{"id":498,"date":"2017-02-15T14:51:58","date_gmt":"2017-02-15T14:51:58","guid":{"rendered":"http:\/\/www.cerecdigest.net\/?p=498"},"modified":"2017-07-28T16:37:35","modified_gmt":"2017-07-28T16:37:35","slug":"%e4%bb%bf%e7%94%9f%e4%bf%ae%e5%be%a9%e7%9a%84%e6%96%b0%e6%a6%82%e5%bf%b5%ef%bc%8ccadcam%e5%a4%a9%e7%84%b6%e8%b4%97%e5%be%a9%e7%89%a9","status":"publish","type":"post","link":"https:\/\/www.cerecdigest.net\/2017\/02\/15\/%e4%bb%bf%e7%94%9f%e4%bf%ae%e5%be%a9%e7%9a%84%e6%96%b0%e6%a6%82%e5%bf%b5%ef%bc%8ccadcam%e5%a4%a9%e7%84%b6%e8%b4%97%e5%be%a9%e7%89%a9\/","title":{"rendered":"\u4eff\u751f\u4fee\u5fa9\u7684\u65b0\u6982\u5ff5\uff0cCAD\/CAM \u5929\u7136\u8d0b\u5fa9\u7269 <br\/><div class='secondary-title'>Schlichting LH, Schlichting KK, Stanley K, Magne M, Magne P, An approach to biomimetics: The natural CAD\/CAM restoration: A clinical report, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/div>"},"content":{"rendered":"<p>\u81ea\u7136\u7259\u6709\u8457\u9676\u74f7\u8ddf\u6a39\u8102\u90fd\u7121\u6cd5\u53d6\u4ee3\u7684\u7f8e\u89c0\u4ee5\u53ca\u7269\u7406\u6027\u8cea\uff0c\u5728\u904e\u53bb\u5341\u5e74\uff0c\u4e00\u76f4\u6709\u5b78\u8005\u81f4\u529b\u65bc\u5206\u6790\u7259\u9f52\u7684\u6027\u8cea\uff0c\u4e26\u5617\u8a66\u5206\u5225\u904b\u7528\u9676\u74f7\u4ee5\u53ca\u6a39\u8102\u6a21\u4eff Enamel \u4ee5\u53ca Dentin\uff0c\u9019\u9580\u5b78\u554f\u7a31\u70ba &#8220;Biomimetic&#8221;<sup>1,2<\/sup>\u3002<\/p>\n<p>\u9019\u7bc7\u6587\u7ae0\u70ba Pascal Magne \u5718\u968a\u6240\u8457\uff0c\u5617\u8a66\u4f7f\u7528\u4e00\u7a2e\u5168\u65b0\u7684\u65b9\u5f0f\uff1a\u7d50\u5408\u751f\u7269\u6027\u4f86\u6e90\uff08\u667a\u9f52\uff09\uff0c\u7576\u4ee3\u7684 CAD\/CAM \u6280\u8853\u4ee5\u53ca Adhesive \u6750\u6599\u4f86\u91cd\u5efa\u4e00\u9846\u4e0b\u984e\u7b2c\u4e00\u5927\u81fc\u9f52\u3002<\/p>\n<p>\u539f\u6587\u9023\u7d50\uff1a <a href=\"http:\/\/www.thejpd.org\/article\/S0022-3913(13)00254-0\/abstract\" target=\"_blank\">http:\/\/www.thejpd.org\/article\/S0022-3913(13)00254-0\/abstract<\/a><\/p>\n<hr \/>\n<h3>\u81e8\u5e8a\u6848\u4f8b<\/h3>\n<p>41 \u6b72\u5973\u6027\uff0c\u7259\u4f4d 46 \u56e0\u70ba\u7f8e\u89c0\u56e0\u7d20\u6c42\u8a3a\uff0c\u8981\u6c42\u7f6e\u63db\u539f\u672c\u7684\u586b\u88dc\u7269\uff0c\u5728\u521d\u8a3a\u7684\u6642\u5019\uff0c\u60a3\u8005\u63d0\u5230\u5973\u5152\u6700\u8fd1\u525b\u62d4\u9664\u667a\u9f52\uff0c\u7b46\u8005\u65bc\u662f\u544a\u77e5\u7528\u8a72\u667a\u9f52\u4f86\u9032\u884c\u8d0b\u5fa9\u7684\u53ef\u80fd\u6027\uff0c\u7d93\u60a3\u8005\u540c\u610f\u5f8c\uff0c\u958b\u59cb\u9032\u884c\u63a5\u4e0b\u4f86\u7684\u6cbb\u7642\u3002<\/p>\n<figure id=\"attachment_500\" aria-describedby=\"caption-attachment-500\" style=\"width: 1014px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-500 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report-1024x337.jpg\" width=\"1024\" height=\"337\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report-1024x337.jpg 1024w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report-300x99.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report-768x252.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-500\" class=\"wp-caption-text\">\u5716\u4e00. \u5728\u9032\u884c 46 \u6cbb\u7642\u524d\uff0c\u5148\u7528\u9676\u74f7\u8d0b\u5fa9\u4e86 45 \u4ee5\u53ca 47\uff0c44 \u5247\u662f\u76f4\u63a5\u6a39\u8102\u586b\u88dc\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3>\u7259\u9f52\u4fee\u78e8<\/h3>\n<p>\u79fb\u9664\u539f\u672c\u7684\u586b\u88dc\u7269\u5f8c\uff0c\u7259\u9f52\u9032\u884c\u6700\u5c0f\u9650\u5ea6\u7684\u4fee\u78e8\uff0c\u4e0d\u7279\u5225\u5efa\u7acb Retention form\uff0c\u53ea\u4fee\u78e8\u51fa\u4e00\u500b\u7c21\u55ae\u7684\u908a\u7de3\u3002\u5b8c\u6210\u4fee\u78e8\u4e4b\u5f8c\uff0c\u4f7f\u7528\u7b2c\u56db\u4ee3\u7684 OptiBond FL \u9032\u884c\u6a19\u6e96\u6d41\u7a0b\u7684 IDS (immediate dentin sealing)\uff0c\u63a5\u8457\u4f7f\u7528 Polyvinyl siloxane \u5168\u53e3\u5370\u6a21\u3002<\/p>\n<figure id=\"attachment_501\" aria-describedby=\"caption-attachment-501\" style=\"width: 1014px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-501 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report2-1024x337.jpg\" width=\"1024\" height=\"337\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report2-1024x337.jpg 1024w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report2-300x99.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report2-768x253.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-501\" class=\"wp-caption-text\">\u5716\u4e8c. \u79fb\u9664\u820a\u586b\u88dc\u5f8c\u4ee5\u53ca IDS \u5b8c\u6210\u5f8c\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3>\u667a\u9f52\u8207\u77f3\u818f\u6a21\u7684\u5b9a\u4f4d\u3001\u8edf\u9ad4\u8a2d\u8a08<\/h3>\n<p>\u6839\u64da\u8d0b\u5fa9\u7269\u7684\u9810\u8a08\u5927\u5c0f\uff0c\u9078\u64c7\u7565\u5927\u7684\u667a\u9f52\uff0c\u88fd\u4f5c\u4e00\u500b\u5ba2\u88fd\u5316\u7684 Block \uff0c\u7531\u65bc\u81ea\u7136\u7259\u7684\u7d50\u69cb\u8907\u96dc\uff0c\u70ba\u9054\u5230\u8d0b\u5fa9\u7269\u7684\u6b63\u78ba\u5206\u5c64\uff0c\u7259\u9f52\u5728\u74f7\u584a\u88e1\u7684\u76f8\u5c0d\u4f4d\u7f6e\u5fc5\u9808\u63a7\u5236\u5f97\u975e\u5e38\u7cbe\u6e96\uff0c\u70ba\u4e86\u9054\u5230\u9019\u500b\u76ee\u7684\uff0c\u4ee5\u4e0b\u662f\u7b46\u8005\u7684\u88fd\u4f5c\u6b65\u9a5f\uff1a<\/p>\n<ol>\n<li>\u5148\u4f7f\u7528 Silicone \u7d00\u9304\u7259\u9f52\u7684 Emergence profile\uff0c\u78ba\u4fdd\u667a\u9f52\u7684\u64fa\u653e\u4f4d\u7f6e\u80fd\u6db5\u84cb\u5230\u6240\u6709 Margin \u3002<\/li>\n<li>\u7136\u5f8c\u7ffb\u4e00\u500b\u6a21\u578b\uff0c\u4fee\u6389\u4fee\u78e8\u904e\u7684\u7259\u9f52\uff0c\u78ba\u4fdd\u81e8\u7259\u7684\u63a5\u89f8\u6709\u88ab\u4fee\u78e8\u6389\u3002<\/li>\n<li>\u63a5\u8457\u5c07\u667a\u9f52\u64fa\u653e\u5230\u7b26\u5408\u54ac\u5408\u7684\u4f4d\u7f6e\uff0c\u7528\u525b\u525b\u7684 Silicone \u78ba\u5b9a\u9f52\u9838\u90e8\u7684\u9830\u820c\u4f4d\u7f6e\u64fa\u653e\u6b63\u78ba\u3002<\/li>\n<li>\u7528\u881f\u56fa\u5b9a\u7259\u9f52\u4f4d\u7f6e\uff0c\u5674\u7c89\u5f8c\u5c07\u64fa\u4e0a\u667a\u9f52\u7684\u6a21\u578b\u6383\u63cf\u6210\u6578\u4f4d\u6a21\u578b\uff0c\u4e3b\u6a21\u4e5f\u540c\u6642\u6578\u4f4d\u5316<\/li>\n<li>\u4f7f\u7528 Cerec 3.65 \u8edf\u9ad4\u5728\u4e3b\u6a21\u4e0a\u8a2d\u8a08\u8d0b\u5fa9\u7269\uff0c\u54ac\u5408\u9762\u5247\u662f\u8907\u88fd\u667a\u9f52\u6a21\u578b\u7684\u54ac\u5408\u9762\u3002<\/li>\n<\/ol>\n<figure id=\"attachment_503\" aria-describedby=\"caption-attachment-503\" style=\"width: 1014px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-503 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg3_-1024x685.jpg\" width=\"1024\" height=\"685\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg3_-1024x685.jpg 1024w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg3_-300x201.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg3_-768x514.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-503\" class=\"wp-caption-text\">\u5716\u4e09. \u5c07\u667a\u9f52\u64fa\u653e\u5230\u6700\u63a5\u8fd1\u672a\u4f86\u54ac\u5408\u9762\u4ee5\u53ca\u9f52\u9838\u90e8\u7684\u4f4d\u7f6e\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_502\" aria-describedby=\"caption-attachment-502\" style=\"width: 999px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-502 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg4_-1009x1024.jpg\" width=\"1009\" height=\"1024\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg4_-1009x1024.jpg 1009w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg4_-296x300.jpg 296w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg4_-768x780.jpg 768w\" sizes=\"(max-width: 1009px) 100vw, 1009px\" \/><figcaption id=\"caption-attachment-502\" class=\"wp-caption-text\">\u5716\u56db. \u8edf\u9ad4\u8a2d\u8a08\u8907\u88fd\u667a\u9f52\u7684\u54ac\u5408\u9762\uff0c\u4ee5\u5354\u52a9\u63a5\u4e0b\u4f86\u7684\u5b9a\u4f4d\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3>\u667a\u9f52 Block \u7684\u88fd\u4f5c<\/h3>\n<ol>\n<li>\u5148\u4f7f\u7528\u4e00\u822c\u7684\u74f7\u584a (Empress CAD) \u7814\u78e8\u96fb\u8166\u8a2d\u8a08\u51fa\u4f86\u7684\u8d0b\u5fa9\u7269\uff0c\u5728\u54ac\u5408\u9762\u7814\u78e8\u5b8c\u6210\u6642\u624b\u52d5\u505c\u6b62\u7814\u78e8\u3002<\/li>\n<li>\u7528 Silicone\u5370\u51fa\u534a\u5b8c\u6210\u74f7\u584a\u7684 Index\uff0c\u78ba\u4fdd\u667a\u9f52\u53ef\u4ee5\u64fa\u5230\u8ddf\u7814\u78e8\u51fa\u4f86\u7684\u7259\u51a0\u76f8\u540c\u7684\u4f4d\u7f6e\u3002<\/li>\n<li>\u5c07\u53e6\u5916\u4e00\u500b\u74f7\u584a\u4fee\u78e8\u6210L\u578b\uff0c\u5b9a\u4f4d\u5230\u540c\u4e00\u500b Silicon\uff0c\u78ba\u4fdd\u8207\u667a\u9f52\u4e4b\u9593\u6709\u4e00\u500b\u5c0f\u9593\u9699\u3002<\/li>\n<li>\u74f7\u584a\u8868\u9762\u4f7f\u7528\u6c2b\u6c1f\u9178\u9178\u8755\uff0c\u5857\u4e0a Silane\u3002<\/li>\n<li>\u667a\u9f52\u7d93\u78f7\u9178\u9178\u8755\u5f8c\uff0c\u5857\u4e0a Optibond FL\uff0c\u4f7f\u7528 Filtek Z100 \u56fa\u5b9a\u5230\u74f7\u584a\u4e0a\u3002<\/li>\n<\/ol>\n<figure id=\"attachment_504\" aria-describedby=\"caption-attachment-504\" style=\"width: 751px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-504 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg453-761x1024.jpg\" width=\"761\" height=\"1024\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg453-761x1024.jpg 761w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg453-223x300.jpg 223w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg453-768x1033.jpg 768w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg453.jpg 1999w\" sizes=\"(max-width: 761px) 100vw, 761px\" \/><figcaption id=\"caption-attachment-504\" class=\"wp-caption-text\">\u5716\u4e94. \u5c07\u667a\u9f52\u7cbe\u6e96\u7684\u4ee5\u6a39\u8102\u56fa\u5b9a\u5230\u74f7\u584a\u4e0a\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<hr \/>\n<h3>\u5929\u7136\u8d0b\u5fa9\u7269\u7684\u88fd\u4f5c<\/h3>\n<p>\u5c07\u5408\u6210\u7684\u74f7\u584a\u4ee5\u540c\u4e00\u6a94\u6848\u5b8c\u6210\u7814\u78e8\uff0c\u5982\u540c\u4e4b\u524d\u6240\u8a08\u756b\u7684\uff0c\u54ac\u5408\u9762\u5e7e\u4e4e\u6c92\u6709\u88ab\u78e8\u5230<\/p>\n<p>Margin \u9664\u4e86\u5728\u9830\u5074\u6709\u8f15\u5fae\u7684 Chipping \u5916\uff0c\u7cbe\u6e96\u5ea6\u90fd\u662f\u53ef\u63a5\u53d7\u7684<\/p>\n<p>\u8207\u81e8\u7259\u7684\u63a5\u89f8\u4e5f\u662f\u5408\u9069\u7684\uff0c\u4f46\u662f\u984f\u8272\u4e0d\u5c0d\uff0c\u6240\u4ee5\u7b46\u8005\u4f7f\u7528 36\u2103 \u7684\u6fc3\u7e2e\u5496\u5561\uff0c\u6ce1\u4e86 6 \u500b\u5c0f\u6642\u9032\u884c\u5916\u67d3\u3002<\/p>\n<figure id=\"attachment_505\" aria-describedby=\"caption-attachment-505\" style=\"width: 999px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-505 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg6_-1009x1024.jpg\" width=\"1009\" height=\"1024\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg6_-1009x1024.jpg 1009w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg6_-296x300.jpg 296w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg6_-768x780.jpg 768w\" sizes=\"(max-width: 1009px) 100vw, 1009px\" \/><figcaption id=\"caption-attachment-505\" class=\"wp-caption-text\">\u5716\u516d. \u7814\u78e8\u5b8c\u6210\uff0c\u4ee5\u6fc3\u7e2e\u5496\u5561\u5916\u67d3\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<hr \/>\n<h3>\u9ecf\u8457<\/h3>\n<p>\u4f7f\u7528\u6a61\u76ae\u5e33\u9694\u96e2\u7259\u9f52\uff0c\u7259\u9f52\u8868\u9762\u5674\u7802\u3001\u78f7\u9178\u9178\u8755\uff0c\u667a\u9f52\u7259\u51a0\u4e5f\u9032\u884c\u78f7\u9178\u9178\u8755\uff0c\u5206\u5225\u5857\u4e0a Optibond FL \u7684 Primer \uff0c\u8f15\u5237 15 \u79d2\u5f8c\u5439\u4e7e 3-5 \u79d2\uff0c\u63a5\u8457\u5857\u4e0a Adhesive resin 20 \u79d2\uff0c\u6700\u5f8c\u4f7f\u7528\u9810\u71b1\u5230 68\u2103 \u7684 Z100 \u9ecf\u8457\uff0c\u5149\u56fa\u5316 60 \u79d2\u5f8c\uff0c\u4f7f\u7528\u7518\u6cb9\u8986\u84cb\u518d\u7167\u5149 20 \u79d2\u53bb\u9664\u6c27\u5316\u6291\u5236\u5c64\uff0c\u6700\u5f8c\u9032\u884c\u54ac\u5408\u7684\u5fae\u8abf\u4ee5\u53ca\u62cb\u5149\u3002<\/p>\n<figure id=\"attachment_506\" aria-describedby=\"caption-attachment-506\" style=\"width: 1014px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-506 size-large\" src=\"http:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg7_-1024x686.jpg\" width=\"1024\" height=\"686\" srcset=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg7_-1024x686.jpg 1024w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg7_-300x201.jpg 300w, https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/An-approach-to-biomimetics-the-natural-CADCAM-restoration-a-clinical-report.jpg7_-768x515.jpg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-506\" class=\"wp-caption-text\">\u5716\u4e03. \u9ecf\u8457\u5f8c\u53e3\u5167\u7167\u3002 Source: Schlichting LH, J Prosthet Dent. 2014 Feb;111(2):107-15.<\/figcaption><\/figure>\n<hr \/>\n<h3>\u8a0e\u8ad6<\/h3>\n<p>\u7528\u9019\u500b\u65b9\u5f0f\u8d0b\u5fa9\u6709\u5e7e\u500b\u512a\u9ede<\/p>\n<ol>\n<li>Enamel \u5728\u53e3\u8154\u74b0\u5883\u4e2d\u80fd\u6301\u7e8c\u7684\u9032\u884c\u96e2\u5b50\u4ea4\u63db\uff0c\u6301\u7e8c\u7684\u53bb\u7926\u5316\u4ee5\u53ca\u518d\u7926\u5316<\/li>\n<li>\u9019\u65b9\u6cd5\u6062\u5fa9\u4e86 Dentinoenamel complex\u00a0<sup>3<\/sup>\uff0c\u9019\u662f\u4e00\u500b\u7368\u7279\u7684\u4ecb\u9762\uff0c\u7d50\u5408\u4e86\u5169\u7a2e\u4e0d\u540c\u80da\u5c64\u3001\u57fa\u8cea\u7d44\u6210\u548c\u7269\u7406\u6027\u8cea\uff0c\u63d0\u4f9b\u4e86\u7d55\u4f73\u7684\u6a5f\u68b0\u6027\u8cea\uff0c\u5b83\u53ef\u85c9\u7531\u5851\u6027\u8b8a\u5f62\u505c\u6b62 Enamel \u7684\u88c2\u7d0b\u5ef6\u4f38\uff1bEnamel \u7684\u786c\u5ea6\u80fd\u4fdd\u8b77 Dentin \u4e0d\u53d7\u5230\u78e8\u8017\uff1bDentin \u7684\u5f48\u6027\u4fdd\u8b77 Enamel \u4e0d\u5728\u4f5c\u7528\u6642\u88c2\u958b\uff0c\u9019\u7a2e\u7d50\u69cb\u662f\u8a2d\u8a08\u4f86\u627f\u53d7\u4e00\u8f29\u5b50\u7684\u5480\u56bc\u529b\u7684\u3002<sup>4,5<\/sup><\/li>\n<li>Enamel \u7684\u6bcf\u5e74\u78e8\u8017\u7d04\u70ba 29 \u00b5m\u00a0<sup>6<\/sup>\u00a0\uff0c\u4f46\u7576\u5c0d\u54ac\u7259\u6709\u8d0b\u5fa9\u7269\u6642\uff0c\u5f80\u5f80\u6703\u9020\u6210 Enamel \u7684\u904e\u5ea6\u78e8\u8017\uff0c\u5c31\u7b97\u662f\u4e8c\u77fd\u9178\u92f0\u4e5f\u6703\u6709\u6bcf\u5e74 88\u00b5m \u7684\u78e8\u8017\u00a0<sup>7<\/sup>\uff0c\u4f46\u4f7f\u7528\u9019\u7a2e\u65b9\u5f0f\u5c31\u80fd\u9054\u5230\u5e73\u8861\u3002<\/li>\n<li>Enamel \u7684\u7d50\u6676\u96d6\u7136\u5f88\u63a5\u8fd1\u4f46\u4e0d\u63a5\u89f8\uff0c\u9019\u5176\u4e2d\u5f62\u6210\u4e86\u5f88\u591a\u53ef\u8b93\u7269\u8cea\u9032\u51fa\u7684\u7ba1\u9053\uff0c\u56e0\u6b64\u984f\u8272\u6703\u96a8\u8457\u6642\u9593\u6539\u8b8a\uff1b\u76f8\u8f03\u4e4b\u4e0b\u9676\u74f7\u984f\u8272\u592a\u904e\u7a69\u5b9a\u3001\u800c\u6a39\u8102\u7684\u984f\u8272\u7a69\u5b9a\u5ea6\u5247\u662f\u8f03\u5dee\uff0c\u9577\u671f\u90fd\u6703\u9020\u6210\u984f\u8272\u4e0a\u7684\u5dee\u7570\u3002<\/li>\n<li>\u6700\u5f8c\uff0c\u81ea\u7136\u7259\u7684\u54ac\u5408\u9762\u578b\u614b\uff0c\u662f CAD\/CAM \u52a0\u5de5\u6280\u8853\u5f88\u96e3\u9054\u5230\u7684\u3002<\/li>\n<\/ol>\n<p>\u81ea\u7136\u7259\u8655\u7406\u65b9\u5f0f\uff1a\u5728\u62d4\u9664\u667a\u9f52\u5f8c\uff0c\u7259\u6839\u8207\u7259\u9ad3\u8981\u99ac\u4e0a\u79fb\u9664\uff0c\u4e26\u4fdd\u5b58\u5728\u4f4e\u6eab\uff08 4 \u5ea6\uff09\u7b49\u5f35\u7684\u751f\u7406\u98df\u9e7d\u6c34\uff1b\u70ba\u4e86\u907f\u514d\u4ea4\u4e92\u611f\u67d3\uff0c\u667a\u9f52\u53ef\u7528\u9ad8\u58d3\u84b8\u6c23\u6d88\u6bd2\u6216\u662f\u4f7f\u7528 Gamma \u5c04\u7dda\u6bba\u83cc\uff0c\u5f8c\u8005\u662f\u6bd4\u8f03\u63a8\u85a6\u7684\uff0c\u672c\u6587\u4f7f\u7528\u9ad8\u6eab\u84b8\u6c7d\u6d88\u6bd2\uff0c\u662f\u56e0\u70ba\u9019\u500b\u65b9\u6cd5\u5c0d Dentin \u7684\u901a\u900f\u6027\u8ddf Bonding \u5f37\u5ea6\u4e26\u4e0d\u6703\u9020\u6210\u986f\u8457\u5f71\u97ff\u3002<sup>8<\/sup><\/p>\n<p>\u4e0d\u50cf\u50b3\u7d71\u7684\u8d0b\u5fa9\u7269\uff0c\u5929\u7136\u8d0b\u5fa9\u7269\u4ecd\u6703\u86c0\u7259\uff0c\u56e0\u6b64\u81ea\u7136\u7259\u6bd4\u8f03\u6df1\u7684\u6e9d\u9699\u61c9\u8a72\u5148\u88ab\u5c01\u586b\u8d77\u4f86\u3002\u4f46\u5176\u5be6\u4e0d\u7ba1\u4f5c\u4efb\u4f55\u8d0b\u5fa9\u7269\uff0c\u53e3\u8154\u885b\u751f\u662f\u7b2c\u4e00\u500b\u61c9\u8a72\u8981\u6c42\u7684\u3002<\/p>\n<p>\u9019\u500b\u6280\u8853\u4e5f\u80fd\u61c9\u7528\u5728\u690d\u7259\uff0c\u5047\u5982\u524d\u7259\u6709\u56e0\u70ba\u5916\u50b7\u5c0e\u81f4\u7259\u6839\u65b7\u88c2\uff0c\u88ab\u62d4\u9664\u7684\u7259\u9f52\u53ef\u4ee5\u8207\u826f\u597d\u8a2d\u8a08\u7684 Abutment \u9023\u63a5\uff0c\u9054\u5230\u8ddf\u539f\u672c\u76f8\u540c\u7684 Emergence profile\u3002<\/p>\n<hr \/>\n<h3>\u7d50\u8ad6<\/h3>\n<p>\u9019\u500b\u6848\u4f8b\u8b49\u5be6\u4e86\u9019\u662f\u4e00\u500b\u53ef\u884c\u7684\u89c0\u5ff5\uff0c\u7d93\u7531\u5929\u7136\u8d0b\u5fa9\u7269\u7684\u88fd\u4f5c\uff0c\u53ef\u4ee5\u56de\u5fa9\u53d7\u640d\u7684\u7259\u9f52\u6a5f\u68b0\u6027\u8cea\u3001\u7f8e\u89c0\u8207\u751f\u7269\u7279\u6027\uff0c\u9019\u5728\u672a\u4f86\u6703\u662f\u4e00\u500b\u5f88\u6709\u6f5b\u529b\u7684\u65b0\u6280\u8853\uff0c\u73fe\u5728\u9700\u8981\u7684\u662f\u66f4\u9577\u671f\u7684\u8ffd\u8e64\u3002<\/p>\n<hr \/>\n<h3>Reference<\/h3>\n<h6>1. Magne P. Composite resins and bonded porcelain: the postamalgam era? J Calif Dent Assoc 2006;34:135-47.<br \/>\n2. Magne P. Pascal Magne: \u2018It should not be about aesthetics but tooth-conserving dentistry.\u2019 Interview by Ruth Doherty. Br Dent 2012;213:189-91.<br \/>\n3. Bazos P, Magne P. Bio-emulation: biomimetically emulating nature utilizing a histo-anatomic approach; structural analysis. Eur J Esthet Dent 2011;6:8-19.<br \/>\n4. Marshall SJ, Balooch M, Habelitz S, Balooch G, Gallagher R, Marshall GW. The dentin-enamel junction: a natural, multilevel interface. J Eur Ceram Soc 2003;23:2897-904.<br \/>\n5. Giannini M, Soares CJ, de Carvalho RM. Ultimate tensile strength of tooth structures. Dent Mater 2004;20:322-9.<br \/>\n6. Lambrechts P, BraemM, Vuylsteke-WautersM, Vanherle G.Quantitative in vivo wear of human enamel. J Dent Res 1989;68:1752-4.<br \/>\n7. Esquivel-Upshaw JF, Young H, Jones J, Yang M, Anusavice KJ. In vivo wear of enamel by a lithia disilicate-based core ceramic used for posterior fixed partial dentures: first-year results. Int J Prosthodont 2006;19:391-6.<br \/>\n8. Pashley EL, Tao L, Pashley DH. Sterilization of human teeth: its effect on permeability and bond strength. Am J Dent 1993;6: 189-91.<\/h6>\n","protected":false},"excerpt":{"rendered":"<p>\u9019\u7bc7\u6587\u7ae0\u70ba Pascal Magne \u5718\u968a\u6240\u8457\uff0c\u5617\u8a66\u4f7f\u7528\u4e00\u7a2e\u5168\u65b0\u7684\u65b9\u5f0f\uff1a\u7d50\u5408\u751f\u7269\u6027\u4f86\u6e90\uff08\u667a\u9f52\uff09\uff0c\u7576\u4ee3\u7684 CAD\/CAM \u6280\u8853\u4ee5\u53ca Adhesive \u6750\u6599\u4f86\u91cd\u5efa\u4e00\u9846\u4e0b\u984e\u7b2c\u4e00\u5927\u81fc\u9f52&#8230;<\/p>\n","protected":false},"author":2,"featured_media":508,"comment_status":"closed","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 plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u4eff\u751f\u4fee\u5fa9\u7684\u65b0\u6982\u5ff5\uff0cCAD\/CAM \u5929\u7136\u8d0b\u5fa9\u7269 - 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\/02\/15\/\u4eff\u751f\u4fee\u5fa9\u7684\u65b0\u6982\u5ff5\uff0ccadcam\u5929\u7136\u8d17\u5fa9\u7269\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u4eff\u751f\u4fee\u5fa9\u7684\u65b0\u6982\u5ff5\uff0cCAD\/CAM\u5929\u7136\u8d17\u5fa9\u7269\" \/>\n<meta property=\"og:description\" content=\"Schlichting LH, Schlichting KK, Stanley K, Magne M, Magne P, An approach to biomimetics: The natural CAD\/CAM restoration: A clinical report, J Prosthet Dent. 2014 Feb;111(2):107-15.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cerecdigest.net\/2017\/02\/15\/\u4eff\u751f\u4fee\u5fa9\u7684\u65b0\u6982\u5ff5\uff0ccadcam\u5929\u7136\u8d17\u5fa9\u7269\/\" \/>\n<meta property=\"og:site_name\" content=\"CEREC Digest\" \/>\n<meta property=\"article:published_time\" content=\"2017-02-15T14:51:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-07-28T16:37:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.cerecdigest.net\/wp-content\/uploads\/2017\/02\/472A6177-2-700x373.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"700\" \/>\n\t<meta property=\"og:image:height\" content=\"373\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Lucky, Li \u674e\u627f\u7ff0\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Lucky, Li \u674e\u627f\u7ff0\" \/>\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\/02\/15\/%e4%bb%bf%e7%94%9f%e4%bf%ae%e5%be%a9%e7%9a%84%e6%96%b0%e6%a6%82%e5%bf%b5%ef%bc%8ccadcam%e5%a4%a9%e7%84%b6%e8%b4%97%e5%be%a9%e7%89%a9\/\",\"url\":\"https:\/\/www.cerecdigest.net\/2017\/02\/15\/%e4%bb%bf%e7%94%9f%e4%bf%ae%e5%be%a9%e7%9a%84%e6%96%b0%e6%a6%82%e5%bf%b5%ef%bc%8ccadcam%e5%a4%a9%e7%84%b6%e8%b4%97%e5%be%a9%e7%89%a9\/\",\"name\":\"\u4eff\u751f\u4fee\u5fa9\u7684\u65b0\u6982\u5ff5\uff0cCAD\/CAM \u5929\u7136\u8d0b\u5fa9\u7269 - 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