复合树脂套冠修复初级磨牙美观冠的方法

K Doi, N Shibui, M Suda, M Uehara, H Karibe, K Kondou
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摘要

“美学”一词最近也被用于牙科领域,一个被称为美学牙科的领域正日益受到关注。不仅是成人,连儿童也在增加以恢复审美为目的的治疗。在独立牙科学中,冠状色复合树脂一般用于乳牙的修复。然而,目前乳牙多采用金属冠的方法。我们将复合树脂套冠应用于乳牙,方法与前牙的美观冠修复相似。牙冠预备前的手术程序因有或无牙髓治疗而略有不同,但应用如下:1)牙髓脱敏,牙髓治疗和核构建。2)冠的准备。3)乳牙金属冠的选择、试验设置及咬合平衡。4)精密压印,采用硅胶压印材料。5)将乳牙的金属冠从印模材料中取出。6)在舌颊侧的基牙上做一个切口。7)用化学聚合树脂填充模态。8)在口腔施加压力。9)边形、冠形调整。因此,复合树脂套冠的制备方法相对简单。术后随访1年6个月,临床未发现特别的疑难点。病人和她的父母对结果都很满意。(摘要删节250字)
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[The method of esthetic crown restoration with composite resin jacket crown in primary molars].

The term "esthetics" has recently been also used in the dental field, and a field called esthetic dentistry is increasingly being noted. The number of not only adult but also pediatric patients who visit for treatment aiming at esthetic recovery is being increased. Inpedodontics, composite resin of the coronal color is generally used in the restoration of deciduous incisors. However, the method using metal crowns for the deciduous teeth is used for the deciduous molars at present. We applied a composite resin jacket crown to the deciduous molar in a way similar to that of esthetic crown restoration for the anterior teeth. The surgical procedure before crown preparation varied slightly according to the presence or absence of pulpal treatment of vital teeth and with non-vital teeth, but the application was performed as follows: 1) Desensitization of pulp, pulpal treatment and core construction. 2) Preparation of crown. 3) Selection, trial set and occlusal equilibration of a metal crown for the deciduous tooth. 4) Precision impression with a silicone impression material. 5) Removal of the metal crown for the deciduous tooth from the impression material. 6) Making of an under-cut to the abutment tooth on the buccal lingual side. 7) Filling of the impression with chemical polymerization resin. 8) Application of pressure in the oral cavity. 9) Adjustment of edge and crown forms. Thus, the preparation method for the composite resin jacket crown was relatively simple. Since this surgery, the patient has been followed up for 1 year and 6 months, and no specifically troublesome points have been observed clinically. The patient and her parents are satisfied with the results.(ABSTRACT TRUNCATED AT 250 WORDS)

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