将极简和非制备技术与陶瓷贴面相结合,处理美学缺陷。

Pub Date : 2023-07-18
Jose Villalobos-Tinoco, Carlos A Jurado, Kelvin I Afrashtehfar, Nicholas Fischer
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引用次数: 0

摘要

非预备(non-prepation)陶瓷贴面是一种方便、保守的治疗方法,但对其可预测性还存在争议。人们仍然担心可能会出现过度轮廓、边缘质量差和早期美学失败等问题。本临床报告描述了在美学区域结合使用微创和非预备陶瓷薄片贴面,并进行了为期 6 年的随访,以取代上颌两颗中切牙上染色的复合树脂贴面。用陶瓷贴面替换了上颌中切牙的复合树脂贴面,并在上颌右侧切牙上安装了非预备陶瓷贴面。首先进行了诊断性添加剂蜡型制作,然后进行模拟指导,对两颗上颌中切牙进行保守预备。在橡胶坝隔离下粘接了三个长石瓷贴面修复体。6 年的随访结果表明,染色复合树脂贴面可以成功地被微创和非预处理陶瓷贴面取代,以满足患者的美学愿望。总之,将微创预备和非预备陶瓷贴面结合在一起的计划周密、执行良好的修复程序可以在上颌前牙区域达到美观的效果,并最大限度地保留牙齿结构。
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Combination of minimal- and non-preparation techniques with ceramic veneers for managing esthetic deficiencies.

Non-preparation (non-prep) ceramic veneers are a convenient and conservative treatment option, but controversy exists about their predictability. Concerns remain about possible overcontouring, poor-quality margins, and early esthetic failure. The present clinical report describes the combination of minimally invasive and non-prep ceramic laminate veneers in the esthetic zone with a 6-year follow-up to replace stained composite resin veneers on both maxillary central incisors. Composite resin veneers on the maxillary central incisors were replaced with ceramic veneers, and a non-prep ceramic veneer was placed on the maxillary right lateral incisor. A diagnostic additive wax-up was done, followed by a mock-up guide to conservatively prepare both maxillary central incisors. The three feldspathic porcelain veneer restorations were cemented under rubber dam isolation. The 6-year follow-up showed that stained composite resin veneers can successfully be replaced with minimally invasive and non-prep ceramic veneers to meet the patient's esthetic wishes. Overall, well-planned and well-executed restorative procedures combining minimal preparation and non-prep for ceramic laminate veneers can achieve esthetically pleasing outcomes and maximize tooth structure preservation in the maxillary anterior region.

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