Llobell Arturo, Bergler Michael, Fraiman Howard, Korostoff Jonathan, Cross Caleb, Fiorellini Joseph
Periodontal Prosthesis Graduate Program, Periodontics Department, University of Pennsylvania.
J Clin Exp Dent. 2020 Sep 1;12(9):e877-e882. doi: 10.4317/jced.57208. eCollection 2020 Sep.
Successful rehabilitation of a patient's entire dentition with implant-supported fixed prostheses requires restoration of function, esthetics and comfort. To achieve this goal, the clinician and laboratory technician must work in concert with one another to navigate the multiple steps from the patient's initial evaluation to delivery of the final prostheses. Key to this is the ability of the clinician to provide the technician with detailed information regarding the patient's extra- and intraoral characteristics in a manner that can be easily and accurately transferred to the lab bench where it then serves as the foundation for reconstruction of the dentition. In recent years, the impressive evolution of digital technology in dentistry has dramatically facilitated this complex process. The aim of this case report is to illustrate how digital profiles of a patient's facial and intraoral features can be merged with one another and used to generate artificial teeth and gingival tissue of a full mouth implant supported rehabilitation via computer-aided design and computer-aided manufacturing (CAD/CAM) technology to successfully rehabilitate a patient that initially presented with a terminal dentition. Facial scan, Zirconia, Implant-supported rehabilitation, Implant-supported prosthesis, Fixed prosthesis, Oral rehabilitation.
使用种植体支持的固定修复体成功修复患者的全牙列需要恢复功能、美观和舒适度。为实现这一目标，临床医生和实验室技术人员必须相互协作，完成从患者初始评估到最终修复体交付的多个步骤。关键在于临床医生能够以一种易于且准确地传递到实验室工作台上的方式，向技术人员提供有关患者口外和口内特征的详细信息，这些信息随后将作为牙列重建的基础。近年来，牙科数字技术的显著发展极大地推动了这一复杂过程。本病例报告的目的是说明如何将患者面部和口内特征的数字轮廓相互融合，并通过计算机辅助设计和计算机辅助制造（CAD/CAM）技术用于生成全口种植体支持修复的人造牙齿和牙龈组织，以成功修复最初呈现为终末期牙列的患者。面部扫描、氧化锆、种植体支持的修复、种植体支持的修复体、固定修复体、口腔修复。
