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数字技术在酸蚀和重度磨耗患者的功能和美学缺陷修复中的应用:病例报告。

Application of digital technology in the repair of functional and aesthetic defects in patients with acid erosion and severe attrition: a case report.

机构信息

Dept. of Prosthodontics, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, China.

Dental Laboratory, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Hangzhou 310000, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Feb 1;42(1):111-120. doi: 10.7518/hxkq.2023.2023130.

Abstract

Noncarious lesions, a multifactorial condition encompassing tooth attrition, abrasion, and erosion, have a surge in prevalence and required increased attention in clinical practice. These nonbacterial-associated tooth defects can compromise aesthetics, phonetics, and masticatory functions. When providing full-arch fixed occlusal rehabilitation for such cases, the treatment strategy should extend beyond by restoring dentition morphology and aesthetics. This report details a complex case of erosive dental wear addressed through a fully digital, full-arch fixed occlusal rehabilitation. A 4D virtual patient was created using multiple digital data sources, including intraoral scanning, 3D facial scanning, digital facebow registration, and mandibular movement tracing. With a comprehensive understanding of the masticatory system, various types of microinvasive prostheses were customized for each tooth, including labial veneers, buccal-occlusal veneers, occlusal veneers, overlays, inlays, and full crowns, were customized for each tooth. The reported digital workflow offered a predictable diagnostic and treatment strategy, which was facilitated by virtual visualization and comprehensive quality control throughout the process.

摘要

非龋性病变是一种多因素疾病,包括牙齿磨耗、磨损和酸蚀,其患病率呈上升趋势,在临床实践中需要更多关注。这些与细菌无关的牙齿缺损会影响美观、语音和咀嚼功能。在为这类病例提供全口固定咬合修复时,治疗策略不应仅限于恢复牙列形态和美观,还应超越这一范围。本报告详细介绍了一例通过全数字化全口固定咬合修复治疗的侵蚀性牙磨损复杂病例。通过使用多个数字数据源,包括口内扫描、3D 面部扫描、数字面弓注册和下颌运动轨迹,创建了一个 4D 虚拟患者。通过全面了解咀嚼系统,为每个牙齿定制了各种类型的微创修复体,包括唇面贴面、颊-颌面贴面、咬合面贴面、覆盖体、嵌体和全冠。所报道的数字化工作流程提供了一种可预测的诊断和治疗策略,通过虚拟可视化和整个过程中的全面质量控制得以实现。

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