{"id":1486,"date":"2017-06-28T03:29:03","date_gmt":"2017-06-28T03:29:03","guid":{"rendered":"http:\/\/www.cerecdigest.net\/?p=1486"},"modified":"2017-07-28T16:15:48","modified_gmt":"2017-07-28T16:15:48","slug":"cadcam-in-1988","status":"publish","type":"post","link":"https:\/\/www.cerecdigest.net\/2017\/06\/28\/cadcam-in-1988\/","title":{"rendered":"CAD\/CAM in Dentistry, 1988 <br\/><div class='secondary-title'>A past vision of the future.<\/div>"},"content":{"rendered":"<p>Dr. Francois Duret\uff0c\u53c8\u88ab\u7a31\u70ba\u300c\u7259\u79d1 CAD\/CAM \u4e4b\u7236\u300d\uff0c\u81ea 1970 \u5e74\u8d77\u81f3\u4eca\u7684 40 \u5e7e\u5e74\u9593\uff0c\u90fd\u81f4\u529b\u65bc\u5c07\u6700\u65b0\u7684\u79d1\u6280\u5c0e\u5165\u7259\u79d1\u7684\u81e8\u5e8a\u61c9\u7528\u3002\u4ed6\u64c1\u6709 50 \u591a\u500b\u5c08\u5229\uff0c\u4f46\u6700\u5ee3\u70ba\u4eba\u77e5\u7684\u9084\u662f\u4ed6\u5728\u5149\u5b78\u53d6\u50cf (optical imprint) \u4e0a\u7684\u8ad6\u6587\u8207\u5be6\u8e10\u3002<\/p>\n<p>\u672c\u6587\u662f\u00a0Dr. Francois Duret \u65bc 1988 \u5e74\u520a\u767b\u5728 JADA \u7684\u6587\u7ae0\uff0c\u5728\u7576\u6642\u7684\u5e74\u4ee3\uff0c\u5df2\u7d93\u6709\u5e7e\u9593\u5ee0\u5546\u8207\u5927\u5b78\u958b\u59cb\u5f9e\u4e8b\u6578\u4f4d\u7259\u79d1\u76f8\u95dc\u7814\u767c\uff0cProcera system \u4e5f\u5df2\u7d93\u958b\u59cb\u5728 indirect\u00a0digital workflow \u5d84\u9732\u982d\u89d2\u3002\u5c31\u8b93\u6211\u5011\u8ddf\u96a8\u00a0Dr. Duret \u7684\u4ecb\u7d39\uff0c\u56de\u5230\u7576\u521d\u90a3\u500b\u5e74\u4ee3\uff0c\u770b\u770b\u5728\u90a3 Apple \u525b\u767c\u8868\u5716\u5f62\u5316\u4ecb\u9762 (GUI) \u6c92\u591a\u4e45\u3001\u5fae\u8edf\u9084\u5728 MS-DOS \u7684\u6642\u4ee3\u4e2d\uff0c\u91ab\u5e2b\u5011\u662f\u600e\u9ebc\u4f7f\u7528 direct digital workflow \u7684 \u3002<\/p>\n<hr \/>\n<h3 style=\"padding-left: 30px;\">\u5f15\u8a00<\/h3>\n<p>\u88fd\u4f5c\u4e00\u500b\u56fa\u5b9a\u7fa9\u9f52\u6709\u4e00\u9023\u4e32\u7684\u6b65\u9a5f\uff1a\u5728 prep \u5b8c\u6210\u5f8c\uff0c\u91ab\u5e2b\u9700\u8981\u4f7f\u7528\u5f48\u6027\u5370\u6a21\u6750\u4f86\u5370\u6a21\u3001\u5012\u6a21\u7ffb\u6210\u77f3\u818f\u6a21\u578b\u3001\u88fd\u505a\u56fa\u5b9a\u7fa9\u9f52\u81d8\u578b\u3001\u8010\u706b\u6750\u5305\u57cb\u81d8\u578b\u3001\u6700\u7d42\u812b\u881f\u9444\u9020\u5b8c\u6210\u6700\u5f8c\u7684\u8d0b\u5fa9\u7269\u3002\u9019\u662f\u4e00\u500b\u904b\u884c\u4e86 300 \u591a\u5e74\u7684\u512a\u826f\u6280\u8853\uff0c\u4f46\u5f9e\u6700\u521d\u7684\u5370\u6a21\u6750\u5230\u6700\u7d42\u6210\u54c1\u6b77\u7d93\u4e86\u591a\u6b21\u7684\u6750\u6599\u8f49\u63db\uff0c\u6bcf\u6b21\u7684\u8f49\u63db\u4e0d\u4f46\u90fd\u6703\u9020\u6210\u8aa4\u5dee\u4e4b\u5916\uff0c\u9019\u6a23\u7684\u6280\u8853\u4e5f\u7121\u6cd5\u5584\u52a0\u5229\u7528\u73fe\u4ee3\u9032\u6b65\u7684\u96fb\u8166\u8207\u6a5f\u5668\u4eba (robotics) \u79d1\u6280\u3002\u57fa\u65bc\u4e0a\u8ff0\u539f\u56e0\uff0c\u6211\u5011\u5f9e 1971 \u5e74\u5c31\u958b\u59cb\u8a66\u8457\u5c0e\u5165 CAD\/CAM \u5230\u7259\u79d1\u9818\u57df\u88e1\u3002<\/p>\n<p>\u65e9\u671f\u7684\u7814\u7a76\u591a\u8457\u91cd\u5728\u7406\u8ad6\u7684\u5efa\u7acb\uff0c\u9019\u4e9b\u7814\u7a76\u56fa\u7136\u5091\u51fa\uff0c\u4f46\u6211\u5011\u66f4\u8feb\u5207\u9700\u8981\u7684\u662f\u81e8\u5e8a\u7684\u904b\u7528\u30021979 \u5e74 Heitlinger \u8207 Rodder\u30011980 \u5e74 Moermann \u8207 Brandestini\uff08CEREC \u7684\u5275\u59cb\u8005\uff09\u958b\u59cb\u5206\u4eab\u4ed6\u5011\u7684\u7814\u7a76\u6210\u679c\uff0c\u524d\u8005\u7814\u78e8\u51fa\u77f3\u818f\u6a21\u578b\u4f86\u7d66\u6280\u5e2b\u88fd\u4f5c\u8d0b\u5fa9\u7269\uff1b\u5f8c\u8005\u5247\u662f\u55ae\u7d14\u4f7f\u7528\u53d6\u50cf\uff0c\u4f86\u7814\u78e8 inlay \u7684\u5167\u9762\u3002<\/p>\n<p>\u63a5\u4e0b\u4f86\u7684\u4e94\u5e74\uff0cCAD\/CAM \u53c8\u92b7\u8072\u533f\u8de1\u4e86\u3002\u76f4\u5230 1983 \u5e74\uff0c\u6211\u5728\u6cd5\u570b\u7684 Garanciere Conference \u767c\u8868\u7b2c\u4e00\u500b\u7259\u79d1\u7528\u7684 CAD\/CAM \u539f\u578b\u6a5f (prototype) \uff0c\u63a5\u8457\u5728 1985 \u5e74\uff0c\u5168\u4e16\u754c\u7b2c\u4e00\u500b\u672a\u7d93\u4efb\u4f55\u50b3\u7d71\u88fd\u7a0b\u52a0\u5de5\u7684 crown \u516c\u958b\u88ab\u7814\u78e8\u4e14\u5b89\u88dd\u5230\u771f\u4eba\u7684\u53e3\u5167\u3002\u9019\u5e74\u96d6\u7136\u662f\u6578\u4f4d\u7259\u79d1 (computer-aided dentistry) \u6975\u5177\u6c7a\u5b9a\u6027\u7684\u4e00\u5e74\uff0c\u4f46\u5176\u5be6\u9084\u6709\u5f88\u9577\u7684\u8def\u8981\u8d70\u3002\u4e0a\u8ff0\u9019\u500b\u7cfb\u7d71\u7684\u793a\u7bc4\uff0c\u662f\u7531\u597d\u5e7e\u4f4d\u5de5\u7a0b\u5e2b\u6b77\u6642 2 \u500b\u5c0f\u6642\u5de6\u53f3\u5b8c\u6210\u7684\uff0c\u4f46\u7121\u8ad6\u5982\u4f55\uff0c\u9019\u9a57\u8b49\u4e86 14 \u5e74\u524d\u5728 French Congress \u6240\u5efa\u7acb\u7684\u7406\u8ad6\u3002<\/p>\n<p>\u6700\u8fd1\uff0c\u5169\u500b\u65b0\u7684\u540d\u5b57\u8a95\u751f\u4e86\uff0c\u65e5\u672c\u7684 Aoki \u5718\u968a\u8207 Minnesota \u5927\u5b78\u7684 Diane Rekow\uff0cRekow \u91ab\u5e2b\u4f7f\u7528\u651d\u5f71\u6e2c\u91cf\u6cd5 (photogrammetric) \u7372\u53d6\u7acb\u9ad4\u7684\u7259\u9f52\u8cc7\u6599\u5eab (theoretical tooth) \u4f86\u7528\u5728\u4ed6\u7684\u7b2c\u4e8c\u3001\u7b2c\u4e09\u6b65\u9a5f\uff0c\u5c31\u50cf\u6211\u5011\u65e9\u671f\u5efa\u7acb\u7684\u4e00\u6a23\u3002\u9806\u5e36\u4e00\u63d0\uff0cAlabama \u5927\u5b78\u7684 Reggie Caudill \u4e5f\u958b\u59cb\u4e00\u500b\u985e\u4f3c\u7684\u5c08\u6848\u3002<\/p>\n<p>\u5728\u9019\u7bc7\u6587\u7ae0\uff0c\u6211\u5011\u5c07\u4ecb\u7d39\u4e00\u500b\u5df2\u7d93\u53ef\u4ee5\u5728\u8a3a\u9593\u4f7f\u7528\u7684\u7cfb\u7d71\u300cDuret System\u300d\uff0c\u662f\u7531\u6d1b\u6749\u78ef\u7684 Hennson International \u516c\u53f8\u5728\u6211\u5011\u7684\u6307\u5c0e\u4e0b\u6240\u958b\u767c\u5b8c\u6210\u7684\u3002<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3 style=\"padding-left: 30px;\">\u8a3a\u9593\u9700\u8981\u7684\u8a2d\u5099<\/h3>\n<p>CAD\/CAM \u7cfb\u7d71\u7531 3D \u63a2\u6e2c\u7cfb\u7d71 (probe system)\u3001\u8868\u9762\u6a21\u578b\u5316\u8edf\u9ad4 (surface modeling)\u3001\u986f\u793a\u87a2\u5e55\u4ee5\u53ca\u81ea\u52d5\u7814\u78e8\u6a5f (automatic milling machine) \u7d44\u6210\uff1a<\/p>\n<ol>\n<li>\u6211\u5011\u4f7f\u7528\u5149\u96fb (electro-optical) \u7684\u7406\u8ad6\u4f86\u5f97\u5230\u300c\u5370\u6a21\u300d\uff0c\u9019\u500b\u65b9\u6cd5\u904b\u7528\u4e86\u5168\u50cf\u8853 (holography) \u8ddf\u83ab\u745e\u6548\u61c9 (Moire Pattern)\uff0c\u4f7f\u7528\u93e1\u982d\u6578\u4f4d\u5316\u4e26\u5c07\u6578\u64da\u8cc7\u6599\u50b3\u5230\u96fb\u8166\u5132\u5b58\uff0c\u4f46\u7259\u91ab\u5e2b\u7121\u6cd5\u770b\u9019\u4e9b\u6578\u64da\u64cd\u4f5c\uff0c\u6240\u4ee5\u4ed6\u5011\u5fc5\u9808\u88ab\u300c\u8996\u89ba\u5316 (visualization) \u300d\u3002\u5f9e\u9019\u88e1\u6211\u5011\u53ef\u4ee5\u770b\u51fa\u4f86\uff0c\u300c\u6e2c\u91cf\u300d\u548c\u300c\u91cd\u73fe\u4e00\u500b\u6a21\u578b\u300d\u662f\u5169\u56de\u4e8b\u3002<\/li>\n<li>CAD \u7cfb\u7d71\u904b\u7528\u96fb\u8166\u7de8\u78bc\u8b93\u64cd\u4f5c\u8005\u53ef\u4ee5\u5728\u986f\u793a\u5668\u4e0a\u300c\u770b\u5230\u6a21\u578b\u300d\u9032\u800c\u8a2d\u8a08\u8d0b\u5fa9\u7269\uff0c\u9019\u6b65\u9a5f\u548c\u50b3\u7d71\u88fd\u7a0b\u5728\u77f3\u818f\u6a21\u578b\u4e0a\u88fd\u4f5c\u881f\u578b\u662f\u4e00\u6a23\u7684\u3002<\/li>\n<li>\u6700\u5f8c\u4e00\u500b\u6b65\u9a5f\uff0c\u50b3\u7d71\u7684\u812b\u881f\u9444\u9020\u88ab\u7814\u78e8\u6750\u6599\u65b9\u584a\u53d6\u4ee3\u3002\u96d6\u7136\u80fd\u904b\u7528\u50b3\u7d71\u7684\u6750\u6599\u88fd\u4f5c\u6599\u584a\uff0c\u4f46\u9019\u500b\u65b0\u65b9\u5f0f\u80fd\u9f13\u52f5\u66f4\u591a\u65b0\u6750\u6599\u7684\u7814\u767c\u3002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>CAD\/CAM \u7cfb\u7d71\u5305\u542b\u4e86\u9019\u4e09\u500b\u90e8\u5206\uff0c\u9019\u5c0d\u61c9\u4e86\u904e\u7a0b\u7684\u4e09\u500b\u57fa\u672c\u6b65\u9a5f\uff1a<\/p>\n<ol>\n<li>\u53d6\u50cf\u88dd\u7f6e\u8f38\u5165\u7259\u9f52\u5916\u578b\uff1a\u9019\u500b\u88dd\u7f6e\u5305\u542b\u4e86\u96f7\u5c04\u5149\u6e90\uff08\u4e8c\u6975\u9ad4\uff09\uff0c\u6295\u5c04\u5149\u5230\u60f3\u53d6\u50cf\u7684\u5340\u57df\uff0c\u63a5\u8457\u7531\u88dd\u7f6e\u5167\u7684\u76f8\u6a5f\u63a5\u6536\uff0c\u6578\u4f4d\u5316\u53d6\u5f97\u7684\u8cc7\u8a0a\u3002<\/li>\n<li>CAD \u7cfb\u7d71\uff1a\u5305\u542b\u4e86\u786c\u9ad4\u8207\u8edf\u9ad4\uff0c\u8b93\u64cd\u4f5c\u8005\u5efa\u7acb\u4e00\u500b\u6578\u4f4d\u6a21\u578b\uff0c\u5728\u986f\u793a\u5668\u4e0a\u89c0\u770b\uff0c\u4e26\u7528\u4f86\u8a2d\u8a08\uff0c\u9019\u500b\u7cfb\u7d71\u6703\u9023\u63a5\u5230\u4e00\u500b\u5c08\u6709\u7684\u54ac\u5408\u5668\uff0c\u53eb\u505a access articulator\uff0c\u63d0\u4f9b\u52d5\u614b\u7684\u4e0b\u984e\u904b\u52d5\u6578\u64da\u3002<\/li>\n<li>CAM \u7cfb\u7d71\uff1a\u5305\u542b\u4e86\u4e00\u53f0\u56db\u8ef8\u6578\u4f4d\u63a7\u5236\u8eca\u5e8a (numerically controlled machine)\uff0c\u4f86\u81ea\u52d5\u7814\u78e8\u6750\u6599\u3002<\/li>\n<\/ol>\n<figure id=\"attachment_1510\" aria-describedby=\"caption-attachment-1510\" style=\"width: 994px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1510 size-full\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235527.png\" alt=\"\" width=\"1004\" height=\"542\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235527.png 1004w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235527-300x162.png 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235527-768x415.png 768w\" sizes=\"(max-width: 1004px) 100vw, 1004px\" \/><figcaption id=\"caption-attachment-1510\" class=\"wp-caption-text\">\u5716\u4e00\u3001\u8a3a\u9593\u7528 CAD\/CAM \u7cfb\u7d71\u3002 Source: Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>\u9019\u4e09\u500b\u90e8\u5206\u53ef\u4ee5\u7528\u5f88\u591a\u7a2e\u65b9\u5f0f\u9023\u7d50\uff0c\u4ee5\u4e0b\u662f\u4e09\u7a2e\u53ef\u80fd\u7684\u6a21\u5f0f\uff1a<\/p>\n<ol>\n<li>\u5728\u8a3a\u9593\u5167\u6709\u4e00\u500b\u5b8c\u6574\u7684\u7cfb\u7d71\uff0c\u5149\u5b78\u53d6\u50cf\u88dd\u7f6e\u8981\u63a5\u8fd1\u8a3a\u7642\u6905\uff0cCAD \u8207 CAM \u7684\u90e8\u5206\u53ef\u4ee5\u5728\u53e6\u5916\u7684\u623f\u9593\uff0c\u9019\u500b\u914d\u7f6e\u53ef\u4ee5\u5728\u75c5\u4eba\u9ebb\u85e5\u9084\u6c92\u9000\u7684\u6642\u5019\u5c31\u76f4\u63a5\u4f5c\u51fa\u8d0b\u5fa9\u7269\uff0c\u5982\u679c\u5f88\u591a\u500b\u91ab\u5e2b\u5206\u4eab\u9019\u5957\u8a2d\u5099\u53ef\u4ee5\u6e1b\u5c11\u82b1\u8cbb\u3002\u4e5f\u53ef\u4ee5\u5b89\u88dd\u5728\u4e00\u500b\u7279\u5b9a\u5340\u57df\uff0c\u5c31\u50cf X \u5149\u5ba4\u4e00\u6a23\u3002<\/li>\n<li>\u6bcf\u500b\u8a3a\u9593\u6709\u5404\u81ea\u7684\u5149\u5b78\u53d6\u50cf\u88dd\u7f6e\uff0c\u7136\u5f8c\u5171\u7528\u4e00\u5957 CAD\/CAM \u7cfb\u7d71\uff0c\u96d6\u7136\u4e00\u5b9a\u6703\u6bd4\u8f03\u8cb4\uff0c\u4f46\u53ef\u4ee5\u6e1b\u5c11\u60a3\u8005\u79fb\u52d5\u5230\u8a2d\u5099\u9644\u8fd1\u7684\u9700\u8981\uff0c\u6216\u662f\u6392\u968a\u7b49\u5019\u4f7f\u7528\u3002\u751a\u81f3\u53ef\u4ee5\u589e\u52a0 CAD\/CAM \u8a2d\u5099\u7684\u6578\u91cf\uff0c\u7576\u5929\u80fd\u5b8c\u6210\u7684\u8d0b\u5fa9\u7269\u7e3d\u6578\u5c07\u80fd\u5927\u5927\u63d0\u5347\u3002<\/li>\n<li>\u6709\u5149\u5b78\u53d6\u50cf\u88dd\u7f6e\u7684\u91ab\u5e2b\u80fd\u9023\u7dda\u5230\u9060\u7aef\u7684 CAD\/CAM \u8a2d\u5099\uff0c\u7d93\u7531\u96fb\u8a71\u7dda\u642d\u914d\u6578\u64da\u6a5f\uff0c\u6216\u662f\u5bc4\u9001\u4e00\u500b\u78c1\u7247 (floppy disk) \u5230\u6709\u8a2d\u5099\u7684\u5730\u65b9\uff0c\u4f8b\u5982\u6280\u5de5\u6240\uff0c\u6280\u5de5\u6240\u53ef\u80fd\u914d\u5099\u6578\u5957 CAD\/CAM \u8a2d\u5099\u3002<\/li>\n<\/ol>\n<p>\u5728\u6240\u6709\u7684\u72c0\u6cc1\u4e0b\uff0c\u7259\u91ab\u5e2b\u53ef\u4ee5\u85c9\u7531\u77ed\u77ed\u5e7e\u5929\u7684\u8a13\u7df4\uff0c\u5c31\u80fd\u64cd\u4f5c\u6240\u6709\u5100\u5668\u3002\u5982\u679c\u662f\u6709\u5f88\u591a\u53f0\u5100\u5668\u7684\u8a3a\u6240\uff0c\u8058\u8acb\u5c08\u4eba\u7279\u5225\u64cd\u4f5c\u5f8c\u7aef CAD\/CAM \u90e8\u5206\u662f\u6bd4\u8f03\u53ef\u884c\u7684\u3002<\/p>\n<figure id=\"attachment_1511\" aria-describedby=\"caption-attachment-1511\" style=\"width: 1014px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1511 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235605-1024x404.jpg\" alt=\"\" width=\"1024\" height=\"404\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235605-1024x404.jpg 1024w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235605-300x118.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235605-768x303.jpg 768w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235605.jpg 1507w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-1511\" class=\"wp-caption-text\">\u5716\u4e8c\u3001\u4e09\u7a2e\u8a2d\u5099\u914d\u7f6e\uff1a(1) \u4e00\u500b\u8a3a\u6240\u64c1\u6709\u4e00\u5957\u8a2d\u5099\u3001(2) \u4e00\u500b\u8a3a\u6240\u64c1\u6709\u591a\u53f0\u53d6\u50cf\u8a2d\u5099\u3001(3) \u91ab\u5e2b\u50b3\u6a94\u6848\u5230\u6280\u5de5\u5ba4\uff0c\u6280\u5de5\u5ba4\u64c1\u6709\u591a\u5957\u8a2d\u5099\u3002 Source: Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_1515\" aria-describedby=\"caption-attachment-1515\" style=\"width: 998px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1515 size-full\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235732.png\" alt=\"\" width=\"1008\" height=\"394\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235732.png 1008w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235732-300x117.png 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235732-768x300.png 768w\" sizes=\"(max-width: 1008px) 100vw, 1008px\" \/><figcaption id=\"caption-attachment-1515\" class=\"wp-caption-text\">\u5716\u4e09\u3001\u6709\u6574\u5957\u7cfb\u7d71\u7684\u8a3a\u6240\u914d\u7f6e\u3002 Source: Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3 style=\"padding-left: 30px;\">\u88fd\u4f5c\u8d0b\u5fa9\u7269\u6d41\u7a0b<\/h3>\n<p>\u7528 CAD\/CAM \u7cfb\u7d71\u88fd\u4f5c\u56fa\u5b9a\u7fa9\u9f52\uff0c\u6709\u4e00\u9023\u4e32\u7c21\u55ae\u4e14\u7cbe\u7d30\u7684\u6b65\u9a5f\uff0c\u53ef\u5206\u4f5c\u4e03\u500b\u6b65\u9a5f\uff0c\u6709\u4e9b\u662f\u81e8\u5e8a\uff0c\u6709\u4e9b\u662f\u7406\u8ad6\uff1a<\/p>\n<p><strong>1. Prepare \u7259\u9f52<\/strong><br \/>\n\u8981\u88fd\u4f5c CAD\/CAM \u7fa9\u9f52\u7684\u4fee\u78e8\u539f\u5247\u8207\u50b3\u7d71\u4e26\u7121\u4e0d\u540c\u3002\u7576\u9130\u7259\u5f88\u63a5\u8fd1\u6642\uff0c\u907f\u514d proximal \u7684\u8868\u9762\u904e\u5ea6\u5782\u76f4\u662f\u660e\u667a\u7684\uff1b\u54ac\u5408\u9762\u5982\u679c\u6709\u592a\u6df1\u7684\u6e9d\uff0c\u6703\u5c0e\u81f4\u9670\u5f71\u6295\u5c04\u5230\u611f\u61c9\u5668\uff1b\u70ba\u4e86\u8981\u5f97\u5230\u4e00\u500b\u6e05\u6670\u7684 margin\uff0c\u6709\u4e9b\u64cd\u4f5c\u8005\u559c\u6b61\u4f7f\u7528 chamfer \u6216\u662f shoulder margin\u3002<\/p>\n<p><strong>2. \u6e96\u5099\u5370\u6a21\u5340\u57df<\/strong><br \/>\n\u70ba\u4e86\u8981\u6e05\u695a\u770b\u5230 sulcus\uff0c\u53d6\u50cf\u5340\u57df\u8981\u6e05\u9664\u6240\u6709\u6b98\u6e23\u3001\u6c34\u3001\u8840\u6db2\u6216\u553e\u6db2\uff0c\u5c31\u50cf\u50b3\u7d71\u5370\u6a21\u4e00\u6a23\uff08\u5373\u4fbf\u5149\u5b78\u5370\u6a21\u7406\u8ad6\u4e0a\u80fd\u7a7f\u900f\u6db2\u9ad4\uff09\u3002\u518d\u4f86\uff0c\u4e7e\u71e5\u8207\u6392\u9f66\u9084\u662f\u5fc5\u8981\u7684\uff0c\u5c24\u5176\u662f margin \u5728\u7259\u9f66\u4e0b\u8d85\u904e 1 mm \u7684\u72c0\u6cc1\uff0c\u6392\u9f66\u624d\u80fd\u6bd4\u8f03\u597d\u7684\u770b\u5230 sulcus\uff0c\u5165\u5c04\u5149\u8207\u7259\u9f52\u8981\u6709\u8db3\u5920\u7684\u89d2\u5ea6\u624d\u80fd\u6b63\u78ba\u53d6\u50cf\u3002\u8584\u8584\u7684\u5674\u4e0a\u4e00\u5c64\u767d\u8272\u3001\u7121\u6bd2\u7684\u7269\u8cea\u5728\u7259\u9f52\u4e0a\u80fd\u63d0\u5347\u53d6\u50cf\u54c1\u8cea\uff0c\u5982\u679c\u7259\u9f52\u8868\u9762\u6709\u6bd4\u8f03\u53cd\u5149\u7684\u90e8\u4f4d\uff0c\u6703\u8b93\u76f8\u6a5f\u778e\u6389 (blind the camera)\uff0c\u6211\u5011\u6703\u6bd4\u8f03\u5e0c\u671b\u7259\u9f52\u8868\u9762\u5448\u73fe\u4e00\u500b\u6717\u4f2f\u7279\u6563\u5c04 (lambertian scattering) \u7684\u72c0\u614b\u3002\u6700\u5f8c\u5728\u7259\u9f52\u593e\u4e0a\u7279\u6b8a\u7684 clamp \uff08\u985e\u4f3c\u4e00\u822c\u7684\u6a61\u76ae\u969c\u593e\uff09\uff0c\u8b93\u96fb\u8166\u53ef\u4ee5\u6bd4\u8f03\u597d\u8fa8\u8b58\u4e26\u7e2b\u5408\u6bcf\u500b\u53d6\u50cf\u3002<\/p>\n<p><strong>3. \u53d6\u50cf<\/strong><br \/>\n\u64cd\u4f5c\u8005\u4ee5\u63e1\u6301\u624b\u6a5f\u7684\u65b9\u5f0f\u62ff\u8457\u5149\u5b78\u53d6\u50cf\u88dd\u7f6e\uff0c\u5728 abutment \u4e0a\u4ee5\u591a\u500b\u89d2\u5ea6\u53d6\u50cf\uff1a\u9830\u5074 1 \u5f35\u3001\u820c\u5074 1 \u5f35\u3001\u9130\u63a5\u5340\u57df 2 \u5f35\u3001\u5c0d\u54ac\u7259\u7684\u54ac\u5408\u9762 1 \u5f35\u3002\u64cd\u4f5c\u8005\u80fd\u5728\u986f\u793a\u5668\u4e0a\u770b\u5230\u81ea\u5df1\u5149\u5b78\u53d6\u50cf\u88dd\u7f6e\u64fa\u653e\u7684\u4f4d\u7f6e\uff0c\u78ba\u5b9a\u64fa\u653e\u597d\u5f8c\uff0c\u7528\u8173\u8e0f\u677f\u89f8\u767c\u53d6\u50cf\u3002\u6700\u5f8c\u53d6\u4e00\u500b\u5e0c\u671b\u7528\u4f86\u88fd\u4f5c\u7684\u54ac\u5408\u4f4d\u7f6e\uff0c\u7576\u7136\u4e0d\u9700\u8981\u9019\u500b\u53d6\u50cf\u4e5f\u80fd\u88fd\u4f5c\uff0c\u4f46\u6709\u7d00\u9304\u9019\u500b\u4f4d\u7f6e\u5c07\u80fd\u6e1b\u5c11\u8aa4\u5dee\uff0c\u9019\u500b\u4f4d\u7f6e\u4e5f\u6703\u662f\u52d5\u614b\u54ac\u5408\u8a2d\u8a08\u7684\u8d77\u9ede\u3002\u9019\u6574\u500b\u6b65\u9a5f\u82b1\u8cbb\u5927\u6982 2 &#8211; 3 \u5206\u9418\u3002<\/p>\n<p><strong>4. \u6578\u4f4d\u6a21\u578b\u4e0a\u7684\u88fd\u4f5c<\/strong><br \/>\n\u6240\u6709\u7684\u53d6\u50cf\u90fd\u5b58\u5728\u96fb\u8166\u7684\u8a18\u61b6\u9ad4\uff0c\u88fd\u4f5c\u524d\u6703\u5148\u7522\u751f\u6bcf\u500b\u53d6\u50cf\u7684\u7acb\u9ad4\u5916\u578b\uff0c\u63a5\u8457\u518d\u6839\u64da\u5176\u76f8\u5c0d\u95dc\u4fc2\u91cd\u5408\u5806\u758a\u8d77\u4f86\u3002\u5b8c\u6210\u5f8c\u6703\u986f\u793a\u5728\u9ad8\u89e3\u6790\u5ea6\u7684\u986f\u793a\u5668\u4e0a\uff0c\u518d\u4f7f\u7528\u6ed1\u9f20\u6216\u5e73\u677f (tablet) \u8fa8\u8a8d\u51fa\u89e3\u5256\u7d50\u69cb\uff08\u5982 contact area\u3001cusp\u3001groove &#8230; \u7b49\uff09\uff0c\u5176\u4e2d\u6700\u6709\u8da3\u7684\u64cd\u4f5c\u662f\u6a19\u793a margin\uff0c\u5728 abutment \u7684\u986f\u793a\u9801\u9762\uff0c\u91ab\u5e2b\u5c07\u6c7a\u5b9a\u4e00\u9023\u4e32 margin \u4e0a\u7684\u9ede\u3002\u5b8c\u6210\u9019\u500b\u6b65\u9a5f\u5f8c\uff0c\u96fb\u8166\u6703\u81ea\u52d5\u904b\u7b97\u4e26\u5efa\u7acb\u9019\u7cfb\u5217\u53d6\u50cf\u7684\u7acb\u9ad4\u6a21\u578b\uff0c\u4e26\u50b3\u5230 CAD \u7cfb\u7d71\u3002<\/p>\n<figure id=\"attachment_1512\" aria-describedby=\"caption-attachment-1512\" style=\"width: 997px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1512 size-full\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235618.png\" alt=\"\" width=\"1007\" height=\"418\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235618.png 1007w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235618-300x125.png 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235618-768x319.png 768w\" sizes=\"(max-width: 1007px) 100vw, 1007px\" \/><figcaption id=\"caption-attachment-1512\" class=\"wp-caption-text\">\u5716\u56db\u3001\u53d6\u50cf\u88dd\u7f6e\u6574\u5408\u6cbb\u7642\u6905\u3001\u5728\u8edf\u9ad4\u4e0a\u6a19\u8a18 margin\u3002 Source: Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>5. \u8a2d\u8a08\u7259\u51a0<\/strong><br \/>\n\u5728 CAD \u7cfb\u7d71\u4e0a\u8a2d\u8a08\u7259\u51a0\u662f\u4e00\u500b\u5f88\u6709\u8da3\u7684\u6b65\u9a5f\uff0c\u5b83\u660e\u986f\u7684\u8868\u73fe\u4e86 CAD\/CAM \u7684\u512a\u52e2\u3002\u5728\u7259\u79d1\uff0c\u6700\u5f8c\u7684\u6210\u54c1\uff08\u8d0b\u5fa9\u7269\uff09\u8ddf\u4e00\u958b\u59cb\u7684\u7269\u4ef6\uff08\u652f\u81fa\u9f52\uff09\u662f\u6709\u5f88\u5927\u5dee\u7570\u7684\uff0c\u80fd\u904e\u8d70\u904e\u9019\u4e9b\u6b65\u9a5f\u662f\u56e0\u70ba\u8d0b\u5fa9\u7269\u7684\u898f\u5247\u80fd\u6574\u5408\u9032\u8edf\u9ad4\u88e1\uff0c\u9019\u7a2e\u5275\u9020\u529b\uff0c\u6216\u7a31\u70ba\u4eba\u5de5\u667a\u6167 (artificial intelligence)\uff0c\u5728 1970 \u5e74\u5c31\u5df2\u7d93\u5728\u7259\u79d1\u8edf\u9ad4\u88e1\u5b58\u5728\uff0c\u7259\u51a0\u7684\u8a2d\u8a08\u5206\u70ba\u56db\u500b\u6b65\u9a5f\uff1a<\/p>\n<p style=\"text-align: left; padding-left: 30px;\">a. \u8a2d\u8a08\u5167\u51a0<br \/>\n\u6578\u4f4d\u6a21\u578b\u662f\u5f88\u5927\u91cf\u7684\u5c0f\u9ede\u6240\u69cb\u6210\uff0c\u9019\u4e9b\u9ede\u518d\u7d50\u5408\u6210\u8868\u9762\uff0c\u9019\u500b\u6a21\u578b\u53ef\u4ee5\u5f9e\u5f88\u591a\u7684\u89d2\u5ea6\u89c0\u770b\uff0c\u64cd\u4f5c\u8005\u4e5f\u80fd\u96a8\u6642\u53eb\u51fa\u9130\u7259\u6216\u5c0d\u54ac\u7259\uff0c\u5118\u7ba1\u9019\u4e9b\u6771\u897f\u5728\u9019\u500b\u6b65\u9a5f\u4e26\u6c92\u6709\u7528\u8655\u3002\u9019\u500b\u7cfb\u7d71\u5efa\u7acb\u4e86\u4e00\u500b\u9078\u55ae\uff0c\u9078\u55ae\u7684\u9806\u5e8f\u662f\u55ae\u5411\u4f46\u56b4\u683c\u57f7\u884c\u7684\uff0c\u7121\u6cd5\u8df3\u904e\u4efb\u4f55\u6b65\u9a5f\u3002\u64cd\u4f5c\u8005\u5148\u6aa2\u67e5\u6a21\u578b\u8207 margin \u662f\u5426\u6b63\u78ba\uff0c\u78ba\u8a8d\u6b63\u78ba\u5f8c\u53ef\u4ee5\u8f38\u5165 cement space \u7684\u503c\uff0c\u7259\u51a0\u7684\u5167\u9762\u5c31\u6703\u5f9e margin \u4ee5\u4e0a\u81ea\u52d5\u7522\u751f\uff0cmargin \u9644\u8fd1\u662f\u4e0d\u6703\u6709 cement space \u7684\u3002<\/p>\n<p style=\"padding-left: 30px;\">b. \u8a2d\u8a08\u9830\u3001\u820c\u3001\u9130\u63a5\u9762<br \/>\n\u96fb\u8166\u6703\u5148\u5f9e\u8cc7\u6599\u5eab (bank of theoretical teeth) \u4e2d\u53d6\u51fa\u521d\u6b65\u8a2d\u8a08\u3002\u7279\u6b8a\u7684\u7a0b\u5f0f\u6703\u5148\u5c07\u9078\u5b9a\u7684\u57fa\u672c\u8a2d\u8a08\u6839\u64da\u524d\u5f8c\u7259\u7684\u60c5\u6cc1\uff0c\u81ea\u52d5\u8abf\u6574\u9830\u820c\u5074\u66f2\u5ea6\u3001central groove \u548c cusp \u7684\u6392\u5217\u8207 contact area \u7684\u4f4d\u7f6e\uff0c\u63a5\u8457\u64cd\u4f5c\u8005\u53ef\u4ee5\u518d\u6b21\u9032\u884c\u984d\u5916\u7684\u8abf\u6574\uff0c\u4f7f\u7528\u7259\u9f52\u8cc7\u6599\u5eab\u7684\u512a\u9ede\u662f\u8edf\u9ad4\u80fd\u8fa8\u8b58\u89e3\u5256\u4f4d\u7f6e\uff0c\u64cd\u4f5c\u8005\u4e5f\u53ef\u4ee5\u76f4\u63a5\u8abf\u6574\u7279\u5b9a\u89e3\u5256\u69cb\u9020\u3002<\/p>\n<p style=\"padding-left: 30px;\">c. \u5efa\u7acb\u54ac\u5408\u9762<br \/>\n\u7528\u5efa\u7acb (build-up) \u9019\u500b\u8a5e\uff0c\u662f\u8981\u5f37\u8abf\u5728\u9019\u500b\u6b65\u9a5f\u4e2d\uff0c CAD \u8a2d\u8a08\u5f88\u985e\u4f3c\u50b3\u7d71\u7684 wax-up\u3002\u54ac\u5408\u9762\u6703\u5148\u6839\u64da\u5c0d\u54ac\u7259\u7684 cusp \u53ca groove \u7c97\u7565\u7684\u6392\u5217\uff0c\u64cd\u4f5c\u8005\u518d\u65bc\u5c0d\u54ac\u7259\u4e0a\u8abf\u6574\u8207\u9078\u64c7 cusp \u7406\u60f3\u7684\u54ac\u9ede\u4f4d\u7f6e\uff0c\u9019\u500b\u4f4d\u7f6e\u53ef\u4ee5\u81ea\u7531\u79fb\u52d5\u5230 cusp-to-fossa \u6216 cusp-to-marginal ridge\uff0c\u53e6\u5916\u4e5f\u53ef\u4ee5\u9078\u64c7\u529f\u80fd\u6027 (functional) \u6216\u662f\u54ac\u5408\u6027 (gnathologic) \u7684\u8a2d\u8a08\uff0c\u5206\u5225\u4ee3\u8868\u8457\u6709 tripodic blockage \u6216 centric freedom\u3002CAD \u7cfb\u7d71\u4e0d\u6703\u5f37\u52a0\u8a2d\u8a08\u89c0\u5ff5\uff0c\u800c\u662f\u8b93\u64cd\u4f5c\u8005\u80fd\u6709\u9078\u64c7\u3002\u7576\u4e0a\u8ff0\u7684\u8abf\u6574\u90fd\u5b8c\u6210\u4e86\uff0c\u8edf\u9ad4\u6839\u64da Lundeen&#8217;s technique \u81ea\u52d5\u751f\u6210 cusp \u8ddf groove \u5c0d\u61c9\u5230\u5c0d\u54ac\u7259\u7684\u578b\u614b\u3002<\/p>\n<p style=\"padding-left: 30px;\">d. \u8abf\u6574\u7259\u51a0\u5916\u578b<br \/>\n\u5982\u679c\u4e0d\u6eff\u610f\u5916\u578b\uff0c\u64cd\u4f5c\u8005\u53ef\u4ee5\u85c9\u7531\u79fb\u52d5\u9ede\u6216\u62c9\u52d5\u7dda\u8abf\u6574\uff0c\u4e5f\u53ef\u4ee5\u62c9\u9ad8 cusp \u6216\u662f\u5275\u9020 diastema\u3002\u70ba\u4e86\u9019\u500b\u64cd\u4f5c\uff0c\u9019\u88e1\u8a2d\u8a08\u4e86\u7279\u5225\u7684\u4e92\u52d5\u7a0b\u5e8f\uff0c\u8b93\u4e0d\u6703\u7528\u96fb\u8166\u7684\u4eba\u4e5f\u80fd\u8f15\u9b06\u4e0a\u624b\uff0c\u9130\u7259\u548c\u5c0d\u54ac\u7259\u4e5f\u53ef\u4ee5\u540c\u6642\u51fa\u73fe\u4f86\u5354\u52a9\u8a2d\u8a08\u3002<\/p>\n<figure id=\"attachment_1514\" aria-describedby=\"caption-attachment-1514\" style=\"width: 1014px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1514 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235640-1024x493.jpg\" alt=\"\" width=\"1024\" height=\"493\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235640-1024x493.jpg 1024w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235640-300x144.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235640-768x370.jpg 768w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235640.jpg 1030w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-1514\" class=\"wp-caption-text\">\u5716\u4e94\u3001\u8edf\u9ad4\u8a2d\u8a08\u9801\u9762\u3002 Source: Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/figcaption><\/figure>\n<figure id=\"attachment_1513\" aria-describedby=\"caption-attachment-1513\" style=\"width: 1013px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1513 size-full\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235716.jpg\" alt=\"\" width=\"1023\" height=\"421\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235716.jpg 1023w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235716-300x123.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/06\/snip_20170627235716-768x316.jpg 768w\" sizes=\"(max-width: 1023px) 100vw, 1023px\" \/><figcaption id=\"caption-attachment-1513\" class=\"wp-caption-text\">\u5716\u516d\u3001\u8edf\u9ad4\u8a2d\u8a08\u9801\u9762\u3002 Source: Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>6. \u7814\u78e8\u8d0b\u5fa9\u7269<\/strong><br \/>\n\u8d0b\u5fa9\u7269\u7684\u7814\u78e8\u662f\u7d93\u7531\u6a5f\u5668\u4eba\u4f86\u5b8c\u6210\uff0c\u9019\u500b\u6a5f\u5668\u4eba\u662f\u4e00\u53f0\u5c0f\u7684\u56db\u8ef8\u7814\u78e8\u6a5f\uff0828 x 20 x 20 \u82f1\u540b\uff09\uff0c\u6709\u51b7\u537b\u5291\u3001\u81ea\u52d5\u66f4\u63db\u947d\u91dd\u529f\u80fd\uff0c\u4e00\u5171\u6709\u516b\u7a2e\u947d\u91dd\u3002\u7814\u78e8\u7a0b\u5f0f\u5728\u958b\u59cb\u7814\u78e8\u524d\uff0c\u6703\u5148\u81ea\u52d5\u6aa2\u67e5\u947d\u91dd\uff0c\u6aa2\u67e5\u5b8c\u7562\u5f8c\u7f6e\u5165\u6599\u584a\uff0c\u6574\u500b\u904e\u7a0b\u90fd\u662f\u5168\u81ea\u52d5\u7684\uff0c\u7814\u78e8\u5b8c\u6210\u5f8c\u5c31\u6703\u6709\u4e00\u500b\u7b49\u5f85\u6253\u4eae\u8207\u4e0a\u8272\u7684\u6210\u54c1\u3002\u9019\u500b\u64cd\u4f5c\u5305\u542b\u4e86\u5169\u500b\u90e8\u5206\uff0c\u8a08\u7b97\u947d\u91dd\u8def\u5f91\u8207\u57f7\u884c\u7814\u78e8\u3002<\/p>\n<p style=\"padding-left: 30px;\">a. \u8a08\u7b97\u947d\u91dd\u8def\u5f91<br \/>\n\u6bcf\u652f\u947d\u91dd\u57fa\u672c\u4e0a\u90fd\u662f\u5713\u67f1\u578b\u6216\u662f\u7403\u9ad4\uff0c\u9010\u6b65\u7684\u5207\u524a\u6750\u6599\u4f86\u5b8c\u6210\u5167\u51a0\u4ee5\u53ca\u5916\u51a0\u3002\u8edf\u9ad4\u6703\u8a08\u7b97\u6bcf\u500b\u947d\u91dd\u6240\u9700\u8def\u5f91\u3001\u8f49\u901f\u4ee5\u53ca\u7814\u78e8\u6d41\u7a0b\uff0c\u4f86\u9054\u5230\u4e00\u500b\u6700\u5e73\u9806\u4e14\u6709\u6548\u7387\u7684\u64cd\u4f5c\u3002\u4f46\u8edf\u9ad4\u4e0d\u53ea\u63a7\u5236\u947d\u91dd\u79fb\u52d5\uff0c\u51b7\u537b\u5291\u7684\u4f7f\u7528\u3001\u63db\u947d\u91dd\u6216\u662f\u6aa2\u67e5\u78e8\u8017\u7a0b\u5ea6\u90fd\u662f\u8981\u8a08\u7b97\u5728\u5167\uff0c\u8edf\u9ad4\u7d66\u7684\u6307\u793a\u6703\u88ab\u8f49\u63db\u6210\u96fb\u8108\u885d\u4f86\u63a7\u5236\u6574\u500b\u904e\u7a0b\u3002<\/p>\n<p style=\"padding-left: 30px;\">b. \u57f7\u884c\u7814\u78e8<br \/>\n\u7576\u8a08\u7b97\u5b8c\u6210\u5f8c\uff0c\u5c31\u6703\u958b\u59cb\u9032\u884c\u7814\u78e8\uff0c\u9996\u5148\u6599\u584a\u6703\u4ee5\u8f03\u5927\u7684\u7bc4\u570d\u7c97\u7565\u5207\u5272\uff0c\u518d\u7d44\u5408\u5e7e\u7a2e\u947d\u91dd\u4f86\u9054\u5230\u7cbe\u7d30\u7684\u54ac\u5408\u9762\u767c\u80b2\u6e9d\u3002\u54ac\u5408\u9762\u5b8c\u6210\u5f8c\uff0c\u6599\u584a\u6703\u7ffb\u8f49\u4e26\u958b\u59cb\u7814\u78e8\u5167\u51a0\uff0c\u4e00\u958b\u59cb\u6703\u5148\u5728\u78ba\u4fdd\u6709\u6700\u591a\u6750\u6599\u7684\u72c0\u614b\u7814\u78e8 margin \u6e1b\u5c11\u7834\u640d\uff0c\u5269\u9918\u7684\u90e8\u4f4d\u5f8c\u7e8c\u624d\u7814\u78e8\uff0c\u6700\u5f8c\u6703\u63db\u66f4\u7cbe\u7d30\u7684\u947d\u91dd\u4f86\u5b8c\u6210 margin\u3002\u4ee5\u4e0a\u6b65\u9a5f\u5b8c\u6210\u5f8c\uff0c\u518d\u79fb\u9664\u591a\u9918\u7684\u6750\u6599\u5230\u5269\u4e0b\u5169\u652f attachment\uff08\u50b3\u7d71\u6d41\u7a0b\u4e2d\u7a31\u4e4b\u70ba sprue\uff09\uff0c\u63a5\u8457\u64cd\u4f5c\u8005\u518d\u5c07\u6210\u54c1\u5f9e\u6a5f\u5668\u4e2d\u53d6\u51fa\u3002<\/p>\n<p><strong>7. \u4e0a\u8272<\/strong><br \/>\nCAD\/CAM \u7259\u51a0\u7684\u6700\u5f8c\u6b65\u9a5f\u662f\u5feb\u901f\u6253\u4eae\u53ca\u4e0a\u8272\u3002\u4e0a\u8272\u7684\u65b9\u5f0f\u5728 20 \u5e74\u524d\u5c31\u5df2\u7d93\u5efa\u7acb\u4e86\uff0c\u6700\u8fd1 Dentsply \u6709\u65b0\u63a8\u51fa\u4e00\u7a2e\u7528\u65bc\u4ed6\u5011 Dicor \u7259\u51a0\u7684\u4e0a\u8272\u65b9\u5f0f\uff0c\u8981\u4fdd\u7559\u9019\u4e9b\u984f\u8272\uff0c\u8d0b\u5fa9\u7269\u5fc5\u9808\u518d\u9032\u7210 200 \u5ea6\u71d2\u88fd\u3002\u70ba\u4e86\u8b93\u984f\u8272\u80fd\u66f4\u6709\u9810\u6e2c\u6027\uff0c\u5c08\u7528\u7684\u5149\u8b5c\u5100 (Bertin) \u4e5f\u53ef\u4ee5\u6574\u5408\u9032 CAD\/CAM \u7cfb\u7d71\u3002\u5118\u7ba1 CAD\/CAM \u53ef\u4ee5\u4f7f\u7528\u4efb\u4f55\u50b3\u7d71\u6750\u6599\uff0c\u6700\u8fd1\u6709\u4e00\u7a2e\u65b0\u7684\u9676\u74f7\uff0c\u6210\u5206\u5167\u542b\u7e96\u7dad\u7d50\u69cb\uff0c\u662f\u7279\u5225\u70ba CAD\/CAM \u8a2d\u8a08\u7684\u3002<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3 style=\"padding-left: 30px;\">\u8a0e\u8ad6<\/h3>\n<p>CAD\/CAM \u6280\u8853\u904b\u7528\u4e86\u6700\u5148\u9032\u7684\u79d1\u6280\uff0c\u53ef\u4ee5\u70ba\u7259\u79d1\u5e36\u4f86\u5f88\u5927\u7684\u9032\u5c55\uff0c\u4f46\u6709\u4e00\u4e9b\u73fe\u5be6\u7684\u554f\u984c\u9084\u662f\u9700\u8981\u89e3\u7b54\uff0c\u4f8b\u5982\u7cbe\u6e96\u5ea6\u6216\u4f7f\u7528\u96e3\u5ea6\u3002<\/p>\n<p>\u6578\u4f4d\u6a21\u578b\u7684\u8868\u9762\u9ede\u6578\u91cf\u53ef\u4ee5\u5f9e 50000 (Moermann) \u5230 16000000 (Rekow)\uff0c\u4f46\u81e8\u5e8a\u7684\u89c0\u9ede\u8ddf\u5de5\u696d\u9084\u662f\u4e0d\u540c\u7684\uff0c\u8d8a\u591a\u7684\u9ede\u4e26\u4e0d\u4ee3\u8868\u8d8a\u9ad8\u7684\u7cbe\u6e96\u5ea6\uff0c\u6574\u9ad4\u7684\u7cbe\u6e96\u5ea6\u6703\u5728\u5f71\u50cf\u758a\u5408\u6642\u4e0b\u964d\uff0c\u5c24\u5176\u5728\u5f88\u9ad8\u89e3\u6790\u5ea6\u4e0b\u770b\u4e00\u500b\u5c0f\u7269\u4ef6\u7684\u6642\u5019\u6703\u66f4\u52a0\u660e\u986f\u3002\u4f46\u4e5f\u6709\u80fd\u5f4c\u88dc\u9019\u500b\u9650\u5236\u7684\u65b9\u5f0f\uff0c\u7d93\u904e\u589e\u52a0\u4e0d\u540c\u89d2\u5ea6\u7684\u53d6\u50cf\uff08\u5047\u8a2d\u758a\u5408\u662f\u6b63\u78ba\u7684\uff09\uff0c\u4f86\u9054\u5230\u66f4\u597d\u7684\u7cbe\u6e96\u5ea6\u3002\u5728\u4e00\u822c\u7684\u72c0\u6cc1\uff0c\u8d0b\u5fa9\u7269\u7684\u7cbe\u6e96\u5ea6\u4e26\u4e0d\u9700\u8981\u5c0f\u65bc 40 \u00b5m\u3002\u53e6\u5916\uff0c\u4f7f\u7528 CAD\/CAM \u7cbe\u7d30\u5ea6\u7121\u6cd5\u9054\u5230 5 \u00b5m \u4ee5\u4e0b\uff0c\u56e0\u70ba\u8edf\u9ad4\u4e0a\u66f2\u7dda\u7684\u5e73\u6ed1\u5ea6\u8207\u7814\u78e8\u6642\u947d\u91dd\u7684\u4f4d\u7f6e\u9650\u5236\u3002\u56e0\u6b64\u8981\u5c0f\u5fc3\u4e0d\u8981\u628a\u7cbe\u6e96\u5ea6 (precision) \u8ddf\u89e3\u6790\u5ea6 (resolution) \u9019\u5169\u500b\u8a5e\u641e\u6df7\u4e86\uff0c\u7136\u5f8c\u8981\u7406\u89e3\u5230\u8981\u9054\u5230 10 \u00b5m\u00a0\u4ee5\u4e0b\u7cbe\u6e96\u5ea6\u5728\u6280\u8853\u4e0a\u662f\u53ef\u884c\u7684\uff0c\u4f46\u5728\u4eba\u529b\u3001\u6750\u6599\u4ee5\u53ca\u91d1\u9322\u7684\u6295\u8cc7\u662f\u5426\u503c\u5f97\u9019\u6a23\u505a\uff1f<\/p>\n<p>\u64cd\u4f5c\u8005\u8ddf\u6574\u500b\u7cfb\u7d71\u7684\u4e92\u52d5\u8981\u8d8a\u7c21\u55ae\u8d8a\u597d\uff0c\u8981\u5230\u50cf\u9ea5\u91d1\u5854 (Macintosh) \u96fb\u8166\u4e00\u6a23\u7684\u7c21\u55ae\uff0c\u8b93\u4f7f\u7528\u8005\u80fd\u5728\u4e00\u9031\u5167\u5b78\u6703\u3002<\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3 style=\"padding-left: 30px;\">\u7d50\u8ad6<\/h3>\n<p>CAD\/CAM \u5728\u7259\u79d1\u7684\u904b\u7528\u6703\u5f71\u97ff\u5230\u81e8\u5e8a\u4ee5\u53ca\u7814\u7a76\u7684\u65b9\u5411\uff0c\u7d50\u8ad6\u90fd\u5fc5\u9808\u8981\u975e\u5e38\u5c0f\u5fc3\u7684\u6aa2\u8996\uff1b\u4f46\u5728\u5de5\u696d\u4e0a\uff0c\u9019\u500b\u79d1\u6280\u7206\u767c\u6027\u7684\u767c\u5c55\uff0c\u8b93\u6211\u5011\u78ba\u4fe1\u9019\u500b\u79d1\u6280\u53ef\u4ee5\u5f88\u5feb\u7684\u5728\u7259\u79d1\u5c08\u696d\u9818\u57df\u63a1\u7528\uff0c\u8003\u616e\u5230\u5b83\u7684\u8a31\u591a\u53ef\u80fd\u6027\uff0c\u5b83\u7684\u672a\u4f86\u767c\u5c55\u6027\u662f\u975e\u5e38\u53ef\u89c0\u7684\u3002<\/p>\n<hr \/>\n<h3>\u672c\u6587\u6240\u63cf\u8ff0\u7cfb\u7d71\u7684\u5f71\u7247\u4ecb\u7d39\uff1a<\/h3>\n<p><iframe loading=\"lazy\" src=\"\/\/www.dailymotion.com\/embed\/video\/xgf81k\" width=\"480\" height=\"270\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><br \/>\n<a href=\"http:\/\/www.dailymotion.com\/video\/xgf81k_francois-duret-1987-beyonf-australia_tech\" target=\"_blank\" rel=\"noopener\">Fran\u00e7ois Duret_1987.Beyonf Australia<\/a> <i>\u7531 <a href=\"http:\/\/www.dailymotion.com\/vduret1\" target=\"_blank\" rel=\"noopener\">vduret1<\/a><\/i><\/p>\n<hr \/>\n<h3>\u5f8c\u8a18<\/h3>\n<p>\u770b\u5b8c\u5f8c\u5927\u5bb6\u662f\u4e0d\u662f\u4e5f\u767c\u73fe\u4e86\uff0c\u5047\u8a2d\u4e0d\u8ad6\u4e00\u4e9b\u7528\u8a5e\u7684\u5dee\u7570\uff0c\u9019\u7bc7\u6587\u7ae0\u628a\u5e74\u4ee3\u906e\u6389\u5f8c\u4f3c\u4e4e\u4e5f\u80fd\u5957\u7528\u5230\u73fe\u5728\u7684\u6578\u4f4d\u7259\u79d1\u3002\u662f Dr. Francois Duret \u7684\u773c\u5149\u653e\u5f97\u5f88\u9060\uff0c\u7cbe\u6e96\u7684\u9810\u6e2c\u5230\u4e86 30 \u5e74\u5f8c\u7684\u4eca\u5929\uff1b\u9084\u662f\u5176\u5be6\u6211\u5011\u4eba\u985e\u7684\u6b65\u4f10\u4e00\u76f4\u90fd\u5728\u7e5e\u5708\u5708\u5462\uff1f<\/p>\n<p>\u601d\u7d22\u9019\u500b\u554f\u984c\u7684\u540c\u6642\uff0c\u53c8\u4e0d\u7981\u4ee4\u4eba\u597d\u5947\uff0cDr. Francois Duret \u770b\u5230\u4e86 30 \u5e74\u5f8c\uff0c\u4ed6\u7562\u751f\u7684\u5922\u60f3\u7d42\u65bc\u597d\u50cf\u8981\u5be6\u73fe\u7684\u4eca\u5929\uff0c\u4ed6\u5fc3\u88e1\u53c8\u662f\u4ec0\u9ebc\u611f\u89ba\u5462\uff1f<\/p>\n<hr \/>\n<h3>Reference<\/h3>\n<h6>1.Francois Duret, CAD-CAM in dentistry, J Am Dent Assoc. 1988 Nov;117(6):715-20.<\/h6>\n","protected":false},"excerpt":{"rendered":"<p>\u672c\u6587\u662f\u00a0Dr. Francois Duret \u65bc 1988 \u5e74\u520a\u767b\u5728 JADA \u7684\u6587\u7ae0\uff0c\u5728\u7576\u6642\u7684\u5e74\u4ee3\uff0c\u5df2\u7d93\u6709\u5e7e\u9593\u5ee0\u5546\u8207\u5927\u5b78\u958b\u59cb\u5f9e\u4e8b\u6578\u4f4d\u7259\u79d1\u76f8\u95dc\u7814\u767c&#8230;<\/p>\n","protected":false},"author":2,"featured_media":1490,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"generate_page_header":"","footnotes":"","_jetpack_memberships_contains_paid_content":false},"categories":[13],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO 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