以功能为导向的全程数字化种植咬合重建一例

doi:10.12337/zgkqzzxzz.2021.04.005

中国口腔种植学杂志 ›› 2021, Vol. 26 ›› Issue (2): 102-108.DOI: 10.12337/zgkqzzxzz.2021.04.005

以功能为导向的全程数字化种植咬合重建一例

张思慧¹, 刘向东², 何凯讯², 吴玲², 陈江¹

¹福建医科大学口腔医学院·附属口腔医院福建省口腔疾病研究重点实验室福建省口腔生物材料工程技术研究中心福建省高校口腔医学重点实验室 350004;
²福建医科大学口腔医学院·附属口腔医院福建医科大学口腔医学研究院福建医科大学口腔颅颌面种植研究中心,福州350004

收稿日期:2020-10-30 出版日期:2021-04-10 发布日期:2021-07-14
通讯作者: 陈江,Email:jiangchen@fjmu.edu.cn,电话：0591-83754882
作者简介:张思慧, 主治医师、讲师、博士、实验中心主任,研究方向：主要从事口腔种植支持式咬合重建/数字化种植技术研究;陈江, 主任医师、教授、博士生导师、党委书记,研究方向：主要从事数字化种植技术和并发症研究
基金资助:
福建省卫生计生青年课题（2016-1-71）

Function oriented oral rehabilitation with implants by full digital flow technology-A case report

Zhang Sihui¹, Liu Xiangdong², He Kaixun², Wu Ling², Chen Jiang¹

¹School and Hospital of Stomatology, Fujian Medical University Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatology Key lab of Fujian College and University, Fuzhou 350004, China;
²School and Hospital of Stomatology, Fujian Medical University Institute of Stomatology & Research Center of Dental and Craniofacial Implants, Fuzhou 350004, China

Received:2020-10-30 Online:2021-04-10 Published:2021-07-14
Contact: Chen Jiang,Email: jiangchen@fjmu.edu.cn,Tel: 0086-591-83754882
Supported by:
Youth Project of Health and Family Planning Commission (2016-1-71)

摘要/Abstract

摘要： 通过对一例使用全程数字化技术完成种植支持式咬合重建病例的介绍,明确以功能为导向的种植支持式咬合重建的流程。即：患者试戴治疗义齿恢复咀嚼器官功能,根据咬合面接触点、牙齿的轴向和骨量,设计种植体的位置、方向和规格,打印数字化全程导板,指导无牙颌种植和即刻修复。6个月后,利用电子面弓取得个性化咬合数据,上全可调咬合架,制作功能蜡型,切割种植体上部钛支架,完成全瓷冠修复。本病例通过以功能为导向的全程数字化种植修复流程,使用面扫、电子面弓、桌面扫描仪和CBCT捕获面部、颌骨及关节的所有信息,并将该信息应用到种植与修复中;利用Guidemia、咀嚼效率测定仪、T-scan和夜磨牙检查垫等方法评估咬合重建效果。因此,该方法可以量化种植支持式重建,高效实现患者的美学和咀嚼等功能,但在修复体数字化制作精度上仍需要进一步研究。

关键词: 口腔功能重建, 无牙颌种植, 数字化流程, 修复种植

Abstract: This case aims to achieve functional oriented oral rehabilitation with implants based on integrated digital technology. The patient wore splint to restore masticatory function and parafunction were controllable. The position,direction and dimensions of the implants were designed taking into the consideration of contact point on occlusal surface, axial direction as well as bone volume. Treatment guide was printed under full digital workflow for implant placement and immediate loading. Six months later, occlusal data was obtained using facial scanner and jaw movement record system and then mounted on full adjustable articulator. Ttitanium framework and ceramic crown was fabricated after Wap-up designing process. In this case, function oriented implant placement and restoration was done effectively with fully digital work flow. Clinical outcome of occlusal rehabilitation was evaluated with T-scan and masticatory efficiency tester. Parafunction like bruxism was monitored closely. This method quantifies implant-supported reconstruction, which can better realize the patient's aesthetics and chewing functions, but it still needs further research on the accuracy of the digital production of the prosthesis.

Key words: Oral function rehabilitation, Edentulous jaw, Digital work flow, Implants prosthesis

张思慧,刘向东,何凯讯,等. 以功能为导向的全程数字化种植咬合重建一例[J]. 中国口腔种植学杂志, 2021, 26(2): 102-108. DOI: 10.12337/zgkqzzxzz.2021.04.005

Zhang Sihui, Liu Xiangdong, He Kaixun, Wu Ling, Chen Jiang. Function oriented oral rehabilitation with implants by full digital flow technology-A case report[J].Chinese Journal of Oral Implantology, 2021, 26(2): 102-108.DOI: 10.12337/zgkqzzxzz.2021.04.005.

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以功能为导向的全程数字化种植咬合重建一例

Function oriented oral rehabilitation with implants by full digital flow technology-A case report

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