《全瓷冠牙体预备操作规范》解读与应用

doi:10.12337/zgkqjxjyzz.2026.02.006

中国口腔医学继续教育杂志 ›› 2026, Vol. 29 ›› Issue (2): 113-120.DOI: 10.12337/zgkqjxjyzz.2026.02.006

《全瓷冠牙体预备操作规范》解读与应用

王富, 蒙萌, 闫志琦, 牛丽娜, 陈吉华^*

口腔疾病国家临床医学研究中心,口颌系统重建与再生全国重点实验室,陕西省口腔医学重点实验室,空军军医大学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: ^* 陈吉华,联系方式：029-84776659,电子邮件：jhchen@fmmu.edu.cn,通讯地址：陕西省西安市新城区长乐西路145号,710032
基金资助:
国家口腔疾病临床医学研究中心重点课题（项目编号：LCA202401）; 陕西省卫生健康科研创新能力提升计划（项目编号：2025TD-18）

Interpretation and Application of the Guideline for the Tooth Preparation of Dental Ceramic Crowns

Fu Wang, Meng Meng, Zhiqi Yan, Lina Niu, Jihua Chen^*

National Clinical Research Center for Oral Diseases, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Shaanxi Key Laboratory of Stomatology, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University

Online:2026-03-31 Published:2026-06-23
Contact: Jihua Chen. Tel: 029-84776659. Email: jhchen@fmmu.edu.cn. Address: No. 145, Changlexi Road, Xincheng District, Xi’an 710032, Shaanxi Province, P.R. China.
Supported by:
Key Project of National Clinical Medical Research Center for Oral Diseases (No.LCA202401); Innovation Capacity Improvement Plan for Health Research in Shaanxi Province (No.2025TD-18)

摘要/Abstract

摘要： 全瓷冠修复牙体预备的主要目的之一是为修复体提供空间。随着玻璃陶瓷、氧化锆陶瓷材料的快速发展,不同材料在强度、美学特性等参数方面存在显著差异,其所需的修复体厚度及牙体预备空间也随之呈现明显不同。为了更全面地理解口腔陶瓷材料及其应用操作规范,本文将从口腔陶瓷材料分类的演变、组成特点、面临的问题与挑战三个层面进行系统性评述,旨在为临床医师依据材料特性进行合理选择与牙体预备提供参考。

关键词: 玻璃陶瓷, 氧化锆, 复合材料, 牙体预备, 全冠

Abstract: One of the main purposes of tooth preparing in dental restorative practice is to provide space for the ceramic restoration. With the rapid development of glass ceramics and zirconia ceramic materials, there are significant differences in strength, aesthetic properties, and other parameters among different materials, and the required thickness and preparation space also vary significantly. In order to comprehensively understand dental ceramic materials and corresponding operation standards, this article will systematically review the evolution of dental ceramic material classification, composition characteristics, and the problems and challenges faced, aiming to provide guidance for clinical doctors to make reasonable choices and tooth preparation.

Key words: glass ceramics, zirconia, composition, tooth preparation, full crown

王富, 蒙萌, 闫志琦, 牛丽娜, 陈吉华. 《全瓷冠牙体预备操作规范》解读与应用[J]. 中国口腔医学继续教育杂志, 2026, 29(2): 113-120.

Fu Wang, Meng Meng, Zhiqi Yan, Lina Niu, Jihua Chen. Interpretation and Application of the Guideline for the Tooth Preparation of Dental Ceramic Crowns[J]. Chinese Journal of Stomatological Continuing Education, 2026, 29(2): 113-120.

参考文献

[1] Kelly JR, Benetti P. Ceramic materials in dentistry: historical evolution and current practice[J]. Aust Dent J, 2011, 56 Suppl 1:84-96.
[2] Fu L, Engqvist H, Xia W.Glass-Ceramics in Dentistry: A Review[J]. Materials (Basel) 2020, 13(5):1049.
[3] Deubener J, Allix M, Davis MJ, et al.Updated definition of glass-ceramics[J]. J Non-Cryst Solids, 2018, 501: 3-10.
[4] Nejat AH.Overview of Current Dental Ceramics[J]. Dent Clin North Am, 2025, 69(2):155-171.
[5] Bajraktarova-Valjakova E, Korunoska-Stevkovska V, Kapusevska B, et al.Contemporary dental ceramic materials, a review: chemical composition, physical and mechanical properties, indications for use[J]. Open Access Maced J Med Sci, 2018, 6(9): 1742-1755.
[6] Gracis S, Thompson VP, Ferencz JL, et al.A new classification system for all-ceramic and ceramic-like restorative materials[J]. Int J Prosthodont, 2015, 28(3): 227-235.
[7] 中华口腔医学会口腔美学专业委员会, 中华口腔医学会口腔材料专业委员会. 全瓷美学修复材料临床应用专家共识[J]. 中华口腔医学杂志, 2019, 54(12): 825-828.
[8] 中华口腔医学会口腔修复学专业委员会. 树脂陶瓷复合材料椅旁计算机辅助设计与辅助制作修复技术指南[J]. 中华口腔医学杂志, 2022, 57(9): 895-898.
[9] Cui X, Wang F, Tang K, et al.A narrative review of the factors that affect the mechanical properties of polymer-infiltrated ceramics used for dental restorations[J]. J Dent, 2025, 157: 105732.
[10] Bagis B, Turgut S.Optical properties of current ceramics systems for laminate veneers[J]. J Dent, 2013, 41(Suppl 3): e24-e30.
[11] Zürcher AN, Hjerppe J, Studer S, et al.Clinical outcomes of tooth-supported leucite-reinforced glass-ceramic crowns after a follow-up time of 13-15 years[J]. J Dent, 2021, 111: 103721.
[12] Sen N, Us YO.Mechanical and optical properties of monolithic CAD-CAM restorative materials[J]. J Prosthet Dent, 2018, 119(4): 593-599.
[13] Elsaka SE, Elnaghy AM.Mechanical properties of zirconia reinforced lithium silicate glass-ceramic[J]. Dent Mater, 2016, 32(7): 908-914.
[14] Zhang Y, Vardhaman S, Rodrigues CS, et al.A Critical Review of Dental Lithia-Based Glass-Ceramics[J]. J Dent Res, 2023, 102(3): 245-253.
[15] Guess PC, Schultheis S, Bonfante EA, et al. All-ceramic systems: laboratory and clinical performance[J]. Dent Clin North Am, 2011, 55(2): 333-352, ix.
[16] Yuan K, Wang F, Gao J, et al.Effect of sintering time on the microstructure, flexural strength and translucency of lithium disilicate glass-ceramics[J]. J Non-Cryst Solids, 2013, 362: 7-13.
[17] Garling A, Sasse M, Becker MEE, et al.Fifteen-year outcome of three-unit fixed dental prostheses made from monolithic lithium disilicate ceramic[J]. J Dent, 2019, 89: 103178.
[18] Aslan YU, Uludamar A, Özkan Y.Retrospective Analysis of Lithium Disilicate Laminate Veneers Applied by Experienced Dentists: 10-Year Results[J]. Int J Prosthodont, 2019, 32(6): 471-474.
[19] Liebermann A, Erdelt K, Brix O, et al.Clinical Performance of Anterior Full Veneer Restorations Made of Lithium Disilicate with a Mean Observation Time of 8 Years[J]. Int J Prosthodont, 2020, 33(1): 14-21.
[20] Rabel K, Spies BC, Pieralli S, et al. The clinical performance of all-ceramic implant-supported single crowns: A systematic review and meta-analysis[J]. Clin Oral Implants Res, 2018, 29 Suppl 18: 196-223.
[21] Teichmann M, Göckler F, Weber V, et al.Ten-year survival and complication rates of lithium-disilicate (Empress 2) tooth-supported crowns, implant-supported crowns, and fixed dental prostheses[J]. J Dent, 2017, 56: 65-77.
[22] Garvie RC, Hannink RH, Pascoe RT.Ceramic steel?[J]. Nature, 1975, 258(5537): 703-704.
[23] Li X, Liang S, Inokoshi M, et al.Different surface treatments and adhesive monomers for zirconia-resin bonds: A systematic review and network meta-analysis[J]. Jpn Dent Sci Rev, 2024, 60: 175-189.
[24] 万乾炳. 口腔氧化锆修复材料分代之我见[J]. 国际口腔医学杂志, 2021, 48(2): 125-128.
[25] Denry I, Kelly JR.State of the art of zirconia for dental applications[J]. Dent Mater, 2008, 24(3): 299-307.
[26] Stawarczyk B, Keul C, Eichberger M, et al.Three generations of zirconia From veneered to monolithic. Part I[J]. Quintessence Int, 2017, 48(5): 369-380.
[27] Ban S.Classification and Properties of Dental Zirconia as Implant Fixtures and Superstructures[J]. Materials (Basel), 2021, 14(17): 4879.
[28] Ghodsi S, Jafarian Z.A review on translucent zirconia[J]. Eur J Prosthodont Restor Dent, 2018, 26(2): 62-74.
[29] Pekkan G, Pekkan K, Bayindir BÇ, et al.Factors affecting the translucency of monolithic zirconia ceramics: A review from materials science perspective[J]. Dent Mater J, 2020, 39(1): 1-8.
[30] Huang B, Chen M, Wang J, et al.Advances in zirconia-based dental materials: Properties, classification, applications, and future prospects[J]. J Dent, 2024, 147: 105111.
[31] Kaizer MR, Kolakarnprasert N, Rodrigues C, et al.Probing the interfacial strength of novel multi-layer zirconias[J]. Dent Mater, 2020, 36(1):60-67.
[32] Cesar PF, Miranda RBP, Santos KF, et al.Recent advances in dental zirconia: 15 years of material and processing evolution[J]. Dent Mater, 2024, 40(5):824-836.
[33] Zarone F, Ruggiero G, Leone R, et al.Zirconia-reinforced lithium silicate (ZLS) mechanical and biological properties: A literature review[J]. J Dent, 2021, 109:103661.
[34] Banh W, Hughes J, Sia A, et al.Longevity of Polymer-Infiltrated Ceramic Network and Zirconia-Reinforced Lithium Silicate Restorations: A Systematic Review and Meta-Analysis[J]. Materials (Basel), 2021, 14(17):5058.
[35] Rinke S, Pfitzenreuter T, Leha A, et al.Clinical evaluation of chairside-fabricated partial crowns composed of zirconia-reinforced lithium silicate ceramics: 3-year results of a prospective practice-based study[J]. J Esthet Restor Dent, 2020, 32(2):226-235.
[36] Wongkamhaeng K, Poomparnich K, Chitkraisorn T, et al.Effect of combining different 10-MDP-containing primers and cement systems on shear bond strength between resin cement and zirconia[J]. BMC Oral Health, 2025, 25(1):206.
[37] Mohamed SGA, Hussein HGA, Mohamed GA, et al.Different zirconia surface treatments: strategies to enhance adhesion in zirconia-based dental restorations[J]. J Pharm Bioallied Sci, 2025, 17(2):45-49.
[38] Tsuda F, Yoshida K, Sawase T.Effects of primer components of silane and 10-methacryloyloxydecyl dihydrogen phosphate on resin bonding to tribochemical silica-coated highly translucent zirconia[J]. Clin Oral Investig, 2024, 28(12):638.
[39] Koko M, Takagaki T, Abd El-Sattar NEA, et al. MDP salts: a new bonding strategy for zirconia[J]. J Dent Res, 2022, 101(7):769-776.
[40] Peng T-Y, Kang C-M, Feng S-W, et al.Effects of glass-ceramic spray deposition manipulation on the surface characteristics of zirconia dental restorations[J]. Ceram Int, 2022, 48(20):29873-29881.
[41] Thammajaruk P, Buranadham S, Guazzato M, et al.Effect of glass-ceramic coating versus alumina air-abrasion on the bond strength and residual stress of zirconia[J]. Clin Oral Investig, 2023, 27(12):7833-7840.
[42] Zhang Y, Kim JW.Graded structures for damage resistant and aesthetic all-ceramic restorations[J]. Dent Mater, 2009, 25(6):781-790.
[43] Yan ZQ, Li JL, Chen J, et al.Enhancing the bonding of zirconia to resin by constructing a graded zirconia-glass composite surface[J]. Surf. Interfaces, 2025, 106374.
[44] Yan ZQ, Li JL, Chen J, et al.Enhancing resin bonding to zirconia-glass composite surfaces: Comparative evaluation of ceramic primer coating strategies[J]. Res. Surfaces Interfaces, 2025, 100678.
[45] Chen J, Yan ZQ, Tang K, et al.Micropore texture design enhancing zirconia-resin bonding of additively manufactured zirconia[J]. Surf. Interfaces, 2025 (77), 108008.
[46] Rues S, Zehender N, Zenthöfer A, et al.Fit of anterior restorations made of 3D-printed and milled zirconia: An in-vitro study[J]. J Dent, 2023, 130:104415.
[47] Oh SE, Park JM, Kim JH, et al.Mechanical properties and crown accuracy of additively manufactured zirconia restorations[J]. Dent Mater, 2024, 40(10):1546-1556.
[48] Silva SEGD, Silva NRD, Santos JVDN, et al.Accuracy, adaptation and margin quality of monolithic zirconia crowns fabricated by 3D printing versus subtractive manufacturing technique: A systematic review and meta-analysis of in vitro studies[J]. J Dent, 2024, 147:105089.
[49] Su G, Zhang Y, Jin C, et al.3D printed zirconia used as dental materials: a critical review[J]. J Biol Eng, 2023, 17(1):78.
[50] Alghauli M, Alqutaibi AY, Wille S, et al.3D-printed versus conventionally milled zirconia for dental clinical applications: Trueness, precision, accuracy, biological and esthetic aspects[J]. J Dent, 2024, 144:104925.

《全瓷冠牙体预备操作规范》解读与应用

Interpretation and Application of the Guideline for the Tooth Preparation of Dental Ceramic Crowns

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