CN109044540A - The method of tooth is suffered from a kind of personalization proximal surface formation system and its preparation, auxiliary filling - Google Patents

The method of tooth is suffered from a kind of personalization proximal surface formation system and its preparation, auxiliary filling Download PDF

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Publication number
CN109044540A
CN109044540A CN201810788335.2A CN201810788335A CN109044540A CN 109044540 A CN109044540 A CN 109044540A CN 201810788335 A CN201810788335 A CN 201810788335A CN 109044540 A CN109044540 A CN 109044540A
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CN
China
Prior art keywords
tooth
target
resin
suffered
maintenance ring
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Granted
Application number
CN201810788335.2A
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Chinese (zh)
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CN109044540B (en
Inventor
洪瑛瑛
浦寅飞
武欢欢
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Peking University School of Stomatology
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Peking University School of Stomatology
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Priority to CN201810788335.2A priority Critical patent/CN109044540B/en
Publication of CN109044540A publication Critical patent/CN109044540A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/20Repairing attrition damage, e.g. facets

Abstract

A kind of method that the present invention discloses personalized proximal surface formation system and its tooth is suffered from preparation, auxiliary filling.Placement method of the present invention is as follows: 1) suffering from that tooth proximal surface has dental caries bad but dissection shape is intact or there are defect of teeth then to use the fast quick-recovery shape of glass ion;2) the personalized proximal surface formation system for suffering from tooth is prepared;3) dental caries, tooth preparation are carried out to suffering from tooth;4) personalized proximal surface formation system is resetted, i.e., maintenance ring is resetted together with cured stir-in resin and is suffered from tooth in the target, so that bean cotyledon matrix band tightly fits in and suffers between tooth and stir-in resin;5) tooth is suffered to the target and carries out resin fill, and Occlusal adjustment is carried out to the resin filling material of illumination curing, abrade Occlusal interference point, and polish to resin filling material.This method can restore to suffer from the original proximal contact relationship of tooth and embrasures anatomic form, grind the time after reducing filling, reduce food impaction, the filling postoperative complications such as obturation is overhang, obturation fractures.

Description

The method of tooth is suffered from a kind of personalization proximal surface formation system and its preparation, auxiliary filling
Technical field
The invention belongs to dentistry Odontoendodontia field, particular technique is related to a kind of personalized proximal surface formation system And its method of tooth is suffered from preparation, auxiliary filling.
Background technique
Currently, the therapeutic modality that dental caries are badly suffered from tooth is mainly resin fill treatment.It is bad for the Proximal caries of backteeth, resin It is related to proximal surface Problems in forming when filling, clinically conventional use of proximal surface formation system is bean cotyledon matrix band system.Bean cotyledon molding Piece system is suitable for suffering from tooth proximal surface dental caries damage, but adjacent area after suffering from tooth removal dental caries bad tissue and tooth preparation is required not destroy.Such as go After dental caries bad tissue and tooth preparation, suffer from the destruction of tooth adjacent area, then adjacent area form is bad after will lead to filling, embrasures form Bad, adjacent area poor contact the complication such as fractures so as to cause food impaction, obturation.
For bean cotyledon matrix band system, main component composition includes: wedge, pliers between bean cotyledon matrix band, maintenance ring, neighbour. After removal dental caries bad tissue and tooth preparation, the operating process of upper bean cotyledon matrix band system is as follows: the 1. suitable bean cotyledons of selection at Matrix;2. placing matrix band, fit closely it with sound of baby talk body is suffered from;3. suffering from tooth neighbour gap with wedge insertion between neighbour is fixed into matrix, Keep gum wall closely sealed;4. strutting maintenance ring with pliers, maintenance ring is placed, so that the foot of maintenance ring is placed between bean cotyledon matrix band and neighbour Between wedge.When suffering from tooth removal detritus and tooth body and behind, when adjacent area is not destroyed, bean cotyledon matrix band system can be restored to suffer from tooth good Proximal contour, and form closely sealed proximal contact.When suffering from tooth removal detritus and after tooth preparation, with suffering from tooth adjacent area shaft angle The degree that structure is destroyed increases, and after upper bean cotyledon matrix band system and resin fill, adjacent area form, the embrasures form for suffering from tooth are got over It is difficult to recover, the adjacent area contact the not closely sealed.
Summary of the invention
The purpose of the present invention is to provide the sides that a kind of personalized proximal surface formation system and its preparation, auxiliary filling suffer from tooth Method.
The present invention is good for tooth adjacent area form is suffered from, and without obvious defect of teeth or defect of teeth can by glass from Sub fast quick-recovery suffers from tooth, and be particularly suitable for " ink leaching shape " color change suffers from tooth dental caries damage type, while requiring to suffer from tooth removal dental caries After bad tissue and tooth preparation, adjacent area is destroyed.
The technical solution adopted by the present invention to solve the technical problems is:
A kind of personalization proximal surface formation system, it is characterised in that including wedge and maintenance between dam, bean cotyledon matrix band, neighbour Ring, wherein dam is isolated for suffering from tooth to target, and maintenance ring foot is placed between neighbour between wedge and bean cotyledon matrix band, is used for Bean cotyledon matrix band is tightly fitted in into the tooth surface that target suffers from tooth;Cured stir-in resin, the solidification are equipped with around maintenance ring foot Stir-in resin suffer from tooth adjacent area resin former as the target, restore to suffer from the dissection of tooth original adjacent area when for resin fill Shape.
Further, which suffers from tooth and is adjacent area form well and can pass through without obvious defect of teeth or defect of teeth The fast quick-recovery of glass ion suffers from tooth.Be particularly suitable for " ink leaching shape " color change suffers from tooth dental caries damage type, while requiring to suffer from tooth After removing dental caries bad tissue and tooth preparation, adjacent area is destroyed.
A kind of preparation method of personalization proximal surface formation system, step includes: to suffer from dam on tooth, upper bean cotyledon to target Wedge, maintenance ring between matrix band, neighbour, maintenance ring foot are placed between neighbour between wedge and bean cotyledon matrix band, so that bean cotyledon matrix band is tight Fit in the tooth surface that the target suffers from tooth;Stir-in resin is injected in around maintenance ring foot, so that bean cotyledon matrix band fits in this Target is suffered between tooth and stir-in resin, removes maintenance ring together with cured stir-in resin, obtains the personalization proximal surface formation system.
The method of tooth is suffered from a kind of personalization proximal surface formation system auxiliary filling
1) tooth is suffered from for target, if there are tooth contour defects for tooth body adjacent area, restores the elementary solution of tooth adjacent area Step 2) is carried out after cuing open structure, if tooth contour defect is not present in Tooth surface, directly carries out step 2);The target suffers from tooth For there are backteeth adjacent teeths to close face, adjacent teeth closes buccal surface or adjacent teeth closes lingual surface dental caries damage, but suffer from the adjoining that tooth adjacent area is not destroyed or destroyed Area can suffer from tooth by the fast quick-recovery of glass ion;
2) dam on tooth is suffered to the target, maintenance ring foot is placed between neighbour by wedge between upper bean cotyledon matrix band, maintenance ring, neighbour Between wedge and bean cotyledon matrix band, so that bean cotyledon matrix band tightly fits in the tooth surface that the target suffers from tooth, including tooth body proximal surface, cheek Side, tongue side face;
3) stir-in resin is injected near the cheek side and tongue side maintenance ring foot that the target suffers from tooth, wraps rich maintenance ring foot and pasted Together in bean cotyledon matrix band, illumination curing;
4) remove maintenance ring and solidify in the stir-in resin of maintenance ring foot, obtain personalized proximal surface that the target suffers from tooth at Shape system;
5) tooth is suffered to the target and carries out dental caries, tooth preparation;
6) maintenance ring is resetted together with cured stir-in resin and is suffered from tooth in the target, so that bean cotyledon matrix band is tightly bonded In suffering between tooth and stir-in resin;
7) tooth is suffered to the target and carries out resin fill, and Occlusal adjustment, mill are carried out to the resin filling material of illumination curing Except Occlusal interference point, and resin filling material is polished.
Further, the method for the resin fill are as follows: dry up the target and suffer from tooth, the selective acid etching target suffers from the tooth of tooth Then enamel suffers from tooth to the target and is cleaned, dries up, then self-etching adhesives system bonding carries out the resin fill target Suffer from tooth, so that resin and the target suffer from the hole edge marginal fit of tooth.
The present invention has the special feature that
1. restoring the original dissection shape in tooth adjacent area: personalized proximal surface formation system is to suffer from the original shape yin in tooth adjacent area Mould can restore after resin fill to suffer from the original adjacent area dissection shape of tooth.
2. grinding the time after reducing filling: personalized proximal surface formation system can be fitted closely with tooth cheek-tongue side facing is suffered from, tree After rouge filling, the original adjacent area dissection shape of tooth is suffered from recovery, without grinding to adjacent area, embrasures etc..
3. expanding the indication of bean cotyledon matrix band system: bean cotyledon matrix band is suitable for restoring the unbroken proximal surface in adjacent area Dental caries damage type, and personalized proximal surface formation system expands the indication of bean cotyledon matrix band, and can be used for restoring adjacent area includes shaft angle The Proximal caries of destruction damage type.
4. reducing the generation of filling postoperative complications: personalized proximal surface formation system can restore to suffer from the original dissection in tooth adjacent area The adjacent areas such as shape, including embrasures, shaft angle anatomical structure, to reduce food impaction, obturation is overhang, obturation fractures Complication.
The beneficial effects of the present invention are:
By preparing personalized proximal surface formation system, can restore to suffer from the original proximal contact relationship of tooth, after reducing filling It grinds the time, reduces food impaction, the filling postoperative complications such as obturation is overhang, obturation fractures.
Detailed description of the invention
Fig. 1 is personalized proximal surface formation system schematic diagram;
Wherein, 1- bean cotyledon matrix band, wedge between 2- is adjacent, 3- maintenance ring, 4- dam, 5- stir-in resin;
Fig. 2 is that personalized proximal surface formation system assists fill method flow chart.
Specific embodiment
To enable features described above and advantage of the invention to be clearer and more comprehensible, special embodiment below, and institute's attached drawing is cooperated to make Detailed description are as follows.
Personalized proximal surface formation system schematic diagram of the invention is as shown in Figure 1 comprising bean cotyledon matrix band 1, it is adjacent between wedge 2, Maintenance ring 3, dam 4 and stir-in resin 5.Wherein, it is isolated using dam to tooth is suffered from, the placement of rubber dam clamp must not hinder Hinder the placement of bean cotyledon matrix band, this step is used for every wet, isolation infection, prevents from accidentally gulping down accidentally suction, the clear visual field, and maintenance ring foot is set Between neighbour between wedge and bean cotyledon matrix band, for bean cotyledon matrix band tightly to be fitted in the tooth surface that target suffers from tooth;Flowing is set Rouge is injected in around maintenance ring foot, so that bean cotyledon matrix band fits in the target and suffers between tooth and stir-in resin, photocuring flowing Resin, cured resin is fixed at maintenance ring foot at this time, removes maintenance ring, obtains the personalization proximal surface formation system, at this time Cured stir-in resin, which can be used as, suffers from tooth adjacent area resin former, restores to suffer from tooth original adjacent area dissection when for resin fill Shape.
Backteeth adjacent teeth closes face, adjacent teeth closes buccal surface, adjacent teeth closes the fill method (as shown in Figure 2) of lingual surface dental caries damage
1. selecting indication: backteeth Proximal caries damage, adjacent plot structure does not destroy or damage envelope is smaller, can pass through glass The fast quick-recovery of ion suffers from tooth, is especially suitable for " ink leaching shape " color change and suffers from tooth.
2. restoring the basic anatomical structure of tooth contour: suffer from tooth for suffer from tooth adjacent area small range defect, will suffer from tooth every After wet, restore adjacent area shape using glass ion.(remarks: if adjacent area shape is complete, then omit this step.)
3. making personalized proximal surface formation system: conventionally dam 4, before removing dental caries bad tissue and tooth preparation, upper beans Wedge 2 between valve matrix band 1, maintenance ring 3, neighbour, so that bean cotyledon matrix band tightly fits in tooth surface.Drying, by appropriate stir-in resin 5 It is injected near cheek side and tongue side maintenance ring foot, wraps rich maintenance ring foot and fits in bean cotyledon matrix band, illumination curing.
4. removing maintenance ring, removed together together with the stir-in resin solidified in maintenance ring foot, wedge between bean cotyledon matrix band and neighbour It can retain, personalized proximal surface formation system production finishes at this time.
5. pair suffering from tooth carries out dental caries, tooth preparation: carrying out removing detritus to tooth is suffered from, though can retain at nearly marrow has coloring The hard dentine of matter, while removing and hanging glaze without base, cavity preparation at this time is completed (with reference to " height is learnt military affairs, Yue Lin chief editor, tooth body dental pulp Disease is learned, publishing house of Department Of Medicine, Peking University, second edition, 294-295 pages " content).
6. resetting personalized proximal surface formation system: maintenance ring is resetted together with cured stir-in resin in suffering from tooth, so that Bean cotyledon matrix band, which fits in, suffers from tooth and stir-in resin.
7. resin fill: drying, 30% phosphoric acid selectivity acid etching enamel 20 seconds, flowing water rinse 30 seconds, drying, from acid etching Adhesive system bonding (Kuraray phenanthrene reveals SE BOND), resin fill, illumination curing.
8. the resin filling material for pair suffering from tooth carries out Occlusal adjustment, abrade Occlusal interference point, and to resin filling material into Row polishing.
It is above to implement to be merely illustrative of the technical solution of the present invention rather than be limited, the ordinary skill people of this field Member can be with modification or equivalent replacement of the technical solution of the present invention are made, without departing from the spirit and scope of the present invention, this hair Bright protection scope should be subject to described in claims.

Claims (6)

1. a kind of personalization proximal surface formation system, which is characterized in that including dam, bean cotyledon matrix band, it is adjacent between wedge and maintenance ring, Wherein, dam is isolated for suffering from tooth to target, and maintenance ring foot is placed between neighbour between wedge and bean cotyledon matrix band, is used for beans Valve matrix band tightly fits in the tooth surface that target suffers from tooth;Cured stir-in resin, the cured stream are equipped with around maintenance ring foot Dynamic resin suffers from tooth adjacent area resin former as the target, restores to suffer from outside the original adjacent area dissection of tooth when for resin fill Shape.
2. the system as claimed in claim 1, which is characterized in that it is good for adjacent area form that the target suffers from tooth, and without obvious tooth Body defect or defect of teeth can suffer from tooth by the fast quick-recovery of glass ion.
3. a kind of preparation method of personalization proximal surface formation system, step includes: to suffer from dam on tooth to target, upper bean cotyledon at Wedge, maintenance ring between matrix, neighbour, maintenance ring foot are placed between neighbour between wedge and bean cotyledon matrix band, so that bean cotyledon matrix band tightly pastes Suffer from the tooth surface of tooth together in the target;Stir-in resin is injected in around maintenance ring foot, so that bean cotyledon matrix band fits in the mesh Mark is suffered between tooth and stir-in resin, is removed maintenance ring together with cured stir-in resin, is obtained the personalization proximal surface formation system.
4. method as claimed in claim 3, which is characterized in that it is good for adjacent area form that the target suffers from tooth, and without obvious tooth Body defect or defect of teeth can suffer from tooth by the fast quick-recovery of glass ion.
5. the method for tooth is suffered from a kind of personalization proximal surface formation system auxiliary filling, step includes:
1) tooth is suffered from for target, if there are tooth contour defects for tooth body adjacent area, restores the basic dissection knot of tooth adjacent area Step 2) is carried out after structure, if tooth contour defect is not present in Tooth surface, directly carries out step 2);It is to deposit that the target, which suffers from tooth, Face, adjacent teeth conjunction buccal surface or adjacent teeth are closed in backteeth adjacent teeth and closes lingual surface dental caries damage, but suffer from the adjacent area energy for not destroying or destroying in tooth adjacent area Tooth is enough suffered from by the fast quick-recovery of glass ion;
2) dam on tooth suffered to the target, upper bean cotyledon matrix band, maintenance ring, it is adjacent between wedge, by maintenance ring foot be placed between neighbour wedge with Between bean cotyledon matrix band;So that bean cotyledon matrix band tightly fits in the tooth surface that the target suffers from tooth;
4) stir-in resin is injected near the cheek side and tongue side maintenance ring foot that the target suffers from tooth, wraps rich maintenance ring foot and fitted in Bean cotyledon matrix band, illumination curing;
5) it removes maintenance ring and solidifies in the stir-in resin of maintenance ring foot, obtain the personalized proximal surface forming system that the target suffers from tooth System;
6) tooth is suffered to the target and carries out dental caries, tooth preparation;
7) maintenance ring is resetted together with cured stir-in resin and is suffered from tooth in the target, so that bean cotyledon matrix band tightly fits in trouble Between tooth and stir-in resin;
8) tooth is suffered to the target and carries out resin fill, and Occlusal adjustment is carried out to the resin filling material of illumination curing, removing is stung Noise spot is closed, and resin filling material is polished.
6. method as claimed in claim 5, which is characterized in that the method for the resin fill is to dry up the target to suffer from tooth, is selected The selecting property acid etching target suffers from the enamel of tooth, then suffers from tooth to the target and is cleaned, dries up, self-etching adhesives system bonding, Then it carries out the resin fill target and suffers from tooth, so that resin and the target suffer from the hole edge marginal fit of tooth.
CN201810788335.2A 2018-07-18 2018-07-18 Personalized adjacent surface forming system and method for preparing same and assisting in filling affected teeth Expired - Fee Related CN109044540B (en)

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CN201810788335.2A CN109044540B (en) 2018-07-18 2018-07-18 Personalized adjacent surface forming system and method for preparing same and assisting in filling affected teeth

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Application Number Priority Date Filing Date Title
CN201810788335.2A CN109044540B (en) 2018-07-18 2018-07-18 Personalized adjacent surface forming system and method for preparing same and assisting in filling affected teeth

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4579530A (en) * 1984-11-21 1986-04-01 Mclaughlin Gerald G Fabrication of porcelain restorations
JPS6486963A (en) * 1987-06-22 1989-03-31 Univ Texas Synthetic material and method for restoration of molar
US5626476A (en) * 1996-04-25 1997-05-06 Champagne; Richard Technique for repairing teeth
CN103976796A (en) * 2014-05-23 2014-08-13 上海市杨浦区控江医院 Transparent repair tooth forming sheet and preparation method thereof
CN204814229U (en) * 2015-08-12 2015-12-02 李倜 Fixed tooth that divides of resin matrix band presss from both sides with adjustable
CN206026456U (en) * 2016-07-04 2017-03-22 南京医科大学附属口腔医院 A elastic fixation ring for fixing backteeth proximal surface shaped sheet

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4579530A (en) * 1984-11-21 1986-04-01 Mclaughlin Gerald G Fabrication of porcelain restorations
US4579530B1 (en) * 1984-11-21 1989-07-11
JPS6486963A (en) * 1987-06-22 1989-03-31 Univ Texas Synthetic material and method for restoration of molar
US5626476A (en) * 1996-04-25 1997-05-06 Champagne; Richard Technique for repairing teeth
CN103976796A (en) * 2014-05-23 2014-08-13 上海市杨浦区控江医院 Transparent repair tooth forming sheet and preparation method thereof
CN204814229U (en) * 2015-08-12 2015-12-02 李倜 Fixed tooth that divides of resin matrix band presss from both sides with adjustable
CN206026456U (en) * 2016-07-04 2017-03-22 南京医科大学附属口腔医院 A elastic fixation ring for fixing backteeth proximal surface shaped sheet

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
赵梦依: ""两种瓣状成型片用于治疗后牙邻面二类洞的疗效分析"", 《全科口腔医学杂志》 *

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