数字化技术修复上颌双侧尖牙缺失的口腔全科治疗1例

doi:10.12337/zgkqjxjyzz.2023.04.006

中国口腔医学继续教育杂志 ›› 2023, Vol. 26 ›› Issue (4): 273-283.DOI: 10.12337/zgkqjxjyzz.2023.04.006

数字化技术修复上颌双侧尖牙缺失的口腔全科治疗1例

吕品^*, 吴煜, 王浩杰

北京大学第三医院口腔科

出版日期:2023-07-31 发布日期:2023-11-29
通讯作者: *吕品,联系方式：010-82266126,电子邮箱：jaylill2@163.com,通讯地址：北京市海淀区花园北路49号,100191
基金资助:
北京市卫生健康委员会2021年住院医师规范化培训质量提高项目·住培2021071

Digital Technology for the Restoration of Bilateral Maxillary Cusp Teeth in Oral Comprehensive Treatment

Pin Lv^*, Yu Wu, Haojie Wang

Department of Stomatology, Peking University Third Hospital, Beijing, P.R. China

Online:2023-07-31 Published:2023-11-29
Contact: Pin Lv. Tel: 010-82266126. Email: jaylill2@163.com. Address: No. 49 Huayuan North Road, Haidian District, Beijing 100191, P.R. China
Supported by:
Bejing Municipal Health Commission 2021 Residency Training Quality Improvement Program Residency Training 2021071

摘要/Abstract

摘要： 目的: 本文报道1例采用数字化技术修复上颌双侧尖牙缺失的口腔全科综合治疗病例。诊疗经过： 在系统口腔检查和明确诊断的基础上,对患者进行口腔全科序列治疗,包括牙周系统治疗、阻生第三磨牙的拔除以及对上颌双侧尖牙缺失的修复治疗。其中,采取数字化全程导板引导下的种植修复治疗,采用单端全瓷粘接桥修复。结果： 数字化种植导板引导下的种植体位置同术前设计一致,的种植修复治疗及粘接桥修复治疗外形及功能良好。治疗结束后进行了12个月的复查,牙周健康维护及修复体功能良好。结论： 使用数字化种植导板技术可以准确的控制种植体植入的三维位置,使用口内扫描技术获取数字化印模可以达到良好的修复治疗效果。

关键词: 数字化, 数字化种植导板, 粘接桥, 口腔全科治疗, 口内扫描

Abstract: Objective: To report a case of digital technology for the restoration of bilateral maxillary cusp teeth loss in oral comprehensive treatment. Diagnosis and treatment: On the basis of systematic oral examination and definite diagnosis, the patient received sequential oral treatments, including systemic periodontal treatment, extraction of impacted third molar, and restoration of maxillary bilateral missing cuspid teeth. Among them,was implanted and repaired under the guidance of digital guide plate, andwas repaired with cantilevered all-ceramic bonding bridge. Results: The position of the implants guided by the digital implant guide was consistent with the preoperative design. The appearance and function of the implant restoration and cantilevered bonding bridge were satisfactry. After the treatment, the periodontal health was maintained and the function of restorations were planting. Conclusions: The 3D position of the implant can be accurately controlled by digital implant guide, and the digital impression obtained by intraoral scanning technology can achieve guide therapeutic effect.

Key words: digital technology, digital guide plate, bonding bridge, general dental treatment, Intraoral scan

吕品, 吴煜, 王浩杰. 数字化技术修复上颌双侧尖牙缺失的口腔全科治疗1例[J]. 中国口腔医学继续教育杂志, 2023, 26(4): 273-283.

Pin Lv, Yu Wu, Haojie Wang. Digital Technology for the Restoration of Bilateral Maxillary Cusp Teeth in Oral Comprehensive Treatment[J]. Chinese Journal of Stomatological Continuing Education, 2023, 26(4): 273-283.

参考文献

[1] Monje A, Galindo-Moreno P, Tözüm TF, et al.Into the paradigm of local factors as contributors for peri-implant disease: short communication[J]. Int J Oral Maxillofac Implants. 2016; 31(2):288-292.
[2] Abduo J, Lau D.Accuracy of static computer-assisted implant placement in anterior and posterior sites by clinicians new to implant dentistry: in vitro comparison of fully guided, pilot-guided, and freehand protocols[J]. Int J Implant Dent. 2020; 6(1):10.
[3] Apostolakis D, Kourakis G.CAD/CAM implant surgical guides: maximum errors in implant positioning attributable to the properties of the metal sleeve/osteotomy drill combination[J]. Int J Implant Dent. 2018; 4(1):34.
[4] Gedrimiene A, Adaskevicius R, Rutkunas V.Accuracy of digital and conventional dental implant impressions for fixed partial dentures: a comparative clinical study[J]. J Adv Prosthodont. 2019; 11(5):271-279.
[5] 黄平,商红国,刘海英. 数字化种植导板的研究进展[J]. 全科口腔医学杂志(电子版), 2019, 6(24):30-31, 38.
[6] D'haese J, Ackhurst J, Wismeijer D, et a1. Current state of the art of computer-guided implant surgery[J]. Periodontol 2000. 2017; 73(1):121-133.
[7] Cassetta M, Di Mambro A, Giansanti M, et al.The intrinsic error of a stereolithograPhic surgical template in imPlant guided surgery[J]. Int J Oral Maxillofac Surg. 2013; 42(2):264-275.
[8] 耿威. 数字化口腔种植治疗现状与研究进展[J]. 中国实用口腔科杂志, 2016, 9(1):2-9.
[9] Ye NS, Long H, Xue J, et al.Integration accuracy of laser-scanned dental models into maxillofacial cone beam computed tomography images of different voxel sizes with different segmentation threshold settings[J]. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014; 117(6):780-786.
[10] Michelinakis G, Apostolakis D, Tsagarakis A, et al.A comparison of accuracy of 3 intraoral scanners: a singleblinded in vitro study[J]. J Prosthet Dent. 2020; 124(5):581-588.
[11] Jamjoom FZ, Kim DG, McGlumphy EA, et al. Positional accuracy of a prosthetic treatment plan incorporated into a cone beam computed tomography scan using surface scan registration[J]. J Prosthet Dent. 2018; 120(3):367-374.
[12] Lin CH, Lin YM, Lai YL, et al.Mechanical properties, accuracy, and cytotoxicity of UV-polymerized 3D printing resins composed of Bis-EMA, UDMA, and TEGDMA[J]. J Prosthet Dent. 2020; 123(2):349-354.
[13] Van Assche N, Quirynen M.Tolerance within a surgical guide[J]. Clin Oral Implants Res. 2010; 21(4):455-458.
[14] Koop R, Vercruyssen M, Vermeulen K, et al.Tolerance within the sleeve inserts of different surgical guides for guided implant surgery[J]. Clin Oral Implants Res. 2013; 24(6):630-634.
[15] 于海洋. 种植修复里的数字追问——从经验类比到数字引导[J]. 华西口腔医学杂志, 2021, 39(4):386-397.
[16] 包旭东, 岳林. 口内扫描仪临床扫描精度及影响因素把控[J]. 口腔医学, 2022, 42(9):769-773.
[17] Müller P,Ender A,Joda T,et al.Impact of digital intraoral scan strategies on the impression accuracy using the TRIOS Pod scanner[J]. Quintessence Int. 2016; 47(4):343-349.
[18] Motel C, Kirchner E, Adler W, et al.Impact of Different Scan Bodies and Scan Strategies on the Accuracy of Digital Implant Impressions Assessed with an Intraoral Scanner: An In Vitro Study[J]. J Prosthodont. 2020; 29(4):309-314.
[19] Chrcanovic BR, Kisch J, Albrektsson T.Factors influencing the fracture of dental implants[J]. Clin Implant Dent Relat Res. 2018; 20(1):58-67.
[20] Brizuela -Velasco A, Pérez-Pevida E, Jiménez-Garrudo A, et al.Mechanical characterisation and biomechanical and biological behaviours of Ti-Zr binaryalloy dental implants[J]. Biomed Res Int. 2017; 2017:2785863.
[21] Saulacic N, Bosshardt DD, Bornstein MM, et al.Bone apposition to a titanium-zirconium alloy implant, as compared to two other titanium-containing implants[J]. Eur Cell Mater. 2012; 23(10):273-286.
[22] Worni A, Hicklin SP, Mericske-Stern RA.Performance and marginal bone level alteration around immediately loaded narrow-diameter implants. A prospective clinical study: results after 1 year[J]. Quintessence Int. 2018; 49(4):267-276.
[23] Schiegnitz E, Al-Nawas B. Narrow-diameter implants: a systematic review and meta-analysis[J]. Clin Oral Implants Res.2018; 29 Suppl 16:21-40.
[24] 刘东升, 王彦梅, 何家才. 钛锆小直径种植体应用于前牙美学区的临床效果[J]. 口腔疾病防治, 2019, 27(7):446-450.
[25] 冯海兰, 徐军. 口腔修复学[M]. 第2版. 北京:北京大学医学出版社, 2013.
[26] 姜荷, 程鑫然, 吴峻岭, 等. 个别牙缺失全瓷树脂粘接固定局部义齿修复现状[J]. 口腔颌面修复学杂志, 2022, 23(2):142-146.
[27] Wei YR, Wang XD, Zhang Q, et al.Clinical performance of anterior resin-bonded fixed dental prostheses with different framework designs: a systematic review and meta-analysis[J]. J Dent. 2016; 47:1-7.
[28] Naenni N, Michelotti G, Lee WZ, et al.Resin-bond-ed fixed dental prostheses with zirconia ceramic single retainers show high survival rates and minimal tissue changes after a mean of 10 years of service[J]. Int J Prosthodont. 2020; 33(5):503-512.
[29] Botelho MG, Ma X, Cheung GJ, et al.Long-term clinical evaluation of 211 two-unit cantilevered resin-bonded fixed partial dentures[J]. J Dent. 2014;42(7):778-784.
[30] 杨丽丽, 杜德标, 宁若愚, 等. 单端全瓷树脂粘接桥在修复个别前牙缺失中的应用[J].华西口腔医学杂志, 2017, 35(4):399-402.
[31] Lam WYH, Chan RST, Li KY, et al.Ten-year clinical evaluation of posterior resin-bonded fixed partial dentures[J]. J Dent. 2019; 86:118-125.

数字化技术修复上颌双侧尖牙缺失的口腔全科治疗1例

Digital Technology for the Restoration of Bilateral Maxillary Cusp Teeth in Oral Comprehensive Treatment

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