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使用带有贴面形状3D打印导板的复合树脂注射技术对前牙龋引起的唇面牙齿缺损进行美学修复。

Esthetic rehabilitation of labial tooth defects caused by caries of the anterior teeth using a composite resin injection technique with veneer-shaped 3D printing indices.

作者信息

Zhu Jiakang, Wei Jian, Anniwaer Annikaer, Huang Cui

机构信息

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.

Hubei Province Key Laboratory of Oral and Maxillofacial Development and Regeneration, School & Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China.

出版信息

J Prosthodont Res. 2025 Jan 10;69(1):127-132. doi: 10.2186/jpr.JPR_D_24_00051. Epub 2024 Jul 17.

Abstract

PATIENTS

An 18-year-old woman sought treatment for caries of the anterior teeth after completing orthodontic treatment. Direct composite resin restoration was chosen because the patient preferred a minimally invasive and cost-effective treatment whenever possible. Based on diagnostic wax-up, veneer-shaped indices for composite resin injection were designed to replicate and restore tooth defects rapidly and accurately. The overall esthetic result was excellent after a 1-year of follow-up.

DISCUSSION

Direct freehand composite resin restorations are clinically challenging. The recently proposed 3D printing index for the composite resin injection technique is helpful for direct restoration but is challenging to remove. The veneer-shaped indices avoid the formation of an undercut in the direction of removing the index, making them easy to remove after finishing the restorations.

CONCLUSIONS

Using veneer-shaped indices for composite resin injection enables rapid esthetic rehabilitation of labial tooth defects caused by caries. This approach reduces chairside time and operational difficulty while allowing for easy index removal after completing the restorations.

摘要

患者

一名18岁女性在完成正畸治疗后因前牙龋齿寻求治疗。选择直接复合树脂修复,因为患者尽可能倾向于微创且经济高效的治疗方法。基于诊断性蜡型,设计了用于复合树脂注射的贴面形状的导板,以快速准确地复制和修复牙齿缺损。随访1年后,整体美学效果极佳。

讨论

直接徒手复合树脂修复在临床上具有挑战性。最近提出的用于复合树脂注射技术的3D打印导板有助于直接修复,但难以去除。贴面形状的导板避免了在去除导板方向上形成倒凹,使得修复完成后易于去除。

结论

使用贴面形状的导板进行复合树脂注射能够快速美观地修复由龋齿引起的唇面牙齿缺损。这种方法减少了椅旁时间和操作难度,同时在修复完成后便于去除导板。

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