华西口腔医学杂志2025，Vol.43Issue(3)：325-335,11.DOI:10.7518/hxkq.2025.2025003
数字化全颌固定咬合重建(一):有牙颌的"5-19N"(牙合)重建临床技术方案
Digital full-mouth fixed occlusal reconstruction(part Ⅰ):the"5-19N"clinical technical solution for dentulous situation
摘要
Abstract
Occlusal rehabilitation is an effective means of treating tooth wear,edentulous jaws and other oral diseas-es.Among them,full-mouth fixed occlusal reconstruction can effectively restore aesthetics and function,but the com-plexity of the clinical process,the high sensitivity of the technique,and the high incidence of various complications have always drawn much attention.With the application and development of digital technology in occlusal rehabilitation,the treatment outcome has been improved compared with traditional treatment.However,there are many kinds of digital technology with different efficacy,how to build an efficiently standardized digital clinical technical solution is a current difficulty.Therefore,combined with the long-term work of the department of prosthodontics in our hospital,in this paper,the minimum(occlusal perception of thick-ness)and maximum(centric relation)geometric quanti-ties which should be paid attention to during reconstruc-tion are put forward.We systematically organized the clinical procedure of digital full-mouth fixed occlusal rehabilitation used in our department for a long time.In conclusion,a 5-stage 19-step or n-step solution(5-19N for short)characterized by"from large to small"restorative space splitting logic is proposed.It has a certain reference value for the future use of digital technology to deal with complex occlusal rehabilitation cases.关键词
数字化/咬合重建/固定修复/临床方案/精度Key words
digital/occlusal rehabilitation/fixed restoration/clinical solution/accuracy分类
口腔医学引用本文复制引用
于海洋,吴嘉诚,税钰森,颜哲彬,裴亚鹏..数字化全颌固定咬合重建(一):有牙颌的"5-19N"(牙合)重建临床技术方案[J].华西口腔医学杂志,2025,43(3):325-335,11.基金项目
国家自然科学基金(82071145) （82071145）
四川大学华西口腔医院资助临床研究项目(LCYJ2022-BZ-2) National Natural Science Foundation of China(82071145) （LCYJ2022-BZ-2）
Clinical Research Project of West China Hos-pital of Stomatology,Sichuan University(LCYJ2022-BZ-2) （LCYJ2022-BZ-2）
