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重塑笑容:全瓷氧化锆修复解决方案的案例研究

Transforming Smiles: A Case Study on Monolithic Zirconia Prosthetic Solutions.

作者信息

Dhamande Mithilesh M, Beri Arushi, Sathe Seema, Jaiswal Tanvi, Dubey Surekha A

机构信息

Prosthodontics and Crown & Bridge, Sharad Pawar Dental College, Wardha, IND.

Prosthodontics, Sharad Pawar Dental College and Hospital, Acharya Vinoba Bhave Rural Hospital (AVBRH), Wardha, IND.

出版信息

Cureus. 2024 Apr 9;16(4):e57889. doi: 10.7759/cureus.57889. eCollection 2024 Apr.

Abstract

In order to effectively address challenges related to anterior teeth restoration and achieve natural-looking results, considerations such as shape, size, gingival contour, and color are crucial. Due to an increasing desire for visually appealing alternatives that are free of metal, materials such as dental zirconia have become popular because of their superior aesthetics and mechanical characteristics. This case report presents clinical insights into anterior teeth rehabilitation with the use of layered zirconia fixed dental prostheses. It delves into the experiences associated with zirconia dental restorations on both endodontically treated and vital abutments, aiming to discern how various factors influence treatment outcomes. Beginning with the design of the restoration, its intricacies significantly impact its fit, strength, and overall durability. Moreover, the composition of zirconia used plays a pivotal role, as different formulations offer varying degrees of mechanical properties, influencing factors such as resilience and wear resistance. The shade selection is also scrutinized, as it directly affects the restoration's aesthetic integration with surrounding natural teeth, contributing to a more harmonious smile. Furthermore, the layering technique employed, particularly when additional porcelain or ceramic layers are applied, is essential for both cosmetic enhancement and structural integrity. Lastly, considerations of occlusion are paramount, ensuring proper alignment and contact between teeth to prevent premature wear and discomfort. By exploring these facets in zirconia restorations across different abutment types, this inquiry seeks to illuminate best practices for achieving favorable treatment outcomes in dental restoration procedures. The choice of zirconia composition, framework design, and shade must be carefully tailored to suit the characteristics of each individual abutment. This emphasizes the significance of adopting a tailored approach to tackle the distinct challenges posed by every clinical scenario. The manuscript provides detailed observations from a clinical case involving the restoration of anterior teeth utilizing monolithic zirconia-fixed dental prostheses. Through a combination of root canal treatment and composite buildup, successful restoration was achieved, with meticulous attention paid to aesthetic considerations. The utilization of computer-aided designing/computer-aided manufacturing (CAD/CAM) technology in crafting zirconia restorations ensured precise fit and superior biocompatibility, contributing to the overall success of the treatment. The study underscores the importance of personalized treatment strategies in achieving optimal outcomes in anterior teeth restoration, emphasizing the need for careful consideration of various factors such as design, composition, and shade selection. Overall, the findings shed light on the potential of zirconia-based restorations in addressing the unique challenges associated with anterior teeth rehabilitation, offering valuable insights for dental practitioners striving to deliver aesthetically pleasing and functionally sound outcomes for their patients.

摘要

为了有效应对前牙修复相关挑战并实现自然美观的效果,诸如形状、大小、牙龈轮廓和颜色等因素至关重要。由于人们越来越渴望获得无金属的美观替代品,牙科氧化锆等材料因其卓越的美学和机械特性而受到欢迎。本病例报告展示了使用分层氧化锆固定义齿进行前牙修复的临床见解。它深入探讨了在牙髓治疗后的基牙和活髓基牙上进行氧化锆牙齿修复的相关经验,旨在了解各种因素如何影响治疗效果。从修复体的设计开始,其复杂性对其贴合度、强度和整体耐久性有重大影响。此外,所用氧化锆的成分起着关键作用,因为不同配方具有不同程度的机械性能,会影响诸如弹性和耐磨性等因素。颜色选择也受到仔细审查,因为它直接影响修复体与周围天然牙齿的美学融合,有助于营造更和谐的笑容。此外,所采用的分层技术,特别是在施加额外的瓷层或陶瓷层时,对于美观提升和结构完整性都至关重要。最后,咬合的考虑至关重要,要确保牙齿之间正确对齐和接触,以防止过早磨损和不适。通过探讨不同基牙类型的氧化锆修复体中的这些方面,本研究旨在阐明在牙齿修复程序中实现良好治疗效果的最佳实践。氧化锆成分、框架设计和颜色的选择必须精心定制,以适应每个基牙的特点。这强调了采用量身定制方法来应对每个临床场景所带来的独特挑战的重要性。该手稿提供了一个临床病例的详细观察结果,该病例涉及使用整体式氧化锆固定义齿修复前牙。通过根管治疗和复合树脂堆积相结合,实现了成功修复,并对美学因素给予了细致关注。在制作氧化锆修复体时使用计算机辅助设计/计算机辅助制造(CAD/CAM)技术确保了精确贴合和卓越的生物相容性,有助于治疗的整体成功。该研究强调了个性化治疗策略在实现前牙修复最佳效果方面的重要性,强调需要仔细考虑设计、成分和颜色选择等各种因素。总体而言,这些发现揭示了基于氧化锆的修复体在应对前牙修复相关独特挑战方面的潜力,为努力为患者提供美观且功能良好效果的牙科从业者提供了宝贵见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a40/11079848/d387b9391ab9/cureus-0016-00000057889-i01.jpg

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