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[运用3D技术替换严重受损磨牙]

[Replacing heavily damaged molars with the use of 3D-techniques].

作者信息

Verweij J P, Anssari Moin D, Mensink G, Wismeijer D, van Merkesteyn J P R

出版信息

Ned Tijdschr Tandheelkd. 2018 Jan;125(1):21-26. doi: 10.5177/ntvt.2018.01.17186.

Abstract

Seriously damaged molars can be replaced by autotransplantation with the help of 3D techniques. In the present case, involving an 18-year old patient, 18, 38 and 48 were used to replace, respectively, 14, 36 and 37. Preoperatively, the width of the crowns and the root development of 18, 38 and 48 were analysed using 3D imaging. During the autotransplantation procedure, the new alveoli are formed with the help of replicas of the donor molars printed in 3D, in order to prevent iatrogenic damage to the actual donor molars.. The extra-alveolar time was less than 2 minutes for all donor molars. Postoperative follow-up showed physiologic integration of the transplanted molars. There was no ankylosis. Autotransplantation with the help of 3D techniques makes it possible to perform complex procedures with good results.

摘要

严重受损的磨牙可以借助3D技术通过自体移植进行替换。在本病例中,一名18岁患者,分别使用18、38和48号牙替换14、36和37号牙。术前,使用3D成像分析18、38和48号牙的冠部宽度和牙根发育情况。在自体移植过程中,借助3D打印的供体磨牙复制品形成新的牙槽,以防止对实际供体磨牙造成医源性损伤。所有供体磨牙的牙槽外时间均少于2分钟。术后随访显示移植磨牙生理性融合。无牙根粘连。借助3D技术进行自体移植能够使复杂手术取得良好效果。

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