聚合瓷改良马里兰桥在口腔美容修复中应用.docVIP

聚合瓷改良马里兰桥在口腔美容修复中应用[摘要]目的：探讨聚合瓷改良式马里兰桥在单个前牙缺失美容修复中的应用。方法：选择单个前牙缺失病例为操作对象，进行舌侧牙体预备及邻缺隙侧针道预备后，制作马里兰桥修复体，利用聚合瓷材料制作桥体部分，临床试戴后粘固。结果：对11例单个前牙缺失患者进行聚合瓷改良式马里兰桥修复后，经过1年随访，仅出现1例脱落，取得了良好的修复效果。结论：聚合瓷改良式马里兰桥具有美观效果好、磨削牙体组织少、不易变色、易于被患者接受等优点，在临床前牙美容修复中具有较好的应用前景。 [关键词]马里兰桥；聚合瓷；美容修复 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455（2011）04-0639-02 Application of Ceramage modified fixed Maryland Bridge for aesthetic restoration of anterior dentition defects NIU Lin1,LU Yi1,LIU Yue-sheng2 (1.Department of Prosthetics, Stomatological Hospital, Xi’an Jiaotong University,Xi’an 710004,Shaanxi,China;2.Technic Center,Stomatological Hospital,Xi’an Jiaotong University) Abstract:ObjectiveTo discuss the application of Ceramage modified fixed Maryland Bridge for aesthetic restoration of anterior dentition defects.Methods11 cases of mono-anterior dentition patients were chosen for the restoration with Ceramage modified fixed Maryland Bridge.Firstly we prepared the lingual surface of abutment and the proximal pin retention, and then fabricated the modified fixed Maryland Bridge with Ceramage pontic, bonding.ResultsOne patient had the prosthesis loosened and re-bonding.No loosening was found in other patients.All patients were quite satisfactory with the prosthesis. ConclusionThe Ceramage modified Maryland Bridge showed the advantages of less tooth reduction,perfect aesthetic effect used in restoring the anterior dentition defect.Patients were satisfactory with the prosthesis effect. Key words:Maryland bridge;Ceramage;aesthetic restoration 马里兰桥(Maryland bridge)，又称为树脂粘结型固定义齿(resin bonded fixed partial denture,RBFPD) ,通常用于修复基牙健康无松动的个别前、后牙缺失。其具有修复适应证较广，磨除牙量少，修复治疗过程中患者不适感小，修复体美学效果好等显著优点。而且随着制作工艺及粘结剂性能的改进提高，使用年限得以延长,越来越多的患者乐于接受，尤其是中青年患者及惧怕磨牙的患者。马里兰桥由双侧的金属翼板及中部修复缺损的树脂或烤瓷桥体组成，依靠粘结力及针道辅助固位。传统的马里兰桥的树脂桥体容易脱落、变色、磨损，而烤瓷桥体制作工艺复杂、容易崩瓷，影响修复体的正常使用。本研究使用聚合瓷改良式马里兰桥进行前牙缺损的美观修复，成功克服以上缺点，达到良好的修复效果。 1资料和方法 1.1临床资料：本研究针对11例单个前牙牙列缺损的患者进行聚合瓷改良式马里兰桥修复。患者邻缺隙侧基牙均健康且无松动。 1.2操作过程 1.2.1碧兰麻局部麻醉下进行牙体预备。首先在基牙舌