牙齿减少3D打印指南,便于提供超薄层压板贴面。

Pub Date : 2023-10-11
Jose Villalobos-Tinoco, Carlos A Jurado, Manuel Robles, Edmundo D'Atri, Kelvin I Afrashtehfar
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引用次数: 0

摘要

减齿导向器提供了更可控、更保守的牙齿预备。许多类型的减齿导向器是可用的,例如具有水平或垂直减齿槽的那些。透明的十字形牙齿复位导向器允许临床医生制作垂直和水平深度凹槽,以评估所有方向的牙齿复位情况。导向器上的参考凹槽使临床医生能够使用牙周探针来精确测量减少,并且透明材料提供整个牙齿的清晰视图。可控的牙齿复位提供了一种更保守的方法,这是长期粘结陶瓷修复体的关键。多轴刚性透明牙齿复位导向器可以方便地提供超薄手工瓷贴面,以可预测地满足患者的审美需求,同时保留更多的牙齿结构。使用技术上可靠且有艺术记录的照片证据进一步强调了这种方法的有效性,尤其是当使用釉质内制剂和橡胶坝隔离下的粘合剂粘合时。本文描述了一种新颖的3D打印导向器设计,该设计允许临床医生在同一导向器内执行复位槽并评估在水平和垂直方向上的准备。
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Tooth-reduction 3D-printed guides for facilitating the provision of ultrathin laminate veneers. A cross-shaped novel design

Tooth-reduction guides offer a more controlled and conservative tooth preparation. Many types of tooth-reduction guides are available such as those with horizontal or vertical reduction grooves. A transparent cross-shaped tooth-reduction guide allows the clinician to make vertical and horizontal depth grooves to evaluate tooth reduction in all directions. The reference grooves on the guide enable the clinician to use a periodontal probe to measure the reduction accurately, and the transparent material provides a clear view of the entire tooth. Controlled tooth reduction offers a more conservative approach that is key for long-term bonded ceramic restorations. The multiaxial rigid transparent tooth-reduction guide could facilitate the provision of ultrathin handcrafted porcelain veneers to predictably fulfill patients' esthetic demands while preserving more tooth structure. The use of technically sound and artistically documented photographic evidence further underscores the effectiveness of this approach, particularly when intra-enamel preparations and adhesive luting under rubber dam isolation are employed. The present article describes a novel 3D-printed guide design that allows the clinician to perform the reduction grooves and evaluate the preparation in the horizontal and vertical directions within the same guide.

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