中国口腔医学继续教育杂志 ›› 2026, Vol. 29 ›› Issue (2): 131-139.DOI: 10.12337/zgkqjxjyzz.2026.02.008

• 病例报告 • 上一篇    下一篇

数字化引导下的上前牙散在间隙的瓷贴面修复1例

罗天, 李一洲, 张珈萌, 詹美均, 裴亚鹏, 于海洋*   

  1. 口腔疾病防治全国重点实验室,国家口腔医学中心,口腔疾病国家临床医学研究中心,四川大学华西口腔医院口腔修复科
  • 出版日期:2026-03-31 发布日期:2026-06-23
  • 通讯作者: * 于海洋,联系方式:028-85501485,电子邮箱:YHYmechanics@163.com,通讯地址:四川省成都市人民南路三段14号,610041
  • 基金资助:
    四川省卫生健康委员会科技项目(临床研究专项)(项目编号:230LCYJ017); 四川省重大科技专项揭榜挂帅项目(项目编号:2025ZDZX0048); 中国牙谷-华西口腔科创转化专项资金(项目编号:2025KCZXC102)

Digital Guided Porcelain Veneer Restoration of Spaced Maxillary Anterior Teeth: A Case Report

Tian Luo, Yizhou Li, Jiameng Zhang, Meijun Zhan, Yapeng Pei, Haiyang Yu*   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Prothodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, P.R. China
  • Online:2026-03-31 Published:2026-06-23
  • Contact: Haiyang Yu. Tel: 028-85501485. Email: YHYmechanics@163.com. Address: No.14, Section 3, Renmin South Road, Wuhou District, Chengdu 610041, Sichuan Province, P.R. China.
  • Supported by:
    Science and Technology Project of Sichuan Provincial Health Commission (Clinical Research Special Project) (No. 230LCYJ017); Sichuan Province Department of Science and Technology (No. 2025ZDZX0048); Innovation and Technology Transfer Special Fund of China Dental Valley and West China Hospital of Stomatology(No.2025KCZXC102)

摘要: 目的:探讨目标修复空间(target restoration space,TRS)引导下的数字化显微引导修复技术在上前牙散在间隙中的应用效果。诊治经过:选取1例21岁上前牙散在间隙女性患者,术前精确分析确定TRS,制作透明牙体预备导板以转移TRS设计,在显微镜视野下,采用TRS透明牙体预备导板及定深车针行精准定深孔牙体预备,最终完成瓷贴面修复。结果:修复后牙齿形态、颜色与天然牙协调,咬合无干扰,边缘适合性良好,美学与生物学效果稳定。结论:显微牙体预备结合TRS分析与数字化导板引导,能够突破传统修复的视觉局限,实现精准美学修复,为复杂目标修复空间分类病例提供了精准化可靠技术路径。

关键词: 目标修复空间, 精准美学修复, 瓷贴面, 显微口腔修复技术, 显微牙体预备

Abstract: Objective: To evaluate the clinical efficacy of digitally guided microscopic restoration technology, directed by the target restoration space (TRS), in the aesthetic management of diastemas in maxillary anterior teeth. Diagnosis and Treatment: A 21-year-old female patient presenting with spaced maxillary anterior teeth was selected. Preoperative analysis precisely defined the TRS. A transparent TRS tooth preparation guide was fabricated to transfer the TRS design clinically. Under the magnification of a dental operating microscope, precise depth-cut holes were prepared using the TRS guide and specific depth-indicating burs, followed by the final placement of porcelain laminate veneers. Results: The final restorations demonstrated harmonious morphology and color integration with the natural dentition, non-interfering occlusal function, excellent marginal adaptation, and stable aesthetic and biological outcomes. The integration of microscopic technology and the digital guide enabled precise, micron-level control over the tooth preparation. Conclusions: The combination of microscopic tooth preparation, TRS analysis, and digital guide guidance overcomes the visual limitations of traditional restoration methods. It provides a precise, reliable, and reproducible technical pathway for cases with complex TRS classifications, achieving predictable aesthetic rehabilitation.

Key words: target restoration space, precision aesthetic restoration, porcelain laminate veneers, microscope-assisted prosthodontics, microscopic tooth preparation