案例报告:一个全面的数字工作流程,以提高后牙区固定义齿的可预测性和准确性。

IF 1.5 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Frontiers in dental medicine Pub Date : 2025-06-24 eCollection Date: 2025-01-01 DOI:10.3389/fdmed.2025.1625405
Isabela Toser, Andrei-Bogdan Faur, Anca-Elena Anghel-Lorinți, Anca Jivănescu
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引用次数: 0

摘要

本临床报告提出了一个完整的数字方案修复后,双侧上颌第一磨牙的损失。本研究的目的是探索将先进的数字技术,包括口腔内扫描、面部扫描、锥形束计算机断层扫描(CBCT)和数字咬合分析,整合到一个综合的治疗方案中,用于制造固定部分义齿。一个关键的焦点是评估咬合平衡的精度,使用数字咬合分析仪结合传统的铰接纸。当设计被送到牙科实验室进行制作时,工作流程展示了效率,最小的侵入性,以及在实现功能和美学结果方面的高度可预测性,主要以椅子边的方式进行管理。结果表明:大多数咬合接触成功地从虚拟规划转化为口腔内环境;然而,注意到一些差异,这可能归因于数字工作流程中缺乏某些运动数据。整合数字咬合分析对于识别和调整过早接触是必不可少的,有助于改善患者的舒适度和咬合稳定性。该研究强调了全数字化工作流程在现代修复学中的潜力,强调了其在实现更可预测的结果、提高临床效率和减少固井后调整需求方面的作用。未来的研究有待探索。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report: A comprehensive digital workflow to enhance predictability and precision with fixed dental prostheses in the posterior region.

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.

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来源期刊
CiteScore
2.10
自引率
0.00%
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审稿时长
13 weeks
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