Associate Professor, Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain; Private practice, San Benedetto del Tronto, Italy.
Assistant Professor, Department of Restorative Dentistry, School of Dentistry, International University of Catalunya, Barcelona, Spain; Private practice, Guarda, Portugal.
J Prosthet Dent. 2024 Nov;132(5):850-856. doi: 10.1016/j.prosdent.2022.10.017. Epub 2022 Dec 19.
The trial restoration increases outcome predictability in restorative treatments, enhances communication among specialists and patients, and guides tooth preparations. It should reproduce the planned design precisely because many decisions will be made based on the transferred design. Traditionally, a diagnostic waxing design is transferred to the mouth with a flexible silicone matrix. However, a rigid matrix would ensure an accurate transfer of the planned design by avoiding the deformation of the silicone index. A step-by-step technique for fabricating a computer-aided design and computer-aided manufactured (CAD-CAM) rigid matrix relined with polyvinyl siloxane material to fabricate a trial restoration is presented. The technique ensures accurate detail reproduction and dimensional stability, avoiding deformation and ensuring a predictable transfer of the planned design.
试戴体的制作增加了修复治疗的结果可预测性,加强了专家与患者之间的沟通,并指导了牙体预备。它应该精确地复制计划设计,因为许多决策都将基于转移的设计做出。传统上,诊断性蜡型设计通过弹性硅橡胶印模转移到口腔内。然而,刚性印模可以通过避免硅橡胶印模的变形来确保计划设计的准确转移。本文介绍了一种分步制作计算机辅助设计和计算机辅助制作(CAD-CAM)刚性印模的方法,该印模采用聚硅氧烷材料重新衬里以制作试戴体。该技术确保了精确的细节复制和尺寸稳定性,避免了变形,并确保了计划设计的可预测转移。