中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (1): 24-32.DOI: 10.12337/zgkqjxjyzz.2024.01.005

• 病例报告 • 上一篇    下一篇

数字化下颌运动分析系统辅助前牙区多单位功能性精准修复1例

李嘉鑫, 刘欣然, 岳源, 王敏, 郝亮*   

  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修复科
  • 出版日期:2024-01-31 发布日期:2024-05-08
  • 通讯作者: *郝亮,联系方式:028-85503871,电子邮箱:hxkqhl@foxmail.com,通讯地址:四川省成都市武侯区人民南路三段14号,610041
  • 基金资助:
    数字化引导下颌再定位技术的平台建设和技术推广(项目编号:2021YFQ0038); 咬合功能分析为导向的口腔修复在青海地区的推广示范应用(项目编号:2020YFQ0008); 数字化咬合功能分析在口腔修复中的应用(项目编号:WCHS-APP-2022-0063)

A Case of Functional Precise Restoration of Multiple Anterior Teeth Assisted by a Digital Jaw Motion Analysis System

Jiaxin Li, Xinran Liu, Yuan Yue, Min Wang, Liang Hao*   

  1. State 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:2024-01-31 Published:2024-05-08
  • Contact: Liang Hao. Tel: 028-85503871. Email: hxkqhl@foxmail.com. Address: No.14 Renmin Nan Road, Wuhou District, Chengdu 610041, Sichuan Province, P.R. China.
  • Supported by:
    Platform Construction and Technology Promotion of Digitally Guided Mandibular Repositioning Technology (No. 2021YFQ0038); Demonstration Application of Occlusal Function Analysis Oriented Oral Restoration in Qinghai (No. 2020YFQ0008); Application of Digital Occlusal Function Analysis in Oral Restoration (No. WCHS-APP-2022-0063)

摘要: 目的:报道1例借助数字化下颌运动分析系统进行下颌运动分析,实现前牙区多单位功能性精准修复的病例。诊治经过:借助数字化下颌运动分析系统对患者修复前的下颌运动进行数据分析,评估旧修复体存在的问题并设计制作诊断蜡型。临时修复后再次测量下颌运动数据以评估其与设计方案的一致性。3个月后,换用最终修复体,并再次使用数字化下颌运动分析系统进行下颌运动数据分析。结果:最终修复后,冠边缘适合性、邻面接触点、咬合接触及下颌功能运动良好。结论:借助数字化下颌运动分析系统获取下颌运动过程中的相关精确数据,根据数据实现术前设计、术中调整、术后验证,可以在前牙区多单位修复中恢复良好的前牙引导功能。

关键词: 前牙修复, 数字化下颌运动分析系统, 功能性精准修复, 前导, 前伸髁导

Abstract: Objective: This case reports a functional precise restoration of multiple anterior teeth through mandibular motion analysis with a digital jaw motion analysis system. Diagnosis and treatment: The patient’s pre-restorative mandibular movement was analyzed using a digital jaw motion analysis system, and based on that, an evaluation of existing restoration problems was done, followed by designing a diagnostic wax-up. After the provisional restoration, the data on mandibular movement was re-measured to assess its conformance with the design. After three months, the definitive restoration was performed, and the digital jaw motion analysis system was utilized once again. Results: After the definitive restoration, the prostheses had good edge suitability and proximal contact, excellent occlusal contact and mandibular functional movement were also achieved. Conclusions: Preoperative design, intraoperative adjustment and postoperative verification were achieved based on accurate data of mandibular movement obtained by a digital jaw motion analysis system, promising good anterior guidance in multiple anterior teeth restoration.

Key words: anterior teeth restoration, digital jaw motion analysis system, functional precise restoration, anterior guidance, protrusive condylar guidance