牙列重度磨损咬合重建修复治疗方法的探讨

Treating severe tooth wear through occlusal reconstruction

目的探讨牙列重度磨耗患者行固定义齿咬合重建修复的可行性。方法结合1例牙列重度磨耗患者,咬合垫佩戴3个月后,制作过渡性修复体,口内观察1年,然后行上下颌固定义齿最终修复,经过这一序列诊疗过程完成咬合重建。结果患者使用最终修复体2年,美观满意,咀嚼效率良好,无咀嚼系统肌肉及颞下颌关节不适症状。结论牙列重度磨耗的固定义齿咬合重建修复是一个复杂的序列治疗过程,治疗效果是满意的。

Objective To evaluate the feasibility of treating severe tooth wear through occlusal reconstruction with a fixed partial denture. Methods Occlusal splints were used for 3 months in a patient with severe tooth wear, and the interim restorations were observed for 1 year. After a year, the dentitions were rehabilitated using a fixed partial denture to reconstruct the occlusion. Results After 2-year follow-up, the patient with severe tooth wear appeared satisfied with the prosthetic treatment outcome. Conclusion Although treatment of severe tooth wear through occlusal reconstruction with fixed partial denture is a complicated procedure, therapeutic effects of such procedure is better.