A New Era for Indirect Restorations With CAD/CAM and 3D Printing Technologies.

Macarena Rivera, Markus B Blatz
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Abstract

Designing and fabricating dental restorations via the indirect method emerged as a strategic response to the loss of tooth coronal structure that prompted the need for different treatment options depending on the extent of the damage (eg, partial-coverage restorations such as inlays/onlays and laminate veneers, or full-coverage restorations such as crowns). The complexities of the oral environment and patient management in the dental chair also factored into the development of indirect restorations. Indirect restorations involve manufacturing them away from the oral cavity, avoiding some of the difficulties of direct techniques, such as polymerization contraction and marginal adaptation, as polymerization shrinkage stresses only affect the cement layer, reducing the impact on the cavity walls.

利用 CAD/CAM 和 3D 打印技术开创间接修复的新纪元。
由于牙齿冠状结构的缺失,人们需要根据受损程度选择不同的治疗方案(如嵌体/贴面和层压贴面等部分覆盖修复体或牙冠等全覆盖修复体),通过间接方法设计和制作牙科修复体就是针对这种情况而出现的一种策略性应对措施。口腔环境的复杂性和患者在牙科治疗椅上的管理也是间接修复的发展因素。间接修复是在远离口腔的地方制作修复体,避免了直接修复技术的一些困难,如聚合收缩和边缘适应,因为聚合收缩应力只影响粘结层,减少了对洞壁的影响。
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