利用牙科CAD-CAM系统对失去后牙支持和牙合塌陷的患者进行全口康复

Ji-Hye Jung, S. Heo, Seong-Kyun Kim, J. Koak
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引用次数: 0

摘要

如果对多牙缺失区不进行适当的治疗,由于缺乏后牙支撑和牙的上突,会造成严重的咬合、垂直尺寸和咀嚼功能的并发症。本报告是一例因缺牙区长期不治疗而失去后牙支持和牙合塌陷的患者的全口康复。患者男,68岁,在拔除旧上颌义齿时牙齿脱落,主诉因外伤性接触前牙区域疼痛。根据计算机断层扫描(CT)数据分析和CAD-CAM (computer- computer-aided design/computer-aided manufacturing)技术支持的确定假体诊断和治疗方案,通过各种评估将垂直尺寸从犬颈顶点修正4mm,并通过计算机引导种植手术对无牙区进行种植固定假体治疗。全口康复后,患者对咀嚼、功能和美观方面的显著改善非常满意。(韩国口腔医学学报2022;60:44-54)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion utilizing dental CAD-CAM system
Without proper treatment on the multiple tooth missing area, the lack of posterior support and the supra-eruption of the teeth cause many severe complications of occlusion, vertical dimension and masticatory function. This report is a case of full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion due to missing teeth area left untreated for a long time. The patient who is 68-year old male patient had some teeth fallen out while removing his old maxillary denture and was complaining about pain in the region of anterior teeth due to traumatic contact. The vertical dimension was corrected by 4 mm from the top cervical point of the canine through various evaluations and the edentulous area was treated with the implant fixed prostheses through computer guided implant surgery based on the diagnosis and treatment plan for definitive prostheses supported by computed tomography (CT) data analysis and CAD-CAM (Computer-aided design/computer-aided manufacturing) technique. After full mouth rehabilitation, the patient was very satisfied with remarkable improvements in mastication, function, and aesthetics. (J Korean Acad Prosthodont 2022;60:44-54)
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