数字化全颌固定咬合重建 (一):有牙颌的“5-19N”重建临床技术方案

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[中图分类号] R783.4[文献标志码] 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

“缺牙并有最广泛接触位不正常者，需改正颌位后再建立关系”是国内学者[最早对咬合重建的定义。（剩余14139字）