无牙颌患者种植固定义齿饰面材料研究及应用进展  

Research progress and clinical application of veneer materials for implant-fixed restoration in edentulous jaws

作　　者：陈燕[1,2] 顾新华[1] CHEN Yan;GU Xinhua(Department of Stomatology,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Zhejiang University School of Stomatology,Hangzhou 310058,China)

机构地区：[1]浙江大学医学院附属第一医院口腔科,浙江杭州310003 [2]浙江大学口腔医学院,浙江杭州310058

出　　处：《浙江大学学报（医学版）》2024年第5期578-585,共8页Journal of Zhejiang University(Medical Sciences)

基　　金：浙江省医药卫生科技计划(2023KYA092)。

摘　　要：目前无牙颌患者种植固定义齿常用饰面材料包括丙烯酸树脂、聚合瓷、陶瓷、氧化锆等,不同材料的理化性质、临床表现各不相同。临床上固定义齿饰面材料的选择与患者口腔修复空间及软硬组织状况、力、生活习惯、口腔副功能、对颌牙材料及患者期望有关。无牙颌患者种植固定义齿相关的常见机械并发症为饰面材料的折裂/崩瓷及磨损,可通过咬合调整、修复体设计加工以及合适的修复材料选择予以规避。本文就常用无牙颌患者种植固定义齿饰面材料的特点、选择与设计要点、临床常见修复体材料相关并发症的病因及处理展开综述,以期为临床无牙颌患者种植固定义齿饰面材料的选择提供参考。Commonly used materials for fixed restorations in edentulous jaws include acrylic resins,polymerized ceramics,ceramics and zirconia,which have distinct physicochemical properties and clinical application features.The selection of these materials in clinical practice is related to the prosthodontic space,oral soft and hard tissue conditions,occlusal force,lifestyle habits,oral parafunctions,opposing dentition materials,and expectations of patients.Common mechanical complications associated with fixed restorations in edentulous jaws are cracking/chipping and abrasion of the facing materials,which can be avoided through occlusal adjustment,restoration design and processing,and the selection of appropriate restorative materials.This article reviews the characteristics,selection,and design considerations of commonly used materials for fixed restorations in edentulous jaws,as well as the causes and management of common clinical complications related to restorative materials,aiming to provide references for the selection of appropriate materials in fixed restorations for edentulous jaws in clinical practice.

关 键 词：无牙颌 种植 固定义齿 牙科修复材料 并发症 综述 

分 类 号：R783.6[医药卫生—口腔医学]