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CAD/CAM 制作的混合陶瓷修复体用于非龋性颈部病变的 48 个月临床性能：病例报告

A 48-month clinical performance of hybrid ceramic fragment restorations manufactured in CAD/CAM in non-carious cervical lesions: case report.

作者信息

Favoreto Michael Willian, Cochinski Gabriel David, Martini Eveline Claudia, Matos Thalita de Paris, Bandeca Matheus Coelho, Loguercio Alessandro Dourado

机构信息

Department of Restorative Dentistry, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.

Department of Restorative Dentistry, Tuiuti University of Parana, Curitiba, PR, Brazil.

出版信息

Restor Dent Endod. 2024 Aug 5;49(3):e32. doi: 10.5395/rde.2024.49.e32. eCollection 2024 Aug.

DOI:10.5395/rde.2024.49.e32
PMID:39247641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11377872/
Abstract

From the restorative perspective, various methods are available to prevent the progression of non-carious cervical lesions. Direct, semi-direct, and indirect composite resin techniques and indirect ceramic restorations are commonly recommended. In this context, semi-direct and indirect restoration approaches are increasingly favored, particularly as digital dentistry becomes more prevalent. To illustrate this, we present a case report demonstrating the efficacy of hybrid ceramic fragments fabricated using computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and cemented with resin cement in treating non-carious cervical lesions over a 48-month follow-up period. A 24-year-old male patient sought treatment for aesthetic concerns and dentin hypersensitivity in the cervical region of the lower premolar teeth. Clinical examination confirmed the presence of two non-carious cervical lesions in the buccal region of teeth #44 and #45. The treatment plan involved indirect restoration using CAD/CAM-fabricated hybrid ceramic fragments as a restorative material. After 48 months, the hybrid ceramic material exhibited excellent adaptation and durability provided by the CAD/CAM system. This case underscores the effectiveness of hybrid ceramic fragments in restoring non-carious cervical lesions, highlighting their long-term stability and clinical success.

摘要

从修复的角度来看，有多种方法可用于预防非龋性颈部病变的进展。通常推荐直接、半直接和间接复合树脂技术以及间接陶瓷修复体。在这种情况下，半直接和间接修复方法越来越受到青睐，尤其是随着数字牙科的日益普及。为了说明这一点，我们展示了一个病例报告，该报告证明了使用计算机辅助设计（CAD）/计算机辅助制造（CAM）技术制作并使用树脂水门汀粘结的混合陶瓷碎片在治疗非龋性颈部病变方面的疗效，随访期为48个月。一名24岁男性患者因美学问题和下颌前磨牙颈部区域的牙本质过敏前来寻求治疗。临床检查证实44号和45号牙齿颊侧区域存在两处非龋性颈部病变。治疗方案包括使用CAD/CAM制作的混合陶瓷碎片作为修复材料进行间接修复。48个月后，混合陶瓷材料表现出CAD/CAM系统所提供的出色适应性和耐久性。该病例强调了混合陶瓷碎片在修复非龋性颈部病变方面的有效性，突出了它们的长期稳定性和临床成功率。

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