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间接复合树脂技术修复后牙大面积缺损:病例报告

Restoring Large Defect of Posterior Tooth by Indirect Composite Technique: A Case Report.

作者信息

Lu Pei-Ying, Chiang Yu-Chih

机构信息

Department of Restorative and Esthetic Dentistry, National Taiwan University, Taipei 100, Taiwan.

Department of Restorative and Esthetic Dentistry, National Taiwan University and National Taiwan University Hospital, Taipei 100, Taiwan.

出版信息

Dent J (Basel). 2018 Oct 7;6(4):54. doi: 10.3390/dj6040054.

DOI:10.3390/dj6040054
PMID:30301256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6313494/
Abstract

Advances in adhesive dentistry have led to increased use of indirect restorations. In some situations, indirect composite techniques are more advantageous than direct composite filling techniques, such as establishing proper occlusal and interproximal anatomy, reducing polymerization shrinkage stress, and promoting the degree of conversion. This article presents a case about restoring the lower right first molar with extensive loss of tooth structure by the composite onlay to achieve a proper anatomic form and rehabilitate chewing function. This one-year clinical case encourages clinicians to manage large decay of posterior tooth conservatively. The given functional and esthetic outcomes demonstrate the promising applicability of the indirect composite technique.

摘要

牙体粘接修复技术的进展使得间接修复体的使用日益增加。在某些情况下,间接复合树脂技术比直接复合树脂充填技术更具优势,例如建立合适的咬合和邻面外形、降低聚合收缩应力以及提高转化率。本文介绍了一例采用复合树脂高嵌体修复右下第一磨牙牙体组织大面积缺损的病例,以获得合适的解剖形态并恢复咀嚼功能。这个为期一年的临床病例鼓励临床医生对后牙的大面积龋坏进行保守治疗。所给出的功能和美学效果证明了间接复合树脂技术具有广阔的应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/de106f5ca1db/dentistry-06-00054-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/10f9b6b0035c/dentistry-06-00054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/ab752b800dad/dentistry-06-00054-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/bff320db18e1/dentistry-06-00054-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/58b422843521/dentistry-06-00054-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/beda3b8abbdc/dentistry-06-00054-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/57f4e8c6bb4c/dentistry-06-00054-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/4cf3d296843a/dentistry-06-00054-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/9e5cbf451ffc/dentistry-06-00054-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/de106f5ca1db/dentistry-06-00054-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/10f9b6b0035c/dentistry-06-00054-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/ab752b800dad/dentistry-06-00054-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/bff320db18e1/dentistry-06-00054-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/58b422843521/dentistry-06-00054-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/beda3b8abbdc/dentistry-06-00054-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/57f4e8c6bb4c/dentistry-06-00054-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/4cf3d296843a/dentistry-06-00054-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/9e5cbf451ffc/dentistry-06-00054-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af7c/6313494/de106f5ca1db/dentistry-06-00054-g009.jpg

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本文引用的文献

1
Posterior indirect adhesive 
restorations: updated indications 
and the Morphology Driven 
Preparation Technique.后牙间接粘结修复:更新的适应症及形态驱动预备技术
Int J Esthet Dent. 2017;12(2):204-230.
2
Effect of immediate dentine sealing on the fracture strength of lithium disilicate and multiphase resin composite inlay restorations.即刻牙本质封闭对二硅酸锂和多相树脂复合体嵌体修复体断裂强度的影响。
J Mech Behav Biomed Mater. 2017 Aug;72:102-109. doi: 10.1016/j.jmbbm.2017.04.002. Epub 2017 Apr 8.
3
Semidirect posterior composite restorations with a flexible die technique: A case series.
采用柔性印模技术的半直接后牙复合树脂修复:病例系列。
J Am Dent Assoc. 2017 Sep;148(9):671-676. doi: 10.1016/j.adaj.2017.02.032. Epub 2017 Mar 30.
4
Longevity of direct and indirect resin composite restorations in permanent posterior teeth: A systematic review and meta-analysis.直接和间接树脂复合材料修复体在后牙永久修复中的寿命:系统评价和荟萃分析。
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J Dent Res. 2016 Aug;95(9):985-94. doi: 10.1177/0022034516652848. Epub 2016 Jun 10.
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Effect of surface treatment and aging on bond strength of composite resin onlays.表面处理及老化对复合树脂高嵌体粘结强度的影响
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Fracture strength, failure type and Weibull characteristics of lithium disilicate and multiphase resin composite endocrowns under axial and lateral forces.轴向力和侧向力下二硅酸锂和多相树脂复合材料嵌体的断裂强度、失效类型和威布尔特征。
Dent Mater. 2016 May;32(5):607-14. doi: 10.1016/j.dental.2016.01.004. Epub 2016 Feb 28.
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The Modified Semidirect Onlay Technique With Articulated Elastic Model.采用关节弹性模型的改良半直接覆盖技术
Eur J Prosthodont Restor Dent. 2015 Dec;23(4):207-12.
10
Adhesive Cementation of Indirect Composite Inlays and Onlays: A Literature Review.间接复合嵌体和高嵌体的粘结修复:文献综述
Compend Contin Educ Dent. 2015 Sep;36(8):570-7; quiz 578.