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牙体缺损修复备牙过程图解(供口腔医学类专业使用山东大学精品立项教材)(精) 版权信息
- ISBN：9787030673015
- 条形码：9787030673015 ; 978-7-03-067301-5
- 装帧：一般胶版纸
- 册数：暂无
- 重量：暂无
- 所属分类：>>
牙体缺损修复备牙过程图解(供口腔医学类专业使用山东大学精品立项教材)(精) 内容简介
本书在整合口腔修复专业教材的基础上，详尽介绍了前／后牙全瓷冠、贴面、嵌体等临床常用修复体的牙体预备过程，以图文+视频形式展示整个预备步骤、操作要求和技巧，直观展示整个过程。同时提供英文对照，有助于口腔医学生及青年医师学习专业英语。 本书图片清晰、操作规范、步骤详细，可供口腔医学生、住培医师参考。
牙体缺损修复备牙过程图解(供口腔医学类专业使用山东大学精品立项教材)(精) 目录
目录
**章 牙体缺损概述 1
第二章 前牙全瓷冠牙体预备 3
一、制作硅橡胶index 5
二、切端预备 7
三、唇面预备 11
四、邻面预备 19
五、腭面预备 21
六、边缘修整，精修完成 27
七、预备体检查 29
八、预备体展示 33
第三章 前牙瓷贴面牙体预备 37
**节 对接型、包绕型瓷贴面牙体预备 39
一、制作硅橡胶index 41
二、切端预备 41
三、唇面预备 43
四、邻面扩展，边缘线修整 51
五、精修完成 53
六、对接型瓷贴面预备体完成 59
七、腭侧边缘预备（包绕型） 59
八、边缘修整，精修完成（包绕型） 61
九、预备体完成（包绕型） 63
第二节 开窗型前牙瓷贴面牙体预备 63
一、唇面预备 65
二、切端边缘线预备 69
三、边缘修整，精修完成 71
四、预备体完成 75
第四章 磨牙嵌体预备 77
**节 磨牙邻嵌体牙体预备 79
一、面洞形预备 79
二、邻面洞形预备 81
三、精修完成 83
四、预备体完成 85
第二节 磨牙高嵌体牙体预备 87
一、邻邻面洞形预备 87
二、牙尖预备 87
三、精修与磨光 91
四、高嵌体预备完成 95
第五章 后牙全瓷冠牙体预备 97
一、制作硅橡胶index 99
二、面预备 99
三、颊轴面深度指示沟预备 105
四、舌轴面深度指示沟预备 107
五、颊舌轴面预备 107
六、邻面预备 111
七、边缘修整 115
八、功能尖斜面预备 117
九、精修与磨光 117
十、完成的预备体 123
CONTENTS
Chapter 1 Summary of Tooth Defect 2
Chapter 2 Preparation of All-Ceramic Crown of Anterior Tooth 4
1.Fabrication of Silicone Index 6
2.Preparation of Incisal Edge 8
3.Preparation of Labial Surface 12
4.Preparation of Proximal Surface 20
5.Preparation of Palatal Surface 22
6.Margin Line is Prepared，and Fine Trimming Process is Finished 28
7.Check of the Tooth Preparation 30
8.Display of the Tooth Preparation 34
Chapter 3 Anterior Tooth Preparation for Veneer 38
Section 1 Porcelain Veneer Preparation of Anterior Tooth（Butt-Joint Type and Overlap Type） 40
1.Fabrication of Silicone Index 42
2.Preparation of Incisal Edge 42
3.Preparation of Labial Surface 44
4.Preparation of Proximal Surface and Margin Line 52
5.Fine Trimming Process is Finished 54
6.Preparation of Butt-Joint Type Porcelain Veneer is Finished 60
7.Preparation of Palatal Margin（Overlap Type） 60
8.Trim the Margin Line，Finish the Fine Trimming Process（Overlap Type） 62
9.Tooth Preparation is Finished（Overlap Type） 64
Section 2 Window Type Porcelain Veneer Preparation of Anterior Tooth 64
1.Preparation of Labial Surface 66
2.Preparation of Margin Line on Incisal Edge 70
3.Margin Line is Prepared，and Fine Trimming Process is Finished 72
4.Tooth Preparation is Finished 76
Chapter 4 Inlay Preparation of Molar Tooth 78
Section 1 Proximal-Occlusal Inlay Preparation of Molar Tooth 80
1.Preparation of Occlusal Cavity 80
2.Preparation of Proximal Box 82
3.Fine Trimming Process is Finished 84
4.Tooth Preparation is Finished 86
Section 2 Tooth Preparation of Molar Onlay 88
1.Preparation of Proximal-Occlusal-Proximal Cavity 88
2.Preparation of Cusp 88
3.Fine Trimming and Polishing 92
4.Onlay Preparation is Finished 96
Chapter 5 All-Ceramic Crown Preparation of Posterior Tooth 98
1.Fabrication of Silicone Index 100
2.Preparation of Occlusal Surface 100
3.Preparation of Depth Grooves on Buccal Axial Surface 106
4.Preparation of Depth Grooves on Lingual Axial Surface 108
5.Preparation of Buccal and Lingual Surfaces 108
6.Preparation of Proximal Surface 112
7.Trimming the Margin Line 116
8.Preparation of Functional Cusp Bevel 118
9.Fine Trimming and Polishing 118
10.The Finished Preparation 124
**章 牙体缺损概述 1
第二章 前牙全瓷冠牙体预备 3
一、制作硅橡胶index 5
二、切端预备 7
三、唇面预备 11
四、邻面预备 19
五、腭面预备 21
六、边缘修整，精修完成 27
七、预备体检查 29
八、预备体展示 33
第三章 前牙瓷贴面牙体预备 37
**节 对接型、包绕型瓷贴面牙体预备 39
一、制作硅橡胶index 41
二、切端预备 41
三、唇面预备 43
四、邻面扩展，边缘线修整 51
五、精修完成 53
六、对接型瓷贴面预备体完成 59
七、腭侧边缘预备（包绕型） 59
八、边缘修整，精修完成（包绕型） 61
九、预备体完成（包绕型） 63
第二节 开窗型前牙瓷贴面牙体预备 63
一、唇面预备 65
二、切端边缘线预备 69
三、边缘修整，精修完成 71
四、预备体完成 75
第四章 磨牙嵌体预备 77
**节 磨牙邻嵌体牙体预备 79
一、面洞形预备 79
二、邻面洞形预备 81
三、精修完成 83
四、预备体完成 85
第二节 磨牙高嵌体牙体预备 87
一、邻邻面洞形预备 87
二、牙尖预备 87
三、精修与磨光 91
四、高嵌体预备完成 95
第五章 后牙全瓷冠牙体预备 97
一、制作硅橡胶index 99
二、面预备 99
三、颊轴面深度指示沟预备 105
四、舌轴面深度指示沟预备 107
五、颊舌轴面预备 107
六、邻面预备 111
七、边缘修整 115
八、功能尖斜面预备 117
九、精修与磨光 117
十、完成的预备体 123
CONTENTS
Chapter 1 Summary of Tooth Defect 2
Chapter 2 Preparation of All-Ceramic Crown of Anterior Tooth 4
1.Fabrication of Silicone Index 6
2.Preparation of Incisal Edge 8
3.Preparation of Labial Surface 12
4.Preparation of Proximal Surface 20
5.Preparation of Palatal Surface 22
6.Margin Line is Prepared，and Fine Trimming Process is Finished 28
7.Check of the Tooth Preparation 30
8.Display of the Tooth Preparation 34
Chapter 3 Anterior Tooth Preparation for Veneer 38
Section 1 Porcelain Veneer Preparation of Anterior Tooth（Butt-Joint Type and Overlap Type） 40
1.Fabrication of Silicone Index 42
2.Preparation of Incisal Edge 42
3.Preparation of Labial Surface 44
4.Preparation of Proximal Surface and Margin Line 52
5.Fine Trimming Process is Finished 54
6.Preparation of Butt-Joint Type Porcelain Veneer is Finished 60
7.Preparation of Palatal Margin（Overlap Type） 60
8.Trim the Margin Line，Finish the Fine Trimming Process（Overlap Type） 62
9.Tooth Preparation is Finished（Overlap Type） 64
Section 2 Window Type Porcelain Veneer Preparation of Anterior Tooth 64
1.Preparation of Labial Surface 66
2.Preparation of Margin Line on Incisal Edge 70
3.Margin Line is Prepared，and Fine Trimming Process is Finished 72
4.Tooth Preparation is Finished 76
Chapter 4 Inlay Preparation of Molar Tooth 78
Section 1 Proximal-Occlusal Inlay Preparation of Molar Tooth 80
1.Preparation of Occlusal Cavity 80
2.Preparation of Proximal Box 82
3.Fine Trimming Process is Finished 84
4.Tooth Preparation is Finished 86
Section 2 Tooth Preparation of Molar Onlay 88
1.Preparation of Proximal-Occlusal-Proximal Cavity 88
2.Preparation of Cusp 88
3.Fine Trimming and Polishing 92
4.Onlay Preparation is Finished 96
Chapter 5 All-Ceramic Crown Preparation of Posterior Tooth 98
1.Fabrication of Silicone Index 100
2.Preparation of Occlusal Surface 100
3.Preparation of Depth Grooves on Buccal Axial Surface 106
4.Preparation of Depth Grooves on Lingual Axial Surface 108
5.Preparation of Buccal and Lingual Surfaces 108
6.Preparation of Proximal Surface 112
7.Trimming the Margin Line 116
8.Preparation of Functional Cusp Bevel 118
9.Fine Trimming and Polishing 118
10.The Finished Preparation 124
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牙体缺损修复备牙过程图解(供口腔医学类专业使用山东大学精品立项教材)(精) 节选
**章 牙体缺损概述 牙体缺损（tooth defect）是口腔科*常见的疾病之一，是指由于各种原因引起的牙体硬组织不同程度的外形、结构及颜色的破坏和异常， 表现为牙体失去了正常的解剖学外形和颜色，对牙髓、牙周组织、咀嚼、发音、面容，甚至对全身健康都会产生不同程度的影响。 牙体缺损较小时可以采用直接充填法治疗， 但如果剩余牙体组织薄弱， 无法为充填体提供良好的固位， 剩余牙体组织抗力不足、充填体强度不足或者为了实现更高的美学诉求时，则需要采用修复治疗的方法。牙体缺损的修复是用间接法制作的人工修复体恢复缺损牙的形态、美观和功能，包括嵌体、贴面、部分冠、全冠和桩核冠等。 修复体是一个应用于人体口腔内的机械装置， 应满足生物学原则、生物力学原则和美学原则。三原则贯穿于牙体缺损修复治疗的每个阶段，不能过分强调其中的单一方面，否则会影响其他原则的实现，在进行牙体缺损修复的设计时， 要综合分析、具体评价。 本书内容就是在综合考虑修复治疗三原则的基础上，设计和实施牙体缺损修复的牙体预备部分。 Chapter 1 Summary of Tooth Defect The tooth defect is one of the most common manifestation of dental disease. Tooth defect is defined as the destruction and abnormity of the shape，color and tooth structure caused by various reasons. It shows that the tooth has lost its normal anatomical shape and color，which has a different degree of impact on chewing，pronunciation，dental pulp，periodontal tissue，facial appearance and even on the general health. When the tooth defect is small， it can be treated by direct composite filling. However， if the residual tooth tissue is thin and can not provide enough retention for filling， or the esistance of the residual tissue is lack， or the strength of the filling is not enough， or to achieve a better esthetics appearance， the restoration treatment is needed. The restoration of the tooth defect is to fabricate artificial restoration in indirect process to recover the contour， esthetics and function of the defected tooth， which includes inlay， veneer， partial crown， full-crown and post-core crown. The dental restoration is a mechanical device applied on human oral， the design of which must be in line with the multifaceted biological，biomechanical and esthetic principles. These three fundamental principles should be applied well through each step from treatment plan design to operation procedure. If we overemphasize one of the three principles，it may interfere in the others. In this way，a comprehensive and concrete analysis is needed when you design the process of restoring the tooth defect. Based on comprehensive consider of three principles，this book designs and implements the tooth preparation of the defective tooth restoration. 第二章 前牙全瓷冠牙体预备 全冠是牙体缺损修复治疗中适应范围*广的一种修复体，覆盖整个缺损患牙的所有轴面和面，可以用来修复缺损患牙的形态、功能和美观；在前牙区，还可用于轻度排列不齐或者扭转牙的美学修复。 前牙除具有咀嚼和发音功能外，更重要的功能是美观，因此具备良好美学性能的全瓷冠受到越来越多患者的青睐，临床应用日益广泛。本章就以21牙经典的双层结构全瓷冠——氧化锆加饰的全瓷冠牙体预备（预备流程及预备量见图2-1）为例进行图文视听讲解。 图2-1 前牙全瓷冠牙体预备 Chapter 2 Preparation of All-Ceramic Crown of Anterior Tooth All-ceramic crown is the most popular type of crown used in the dental defects prosthodontic treatment. It covers all the axial and occlusal surfaces of the defected tooth. It can e.ectively repair the contour，function and aesthetic of the defected tooth. For the anterior，it especially corrects the slight malalinement and torsiversion of the anterior tooth. The anterior tooth has the function of mastication，pronunciation and more importantly esthetics. Therefore，the all-ceramic crown possessing good esthetic performance is popular increasingly. And it is widely used in clinic growingly. The chapter describes the two layer structure zirconia with decorative porcelain all-ceramic crown which takes the 21 tooth as an example (the procedure and reduction are shown in Fig 2-1) in the form of .gure，text and audiovisual instruction. Fig 2-1 The preparation of all-ceramic crown of the anterior tooth 一、制作硅橡胶index 开始牙体预备前使用加成反应硅橡胶油泥混合型制作index（图2-2），唇侧盖过牙龈缘且不影响就位，腭侧制作背板，便于检查腭侧预备量并起固位作用，两侧包绕至预备牙近远中至少两个牙位，index需制作2个，用于显露预备牙不同的位置。 图2-2 牙体预备前制作index 严格按照硅橡胶说明书上的硬固时间（一般4～5min），待硅橡胶硬固后取下，其中一个index（index-Ⅰ）用手术刀片沿21预备牙正中唇向垂直切开（图2-3），可以用于检查唇面预备量及预备体形态。 图2-3 index-Ⅰ的制作 1. Fabrication of Silicone Index Before the tooth preparation， use additional type silicone putty to fabricate two silicone indexes(Fig 2-2). This index extends over the labial gingival edge without interfering with the placement， the palatal side of which is fabricated as the backplane for checking the reduction and providing retention， the proximal side should include at least two other adjacent teeth. Two indexes are made for exposing di.erent parts of the preparation. Fig 2-2 Fabricate a silicone index before the tooth preparation According to the setting time of the instruction(4-5minutes)， put out the putty when it gets hard. To check the facial and palatal reduction，one index(index-Ⅰ) is cut vertically along the midline labiopalatine direction of the 21 tooth(Fig 2-3). Fig 2-3 The fabrication of index-Ⅰ
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