光固化复合树脂前牙微创美学修复的临床体会

Clinical experience in the anterior teeth aesthetic restoration using light-cured composite resin

目的通过注重美观和固位的细节,尽量保存牙体组织,达到前牙光固化复合树脂微创美学修复的完美效果。方法采用微创牙体预备,多色逐层、斜向分层充填固化,为使邻接关系得到自然恢复,采用雕形、轻压方式建立自然接触,不使用聚酯薄膜或成形片进行邻面成形等方法,应用光固化复合树脂修补牙体缺损。结果笔者对2003—2013年以来完成的2 000多颗前牙光固化复合树脂美学修复病例追踪观察,患者总满意率为95%。结论只要在固位及美观方面注重细节,采用光固化复合树脂进行前牙美学修复效果优异。

Objective We attempted to preserve more tooth tissue by focusing on aesthetic and retention details. We ultimately achieved excellent effects for minimally invasive aesthetic restoration of an anterior tooth using a light-cured composite resin. Methods Applying minimally invasive tooth preparation, we used multicolor and stratified oblique resin to fill the dental defect. To restore natural interproximal contacts, we performed carving and gentle pressing instead of the traditional matrix retainer system. Results We observed and followed up more than 2 000 cases of anterior aesthetic composite resin restoration from 2003 to 2013. The satisfaction rate of patients was 95%. Conclusion Using composite resin of anterior tooth defect can lead to excellent results as long as aesthetic and retention details are considered.