数字化技术助力唇腭裂患者全牙列咬合重建1例  

One Case of Digital Technology Assisted Occlusion Reconstruction in A Patient with Cleft Lip and Palate

作　　者：杨帆[1] 刘敏[1,2] 衡墨笛[3] 王乔 王时敏 刘雪楠 朱原[1] 王飞龙 何云娇 李曼 刘云松 Fan Yang;Min Liu;Modi Heng;Qiao Wang;Shimin Wang;Xuenan Liu;Yuan Zhu;Feilong Wang;Yunjiao He;Man Li;Yunsong Liu(Department of Prosthodontics,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology&Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health&NMPA Key Laboratory for Dental Materials,Beijing,P.R.China;Department of Oral Implantology,Shanghai Ninth People’s Hospital,Shanghai Jiaotong University School of Medicine,Shanghai,P.R.China;Dental Laboratory,Peking University School and Hospital of Stomatology,Beijing,P.R.China.)

机构地区：[1]北京大学口腔医学院·口腔医院口腔修复科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心,口腔数字医学北京市重点实验室,国家卫生健康委口腔医学计算机应用工程技术研究中心,国家药品监督管理局口腔材料重点实验室 [2]上海交通大学医学院附属第九人民医院口腔种植科 [3]北京大学口腔医学院·口腔医院义齿加工中心

出　　处：《中国口腔医学继续教育杂志》2024年第1期63-72,共10页Chinese Journal of Stomatologial Continuing Education

基　　金：国家口腔医学中心适宜技术推广项目全数字化流程在复杂前牙美学修复中的应用及技术推广(项目编号:2023NCSHTP04)。

摘　　要：目的:本文旨在报道1例在六阶段原则指导下、数字化技术辅助完成的唇腭裂患者的复杂咬合重建病例。诊治经过:通过完善的术前检查明确诊断和治疗方案,使用上颌全牙列稳定[牙合]垫确定颌位关系,制作甲基丙烯酸甲酯修复体进行临时修复。制作单层氧化锆全冠,复制临时修复体[牙介]面形态来完成正式修复体,固定修复完成后进行可摘局部义齿修复,实现了美学和功能重建。结果:修复完成后患者获得良好的咬合关系,上唇丰满度得到了较好的改善。1年后复查,患者咬合功能及牙周状态稳定。结论:六阶段原则和数字化技术可帮助临床医师稳妥推进个性化的咬合重建。Objective:To present a challenging case of occlusal reconstruction assisted by digital technology in a patient with cleft lip and palate under the guidance of six-stage principle.Diagnosis and treatment:The diagnosis and treatment plan were confirmed following a comprehensive examination.The vertical dimension was adjusted using a maxillary full dentition stable occlusal plate.First of all,polymethyl methacrylate prosthesis was fabricated for temporary repair.Then,the formal restorations were designed by replicating the surface morphology of the temporary prosthesis after physiological abrasion and adaptation,and then were made with monolithic zirconia.In the end,a removable partial denture was fabricated to achieve aesthetic and functional reconstruction.Results:After restoration,the patient demonstrated a satisfactory occlusal relationship,along with an improvement in the upper lip’s fullness.Upon one-year follow-up,the patient’s occlusal function and periodontal status remained stable.Conclusions:The application of the six-stage principle and digital technology facilitated the safe and personalized promotion of occlusal reconstruction in clinical setting.

关 键 词：咬合重建 数字化辅助设计 数字化辅助制作 聚醚醚酮 临时修复 

分 类 号：R78[医药卫生—口腔医学]