中国实用口腔科杂志

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牙齿表面组织缺损的诊断和修复治疗

张富强于卫强   

  1. 上海交通大学医学院附属第九人民医院口腔修复科
  • 收稿日期:2009-06-25 修回日期:1900-01-01 出版日期:2009-08-15 发布日期:2009-08-15

  • Received:2009-06-25 Revised:1900-01-01 Online:2009-08-15 Published:2009-08-15

摘要: 提要:牙齿表面组织缺损是常见的口腔疾病之一,主要由于牙齿长期受到磨耗、磨损、腐蚀和内部碎裂造成,不仅影响患者的面部美观,而且会降低患者的咀嚼效率,甚至引起牙髓病变及颞下颌关节疾病,最终严重影响患者的生活质量。牙齿表面组织缺损的治疗应该在控制病因的基础上,根据牙齿硬组织缺损的程度,选择合理的修复方案。局部和表浅的牙齿表面组织缺损可以采用保守的修复方案;然而,对于全牙列广泛性的严重病变,应采用牙合重建修复治疗。由于牙合重建修复治疗的复杂性和不可逆性,因此需严格选择修复适应证以及规范操作流程。

关键词: 牙齿表面组织缺损, 磨耗, 腐蚀, 修复治疗, 牙合重建

Abstract: Summary:Surface defect of teeth is a common ailment in the oral cavity and its pathogenic factors are attrition, abrasion, erosion or crack of teeth. It can not only damage patient’s facial appearance, but also decrease patient’s masticatory efficiency, even result in endodontic disease and TMJ disease, and will eventually harm the life of the patient. The restoration of the surface defect of teeth should be based on the degree and extent of the defect after the pathogenic factors were removed. Localized and superficial defect could be restored with conservative method. While for extensive defect affecting the whole dentition, occlusion reconstruction should be adopted to restore the defect. As occlusion reconstruction is a complicated and irreversible restoration method, its indication should be carefully selected and the regular manipulation should be followed.

Key words: surface defect of teeth, attrition, erosion, restoration, occlusion reconstruction