數(shù)字化全頜固定咬合重建 (一):有牙頜的“5-19N”重建臨床技術方案

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[中圖分類號] R783.4[文獻標志碼] A [doi] 10.7518/hxkq.2025.2025003

[Abstract]Oclusalrehabilitation isanefective meansof treating tooth wear，edentulousjawsandotheroraldiseases.Among them，full-mouthfixedoclusalreconstructioncaneffectivelyrestoreaestheticsandfunction，butthecomplexityof theclinical process，the high sensitivityof thetechnique，andthehigh incidenceof variouscomplications have always drawn much attention.With the application and developmentofdigital technology inoccusal rehabilitation，the treatmentoutcomehas beenimprovedcompared withtraditional treatment.However，therearemany kindsofdigital technologywithdifferenteficacyhowtobuildaneficientlystandardizeddigitalcliicaltechnicalsolutionisaurnt

difficulty.Therefore，combined with the long-term work ofthe department of prosthodontics in our hospital，in thispaper，the minimum （occlusal perception of thickness） and maximum （centric relation） geometric quantities which should be paid attention to during reconstruc

tionareputforward.Wesystematicallyorganizedtheclinicalprocedureofdigitalfull-mouthfixedoccusalrehabilitation usedinourdepartmentforalongtime.Inconclusion，a5-stage19-steporn-stepsolution（5-19Nforshort）characterized by"fromlarge to smalrestorative space splitting logic is proposed.Ithasa certainreferencevalue forthe future useof digital technology to deal with complex occlusal rehabilitation cases.

[Key words]digital;occlusal rehabilitation;fixed restoration；clinical solution;accuracy

“缺牙并有最廣泛接觸位不正常者，需改正頜位后再建立關系”是國內(nèi)學者[最早對咬合重建的定義。（剩余14139字）