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医学上美的实现不仅仅是满足患者关注较多的外在的形式美,更要注意患者的功能健康。牙齿美学修复具有生理学、心理学及社会学的意义。临床上应从适应症、美学设计、临床软硬组织处理、修复材料选择、义齿制作、最终完成几方面考虑。美学修复前的准备包括检查患者口腔状况,取全口模型,了解患者文化水平、职业、审美及预达到的美学修复期望,为患者进行美学设计,包括牙齿的色泽、形态、排列、协调性、患者个性化审美等方面。前牙美学修复中常见问题及处理原则:1.牙列不齐的年轻患者,首先应采用正畸方法排齐牙列,再美学修复治疗。2.对于多数牙体缺损或需要做临床冠延长的患者,应先制作诊断性蜡型。然后制作树脂罩面,以便在口内更加准确地判断前牙的外形,以及上下牙齿间的覆颌覆盖关系。3.对于牙龈附着较低的患者,需进行膜龈外科手术,修整牙槽骨和附丽过低的牙龈组织,并制作暂时性修复体,以维护牙龈组织的健康。4.对于单纯性牙齿着色的患者,应先进行必要的基础治疗,如牙齿洁治,以去除表面污垢。5.对于四环素牙以及其他变色牙,应先进行漂白、脱色治疗,根据脱色治疗情况确定美学修复治疗方案。
The realization of medicine in the United States is not only to meet the external formal beauty that patients pay more attention to, but also to pay attention to the functional health of patients. Tooth aesthetics repair has the meaning of physiology, psychology and sociology. Clinical indications, aesthetic design, clinical soft and hard tissue treatment, repair material selection, denture production, the final completion of several aspects to consider. Aesthetics The pre-repair preparations include examining the patient’s oral condition, taking a full-mouth model, understanding the patient’s level of education, occupation, aesthetic and pre-est aesthetic restoration expectations, aesthetically designing the patient, including the color, shape, alignment, Patient personalized aesthetic and so on. Aesthetic problems in anterior teeth repair and treatment principles: 1. Young patients with missing teeth, the first method should be orthodontic dentition alignment, and then aesthetics repair treatment. 2. For the majority of dental defects or need to do clinical crown extension of patients, should make a diagnostic wax. Then make the resin cover, in order to more accurately determine the shape of the anterior teeth in the mouth, as well as the upper and lower teeth covering the overlying relationship between the jaw. 3. For patients with low gum attachment, perform gingival surgery, repair the alveolar bone and attach gingival tissues that are too low, and make temporary prostheses to maintain gingival tissue health. 4. For patients with simple tooth coloring, the necessary basic treatment, such as tooth cleaning, should be performed to remove surface soiling. For tetracycline teeth and other discoloration teeth, should be bleached, bleached treatment, according to the treatment of decolorization to determine the aesthetic restoration treatment.