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数字微笑设计技术在牙美学区修复中的应用:病例报告。

Digital smile planning technique applied to prosthetic rehabilitation of dental esthetic area: a case report.

机构信息

Dental School, Vita-Salute University and Department of Dentistry, IRCCS San Raffaele Hospital, Milan, Italy.

出版信息

J Biol Regul Homeost Agents. 2021 Jul-Aug;35(4 Suppl. 1):1-9. doi: 10.23812/21-4supp1-1.

Abstract

UNLABELLED

Nowadays, the objective of esthetic rehabilitation is not only to guarantee the results to the patients in terms of esthetic parameters but also the possibility to show the pre-visualization of possible results and therapy planning.

OBJECTIVE

The aim of this study is to apply the 3D-DPS digital planning technique, in the prosthetic treatment of a patient, to produces digitally the mockup for the digital previewing and esthetic crown and veneer for the final prosthetic treatment.

MATERIALS AND METHODS

A case report participant is a young patient, a female, 26 years old, with no oral, periodontal, or systemic diseases. After a sign of an informed consent and an explication of a plan of treatment, technical intraoral and extraoral pictures and intraoral digital impressions were taken. The digital images improved from the 2D Smile Lynx Software and the scanner stereolithographic (STL) file was matched into the CAD Lynx to obtain a virtual previsualization of teeth and smile design. Then, the mockup was milled using a CAM system. Minimally invasive preparation was carried out on the enamel surface with the mockup as position guides. Finally, the esthetic CAD-CAM veneer and crown were produced digitally using the CAD Wax as a guide.

RESULTS

The use of the digital project and the pre-operative mockup allowed a perfect initial evaluation and a better understanding of the patient's treatment plan.

CONCLUSIONS

The 3D digital planning technique is a new, predictably and minimally invasive technique. It allows diagnosis and a better communication with the patient. It helps to reduce the working time and the possible errors usually associated with the classical prosthodontic manual step.

摘要

目的

本研究旨在应用 3D-DPS 数字化规划技术,在患者的修复治疗中,数字化制作赝复体用于数字预览,并制作美学冠和贴面用于最终的修复治疗。

材料和方法

一名年轻女性患者(26 岁)参与了该病例报告,无口腔、牙周或系统性疾病。在签署知情同意书并解释治疗计划后,拍摄了口腔内和口腔外的技术照片以及口腔内的数字印模。从 2D Smile Lynx 软件中改进了数字图像,并将扫描仪立体光刻(STL)文件与 CAD Lynx 匹配,以获得牙齿和微笑设计的虚拟预览。然后,使用 CAM 系统铣削赝复体。使用赝复体作为定位引导,在牙釉质表面进行微创预备。最后,使用 CAD Wax 作为指导,数字化制作美学 CAD-CAM 贴面和牙冠。

结果

数字化项目和术前赝复体的使用允许对初始评估进行完美的评估,并更好地了解患者的治疗计划。

结论

3D 数字规划技术是一种新的、可预测的、微创技术。它允许诊断并与患者更好地沟通。它有助于减少与经典修复体手动步骤相关的工作时间和可能的错误。

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