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论文摘要

铒激光完整拆除高透氧化锆全冠1例

Removal of a high-translucency zirconia crown with Er:YAG laser: a case report

作者:霍静怡, 张新媛, 靖无迪, 赵继志, 董海涛

Author:Huo Jingyi, Zhang Xinyuan, Jing Wudi, Zhao Jizhi, Dong Haitao

收稿日期:2025-07-16          年卷(期)页码:2026,44(2):293-293-298

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:激光,氧化锆,全冠,

Key words:laser,zirconia,full crown,

基金项目:协和人才培育支持计划C类项目(UBJ10847)

中文摘要

全冠拆除常需花费大量临床时间,尤其是氧化锆全瓷冠的拆除。树脂粘接剂的界面难以分辨,使用高速手机拆除时容易对剩余牙体组织造成损伤,影响再次修复效果。本文报道了1例纤维桩、树脂核和高透氧化锆全冠修复后,因美观需求重新修复的病例。使用Er:YAG激光完整拆除氧化锆全冠,并作为临时修复体继续使用。基牙和软组织未受损伤,再次修复效果满意。结果提示使用Er:YAG激光拆除旧修复体是一项安全、高效的方法。

英文摘要

The removal of a full crown typically requires considerable chairside time, and the interface between zirconia and resin cement in zirconia restoration is difficult to discern. A high-speed dental handpiece may damage residual dental tissue, thereby affecting the final outcome. The article presents a case after a restoration involving a fiber post, resin core, and zirconia full crown. For esthetic purposes, the removal of the full crown is necessary. An Er:YAG laser was used to completely remove the intact crown, which was then used as temporary restoration. A satisfactory esthetic result was attained after the final restoration. The case suggests that crown extraction with an Er:YAG laser is a safe and effective technique.

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