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修复单颗变色牙时面临的挑战 - 第2部分:间接修复程序

Challenges faced when masking a single discoloured tooth - Part 2: indirect restoration procedures.

作者信息

Aljanahi May, Alhussin Argwan, Elbishari Haitham

机构信息

Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, United Arab Emirates; School of Medicine, Dentistry and Biomedical Sciences, Queen´s University Belfast, Belfast, UK; Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen´s University Belfast, Belfast, UK.

Hamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, United Arab Emirates.

出版信息

Br Dent J. 2025 Jul;239(1):25-30. doi: 10.1038/s41415-025-8385-0. Epub 2025 Jul 11.

Abstract

When conservative approaches are unsuccessful in addressing a single discoloured tooth, prosthetic management becomes essential. This often involves the application of indirect restorations, which provide both functional and aesthetic solutions. These restorations offer durability and improved outcomes, particularly when conservative treatments are inadequate. The integration of prosthetic techniques ensures optimal patient satisfaction and long-term success. This review is the second of a two-article series that will broadly discuss the prosthetic management and challenges faced when masking a single discoloured tooth, due to dark substrates of the crown and the root, and will examine various approaches encompassing veneers, composite veneers and crowns, and the types of cement and its effects. This review aims to highlight the challenges/variables faced when masking discoloured teeth and appraise possible prosthodontics techniques to address this.

摘要

当保守方法无法解决单一变色牙问题时,修复治疗就变得至关重要。这通常涉及间接修复体的应用,其提供了功能和美学两方面的解决方案。这些修复体具有耐久性且效果更佳,尤其是在保守治疗不足时。修复技术的整合可确保患者获得最佳满意度和长期成功。本综述是两篇系列文章中的第二篇,将广泛讨论在遮盖因牙冠和牙根深色基底导致的单一变色牙时所面临的修复治疗及挑战,并将研究包括贴面、复合树脂贴面和全冠在内的各种方法,以及粘结剂的类型及其效果。本综述旨在强调遮盖变色牙时所面临的挑战/变量,并评估可能用于解决此问题的修复技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5722/12254031/902df0165a43/41415_2025_8385_Fig1_HTML.jpg

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