{"id":1987,"date":"2017-11-02T05:34:42","date_gmt":"2017-11-02T05:34:42","guid":{"rendered":"http:\/\/www.cerecdigest.net\/?p=1987"},"modified":"2017-12-09T11:33:54","modified_gmt":"2017-12-09T11:33:54","slug":"dentsply-sirona-world-2017-optimal-use-of-%e2%80%a8restorative-materials-%e2%80%a8in-digital-implantology2","status":"publish","type":"post","link":"https:\/\/www.cerecdigest.net\/2017\/11\/02\/dentsply-sirona-world-2017-optimal-use-of-%e2%80%a8restorative-materials-%e2%80%a8in-digital-implantology2\/","title":{"rendered":"\u3010DENTSPLY SIRONA WORLD 2017\u3011CAD\/CAM Materials in Digital Implantology
Some tips and ideas of using CAD\/CAM materials in the Digital Dentistry era. <\/div>"},"content":{"rendered":"

\u7576 Implant abutment \u9047\u5230 Chairside- CAD\/CAM\uff0c\u6211\u5011\u66f4\u80fd\u8df3\u812b preformed abutment \u7684\u9650\u5236\uff0c\u9054\u5230\u70ba\u6bcf\u500b\u4eba\u91cf\u8eab\u8a02\u505a\u7684—\u300c\u5ba2\u88fd\u5316\u300d\uff01\u4f46\u662f\uff0c\u6211\u5011\u8a72\u9078\u64c7\u4ec0\u9ebc\u6a23\u7684\u6750\u6599\u5462\uff1f \u7a76\u7adf\uff0c\u4ec0\u9ebc\u6a23\u7684\u8868\u9762\u8655\u7406\u6709\u6700\u597d\u7684\u7d44\u7e54\u76f8\u5bb9\u6027\u5462\uff1f\u4e0d\u540c\u7684\u6750\u6599\uff0c\u8868\u9762\u8655\u7406\u6703\u4e00\u6a23\u55ce\uff1f<\/p>\n

\u76ee\u524d\u5e02\u9762\u4e0a\u5e38\u898b\u7684 CAD\/CAM implant \u6750\u6599\uff0c\u6709 titanium, Lithium disilicate, zirconia \u53ca hybrid material\u3002\u5176\u4e2d titanium \u5df2\u884c\u4e4b\u6709\u5e74\uff0c\u4e14\u751f\u7269\u76f8\u5bb9\u6027\u4e5f\u6eff\u9ad8\uff0c\u53e6\u5916\u4e09\u500b\u6750\u6599\u662f\u8fd1\u4f86 CAD\/CAM \u6280\u8853\u8d8a\u767c\u6210\u719f\u4e4b\u5f8c\u6240\u666e\u53ca\u7684\u7522\u54c1\uff0c\u8b93\u6211\u5011\u4e0b\u9762\u4f86\u7c21\u4ecb\u4e00\u4e0b\uff1a<\/p>\n

\n

Lithium disilicate – IPS e.max<\/h3>\n

\u76ee\u524d\u5728 SiroWorld \u4e0a\u91ab\u5e2b\u5011\u5c0d\u65bc IPS e.max \u7684\u4f7f\u7528\u7d93\u9a57\uff1a<\/p>\n

    \n
  • MO (Medium Opacity)<\/span>
    \n<\/span>\u505a crown \u6703\u592a\u4e0d\u900f\u660e\uff0c\u53ea\u9069\u5408\u505a abutment ; \u76e1\u91cf\u907f\u514d\u7528\u5728 enamel \u5c64\u3002<\/span><\/li>\n
  • LT (Low Translucency)
    \n<\/span>\u9f52\u9838\u90e8\u87a2\u5149\u6027 (fluorescence) \u6709\u6bd4\u8f03\u6539\u5584\uff0c\u5f88\u9069\u5408\u505a hybrid abutment\uff08\u5c31\u662f\u6240\u8b02 Ti-base abutment\uff09\u3002<\/li>\n<\/ul>\n

    IPS e.max \u8868\u9762\u8655\u7406\u8207\u7259\u9f66\u7d44\u7e54\u7684\u7d30\u80de\u6d3b\u60271<\/sup>\uff1a<\/p>\n

      \n
    • \u6b64\u7bc7\u7814\u7a76\u4ee5 IPS e.max \u505a\u5169\u7a2e\u4e0d\u540c\u65b9\u5f0f\u7684\u8868\u9762\u8655\u7406\u4f86\u89c0\u5bdf\u7d30\u80de\u8207\u6750\u6599\u8868\u9762\u7684\u4ea4\u4e92\u4f5c\u7528\u3002<\/li>\n
    • \u7531\u4ee5\u4e0b\u5716\u8868\u53ef\u5f97\u77e5\uff0c\u525b\u7868\u5b8c\u7684\u6750\u6599\u8207\u50c5 polished \u904e\u7684\u6750\u6599 cell adhesion \u7a0b\u5ea6\u6700\u9ad8\u3002<\/li>\n<\/ul>\n

      \"\"
      \n<\/sup><\/h3>\n
      \n

      Zirconia – InCoris TZI<\/h3>\n

      Zirconia \u5728\u7576 implant abutment \u6642\u7684\u8868\u73fe4<\/sup>\uff1a<\/p>\n

        \n
      • \u6bd4\u8f03 zirconia\u00a0abutment\u3001titanium\u00a0abutment \u8207 titanium-zirconia hybrid abutment \u4e09\u8005\u7684\u6297\u65b7\u88c2\u80fd\u529b\u3002<\/li>\n<\/ul>\n

        \"\"<\/p>\n

          \n
        • \u7d50\u8ad6\uff1a\n
            \n
          • \u4e0d\u8ad6\u662f hybrid abutment \u6216 titanium abutment\uff0c\u5169\u8005\u7684\u6297\u65b7\u88c2\u80fd\u529b (fracture resistance) \u90fd\u5f88\u8db3\u5920\u3002<\/li>\n
          • \u7576\u65b7\u88c2 (fracture) \u767c\u751f\u6642\uff0cone-piece zirconia abutment \u7684\u65b7\u88c2\u9762\u5e38\u767c\u751f\u5728\u6750\u6599\u5167\u90e8\u53ca\u9760\u8fd1 implant neck \u7684\u5730\u65b9\uff1b\u800c\u00a0hybrid abutment \u8207 titanium abutment \u5247\u5e38\u51fa\u73fe\u5728 implant neck \u7684\u5730\u65b9\u3002<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

             <\/p>\n

            Zirconia \u7d93\u904e\u4e0d\u540c\u8868\u9762\u8655\u7406\u7684\u8868\u9762\u7c97\u7cd9\u5ea6\uff1a<\/p>\n

              \n
            • Raw material (milled and sintered) : 0.25 um<\/li>\n
            • Vita Spray Glaze only: 0.627\u00a0um<\/li>\n
            • Polished\uff1a\n
                \n
              1. Brasseler dialite polisher: 0.134\u00a0um<\/li>\n
              2. Brasseler e.max polisher: 0.075\u00a0um<\/li>\n
              3. Meisinger zirconia polisher: 0.086\u00a0um<\/li>\n
              4. Brasseler zirconia polisher: 0.039\u00a0um<\/li>\n<\/ol>\n<\/li>\n<\/ul>\n
                \n

                Hybrid Materials (PICN, Polymer-Infiltrated-Ceramic-Network) – VITA Enamic<\/h3>\n

                Gracis \u7b49\u5b78\u8005\u7684\u6587\u7ae02<\/sup>\uff0c\u6307\u51fa Enamic \u96d6\u7136\u6709\u8f03\u597d\u7684\u5f48\u6027\uff0c\u4f46\u662f\u8207 e.max \u7b49\u5176\u4ed6\u6750\u6599\u76f8\u6bd4\uff0c\u690d\u9ad4\u7684\u5b58\u6d3b\u7387\u4e26\u300c\u6c92\u6709\u300d\u986f\u8457\u7684\u5dee\u7570\u3002\u800c\u5728\u53e6\u4e00\u7bc73<\/sup>\uff0c\u5247\u6307\u51fa\u6240\u6709 crown \u4ee5\u53ca abutment \u7684\u6750\u6599\u5728\u690d\u9ad4\u8207\u9aa8\u982d\u4e0a\u90fd\u6709\u76f8\u4f3c\u7684\u58d3\u529b\u5206\u4f48\uff0c<\/span>\u6240\u4ee5\u95dc\u9375\u61c9\u8a72\u662f\u300c\u4fee\u5fa9\u9ad4\u5b58\u6d3b\u7387\u300d\u7684\u89c0\u9ede\u5927\u65bc\u300c\u690d\u9ad4\u5b58\u6d3b\u7387\u300d\u3002<\/span><\/p>\n

                \u63a5\u4e0b\u4f86\u8b93\u6211\u5011\u770b\u770b\u4f7f\u7528 Enamic \u7576\u4f5c implant abutment \u6709\u4ec0\u9ebc\u7279\u6027\u3002<\/p>\n

                Material thickness5<\/sup>\uff1a<\/p>\n

                  \n
                • \u5c07 6 \u7a2e\u4e0d\u540c\u9676\u74f7\u6750\u6599\uff0c\u4ee5 Variolink \u9ecf\u8457\u5230 SLA abutment \u4e0a\uff0c\u6e2c\u8a66\u4e0d\u540c\u6750\u6599\u4e0d\u540c\u539a\u5ea6\u6240\u80fd\u627f\u53d7\u7684\u529b\u91cf\u00a0 (fractural strength)\u3002<\/li>\n
                • \u5be6\u9a57\u7d50\u679c\u986f\u793a\uff0c\u7576\u6750\u6599\u9054 1.5 mm \u5f8c\uff0c\u6240\u6709\u7684\u6750\u6599\u90fd\u80fd\u5920 survive\u3002<\/li>\n
                • \u5176\u4e2d\uff0cEnamic \u9019\u500b\u6750\u6599\u6240\u80fd\u627f\u53d7\u7684\u529b\u91cf\uff0c\u5176\u5be6\u662f\u5f88\u9ad8\u7684\u3002\"\"<\/li>\n<\/ul>\n

                   <\/p>\n

                  Wear resistance and gloss retention<\/span>6<\/sup>\uff1a<\/p>\n

                    \n
                  • Enamic \u5c0d\u65bc\u5c0d\u54ac\u7259\u7684\u78e8\u8017\u7a0b\u5ea6\uff08\u7da0\u8272\u9577\u689d\uff09\uff0c\u6703\u6bd4 IPS e.max CAD\u3001IPS Empress CAD \u9084\u8981\u4f86\u7684\u5c11 (fig.1)\u3002<\/li>\n
                  • \u5404\u7a2e\u6750\u6599\u7d93\u904e polished \u5f8c\u8207\u7528\u7259\u5237\u5237\u8017 (brushed) \u5f8c\u7684\u5149\u6fa4 (Gloss Unit, GU) \u8b8a\u5316\u00a0(fig.2)\u3002<\/li>\n
                  • InCoris TZI zirconia \u7684\u5149\u6fa4\u6301\u4e45\u6027 (gloss retention) \u6700\u597d\uff0c\u800c IPS e.max CAD\u3001IPS Empress CAD \u53ca VITA Mark II \u5373\u4f7f\u5728\u5237\u8017\u5f8c\uff0c\u4ecd\u53ef\u7dad\u6301\u8fd1\u4f3c\u65bc enamel \u539f\u6709\u7684\u5149\u6fa4\u5ea6\u3002<\/li>\n<\/ul>\n

                    \"\"<\/p>\n

                    \u5716\u7247\u4f86\u6e90\uff1a\u6587\u7ae0\u5be6\u9a57\u7d50\u679c6<\/sup><\/p>\n

                    \"\"<\/p>\n

                    \u5716\u7247\u4f86\u6e90\uff1a\u6587\u7ae0\u5be6\u9a57\u7d50\u679c6<\/sup><\/p>\n

                     <\/p>\n

                    \n

                    \u8868\u9762\u8655\u7406 (Surface Contouring) \u8207\u751f\u7269\u76f8\u5bb9\u6027 (Biocompatibility)<\/h3>\n

                    Implant abutment7<\/sup>\uff1a<\/p>\n

                      \n
                    • \u5c0d\u65bc\u690d\u9ad4\u4f86\u8aaa\uff0cbiological width \u7684\u6982\u5ff5\u4e5f\u662f\u76f8\u7576\u91cd\u8981\u7684\u3002<\/li>\n
                    • \u690d\u9ad4\u7684 emergence profile \u8981\u80fd\u4f7f fibroblast \u8207 keratinocyte \u9644\u8457\uff0c\u4ee5\u5efa\u7acb biological width\u3002<\/li>\n
                    • \u5982\u679c\u6c92\u6709\u7d30\u80de\u6c92\u6709\u9644\u8457\u4e0a\u53bb\uff0cbiological width \u6703\u7121\u6cd5\u5f62\u6210\uff0c\u5c0e\u81f4\u9aa8\u5438\u6536\u53ca\u7259\u9f66\u840e\u7e2e\u3002<\/li>\n<\/ul>\n

                      \u5be6\u9a57\u7d50\u679c\uff1a<\/p>\n

                        \n
                      • \u5728 titanium abutment \u8207 zirconia abutment \u7684\u8868\u9762\uff0c\u80fd\u770b\u5230\u5f88\u597d\u7684\u7d30\u80de\u6d3b\u6027 (viability)\u3001\u6578\u91cf\u8207\u9644\u8457\u9762\u7a4d\u3002<\/li>\n
                      • \u81f3\u65bc lithium disilicate glass-ceramic \u4ee5\u53ca PICN (polymer-infiltrated-ceramic-network, ex: Vita Enamic) \u7684\u8868\u73fe\u5247\u6bd4\u8f03\u4e2d\u898f\u4e2d\u77e9\u3002<\/li>\n
                      • \u5be6\u9a57\u767c\u73fe\uff0c\u53ea\u8981\u805a\u5408\u53cd\u61c9\u904e\u7a0b\u7d93\u904e\u826f\u597d\u7684\u76e3\u63a7\uff0cPICN \u6750\u6599\u672c\u8eab\u4e26\u4e0d\u6703\u767c\u751f monomer \u91cb\u653e\u6216\u662f cell toxicity \u7684\u7279\u6027\u3002<\/li>\n<\/ul>\n

                        \"\"<\/p>\n

                        \u5716\u7247\u4f86\u6e90: \u6587\u7ae0\u5be6\u9a57\u7d50\u679c7<\/sup><\/p>\n

                        \u6750\u6599\u8868\u9762\u5230\u5e95\u591a\u5e73\u6ed1\u624d\u5920\uff1f\u4ee5\u4e0b\u6578\u503c\u63d0\u4f9b\u53c3\u8003
                        \n\"\"<\/p>\n

                         <\/p>\n

                        \n

                        Provisional Implant Abutments<\/h3>\n

                        \u76ee\u7684\uff1a<\/p>\n

                          \n
                        1. \u66ab\u4e14\u7dad\u6301\u7f8e\u89c0\u3002<\/span><\/li>\n
                        2. \u78ba\u8a8d\u6700\u7d42\u8d17\u5fa9\u9ad4\u7684\u578b\u614b\u8207\u529f\u80fd\u3002<\/span><\/li>\n
                        3. \u5e6b\u52a9\u8edf\u7d44\u7e54\u5851\u5f62\u53ca\u5fa9\u539f\u3002<\/span><\/li>\n<\/ol>\n

                          \u6750\u6599\uff1a<\/span><\/p>\n

                            \n
                          • \u76ee\u524d\u4e3b\u8981\u80fd\u4f7f\u7528\u7684\u6750\u6599\u6709\uff1aIvoclar Vivadent \u7684 Telio CAD\uff0c\u8207 VITA \u7684\u00a0<\/span>CAD-Temp\u3002<\/span><\/li>\n
                          • \u5169\u7a2e\u90fd\u662f PMMA \u985e\u7684\u81e8\u6642 abutment \u6750\u6599\u3002\u4f9d\u64da\u9019\u985e\u6750\u6599\u7684\u7279\u6027\uff0cDr. Dennis Fasbinder \u5efa\u8b70\u6700\u591a\u53ef\u4ee5\u5728\u53e3\u5167\u4f7f\u7528 1 \u5e74\u3002<\/span><\/li>\n<\/ul>\n
                            \n

                            \u7d50\u8ad6<\/strong><\/h3>\n
                              \n
                            1. Implant abutment \u5efa\u8b70\u4f7f\u7528\uff1aInCoris TZI zirconia\u3001IPS e.max\u3002<\/li>\n
                            2. Implant abutment \u8868\u9762\u7684\u7d44\u7e54\u76f8\u5bb9\u6027\uff1azirconia & titanium > IPS e.max & enamic\u3002<\/li>\n
                            3. \u6750\u6599\u8868\u9762\u8655\u7406\u5efa\u8b70\u4ee5 highly polished surface \u70ba\u6e96\u5247\u3002<\/li>\n<\/ol>\n
                              \n

                              Reference<\/h3>\n

                              1, Brunot-Gohin C, et al. Soft tissue adhesion of polished versus glazed lithium disilicate ceramic for dental applications. Dent Mater (2013), http:\/\/dx.doi.org\/10.1016\/j.dental.2013.05.004
                              \n2. Gracis SE,\u00a0Nicholls JI,\u00a0Chalupnik JD,\u00a0Yuodelis RA, Shock-absorbing behavior of five restorative materials used on implants.Int J Prosthodont.\u00a01991 May-Jun;4(3):282-91.
                              \n3. Necati Kaleli, DDS, PhD, Duygu Sarac, DDS, PhD, Safak K\u00fcl\u00fcnk, DDS, PhD, and \u00d6zg\u00fcr \u00d6zt\u00fcrk, DDS, PhD, Effect of different restorative crown and customized abutment materials on stress distribution in single implants and peripheral bone: A three-dimensional finite element analysis study, The Journal of Prosthetic Dentistry
                              \n4. Stimmelmayr M,\u00a0Hei\u00df P,\u00a0Erdelt K,\u00a0Schweiger J,\u00a0Beuer F,\u00a0Fracture resistance of different implant abutments supporting \u2028all-ceramic single crowns after aging,\u00a0Int J Comput Dent.\u00a02017;20(1):53-64.
                              \n5. Moritz ZIMMERMANN, Gustav EGLI, Markus ZARUBA and Albert MEHL,\u00a0Influence of material thickness on fractural strength of CAD\/CAM fabricated ceramic crowns, Dental Material J 2017,\u00a0\u00a0Aug 24. doi: 10.4012\/dmj.2016-296
                              \n6. Werner H. Mo\u00a8 rmann, Bogna Stawarczyk, Andreas Endera , Beatrice Sener, Thomas Attin, Albert Mehla,\u00a0Wear characteristics of current aesthetic dental restorative CAD\/CAM materials: Two-body wear, gloss retention, roughness and Martens hardness,\u00a0J Mech Behav Biomed Mater.\u00a02013 Apr;20:113-25. doi: 10.1016\/j.jmbbm.2013.01.003. Epub 2013 Jan 23.
                              \n7. Grenade C,\u00a0De Pauw-Gillet MC,\u00a0Pirard C,\u00a0Bertrand V,\u00a0Charlier C,\u00a0Vanheusden A,\u00a0Mainjot A,\u00a0Biocompatibility of polymer-infiltrated-ceramic-network (PICN) materials with Human Gingival Keratinocytes (HGKs),\u00a0Dent Mater.\u00a02017 Mar;33(3):333-343. doi: 10.1016\/j.dental.2017.01.001. Epub 2017 Jan 31.<\/h6>\n","protected":false},"excerpt":{"rendered":"

                              \u7576 Implant abutment \u9047\u5230 Chairside- CAD\/CAM\uff0c\u6211\u5011\u66f4\u80fd\u8df3\u812b preformed abutment \u7684\u9650\u5236\uff0c\u9054\u5230\u70ba\u6bcf\u500b\u4eba\u91cf\u8eab\u8a02\u505a\u7684—\u300c\u5ba2\u88fd\u5316\u300d\uff01\u4f46\u662f\uff0c\u6211\u5011…<\/p>\n","protected":false},"author":4,"featured_media":2069,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"generate_page_header":"","footnotes":"","_jetpack_memberships_contains_paid_content":false},"categories":[37],"tags":[27,76],"yoast_head":"\n\u3010DENTSPLY SIRONA WORLD 2017\u3011CAD\/CAM Materials in Digital Implantology - CEREC Digest<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cerecdigest.net\/2017\/11\/02\/dentsply-sirona-world-2017-optimal-use-of-\u2028restorative-materials-\u2028in-digital-implantology2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u3010DENTSPLY SIRONA WORLD 2017\u3011Optimal Use of Restorative Materials in Digital Implantology\" \/>\n<meta property=\"og:description\" content=\"Note of Optimal Use of Restorative Materials in Digital Implantology with Dennis Fasbinder\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cerecdigest.net\/2017\/11\/02\/dentsply-sirona-world-2017-optimal-use-of-\u2028restorative-materials-\u2028in-digital-implantology2\/\" \/>\n<meta property=\"og:site_name\" content=\"CEREC Digest\" \/>\n<meta property=\"article:published_time\" content=\"2017-11-02T05:34:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-12-09T11:33:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/10\/\u87a2\u5e55\u5feb\u7167-2017-10-21-\u4e0b\u534811.31.48.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1191\" \/>\n\t<meta property=\"og:image:height\" content=\"599\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Nicole Yeh\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nicole Yeh\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.cerecdigest.net\/2017\/11\/02\/dentsply-sirona-world-2017-optimal-use-of-%e2%80%a8restorative-materials-%e2%80%a8in-digital-implantology2\/\",\"url\":\"https:\/\/www.cerecdigest.net\/2017\/11\/02\/dentsply-sirona-world-2017-optimal-use-of-%e2%80%a8restorative-materials-%e2%80%a8in-digital-implantology2\/\",\"name\":\"\u3010DENTSPLY SIRONA WORLD 2017\u3011CAD\/CAM Materials in Digital Implantology - 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