Yuav siv li cas iTero-exocad Connector

By Dr. Steven Glassman thiab David Lampert

Align Technology nthuav tawm qhov tseeb version ntawm iTero- exocad Connector lub Kaum Hli Ntuj dhau los. Cov software yav dhau los tau qhia yav dhau los ntawm exocad Insights lub rooj sib tham hauv Mallorca hauv 2022. Dr. Steven Glassman thiab David Lampert, Town & Country Dental Studios, yog ib pab pawg kws kho mob thiab cov tswv chaw kuaj mob uas tau nkag mus rau thaum ntxov los tshawb txog cov haujlwm ua haujlwm.

Ntawm no, lawv nthuav dav cov txheej txheem kho mob thiab chaw kuaj mob ntawm cov ntaub ntawv cog lus los ua kom pom qhov zoo ntawm iTero-exocad Connector, uas ncaj qha txuas rau iTeroTM intraoral scanner nrog exocadTM DentalCAD ​​software thiab tso cai rau tag nrho cov ntaub ntawv ntsig txog cov duab thiab cov ntaub ntawv txuas nrog. daim ntawv iTero Rx. 

Restorative Challenge: Tus neeg mob nthuav tawm nrog lub xov tooj ntawm tes sab xis sab xis sab xis (tus hniav #7). Ob tus hniav no thiab lub hauv paus incisor (# 8) muaj cov plooj (porcelain crowns), kev kho cov kwj dej ua ntej thiab cov kab mob periapical. Tsis tas li ntawd, lub hauv paus incisor muaj lub hauv paus pob txha thiab cov kab mob periapical ntawm lub lateral incisor tau pom tias tsis kho los ntawm tus kws kho mob endodontist. (Saib daim duab 1-2)

Kev Npaj Kho Mob: Ob cov hniav #7 thiab #8 yuav tsum tau muab rho tawm thiab tus neeg mob tau xaiv rau kev cog qoob loo, ob chav tsev txuas nrog rau sab incisor ua lub cantilever kho dua tshiab. 

Cov txheej txheem kho mob: Rau qhov zoo nkauj zoo li no, kuv ib txwm mus kom ze yog nug kuv lub chaw kuaj mob los tsim cov waxup digital thiab qhia nws ntawm exocad DentalCAD ​​webview yog li kuv tuaj yeem ntsuas tus qauv tsim thiab qhia rau lawv paub kuv qhov kev kho kom ntseeg tau tias qhov ua tau zoo tshaj plaws. 

Raws li peb nyob rau theem ntawm cov khoom siv tes ua ntawm cov ntaub ntawv no, iTero-exocad Connector tshiab tau qhia; peb siv nws thiab kuv lub neej yooj yim tam sim ntawd. Hloov chaw siv ntau txoj kev sib txuas lus xws li WhatsApp, Dropbox, WeTransfer thiab email nrog kuv cov kws tshaj lij, tam sim no peb muaj ib lub platform uas peb tuaj yeem faib txhua yam: scans, duab, X-rays, thiab lwm yam. 

Yav dhau los, peb tau ntsib cov teeb meem, tshwj xeeb tshaj yog nyob rau hauv kev cog qoob loo, vim tias qhov chaw kuaj mob, kws phais mob thiab GP tsis yog txhua tus ua haujlwm ntawm txoj kev npaj kho mob ua ke thiab tsis muaj kev npaj rau lub ntsej muag thiab cov pob qij txha. Nrog lub peev xwm los txuas cov duab rau hauv daim ntawv iTero Rx, peb tuaj yeem sib tham txog txoj kev npaj kho mob nrog lub chaw kuaj sim tam sim ntawd, uas tso cai rau kev pom zoo ntawm txoj kev npaj, txhim kho qhov ua tau zoo ntawm cov txiaj ntsig. 

Thaum lub sij hawm teem sij hawm sib tham, sab xis sab xis lat-eral incisor nthuav tawm kev txav mus los; tus ncej thiab lub kaus mom dislodged thaum lub sijhawm kuaj. iTero thiab CBCT scans tau raug coj mus kuaj, thiab tus neeg mob raug xa mus rau tus kws phais qhov ncauj rau kev sib tham txog cog. 

Thaum lub sij hawm tom ntej no, cov hniav #7 thiab 8 raug rho tawm, thiab cov txheej txheem grafting pob txha tau ua ib txhij. Tus neeg mob tau txais ib qho kev tshem tawm ib ntus acrylic ib feem hniav hniav. 

Peb lub hlis tom qab, ZimVie T3® Tapered Certain implant (4.1 x 10mm) tau muab tso thiab torqued rau 45 Ncm. Vim cov pob txha tsis txaus, tsuas yog cov hniav #8 tuaj yeem txhawb nqa kev cog qoob loo txawm tias cov pob txha grafting txheej txheem. Lub scan lub cev tau zaum thiab scanned, ua raws li kev cai kho abutment. Cov kev cai kho abutment raug tshem tawm rau qhov kev tshwm sim profile scan, tom qab ntawd los ntawm scan nrog lub scan lub cev. Cov duab tau txuas rau daim ntawv iTero Rx thiab xa mus rau chav kuaj. (Saib daim duab 3–7)

Lab Design Procedure: 

Tag nrho cov ntaub ntawv hais txog cov ntaub ntawv - suav nrog kev luam theej duab, duab, daim ntawv sau tshuaj thiab lwm cov ntaub ntawv - tau raug xa mus rau exocad DentalCAD ​​software los ntawm iTero-exocad Connector. (Saib daim duab 8)

Lub pre-op scan ntawm qhov tshwm sim profile thiab scan lub cev tau ua raws li kom ntseeg tau tias haum. (Saib daim duab 9)

Cov duab luag nyav tau ua raws li cov qauv los muab kev pom ntawm lub ntsej muag ntawm qhov kev tshwm sim rov qab los. (Saib daim duab 10a-b)

Cov hniav tau muab tso rau thiab lub abutment tau yoog rau qhov tshwm sim profile. (Saib daim duab 11a-b)

Lub chaw soj nstuam qhia cov qauv tsim los ntawm exocad DentalCAD ​​software (daim duab saum toj kawg nkaus) ntawm exocad webview ncaj qha rau Dr. Glassman's MyiTero.com portal (cov duab hauv qab). (Saib daim duab 12a-b)

Kev tsim kho zaum kawg rau kev tshuaj xyuas: Dr. Glassman muaj ib qho kev kho uas nws tau hais los ntawm lub platform: nws hais kom lub chaw kuaj mob ua kom lub gingival thaj tsam ntawm cog #8 siab dua kom phim #9. (Saib daim duab 13)

Kev tsim: Lub lab milled cov kev kho dua tshiab siv 5-axis DWX-52D zeb los ntawm Roland DGSHAPE. Cov khoom ntawm kev xaiv yog lub zog siab, ntau txheej, pre-shaded zirconia featuring gradient los ntawm incisal mus rau gingival uas muab lub crowns ib tug natural tsos. Ceramist tuav qhov kawg haum, contouring thiab staining thiab glazing. 

Qhov kawg tshwm sim: Ib lub lim tiam tom qab, tus choj kawg cantilever tau zaum, txheeb xyuas nrog X-ray thiab torqued rau 20 Ncm. Lub occlusion tau hloov kho thiab cov duab zaum kawg thiab luam theej duab. (Saib daim duab 14–15)

Dr. Glassman hais tias "Tus neeg mob tau zoo siab nrog qhov kev tshwm sim zaum kawg," "Raws li koj tuaj yeem xav, nws tau mob siab heev rau nws kom poob ob cov hniav thiab nws tau txhawj xeeb heev txog kev ua tiav cov txiaj ntsig zoo nkauj zoo nkauj. Cov txiaj ntsig tau zoo heev! ” 

Digital Workflow nrog iTero-exocad Connector^TM 

Lub iTero-exocad Connector ncaj qha txuas rau iTeroTM intraoral scanner nrog exocadTM DentalCAD ​​software. Tus kws kho hniav tuaj yeem xa cov duab ntsig txog cov ntaub ntawv thiab cov ntaub ntawv mus rau iTero Rx daim ntawv, thiab cov ntaub ntawv tam sim ntawd
kis mus rau lub lab. "Qhov kev sib koom ua ke tshiab no tseem tso cai rau lub sijhawm tawm tswv yim thiab hloov kho thaum tus neeg mob nyob hauv lub rooj zaum, tshem tawm qhov xav tau rov qab mus rau kev tshuaj ntsuam ntxiv," said Dr. Steven Glassman. 

Lub kaw lus pab txhawb kev hloov pauv ntawm txhua yam ntaub ntawv tsim nyog thiab txhim kho kev sib koom tes ntawm chav kuaj thiab kws kho hniav. David Lampert hais tias "Nws txhawb nqa peb txoj haujlwm ua haujlwm nrog rau peb lub peev xwm kom tau txais cov ntaub ntawv thiab sib txuas lus yooj yim nrog tus kws kho hniav, txhua yam uas muaj kev sib koom tes zoo dua thiab cov txiaj ntsig tau zoo dua," David Lampert hais. "Nws txuag peb lub sijhawm, yog li peb tuaj yeem tsom mus rau ntau yam khoom siv tes ua thiab kev ua kom zoo nkauj, uas txhim kho qhov zoo ntawm qhov kawg kev kho dua tshiab." Yog xav paub ntxiv, mus saib itero.com.