthetic protocol.

机构信息

Professor, Graduate Program of Dentistry, Positivo University, Paraná, Brazil.

Professor, Graduate Program of Dentistry, Positivo University, Paraná, Brazil.

出版信息

J Prosthet Dent. 2017 Aug;118(2):131-134. doi: 10.1016/j.prosdent.2016.10.006. Epub 2017 Jan 13.

Abstract

An endocrown restoration is an alternative approach to complete crowns with intraradicular cores or dowels for the restoration of endodontically treated teeth. Endocrowns conserve tooth structure and require fewer dental visits. This approach has been widely used, and various materials and techniques have been reported. Computer-aided design and computer-aided manufacturing (CAD-CAM) systems can generate and store libraries of teeth with various anatomies in their database, and diagnostic tooth waxing may not be required. However, occlusal adjustments after the cementation of indirect restorations are often frustrating. Thus, a rapid and efficient way of addressing this challenge is necessary. This clinical report presents a protocol for the fabrication and delivery of an endocrown by using the biogeneric design mode with lithium silicate-based ceramic adjusted before its complete sintering.

摘要

牙内冠修复是一种替代方法,用于对根管内核或牙钉进行全冠修复,以修复根管治疗后的牙齿。牙内冠保留了牙齿结构,所需就诊次数更少。这种方法已经得到广泛应用,并且已经报道了各种材料和技术。计算机辅助设计和计算机辅助制造(CAD-CAM)系统可以在其数据库中生成和存储具有各种解剖结构的牙齿库,并且可能不需要进行诊断性牙蜡造型。然而,间接修复体粘固后的咬合调整常常令人沮丧。因此,需要一种快速有效的方法来应对这一挑战。本临床报告介绍了一种使用基于硅酸锂的陶瓷进行生物生成设计模式的牙内冠制作和交付的方案,该陶瓷在完全烧结前进行调整。

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