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当计划和制作种植体支持的修复体时,牙医和牙科实验室之间的协作模式和流程。

Collaboration Patterns and Processes Between Dentists and Dental Laboratories When Planning and Fabricating Implant-Supported Restorations.

机构信息

*Instructor, Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. †Dental Lab Manager, Chief Technician, Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. ‡Clinical Professor, Department for Periodontology and Implantology, NYU Dental School, New York, NY. §Senior Lecturer, Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Implant Dent. 2017 Jun;26(3):475-479. doi: 10.1097/ID.0000000000000581.

Abstract

INTRODUCTION

The success of implant-supported restorations is dependent on proper treatment planning, effective communication within the clinical team, and the use of appropriate methods and materials in the dental laboratory. The objective of this study was to determine collaboration trends between dentists and laboratories and to assess the common methods and materials involved in fabricating implant-supported restorations.

METHODS

Questionnaires were distributed to dental laboratories and technicians. Seventy questionnaires were answered and were included in the data analyses.

RESULTS

Most of the impressions (87%) were taken using an individual custom-made open tray. In 83% of impressions, screw-retained transfer units were used, and in 61% of cases, the units were splinted. Bite registration was recorded in 91% of the cases. In 80% of cases, articulator setup was done. When matching the shade of a restoration in the anterior, 57% of the technicians do so in collaboration with the dentist, and 39% match the shade independently. Type of restoration and abutment selection were done mainly by the technicians. Abutment selection was reported to be carried out by 72% of the technicians.

CONCLUSIONS

Generally, dentists and technicians follow the standards recommended in the contemporary literature, especially, in major procedures such as impression taking, bite registration, and articulator setup. However, principal decisions, such as abutment and color shade are done mainly by technicians.

摘要

简介

种植体支持修复的成功取决于正确的治疗计划、临床团队内部的有效沟通,以及在牙科实验室中使用适当的方法和材料。本研究的目的是确定牙医和实验室之间的协作趋势,并评估制作种植体支持修复体中常见的方法和材料。

方法

向牙科实验室和技术人员分发了问卷。共回答了 70 份问卷,并将其纳入数据分析。

结果

大多数印模(87%)是使用个体定制的开口托盘进行的。在 83%的印模中,使用了螺丝固位转移体,在 61%的情况下,这些转移体被夹板固定。91%的病例记录了咬合记录。在 80%的情况下,进行了牙合架设置。在前部匹配修复体的颜色时,57%的技术人员与牙医合作进行匹配,39%的技术人员独立匹配颜色。修复体类型和基台选择主要由技术人员完成。基台选择据报道由 72%的技术人员进行。

结论

一般来说,牙医和技术人员遵循当代文献中推荐的标准,特别是在印模制取、咬合记录和牙合架设置等主要程序中。然而,主要决策,如基台和颜色选择,主要由技术人员完成。

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