from 01.01.1992 until now
Ekaterinburg, Ekaterinburg, Russian Federation
Novosibirsk, Novosibirsk, Russian Federation
Predmet. Ispol'zovanie keramicheskih konstrukciy dlya vosstanovleniya funkcii i estetiki zubochelyustnoy sistemy poluchilo shirokoe rasprostranenie v praktike ortopedicheskoy stomatologii. No, nesmotrya na dostignutye uspehi, ryad voprosov na segodnyashniy den' ostayutsya otkrytymi. Stiranie zubov-antagonistov, vysokiy modul' elastichnosti, hrupkost' keramicheskih materialov inogda ogranichivayut ih ispol'zovanie. V etoy svyazi osobogo vnimaniya zasluzhivaet novyy klass materialov, sochetayuschiy v sebe svoystva keramiki i kompozita. Cel'. Na primere konkretnogo klinicheskogo sluchaya pokazany osobennosti i effektivnost' ispol'zovaniya innovacionnogo nanokeramicheskogo kompozitnogo materiala Lava Ultimate dlya restavracii tverdyh tkaney zuba. Material i metody. U pacienta s nesostoyatel'noy restavraciey zuba 3.6 v kachestve materiala dlya izgotovleniya postoyannoy konstrukcii my ispol'zovali nanokeramicheskiy kompozit Lava Ultimate. Vkladka izgotovlena metodom CAD/CAM. Posle primerki vkladki v polosti rta proveli ee peskostruynuyu obrabotku chasticami oksida alyuminiya 27 mkm i tschatel'no promyli. Peskostruynaya obrabotka pozvolyaet uvelichit' ploschad' poverhnosti vkladki i uluchshit' ee smachivaemost'. V kachestve adgezivnoy sistemy ispol'zovali Single Bond Universal. Rezul'taty. Ispol'zovanie materiala Lava Ultimate isklyuchit povyshennuyu stiraemost' zubov-antagonistov i obespechit nadezhnyy kraevoy germetizm. Vremennaya konstrukciya dolzhna byt' vypolnena precizionno dlya isklyucheniya kontaminacii dentina. Odnim iz klyuchevyh momentov, obespechivayuschih vysokuyu vyzhivaemost' konstrukciy, yavlyaetsya korrektnoe vypolnenie adgezivnogo protokola fiksacii. Vyvody. Ispol'zovanie gibridnyh materialov v praktike ortopedicheskoy stomatologii pozvolyaet sozdavat' vysokotochnye, estetichnye restavracii. Biomehanicheskaya sovmestimost' poluchennyh konstrukciy opredelyaet garmonichnoe funkcionirovanie v techenie mnogih let.
gibridnyy material, cad/cam, keramika, kompozit, vkladki
1. Eds. Rule Z. H. F., Uilson M., Fucci Peredovye tekhnologii v operativnoj stomatologii. Sovremennaya klinicheskaya praktika [Advanced technology in operative dentistry. Modern Clinical Practice]. Moscow, Kvintehssenciya, 2012.
2. Denry I., Holloway J. A. Ceramics for dental applications: a review. Materials, 2010, vol. 3, pp. 351-368.
3. Koller M. et al. Lava ultimate resin nano ceramic for CAD/ CAM: customization case study. Int J Comput Dent, 2012.
4. Rocca G. T. et al. Fatigue behavior of resin-modified monolithic CAD-CAM RNC crowns and endocrowns. Dent Mater, 2016.
5. Spitznagel F., Konstantin J. Scholz Polymer-infiltrated ceramic CAD/CAM inlays and partial coverage restorations: 3-year results of a prospective clinical study over 5 years. Clinical Oral Investigations, 2017.
6. Vanoorbeek S. et al. Computer-aided designed/computer-assisted manufactured composite resin versus ceramic single-tooth restorations: a 3-year clinical study. Int J Prosthodont, 2010.
7. Zimmermann R. et al. CAD/CAM and lithium disilicate: an anterior esthetic case study. Tex Dent J, 2013.
