基于审美分析的口腔美容修复分类诊疗方案(一):基本概念、决策树及临床路径  

Classified diagnosis and treatment scheme of oral cosmetic restoration based on aesthetic analysis(part Ⅰ):basic concept,decision tree and clinical pathway

作　　者：于海洋[1] 赵俊颐 孙蔓琳 Yu Haiyang;Zhao Junyi;Sun Manlin(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of ProthodonticsⅡ,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室、国家口腔医学中心、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Ⅱ科,成都610041

出　　处：《华西口腔医学杂志》2024年第1期19-27,共9页West China Journal of Stomatology

基　　金：四川省卫生健康委员会科技项目(临床研究专项)(230LCYJ017)。

摘　　要：当前美容修复临床方案多基于欧美国家提出的口腔美感指标(简称欧美审美)制定,但机械地照搬欧美口腔美容修复方案,忽视了其与中国人口腔美感指标(简称中式审美)的差别,是无法有效支撑国人个性化口腔美容修复诊治的。另外,近年发展迅猛的美容修复新技术、新方案层出不穷,但不少热门概念的内涵混淆不清,也缺乏应有的分级诊疗规范,急需讨论明晰。本文从服务好口腔美容修复临床运用出发,探讨了中译词“美学”的不足与误用,美学与美容的区别与联系,美容修复与固定修复的相关关系,还讨论了前牙区、美学区与暴露区的差别、口腔审美分析的诊疗价值,以及脱敏、暗示等疗法在口腔疑难美容修复病例中的运用方法。进一步介绍了审美分析引导的暴露区牙位修复重建的决策树及临床路径,并案析介绍了审美分析评估临床流程、口腔美容修复临床三分类及相应的临床分类诊疗要点。At present,the commonly used clinical protocols of oral comestic restoration are mostly based on the aesthetic indicators proposed by Western developed countries(referred to as Western aesthetics).Mechanically copying the Western aesthetic scheme,ignoring the difference between it and the Chinese oral aesthetic indicators(referred to as Chinese aesthetics),is unable to effectively support personalized cosmetic restoration diagnosis and treatment.In addition,new technologies and new solutions for cosmetic restoration,which are developing rapidly in recent years,are emerging one after another,but many popular concepts are confusing and lack of proper hierarchical diagnosis and treatment norms,and there is indeed an urgent need for discussion and clarity.From the perspective of serving clinical application,this paper discusses the deficiencies of the Chinese translation of the word “aesthetics”,the difference and connection between aesthetics and cosmetology,and the relationship between cosmetic restoration and fixed restoration.It also discusses the difference between anterior teeth,esthetic zone and exposed zone,the diagnostic and therapeutic value of oral aesthetic analysis,as well as the application methods of desensitization,suggestion,and other therapies in difficult oral cosmetic restoration cases.We further introduce the decision tree and the clinical pathway for restoration and reconstruction of teeth in exposed zone guided by aesthetic analysis,and introduce the clinical process of aesthetic analysis and evaluation,the clinical triclassification of oral cosmetic restoration,and the corresponding clinical classification diagnosis and treatment points.

关 键 词：口腔美容修复 审美分析 分类诊疗临床路径 决策树 脱敏疗法 暗示疗法 

分 类 号：R783[医药卫生—口腔医学]