中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (2): 95-102.DOI: 10.12337/zgkqjxjyzz.2023.02.002

• 案例报告 • 上一篇    下一篇

一种混合瓷贴面技术用于咬合重建修复1例

任薇1, 金春晓2, 杨胜涛1, 高姗姗2, 岳莉1,*   

  1. 1口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院口腔医学技术教研室;
    2口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院修复科
  • 出版日期:2023-03-31 发布日期:2023-03-21
  • 通讯作者: *岳莉,联系方式:028-85503796,电子邮箱:yueli@scu.edu.cn,通讯地址:四川省成都市人民南路三段14号,610041
  • 基金资助:
    四川大学横向技术项目全瓷修复材料美学效果的评价与临床应用研究(项目编号:22H0421)

The application of hybrid veneer technique in occlusion rehabilitation: A case report

Wei Ren1, Chunxiao Jin2, Shengtao Yang1, Shanshan Gao2, Li Yue1,*   

  1. 1State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Dental Technology, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China;
    2State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China
  • Online:2023-03-31 Published:2023-03-21
  • Contact: Li Yue. Tel: 028-85503796. Email: yueli@scu.edu.cn. Address: No.14, Section 3, Renmin South Road, Chengdu 610041, Sichuan Province, P.R. China.
  • Supported by:
    Esthetic Evaluation and Clinical Application of All Ceramic Materials(No.22H0421)

摘要: 目的 将混合瓷贴面技术用于咬合重建修复。方法 通过诊断及治疗设计,分控制疾病阶段、美学与功能恢复阶段和最终修复阶段完成治疗过程。结果 患者佩戴稳定咬合板后,咀嚼肌异常放电下降;运动稳定可重复;描记曲线形态平滑、流畅、对称。前牙蜡型同时改善美观与重建功能引导;后牙蜡型恢复牙合面形态并维持垂直距离,重建咀嚼功能。口内试戴临时修复体,获得了前牙良好引导、后牙咬合关系协调和双侧咀嚼肌肌力平衡。最终修复阶段,通过腭侧铸瓷贴面与唇侧长石质烤瓷贴面形成一体化混合瓷贴面用于修复前牙,后牙用铸瓷牙合贴面修复。检查显示正中咬合稳定,侧方运动为尖牙保护。治疗后1、3、6个月复查,口颌功能稳定,患者无明显不适,治疗后肌肉酸软的症状完全消失。结论 混合瓷贴面为咬合重建的病例修复提供了新的前牙修复体设计参考。

关键词: 混合瓷贴面, 咬合重建, 微创牙科, 美学修复, 修复工艺

Abstract: Objective: Hybrid porcelain veneer technology was used for occlusal reconstruction. Methods: Through diagnosis and treatment design, the treatment process is divided into disease control stage, aesthetic and functional recovery stage and final repair stage. Results: The abnormal discharge of masticatory muscles decreased after the patient wore the stable occlusal plate; Stable and repeatable movement; The shape of the tracing curve is smooth, smooth and symmetrical. The wax shape of the anterior teeth can improve the aesthetics and guide the reconstruction function at the same time; The wax pattern of the posterior teeth restored the shape of the mandibular surface and maintained the vertical distance, and reconstructed the masticatory function.Try to wear the temporary prosthesis in the mouth, and obtain good guidance of the front teeth, coordination of the occlusal relationship of the rear teeth, and balance of bilateral masticatory muscles. In the final restoration stage, the palatal cast porcelain veneer and labial feldspathic porcelain veneer were used to form an integrated composite porcelain veneer for the restoration of anterior teeth, and the posterior teeth were repaired with cast porcelain veneer. The examination showed that the median occlusion was stable and the lateral movement was canine protection. After 1, 3, and 6 months of treatment, the oral and maxillofacial function was stable, the patient had no obvious discomfort, and the symptoms of muscle tenderness completely disappeared after treatment. Conclusion: The hybrid veneer provides a new reference for the design of anterior restorations of full-mouth rehabilitation.

Key words: hybrid veneer, occlusion rehabilitation, minimally invasive dentistry, esthetic rehabilitation, dental technology