从修复工艺角度浅谈牙科CAD/CAM氧化锆材料的应用与进展  

The application and progress of dental CAD/CAM zirconia materials from the perspective of dental technology

作　　者：吴玉禄 王嘉莹 龚旭 胡家欢 张春宝 WU Yulu;WANG Jiaying;GONG Xu;HU Jiahuan;ZHANG Chunbao(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,National Clinical Research Center for Oral Diseases,Shaanxi Key Laboratory of Stomatology,Department of Dental Laboratory,Xi'an,710032,China;Department of Materials Science,The Third Hospital Affiliated of Air Force Military Medical University,China)

机构地区：[1]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,空军军医大学第三附属医院口腔修复工艺科 [2]口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔医学重点实验室,空军军医大学第三附属医院口腔材料学教研室

出　　处：《实用口腔医学杂志》2024年第4期587-592,共6页Journal of Practical Stomatology

基　　金：空军军医大学军事医学提升项目(编号:2020JSTS24);空军军医大学第三附属医院新技术重点项目(编号:LX2021-202)。

摘　　要：国内外已推出的氧化锆修复材料种类众多,机械性能和美学性能是选择锆瓷种类的重要参考因素。临床医生诊疗环节和技工室制作环节共同影响最终修复效果。为了达到精准、高效、仿真的口腔修复诊疗效果,需要医生与技师的有效配合。本文从修复工艺角度出发,对氧化锆贴面、单冠、固定桥、无牙颌种植固定修复的材料选择、修复体设计、加工制作、戴牙等环节中影响机械性能和美学性能的因素进行总结和探讨,分析锆瓷修复常见失败原因,以期提高锆瓷修复体制作过程中医技的沟通效率,实现更好的修复效果。There are many kinds of zirconia repair materials that have been introduced at home and abroad.Mechanical and aesthetic properties are the important factors for selecting zirconia materials.The process of diagnosis and treatment by dentists and the production by the workers in laboratory affect the final repair effects.To achieve accurate and efficient simulation of dental repair and treatment,effective cooperation between dentists and technicians is required.In this paper,the factors affecting mechanical and aesthetic properties in the process of material selection,tooth wearing,restoration design and fabrication,concerning zirconia veneer,single-crown,fixed bridge and edentulous jaw implant fixed repair were discussed and summarized.The common failure reasons were analyzed in order to improve the communication efficiency between dentists and technicians in the process of zirconia repair system and to achieve better repair effects.

关 键 词：氧化锆 贴面 单冠 固定桥 无牙颌种植固定修复 

分 类 号：R783.2[医药卫生—口腔医学]