›› 2013, Vol. 33 ›› Issue (3): 158-161.

• 基础与临床研究 • 上一篇    下一篇

诊断性蜡型在CAD/CAM前牙美容性修复中的应用

陶进京,黄罡,景建龙   

  1. 南京市口腔医院
  • 收稿日期:2012-07-23 修回日期:2012-08-31 出版日期:2013-03-28 发布日期:2013-03-14
  • 通讯作者: 陶进京 E-mail:1192311630@qq.com

Application of diagnostic waxup in esthetic anterior teeth restorations with CAD/CAM all ceramic restorations

  • Received:2012-07-23 Revised:2012-08-31 Online:2013-03-28 Published:2013-03-14

摘要: 目的 总结诊断性蜡型在CAD/CAM前牙美容性修复中的运用。 方法 临床选择110例患者共137例全瓷冠,术前制作诊断性蜡型与患者进行沟通,医患双方达成一致后,通过Sirona inEos计算机印模采集系统获取诊断蜡型的三维数据,将其与基牙模型数据拟合,基于inLab V3.80软件的回削程序设计并制作精确的氧化锆内冠,采用Vita公司VM9饰瓷完成最终修复体。 结果 经一年半的随访观察,所有氧化锆全瓷冠临床检查边缘密合,未出现崩瓷或折裂现象,患者对修复体的外形与颜色满意。 结论 运用诊断性蜡型技术方便医患间就美观问题进行主观交流,运用CAD/CAM回削技术制作的全瓷冠内冠可以为饰瓷预留合理空间,有助于提高氧化锆全瓷修复体的质量。

关键词: 诊断性蜡型, CEREC, CAD/CAM, 氧化锆, 全瓷修复体, diagnostic waxup, CEREC, CAD/CAM, dental zirconia ceramic, All-ceramic restorations

Abstract: Objective To sum up the clinical application of diagnostic waxup in the esthetic anterior teeth restorations with CAD/CAM all ceramic restorations. Methods 110 patients with 137 allceramic crowns were clinically enrolled in this study.First,dianostic waxup used in the esthetic anterior teeth restorations to help dentists communicate with patients; secondly,the shapes of wax frameworks and abutment teeth were captured and digitized by Sirona inEos system,and each individually shaped framework to grant a precise zirconia coping was created based on the reduced program of inLab V3.80 software.All restorations were veneered with VITA VM9. Results During the 18 months′ followup visit,none of the allceramic zirconia restorations had to be replaced due to framework fracture or unrestorable delamination of the ceramic veneer,the marginal fitness of restoration was quite well,and the shape and colour of all restorations satisfied the patients. Conclusions Based on the results of this study,it can be concluded that,diagnostic waxup is useful in helping dentists communicate with patients; allceramic crowns made by CAD/CAM reduced program can make proper room for veneering ceramic,which is helpful to improve the quality of allceramic zirconia restorations.

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