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全氧化锆种植体修复的 CAD/CAM 技术：精确数字化规划后的病例报告

Full Zirconia Implant-Born Prosthetic Rehabilitation with CAD/CAM Technology after Accurate Digital Planning. A Case Report.

机构信息

Private Practice, Via Del Futurismo, 8, 20138 Milano, Italy.

Private Practice, Via di Caciolle, 2/H, 50127 Firenze, Italy.

出版信息

Int J Environ Res Public Health. 2021 Jul 28;18(15):7998. doi: 10.3390/ijerph18157998.

DOI:10.3390/ijerph18157998
PMID:34360288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8345593/
Abstract

CAD/CAM technology can enhance the dentistry application of ceramic materials that meet the more relevant biocompatibility and aesthetics demands. In implant-borne prosthesis rehabilitation, yttria-stabilized zirconia appeared to be a valid alternative to metal-alloys and titanium, with comparable mechanical properties and even better interaction with bone and soft tissues. The improvement of monolithic CAD/CAM manufacturing allows for a reliable, predictable, and rapid workflow that can correspond to a holistic treatment philosophy associated with zirconia fixtures. This reported clinical case highlights the advantages of this approach in resolving particularly functionally and aesthetically complex situations. A 40-year-old patient with permanent canine impaction and the persistence of a deciduous tooth compromised by caries was successfully rehabilitated with the surgical removal of the enclosed tooth, the seating of a mono-phase zirconia implant after the deciduous extraction and its loading with a zirconia single crown, without any clinical or radiographical alteration up to seven years follow-up.

摘要

CAD/CAM 技术可以提高满足更高生物相容性和美学需求的陶瓷材料在牙科领域的应用。在种植体支持的义齿修复中，氧化钇稳定氧化锆似乎是金属合金和钛的有效替代品，具有相当的机械性能，甚至与骨和软组织的交互作用更好。整体式 CAD/CAM 制造的改进允许可靠、可预测和快速的工作流程，与与氧化锆修复体相关的整体治疗理念相吻合。本临床病例报告突出了这种方法在解决特别复杂的功能和美学情况下的优势。一名 40 岁的患者，由于恒牙阻生和龋齿导致乳牙滞留，通过手术切除封闭的牙齿，在乳牙拔除后植入单阶段氧化锆种植体，并加载氧化锆单冠，在七年的随访中没有任何临床或影像学改变，成功地进行了修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/dbd58222cfea/ijerph-18-07998-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/5d88b8ca715a/ijerph-18-07998-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/ef198614f34e/ijerph-18-07998-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/b58b3b89ff98/ijerph-18-07998-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/06eb6793b432/ijerph-18-07998-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/77256c6fdeb7/ijerph-18-07998-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/9dc0bb654743/ijerph-18-07998-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/dbd58222cfea/ijerph-18-07998-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/5d88b8ca715a/ijerph-18-07998-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/ef198614f34e/ijerph-18-07998-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/b58b3b89ff98/ijerph-18-07998-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/06eb6793b432/ijerph-18-07998-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/77256c6fdeb7/ijerph-18-07998-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/9dc0bb654743/ijerph-18-07998-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ed/8345593/dbd58222cfea/ijerph-18-07998-g007.jpg

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