红、白美学评价CAD/CAM个性化基台与全瓷冠在前牙区的应用
2013, 4(4):
186-190.
Abstract
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1709 )
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Objective:To investigate the clinic application of computer aided design & computer aided manufacturing ( CAD/CAM) custom abutments and all ceramic crowns and evaluate their esthetic effect in the anterior teeth area according to the assessment criteria Pink Esthetic Score (PES) and White Esthetic Score (WES). Methods:Totally 73 CAD/CAM custom abutments and all ceramic crowns were used in 51 implant-supported prosthesis cases. The esthetic prosthetic effect was evaluated according to the assessment criteria PES and WES. Results:The 3-month-follow-up results of totally 73 CAD/CAM custom abutments and all ceramic crowns of 51 patients: the percentage of the PES scores of 10, 8-9, 6-7 and ≤5 was 9.59%, 71.23%, 17.81%, and 1.37%, respectively; the percentage of the WES scores of 10, 8-9, 6-7 and ≤5 was 39.73%, 60.27%, 0%, and 0%, respectively. The 6-month-follow-up results: the percentage of the PES scores of 10, 8-9, 6-7 and ≤5 was 8.22%, 69.86%, 17.81%, and 4.11%, respectively; the percentage of the WES scores of 10, 8-9, 6-7 and ≤5 was 36.99%, 61.64%, 1.37%, and 0%, respectively. The 1-year-follow-up results: the percentage of the PES scores of 10, 8-9, 6-7 and ≤5 was 5.48%, 68.49%, 20.55%, and 5.48%, respectively; the percentage of the WES scores of 10, 8-9, 6-7 and ≤5 was 31.51%, 64.38%, 4.11%, and 0%, respectively. During the follow-up of 1 to 3 years, there was only one abutment got fractured when the torque control was installed, and one loosened during observation. In all cases, the gingivae were in healthy condition, and no further obvious gingival retreat or periimplantitis occurred. Conclusions:PES and WES are objective, integrated and comparable. CAD/CAM custom abutments and all ceramic crowns have good biocompatibility and chemical stability, and can be more widely used in the anterior teeth area. However, their long term effects need to be confirmed by further follow-up.