传统和数字印模骨内种植体不可替换上部结构的制造

Gabriela Kirova
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摘要

简介:种植是牙科中发展最快的专业。精确制作固定假体结构的关键是对假体场进行准确的印象。通过数字技术结合牙列的功能和美观,对咀嚼器进行种植修复的方法越来越普遍。目的:本文的目的是解决印模材料和比较两种方法的印模从种植体-传统和数字-澄清其优点和缺点。材料和方法:在回顾了有关该主题的材料,研究和出版物之后,我们试图提出并系统化以传统和数字方式进行植入物印模的主要方法和技术,以及它们的优缺点。使用各种关键词和组合进行搜索:“转移印模”、“常规印模”、“口内扫描仪”、“CAD/ CAM”、“扫描体”。结果:共回顾了41篇原创和综述文章。讨论了印模材料、印模提取技术在永久种植修复中的应用,包括传统方法和数字方法,以及口腔内扫描系统的类型。结论:准确印模是种植术的关键。种植体的印模技术存在差异。使用两种主要的压印技术,直接用开托盘和间接用封闭托盘。根据许多文献资料,开盘印模技术更精确,结果更准确,而另一些人认为闭盘印模技术更准确。传统印象越来越多地被数字印象所取代。数字印模进入牙科领域,特别是种植领域,作为传统印模的替代品,用于修复单冠和短桥等小缺陷。
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Fabrication of non-replaceable superstructures on conventional and digital impression intraosseous implants
Introduction: Implantology is the fastest growing specialty in dentistry. A key point for the accurate fabrication of fixed prosthetic structures is taking an accurate impression of the prosthetic field. The implant-prosthetic restoration of the masticatory apparatus after the composition of the function and aesthetics of the dentition through digital technology is gaining wider popularity. Aim: The purpose of this article is to address impression materials and compare the two methods of impression taking from implants—conventional and digital—and clarify their advantages and disadvantages. Materials and Methods: After reviewing materials, studies, and publications on the subject, we tried to pres-ent and systematize the main methods and techniques for taking an impression of implants in a conventional and digital way, as well as their advantages and disadvantages. The search was conducted using various keywords and combinations: “transfer impression”, “conventional impression”, “intraoral scanner”, “CAD/ CAM”, “scan body”. Results: Forty-one original and review articles were reviewed. Impression materials, impression-taking techniques in permanent implant prosthodontics by conventional and digital methods, and types of intra-oral scanning systems are discussed. Conclusion: Taking an accurate impression is a key point in implantology. There are differences in the impression taking techniques of implants. Two main impression techniques are used, direct with an open tray and indirect with a closed tray. According to many literature sources, the open-tray impression technique is more precise and produces more accurate results, while others believe that the closed-tray technique is more accurate. More and more often, conventional impressions are being replaced by digital ones. Digital impressions entered dentistry and, in particular, implantology as an alternative to conventional ones for the restoration of small defects such as single crowns and short bridges.
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