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ID:34091696
大小:6.82 MB
页数:29页
时间:2019-03-03
《关于cad2fcam个性化基台在前牙种植美学修复中的临床应用》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据山东大学硕士学位论文得分为7.27±4.30。WES最高分为10分,最低分为6分.平均得分为8.1l±1.02。PES的7个指标中,软组织质地(1.5±0.77)的分值最高,远中龈乳头(0.97±0.77)的分值最低,提示患者种植体的红色美学较好;WES的5个指标中。牙冠轮廓的分值最低(1.25±0.70),牙冠质地的分值最高(1.92±0.26)。提示患者种植体的白色美学较好;Jemt牙龈乳头指数:Ⅳ度与0度均为0,工度占4.00%,工I度占60.67%,III度占35.33%。【结论】:个性化铸瓷复合基台针对于传统成品基台而言可有效
2、改善前牙区的种植美学与契合程度,为临床上各种种植前牙穿龈及种植角度等问题提供良好的解决方法,并且牙龈瓷能较好的改善重度软硬组织缺损状态下的美学问题。但由于随访时间较短,其远期效果仍需进一步观察。【关键词】:CAD/CAM个性化基台、前牙美学、牙种植、白色美学、红色美学万方数据山东大学硕士学位论文CIinicaIevaluationaesthetiCeffectofCAD/CAMpersonaIizedgumbasefordentaIimplantrestorationinanteriorareaPostgraduate:LiuLingfangS
3、pecialty:Oralandmaxiilofacialsurgery(Implantology)Supervisor:ProfessorJiangBaoqiAbstractObjectives:Withtheimprovementoftheimplantrestoration,implantdenturehasbeenthepreferredchoicesforpatientswhoneededrecoveryofthelosingteeth.Aftertheanteriorteethmissing,itisveryimportanttor
4、ecoverthenormalocclusionandpronunciation,theestheticsrequirementforshape,colorandfullnessofdenturesisalsoincreasinglyhigher.Atpresent,traditionalimplantrestorationCancausegingivalpapillafaltnessorabsence,“blackness”ofdentalneck,mentalabutmentsexposure,theseproblemsareintract
5、ability.PersonalizedcastingporcelaincompositeabutmentsCanbedesignedpersonally,thenrepairesoftandhardtissuedefectsofanteriorarea.Baseontherequirementofpmients,wecandesignsuitablesizeofpersonalabutmentsuseCAD/CAMcomputernavigation.ThisstudyusedCAD/CAMtechnologytoproducepersona
6、labutments,castingporcelainormentalcrown,toevaluateanteriorareaimplantestheticrestorationeffect.Methods:Thirty—eightpatientswithanteriorteethdefectswerechoosedfromDepartmentofPlantingCenter,ShandongUniversity,duringtheyearfrom2013to2015.Allpatientswereexaminedbeforeoperation
7、,andusedX.ray,cone.beanCTtoevaluateteethsituation.Afterpreoperativecommunication,implantedtheimplants,thenprocessedbonegraftingandembeddedcroppingpattem.Duringthisperiod,patientsneedtransitionaldenture.Performedtwo-stageoperationafter4to6months,andmadehorizontalcastforimplan
8、ts.MadepersonalCAD/CAMabutmentsfor万方数据山东大学硕士学位论文eachpatient,thenmadeall-cer
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