数字化辅助美学牙冠延长术在上前牙再修复治疗中的应用

doi:10.13701/j.cnki.kqyxyj.2022.05.011

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (5): 442-446.DOI: 10.13701/j.cnki.kqyxyj.2022.05.011

数字化辅助美学牙冠延长术在上前牙再修复治疗中的应用

梅幼敏¹, 张莹², 高美琴³, 马春益¹, 孙汉堂⁴, 孙敬伟¹, 徐家丽¹, 陈铭燕¹, 程玉叶^2*

1.南通大学附属南通口腔医院,南通市口腔医院牙周病科江苏南通 226001;
2.南通大学附属南通口腔医院,南通市口腔医院修复科江苏南通 226001;
3.南通大学附属南通口腔医院,南通市口腔医院正畸科江苏南通 226001;
4.南通大学附属南通口腔医院,南通市口腔医院牙体牙髓黏膜病科江苏南通 226001

收稿日期:2021-10-09 出版日期:2022-05-28 发布日期:2022-05-20
通讯作者: *程玉叶,E-mail:30325865@qq.com
作者简介:梅幼敏(1985~ ),女,江苏东台人,博士研究生,副主任医师,研究方向:美学牙冠延长术,糖尿病与牙周病。
基金资助:
江苏省333人才资助项目(编号:BRA2019204) 南通市市级科技计划项目(编号:MS12021098)

Application of Digital Assisted Esthetic Crown Lengthening in the Second Restoration of Upper Anterior Teeth

MEI Youmin¹, ZHANG Ying², GAO Meiqin³, MA Chunyi¹ , SUN Hantang⁴, SUN Jinwei¹, XU Jiali, CHEN Minyan, CHENG Yuye^2*

1. Department of Periodontology, Nantong Stomatological Hospital, The Affiliated Nantong Stomatological Hospital of Nantong University, Nantong 226001, China;
2. Department of Prosthodontics, Nantong Stomatological Hospital, The Affiliated Nantong Stomatological Hospital of Nantong University, Nantong 226001, China;
3. Department of Orthodontics, Nantong Stomatological Hospital, The Affiliated Nantong Stomatological Hospital of Nantong University, Nantong 226001, China;
4. Department of Operative Dentistry & Endodontics, Nantong Stomatological Hospital, The Affiliated Nantong Stomatological Hospital of Nantong University, Nantong 226001, China

Received:2021-10-09 Online:2022-05-28 Published:2022-05-20

摘要/Abstract

摘要： 目的: 通过数码微笑设计(digital smile design, DSD)来协助上前牙不良修复相关的牙周-修复联合治疗,提高上前牙区美学牙冠延长术后功能和美学恢复的可预测性。方法: 12例患者(74颗患牙)于完善牙体、牙周治疗1个月后,通过微笑数字化设计辅助行前牙区美学牙冠延长手术,术后6个月行全瓷冠修复。结果: 与基线相比,术前PD和BOP均有显著改善(*P<0.01);与术前相比, 术后各随访节点的PD和BOP值均有显著改善(# P<0.01);与术前相比,除术后1个月以外,随访各时间节点PI数值均有显著改善(# P<0.01);修复后6个月及1年后所有修复体颈缘适合性均良好。大部分患者对最终牙龈缘位置协调性,微笑效果以及诊疗过程较为满意。结论: DSD辅助牙周-修复联合治疗不仅为患者维护了健康,更是实现了较好的美学效果,获得了较高的满意度,具有较高的临床应用价值。

关键词: 数码微笑设计, 美学, 导板, 牙冠延长术

Abstract: Objective: To assist the periodontal-restorative combined treatment of upper anterior teeth through digital smile design (DSD). Methods: Twelve patients (74 teeth) underwent esthetic crown lengthening surgery in the upper anterior tooth area with the aid of DSD after perfecting their teeth and periodontal treatment for one month. All-ceramic crown restoration was performed six months after the operation. Results: Postoperative PD and BOP values were statistically different (* P<0.01). Compared with preoperatively, except for 1 month after operation, the PI values at all nodes in the follow-up were significantly improved (# P<0.01). Six months and 1 year after the repair, the neck margins of all restorations were suitable, and there was no obvious gingival hyperplasia or recession. Most patients were satisfied with the final coordination of the gingival margin, the smiling effect, the diagnosis, and treatment process. Conclusion: DSD-assisted periodontal-restorative combined therapy not only maintains the health of patients, but also achieves better aesthetic effects, obtains high satisfaction, and has high clinical application value.

Key words: digital smile design, esthetics, guide plate, crown lengthening

梅幼敏, 张莹, 高美琴, 马春益, 孙汉堂, 孙敬伟, 徐家丽, 陈铭燕, 程玉叶. 数字化辅助美学牙冠延长术在上前牙再修复治疗中的应用[J]. 口腔医学研究, 2022, 38(5): 442-446.

MEI Youmin, ZHANG Ying, GAO Meiqin, MA Chunyi , SUN Hantang, SUN Jinwei, XU Jiali, CHEN Minyan, CHENG Yuye. Application of Digital Assisted Esthetic Crown Lengthening in the Second Restoration of Upper Anterior Teeth[J]. Journal of Oral Science Research, 2022, 38(5): 442-446.

参考文献

[1] Lajnert V, Kovacevic Pavicic D, Pavlic A, et al. Smile aesthetics satisfaction scale: development and validation of a new brief fiveitem measure of satisfaction with smile aesthetics in adults and the elderly [J]. Int Dent J, 2018, 68(3):162-170.
[2] Pithon MM, Santos AM, Viana de Andrade AC, et al. Perception of the esthetic impact of gingival smile on laypersons, dental professionals, and dental students [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 115(4):448-454.
[3] Nozawa T, Ito K. Intentional gingival retraction with provisional direct restoration: a novel approach to facial crown lengthening [J]. Clin Adv Periodontics, 2015, 2(2):98-104.
[4] Coachman C, Calamita M. Digital smile design: A tool for treatment planning and communication in esthetic dentistry [J]. Quintessence Dent Technol, 2012, (35):103-111.
[5] 田瑞雪,唐旭炎,徐锦程,等.数字微笑设计技术在17例接受前牙美学修复患者中的应用[J].山东医药,2016,56(47):75-77.
[6] Arias DM, Trushkowsky RD, Brea LM, et al. Treatment of the patient with gummy smile in conjunction with digital smile approach [J]. Dent Clin North Am, 2015, 59(3):703-716.
[7] 王翠,胡文杰,张豪.多学科综合治疗重建口腔功能一例[J].中华口腔医学杂志,2016,51(10):587-590.
[8] Machado AW, McComb RW, Moon W, et al. Influence of the vertical position of maxillary central incisors on the perception of smile esthetics among orthodontists and laypersons [J]. J Esthet Restor Dent, 2013, 25(6) : 392-401.
[9] Pini NP, Demarchi LM, Gribel BF, et al. Digital analysis of anterior dental esthetic parameters in patients with bilateral maxillary lateral incisor agenesis [J]. J Esthet Restor Dent, 2013, 25(3): 189-200.
[10] Kaya B, Uyar R. Influence on smile attractiveness of the smile arc in conjunction with gingival display [J]. Am J Orthod Dentofacial Orthop, 2013, 144 (4): 541-547.
[11] Grossberg DE. Interimplant papilla reconstruction: Assessment of soft tissue changes and results of 12 consecutive cases [J]. J Periodontol, 2017, 72(7):958-962.
[12] Jemt T. Regeneration of gingival papillae after single-implant treatment [J]. Int J Periodontics Restorative Dent, 1997, 17(4): 326-333.
[13] Ryge G. Clinical criteria[J]. Int Dent J, 1980, 30(4):347-358.
[14] Cochran DL, Nevins M. Biologic width: a physiologically and politically resilient structure [J]. Int J Periodontics Restorative Dent, 2012, 32(4): 371-373.
[15] Gargiulo A, Wentz F, Orban B. Dimentions and relations of the dentogingival junction in humans [J]. J Periodontol, 1961, 32: 261-267.
[16] 崔迪,闫福华,李厚轩.牙周美学治疗中的数字化概念[J].中国实用口腔科杂志,2018,11(7):403-406.
[17] Meereis CT, de Souza GB, Albino LG, et al. Digital smile design for computer-assisted esthetic rehabilitation: two-year follow-up [J]. Oper Dent, 2016, 41(1):E13-E22.
[18] Santos FR, Kamarowski SF, Lopez CAV, et al. The use of the digital smile design concept as an auxiliary tool in periodontal plastic surgery [J]. Dent Res J, 2017, 14(2):158-161.
[19] 向舒畅,罗特,张华.数字化双定位导板引导下的前牙美学冠延长病例报告1例[J].临床口腔医学杂志,2021,37(1):50-51.
[20] Liu X, Yu J, Zhou J, et al. A digitally guided dual technique for both gingival and bone resection during crown lengthening surgery [J]. J Prosthet Dent, 2018, 119(3): 345-349.
[21] 柳忠豪.计算机辅助规划设计助力精准种植与长期稳定[J].口腔医学研究,2021,37(9): 775-779.

数字化辅助美学牙冠延长术在上前牙再修复治疗中的应用

Application of Digital Assisted Esthetic Crown Lengthening in the Second Restoration of Upper Anterior Teeth

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