数字化技术在全口固定式种植义齿修复中的应用

doi:10.13701/j.cnki.kqyxyj.2023.08.001

摘要/Abstract

摘要： 全口固定式种植义齿是一种公认的修复牙列缺失的有效方法。文献报道,全口固定式种植义齿随访20年,种植体生存率可达86.9%~99.4%,修复体生存率可达82.8%~94.1%。应用全口固定式种植义齿为患者实现咬合重建,应遵循牙合学原则,使牙齿、咬合、咀嚼肌、颞下颌关节和神经等所组成的系统达到协调和稳定。随着数字化设备与技术的发展和完备,传统全口固定式种植义齿修复的每个程序都有多种数字化的替代方法。数字化技术的加入符合精准治疗的理念,提高治疗的可预期性;此外数字化技术使治疗效果可视化,有利于医患的沟通和交流。本文对全口固定式种植义齿的治疗程序进行叙述,并介绍治疗程序中应用的各种数字化设备与技术,希望能为临床医生的诊疗工作提供参考。

关键词: 数字化技术, 全口固定式种植义齿, 咬合重建, 面部扫描, 口内扫描

Abstract: Full-arch fixed implant-supported prostheses are recognized on effective method for occlusal rehabilitation of edentulous patients. Literatures reported that the survival rates of implant and prosthesis can reach 86.9%-99.4% and 82.8%-94.1% respectively after 20 years follow-up. In order to achieve occlusal rehabilitation for patients with full-arch fixed implant-supported prostheses, the principle of gnathology should be followed, so that the system composed of teeth, occlusion, masticatory muscles, temporomandibular joints, and nerves should be coordinated and stable. With the development and completion of digital equipment and technique, there are various digital alternatives for each procedure of implant-supported fixed restoration in edentulous patients. The involvement of digital technique conforms to the concept of precision therapy and improves the predictability of treatment. In addition, digital technique enables the visualization of treatment effects, which is beneficial for the communication between doctors and patients. This article will describe the treatment procedure of occlusal rehabilitation of full-arch fixed implant-supported prostheses, and introduce various digital equipments and techniques applied, hoping to provide reference and help for clinical doctors.

Key words: digital technique, full-arch fixed implant-supported prostheses, occlusal rehabilitation, facial scanning, intraoral scanning

陈小冬, 曲哲. 数字化技术在全口固定式种植义齿修复中的应用[J]. 口腔医学研究, 2023, 39(8): 663-670.

CHEN Xiaodong, Qu Zhe. Application of Digital Technique in Occlusal Rehabilitaton of Full-arch Fixed Implant-supported Prostheses.[J]. Journal of Oral Science Research, 2023, 39(8): 663-670.

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