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[牙列缺损侵袭性固定咬合重建中剩余天然牙与种植修复同步修复的数字化整合策略]

[Digitization-integrated strategies of simultaneous restoration of remaining natural teeth and implant restorations in invasive fixed occlusal reconstruction of dentition defects].

作者信息

Li Y

机构信息

Department of Prosthodontics, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 Oct 9;57(10):1003-1008. doi: 10.3760/cma.j.cn112144-20220728-00413.

Abstract

The minimally invasive fixed occlusal reconstruction of dentition defect is a sequential reconstruction process involving the minimally invasive restoration of the remaining natural teeth, the implant restoration of edentulous areas and the occlusal change from reversible to non-reversible. The simultaneous completion of minimally invasive natural teeth restorations and implant-supported crowns or bridges in an ideal occlusal design shows the obvious advantages of digital integration. The use of digital technologies such as intraoral scanning, kinematic face bow, virtual articulator and computer aided design and computer aided manufacturing (CAD/CAM), could be integrated in each stage of occlusal reconstruction, including the overall documentations and assessments before the restoration, the determination of the functional restoration space, the precise design and fabrication of the provisional and final restorations taking into account both esthetics and function and the preservation of the follow-up documentations and assessments after the restoration. The integration process can optimize clinical process and improve restoration accuracy. This article briefly describes the concept of minimally invasive occlusal reconstruction of dentition defects and the integration strategy of digital sequential restoration.

摘要

牙列缺损的微创固定咬合重建是一个循序渐进的重建过程,包括对剩余天然牙的微创修复、缺牙区的种植修复以及咬合从可逆到不可逆的改变。在理想的咬合设计中同时完成微创天然牙修复和种植支持的冠或桥,显示出数字一体化的明显优势。口腔内扫描、运动面弓、虚拟牙合架以及计算机辅助设计和计算机辅助制造(CAD/CAM)等数字技术的应用,可以整合到咬合重建的各个阶段,包括修复前的整体记录和评估、功能修复空间的确定、兼顾美观和功能的临时及最终修复体的精确设计与制作,以及修复后的随访记录和评估的保存。一体化过程可以优化临床流程并提高修复精度。本文简要介绍了牙列缺损微创咬合重建的概念以及数字序贯修复的一体化策略。

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