牙列重度磨损咬合重建修复治疗方法的探讨

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.

Treating severe tooth wear through occlusal reconstruction

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.