Research on the method of digital technology assisted direct resin composite restoration for deep distal caries in mandibular second molars
10.3760/cma.j.cn112144-20240709-00263
- VernacularTitle:数字化技术辅助下颌第二磨牙远中颈部深龋损树脂直接粘接修复的方法研究
- Author:
Xinyue ZHANG
1
;
Yong WANG
;
Zeqian PAN
;
Yingyi LIU
;
Yijiao ZHAO
Author Information
1. 北京大学口腔医学院·口腔医院口腔医学数字化研究中心 口腔修复教研室 国家口腔医学中心 国家口腔疾病临床医学研究中心口腔生物材料和数字诊疗装备国家工程研究中心 国家卫生健康委口腔医学计算机应用工程技术研究中心 口腔数字医学北京市重点实验室，北京 100081
- Keywords:
Computer-aided design;
Dental caries;
Prosthodontics;
Restorative matrix;
Digital dentistry
- From:
Chinese Journal of Stomatology
2024;59(11):1114-1119
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the digital design and fabrication technology of personalized restorative matrix for dental filling, and to explore the feasibility of direct resin restoration for deep caries lesions in distal neck of mandibular second molar.Methods:For patients with deep caries lesions in the distal neck of the mandibular second molar who visited the Department of Cariology and Endodontology of Peking University School and Hospital of Stomatology from September 2023 to April 2024, after preparing the cavity and gingival retractor, a three-dimensional intraoral scanner was used to obtain three-dimensional data of the patient′s dentition. In the dental restoration computer-aided design software, the inlay function was used to generate the restored tooth morphology. The edge range of the personalized restorative matrix was drawn on the restored model by three-dimensional reverse engineering software to achieve edge sealing effect. The selected edge range data was processed with distal shelling to generate a digital model of a personalized restorative matrix with a thickness of 0.5 mm. A metal three-dimensional printer was used to fabricate the titanium alloy restorative matrix, and its application was completed in 10 clinical cases. The marginal adaptation and retention stability of the personalized restorative matrix were evaluated under a dental microscope, and forming effect evaluation was performed through immediate postoperative periapical radiographs.Results:The preliminary clinical application of the personalized restorative matrix fabricated using digital technology revealed that, in the treatment of 10 affected teeth, rubber dam isolation was successfully ensured, resulting in clinically effective direct resin composite restorations with optimal marginal adaptation and reasonable contours. Immediate postoperative periapical radiographs showed good convexity of the filling body, with no overhangs found. Both marginal adaptation and retention stability met the requirements of clinical treatment.Conclusions:The personalized restorative matrix designed in this study can solve the clinical problems of moisture separation and resin forming in the treatment of deep caries lesions in distal neck of the mandibular second molar, and can achieve stable and reliable adhesive restoration effects.
