华西口腔医学杂志 ›› 2024, Vol. 42 ›› Issue (4): 538-542.doi: 10.7518/hxkq.2024.2023344

• 临床病例 • 上一篇    下一篇

数字化导板引导下拆除纤维桩并一体化纤维桩核修复1

徐宇琛1,2(), 尹路1,3,4,5()   

  1. 1.福建医科大学口腔医学院口腔修复教研室,福州 361990
    2.永春县医院口腔科,泉州 362600
    3.厦门医学院口腔医学系,厦门 361023
    4.厦门医学院附属口腔医院修复一科,厦门市口腔疾病诊疗重点实验室,厦门 361003
    5.口腔生物材料福建省高校工程研究中心,厦门医学院,厦门 361023
  • 收稿日期:2023-10-12 修回日期:2024-05-07 出版日期:2024-08-01 发布日期:2024-07-17
  • 通讯作者: 尹路 E-mail:234829874@qq.com;516021929@qq.com
  • 作者简介:徐宇琛,主治医师,硕士,E-mail:234829874@qq.com
  • 基金资助:
    厦门市科技计划项目(3502Z20224035);厦门医学院附属口腔医院科研培育基金项目(2023XKCX0001);福建省医学创新课题(2022CXB022);厦门医学院大学生创新项目(X2022-12631031)

Removal of fiber post under the guidance of digital guide plate and one-piece glass fiber posts-and-cores repair: a clinical report

Xu Yuchen1,2(), Yin Lu1,3,4,5()   

  1. 1.Dept. of Prosthodontics, School of Stomatology, Fujian Medical University, Fuzhou 361990, China
    2.Yongchun County Hospital, Quanzhou 362600, China
    3.Dept. of Stomatology, Xiamen Medical College, Xiamen 361023, China
    4.Dept. of ProsthodonticsⅠ, Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen 361003, China
    5.Engineering Research Center of Fujian University for Stomatological Biomaterials, Xiamen 361023, China
  • Received:2023-10-12 Revised:2024-05-07 Online:2024-08-01 Published:2024-07-17
  • Contact: Yin Lu E-mail:234829874@qq.com;516021929@qq.com
  • Supported by:
    Xiamen Science and Technology Plan Project(3502Z20224035);Foundation of Stomatology Hospital of Xiamen Medical College(2023XKCX0001);Fujian Medical Innovation Project(2022CXB022);Xiamen Medical College Student Innovation Project(X202212631031)

摘要:

探讨采用数字化导板去除折断纤维桩后计算机辅助设计(CAD)/计算机辅助制造(CAM)一体化纤维桩核修复牙体缺损的应用前景。本文报道1例左上侧切牙纤维桩折断后采用定制车针及数字化导板引导下拆除,完成根管再治疗后CAD/CAM一体化纤维桩核及氧化锆全冠修复,并采用T-Scan Ⅲ系统进行咬合测试,为纤维桩折断后行二次修复提供参考。

关键词: 数字化导板, 定制车针, 一体化纤维桩核, 咬合测试, T-Scan Ⅲ系统

Abstract:

This study explores the potential application of computer aided design (CAD)/computer aided manufac-turing (CAM) for one-piece glass fiber posts and cores in restoring tooth defects post-removal of a broken fiber post using a digital guide plate. This paper reports a fractured left upper incisor fiber post removed using a customized needle and digital guide plate. Following root canal retreatment, CAD/CAM integrated fiber post-core and zirconia full crown restoration were completed. The occlusion testing was conducted using the T-Scan Ⅲ system. This study offers insights for managing secondary repair after fiber post fractures.

Key words: digital guide plate, customized needle, one-piece glass fiber posts-and-cores, occlusal test, T-Scan Ⅲ system

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