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Minimal invasive microscopic tooth preparation in esthetic restoration: a specialist consensus

International Journal of Oral Science 2019年第4期11卷 241-251页

作者： Haiyang Yu Yuwei Zhao Junying Li Tian Luo Jing Gao Hongchen Liu Weicai Liu Feng Liu Ke Zhao Fei Liu Chufan Ma Juergen MSetz Shanshan Liang Lin Fan Shanshan Gao Zhuoli Zhu Jiefei Shen Jian Wang Zhimin Zhu Xuedong Zhou State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&West China Hospital of Stomatology Sichuan UniversityChengduChina Chinese PLA General Hospital Chinese PLA Medical AcademyYantaiChina Department of Stomatology Digitization Hospital of StomatologyTongji UniversityShanghaiChina Department of Prosthodontics Hospital of StomatologyPeking UniversityShanghaiChina Department of Prosthodontics Guanghua Stomatological HospitalSun Yat-sen UniversityGuangzhouChina Department of Biologic and Materials Sciences and division of Prosthodontics University of Michigan School of DentistryAnn ArborMIUSA Department of Prosthodontics School of StomatologyThe Fourth Military Medical UniversityXi’anChina Department of Prosthodontics Hospital of StomatologyMartin-Luther-UniversityHalle(Saale)Germany Department of Prosthodontics Hospital of StomatologyWuhan UniversityWuhanChina

By removing a part of the structure,the tooth preparation provides restorative space,bonding surface,and finish line for various restorations on *** technique plays critical role in achieving the optimal result of tooth *** successful application of microscope in endodontics for>30 years,there is a full expectation of microscopic ***,as relatively little progress has been made in the application of microscopic dentistry in prosthodontics,the following assumptions have been proposed:Is it suitable to choose the tooth preparation technique under the naked eye in the microscopic vision?Is there a more accurate preparation technology intended for the microscope?To obtain long-term stable therapeutic effects,is it much easier to achieve maximum tooth preservation and retinal protection and maintain periodontal tissue and oral function health under microscopic vision?Whether the microscopic prosthodontics is a gimmick or a breakthrough in obtaining an ideal tooth preparation should be resolved in microscopic tooth *** article attempts to illustrate the concept,core elements,and indications of microscopic minimally invasive tooth preparation,physiological basis of dental pulp,periodontium and functions involved in tool preparation,position ergonomics and visual basis for dentists,comparison of tooth preparation by naked eyes and a microscope,and comparison of different designs of microscopic minimally invasive tooth preparation ***,a clinical protocol for microscopic minimally invasive tooth preparation based on target restorative space guide plate has been put forward and new insights on the quantity and shape of microscopic minimally invasive tooth preparation has been provided.

关键词： preparation breakthrough removing

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