[数字全口固定咬合重建(Ⅰ部分):有牙义齿情况的“5-19N”临床技术解决方案]。

Haiyang Yu, Jiacheng Wu, Yusen Shui, Zhebin Yan, Yapeng Pei
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引用次数: 0

摘要

咬合康复是治疗牙齿磨损、无牙颌等口腔疾病的有效手段。其中全口固定咬合重建能有效地恢复美观和功能,但临床过程的复杂性、技术的高敏感性以及各种并发症的高发一直备受关注。随着数字技术在咬合康复中的应用和发展,与传统的治疗方法相比,治疗效果得到了提高。然而,数字技术种类繁多,疗效各异,如何构建高效规范的数字化临床技术方案是当前的难点。因此,本文结合我院口腔修复科的长期工作,提出重建时应注意的最小值(咬合厚度感知)和最大值(中心关系)几何量。系统整理了我科长期应用的全口指指固定咬合康复的临床流程。综上所述,本文提出了一种具有“由大到小”恢复性空间分割逻辑的5阶段19步或n步解(简称5-19N)。对今后运用数字技术处理复杂的咬合康复病例具有一定的参考价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Digital full-mouth fixed occlusal reconstruction (partⅠ): the "5-19N" clinical technical solution for dentulous situation].

Occlusal rehabilitation is an effective means of treating tooth wear, edentulous jaws and other oral diseases. Among them, full-mouth fixed occlusal reconstruction can effectively restore aesthetics and function, but the complexity of the clinical process, the high sensitivity of the technique, and the high incidence of various complications have always drawn much attention. With the application and development of digital technology in occlusal rehabilitation, the treatment outcome has been improved compared with traditional treatment. However, there are many kinds of digital technology with different efficacy, how to build an efficiently standardized digital clinical technical solution is a current difficulty. Therefore, combined with the long-term work of the department of prosthodontics in our hospital, in this paper, the minimum (occlusal perception of thickness) and maximum (centric relation) geometric quantities which should be paid attention to during reconstruction are put forward. We systematically organized the clinical procedure of digital full-mouth fixed occlusal rehabilitation used in our department for a long time. In conclusion, a 5-stage 19-step or n-step solution (5-19N for short) characterized by "from large to small" restorative space splitting logic is proposed. It has a certain reference value for the future use of digital technology to deal with complex occlusal rehabilitation cases.

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