数字化技术助力重度磨耗患者咬合重建1例  

Full-mouth Rehabilitation of a Patient with Severely Worn Dentition Using Digital Techniques:a Case Report

作　　者：唐天弘 翁维民[1] Tianhong Tang;Weimin Weng(Department of Prosthodontics,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai,P.R.China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔修复科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所

出　　处：《中国口腔医学继续教育杂志》2024年第3期233-245,共13页Chinese Journal of Stomatologial Continuing Education

摘　　要：目的:本文旨在报道1例使用数字化咬合重建技术治疗因磨耗造成垂直距离降低、咀嚼困难的病例。诊治经过:初诊检查后,与患者沟通确认进行全牙列咬合重建。利用可摘式𬌗垫确定抬高的垂直距离,随后采用下颌运动分析系统、口内扫描仪、美学分析及Exocad软件中的虚拟𬌗架设计并制作过渡性修复体。在佩戴过程中对过渡性修复体进行微调,并进行最终修复。结果:在数字化技术的辅助下,最终修复体有效恢复了患者正常的垂直距离、改善了美观、提高了咀嚼效率。结论:数字化技术在全口咬合重建中应用效果良好,其精度高、可重复性好,更适合缺乏丰富临床经验的口腔医师应用。Objective:A case of severely worn dentition resulting loss of vertical dimension and difficulty in mastication was reported in this article.Digital techniques were used in this occlusal rehabilitation process.Diagnosis and treatment:Examinations were performed at first,and full dentition occlusal rehabilitation project was confirmed after communication with the patient.A removable occlusal pad was used to determine the vertical dimension,then digital jaw motion analysis system,intraoral scanner,aesthetic analysis and virtual articulator in Exocad software were used to design and produce the transitional prosthesis.Fine adjustments were conducted on transitional prosthesis and the final prosthesis were then finished.Results:With the help of digital techniques,the final prosthesis can effectively restore the normal vertical distance,improve the appearance and masticatory efficiency.Conclusion:Digital techniques have good effect in full-mouth rehabilitation with high precision and good repeatability,which is more suitable for dentists with limited clinical experience.

关 键 词：磨耗 咬合重建 数字化技术 下颌运动分析系统 虚拟牙合架 

分 类 号：R783.6[医药卫生—口腔医学]