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病例报告：一种全面的数字工作流程，以提高后牙固定义齿修复的可预测性和精确性。

Case Report: A comprehensive digital workflow to enhance predictability and precision with fixed dental prostheses in the posterior region.

作者信息

Toser Isabela, Faur Andrei-Bogdan, Anghel-Lorinți Anca-Elena, Jivănescu Anca

机构信息

Department of Prosthodontics, University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania.

Department of Prosthodontics, TADERP Research Center, University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania.

出版信息

Front Dent Med. 2025 Jun 24;6:1625405. doi: 10.3389/fdmed.2025.1625405. eCollection 2025.

DOI:10.3389/fdmed.2025.1625405
PMID:40630263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12234521/
Abstract

This clinical report presents a full digital protocol for prosthetic rehabilitation following the bilateral loss of maxillary first molars. The aim of the study was to explore the integration of advanced digital technologies, including intraoral scanning, facial scanning, cone-beam computed tomography (CBCT), and digital occlusal analysis, into a comprehensive treatment protocol for the fabrication of fixed partial dental prostheses. A key focus was on evaluating the precision of occlusal equilibration using digital occlusal analysers in conjunction with conventional articulating paper. While the design was sent to a dental laboratory for fabrication, the workflow demonstrated efficiency, minimal invasiveness, and a high degree of predictability in achieving both functional and aesthetic outcomes, mostly manageable in a chair-side manner. The results showed that most occlusal contacts translated successfully from virtual planning to the intraoral environment; however, some discrepancies were noted, which could be attributed to the absence of certain motion data in the digital workflow. The integration of digital occlusal analysis was essential in identifying and adjusting premature contacts, contributing to improved patient comfort and occlusal stability. The study highlights the potential of a fully digital workflow in modern prosthodontics, emphasizing its role in achieving more predictable outcomes, enhancing clinical efficiency, and reducing the need for post-cementation adjustments. Future research should explore.

摘要

本临床报告介绍了上颌第一磨牙双侧缺失后进行修复性康复的全数字化方案。该研究的目的是探索将先进的数字技术，包括口内扫描、面部扫描、锥形束计算机断层扫描（CBCT）和数字咬合分析，整合到用于制作固定局部义齿的综合治疗方案中。一个关键重点是使用数字咬合分析仪结合传统咬合纸来评估咬合平衡的精度。虽然设计被发送到牙科实验室进行制作，但该工作流程在实现功能和美学效果方面显示出高效性、微创性和高度可预测性，大多可以在椅旁操作。结果表明，大多数咬合接触从虚拟规划成功转换到口内环境；然而，也注意到一些差异，这可能归因于数字工作流程中缺少某些运动数据。数字咬合分析的整合对于识别和调整早接触至关重要，有助于提高患者舒适度和咬合稳定性。该研究突出了全数字化工作流程在现代口腔修复学中的潜力，强调了其在实现更可预测的结果、提高临床效率以及减少粘固后调整需求方面的作用。未来的研究应该进行探索。

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