University Central of Venezuela (UCV), University of California, Los Angeles (UCLA), Private Practice Queretaro, Mexico.
Cad-Cad Designer at Esthetic Dental Lab, Private Practice Queretaro, Mexico.
J Esthet Restor Dent. 2023 Jul;35(5):803-809. doi: 10.1111/jerd.13060. Epub 2023 May 3.
This article describes a technique to implement guided tooth preparation where the tooth is virtually prepared in the laboratory and preparation templates are created for chairside use.
Prior to any tooth preparation, patient records are acquired with an intra-oral scanner, both stump and final shades are selected, and digital photos are taken. These digital records are used in combination with digital laboratory tools to do the virtual preparation first, and then to provide chairside templates for guided tooth preparation.
The traditional approach of tooth preparation has evolved from historically preparing a tooth without any pretreatment guidance to, more currently, preparing the tooth through a mock-up of the desired final restoration. The outcome of these traditional approaches is highly dependent on the operator's skills to produce a successful outcome, and often resulted in more tooth structure removal than necessary. However, CAD/CAM technology now offers a guided tooth approach to tooth preparation which minimizes tooth structure removal and provides an advantage to the beginner dentist.
This is a unique approach in digital restorative dentistry.
本文介绍了一种实现引导式牙体预备的技术,即先在实验室虚拟预备牙齿,然后制作椅旁使用的预备模板。
在进行任何牙体预备之前,先用口腔内扫描仪获取患者记录,选择残根和最终色调,并拍摄数字照片。这些数字记录与数字实验室工具结合使用,先进行虚拟预备,然后提供椅旁模板以进行引导式牙体预备。
传统的牙体预备方法已经从历史上没有任何预处理指导的预备牙齿演变为更现代的通过模拟理想最终修复体来预备牙齿。这些传统方法的结果高度依赖于操作人员的技能以达到理想效果,并且往往导致不必要的更多牙体组织去除。然而,CAD/CAM 技术现在为牙体预备提供了一种引导式方法,最大限度地减少了牙体组织的去除,并为初学者牙医提供了优势。
这是数字化修复牙科中的一种独特方法。