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3D打印种植体固位可摘义齿修复治疗的临床方法:DENTCA系统

Clinical Approach in Prosthetic Treatment With 3D-Printed Implant-Retained Removable Denture: DENTCA System.

作者信息

Naydenov Aleksandar, Apostolov Nikolay, Radev Rumen

机构信息

Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University-Sofia, 1 "St. G. Sofiyski" Blvd. 1431, Sofia, Bulgaria.

出版信息

Case Rep Dent. 2024 Oct 10;2024:9886369. doi: 10.1155/2024/9886369. eCollection 2024.

Abstract

The aim of this study is to present a method that optimizes clinical and laboratory workflow in the fabrication of implant-supported removable dentures by combining conventional and digital protocols. A 73-year-old patient came to our clinic for treatment of a completely edentulous lower jaw. Two Neodent Helix GM implants were placed in the canine regions and a removable denture with Locator GM Novaloc retention elements was fabricated. The DENTCA system was used for impressions, border molding, and to determine both occlusovertical dimension (OVD) and reproducible, physiological position of lower jaw (RPPLJ) in a single clinical visit. In result, we have fabricated a removable denture with implant retention in just two appointments. We can conclude that DENTCA system is a reliable method that allows fabrication of implant-retained removable denture in two clinical visits. The registration of the prosthetic field boundaries, OVD and RPPLJ, combined with CAD technologies, represents a contemporary and accurate method. It takes less time, and expenses are reduced both for the dentist and the patient.

摘要

本研究的目的是提出一种通过结合传统和数字方案来优化种植体支持的可摘义齿制作过程中的临床和实验室工作流程的方法。一名73岁的患者前来我们诊所治疗完全无牙的下颌。在尖牙区域植入了两颗Neodent Helix GM种植体,并制作了带有Locator GM Novaloc固位元件的可摘义齿。在一次临床就诊中,使用DENTCA系统进行印模、边缘整塑,并确定咬合垂直距离(OVD)和下颌可重复的生理位置(RPPLJ)。结果,我们仅通过两次就诊就制作出了带有种植体固位的可摘义齿。我们可以得出结论,DENTCA系统是一种可靠的方法,能够在两次临床就诊中制作出种植体固位的可摘义齿。修复区域边界、OVD和RPPLJ的记录,结合CAD技术,是一种现代且准确的方法。它花费的时间更少,对牙医和患者来说费用都降低了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23b2/11486531/2fd85d9c5dd0/CRID2024-9886369.001.jpg

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