华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (3): 229-235.doi: 10.7518/hxkq.2019.03.001

• 专家共识 •    下一篇

基于牙体牙髓、牙周及功能健康的显微微创牙体预备

于海洋1(),赵雨薇1,李俊颖1,罗天1,高静1,刘洪臣2,刘伟才3,刘峰4,赵克5,Fei Liu6,马楚凡7,JuergenManfred Setz8,梁珊珊9,范琳1,高姗姗1,朱卓立1,沈颉飞1,王剑1,朱智敏1,周学东1   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院,成都 610041
    2.解放军总医院口腔医学研究所,北京 100853
    3.同济大学附属口腔医院口腔数字化科,上海 200072
    4.北京大学口腔医院口腔修复科,北京 100081
    5.中山大学光华口腔医院修复科,广州 510055
    6.美国密西根大学牙学院生物与材料学系口腔修复科,密西根 48109
    7.空军军医大学口腔医学院口腔修复科,西安 710032
    8.马丁路德大学牙学院口腔修复系,哈雷 06097
    9.武汉大学口腔医学院口腔修复科,武汉 430079
  • 收稿日期:2018-12-21 修回日期:2019-02-19 出版日期:2019-06-01 发布日期:2019-06-12
  • 通讯作者: 于海洋 E-mail:yhyang6812@scu.edu.cn
  • 作者简介:于海洋,教授,博士,E-mail:yhyang6812@scu.edu.cn
  • 基金资助:
    成都市科技惠民项目(2016-HM02-00018-SF);四川大学华西口腔医院口腔修复国家临床重点专科项目(2011);四川大学横向项目(15H0952)

Minimal invasive microscopic tooth preparation based on endodontic, periodontal and functional health

Haiyang Yu1(),Yuwei Zhao1,Junying Li1,Tian Luo1,Jing Gao1,Hongchen Liu2,Weicai Liu3,Feng Liu4,Ke Zhao5,Liu Fei6,Chufan Ma7,Setz JuergenManfred8,Shanshan Liang9,Lin Fan1,Shanshan Gao1,Zhuoli Zhu1,Jiefei Shen1,Jian Wang1,Zhimin Zhu1,Xuedong Zhou1   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.Research Institute of Stomatology, Chinese PLA General Hospital, Beijing 100853, China
    3.Dept. of Stomatology Digitization, Hospital of Stomatology, Tongji University, Shanghai 200072, China
    4.Dept. of Prosthodontics, Hospital of Stomatology, Peking University, Beijing 100081, China
    5.Dept. of Prosthodontics, Guanghua Stomatological Hospital, Sun Yat-sen University, Guangzhou 510055, China
    6.Dept. of Biologic and Materials Sciences and Division of Prosthodontics, University of Michigan School of Dentistry, Michigan 48109, USA
    7.Dept. of Prosthodontics, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China
    8.Dept. of Prosthodontics, Hospital of Stomatology, Martin-Luther-University, Halle 06097, Germany
    9.Dept. of Prosthodontics, Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2018-12-21 Revised:2019-02-19 Online:2019-06-01 Published:2019-06-12
  • Contact: Haiyang Yu E-mail:yhyang6812@scu.edu.cn
  • Supported by:
    Chengdu Science and Technology Benefiting Project(2016-HM02-00018-SF);Key Project of State Key Clinical Department of Prosthodontics of West China Hospital of Stomatology, Sichuan University(2011);Sichuan University Horizontal Project(15H0952)

摘要:

牙体预备技术是口腔美学修复治疗必知必会的核心操作,通过一定量的牙修复体组织的磨除,为目标修复体提供容纳空间、粘接面与完成线等。如何在完成高质量牙体预备的同时还能保存牙体、保护活髓和牙周组织是美学修复牙体预备中亟需解决的难题。本文就微创牙体预备的概念及核心要素,显微牙体预备涉及的解剖生理学、显微牙体预备术前设计进行介绍,并总结了显微牙体预备技术临床路径,提出了显微牙体预备核心因素——量与形的新认知。

关键词: 牙体预备, 显微牙科预备, 微创牙科, 目标修复体空间, 瓷美学修复体

Abstract:

Tooth preparation is the primary and core operation technique for dental esthetic restoration treatment, due to its effect of providing restoration space, bonding interfaces and marginal lines for dental rehabilitation after tooth tissue reduction. The concept of microscopic minimal invasive dentistry put forward the issue of conducting high-quality tooth preparation, conserve tooth-structure, protect vital pulp and periodontal tissue simultaneously. This study reviewed the concepts, physiology background, design and minimal invasive microscopic tooth preparation, and in the meantime, individualized strategies and the two core elements of tooth preparation (quantity and shape) are listed.

Key words: tooth preparation, microscopic tooth preparation, minimal invasive dentistry, target restoration space, ceramic esthetic restorations

中图分类号: