As an established expert in the field of prosthodontics, Dr Daniel Edelhoff will share the latest advancements in his field at the FDI World Dental Congress in Shanghai in September. His first lecture will detail innovative pre-treatment options for complex rehabilitations. His second lecture will discuss the advances in fixed prosthodontics using a broad spectrum of ceramic types.
Daniel Edelhoff博士,口腔修复学知名专家,将在9月份于上海举行的2020 FDI世界口腔医学大会上做两场精彩演讲“复杂修复重建病例的创新性治疗前处理方案”和“口腔修复学中的最新技术——陶瓷”,详细介绍复杂口腔修复病例的创新预处理方案,并讨论利用各种陶瓷材料推动控口腔固定修复的发展。
Dr Daniel Edelhoff
丹尼尔·埃德尔霍夫博士
Director and Chair, Department of Prosthetic Dentistry
LMU Ludwig-Maximilians-University, Germany
德国慕尼黑大学口腔修复科主任
In Shanghai, you’ll discuss innovative pre-treatment options for complex rehabilitations. How do digital technologies offer access to more diagnostic information and enable a higher predictability?
您将在上海的大会上讨论复杂口腔修复重建病例的创新性治疗前预处理方案,您认为数字化技术在获得更多口腔临床诊断信息并改善治疗计划方面起到什么作用呢?
Predictable aesthetics and function in patients with complex rehabilitations require clinical and technical teamwork between the dentist and dental technician. Digital technology enriches this teamwork through innovative diagnostic options supported by digital impressions, 3D face scanning, digital facebows, as well as digital registration of dynamic occlusion. This means that the “digital patient” is available around the clock in the dental laboratory, which is an important prerequisite for the virtual wax-up.
要兼顾复杂口腔修复病例的美观和实用,需要口腔临床医生和口腔修复工艺技师之间的团队合作。基于口腔数字化印模技术、3D面部扫描、数字化面弓以及数字化动态咬合运动记录等新技术在口腔临床治疗中的应用,可以支持全新的诊断方案制定。这意味着“数字化病人”的所有信息可以在技工室随时使用,这是制作虚拟诊断蜡型的重要前提。
Access to new CAD/CAM polymers, like tooth-colored removable splints and high-density polymer restorations, offers new treatment options for long-term temporary restorations and allows the practitioner to explore and test-drive the final treatment goal in a non- or minimally invasive way.
新型CAD/CAM聚合物材料的使用,如与牙体颜色相同的活动(牙合)垫、高密度聚合物修复体等,为需长时间戴用的临时修复体提供新的治疗方案,可以帮助临床医师诊断和验证以微创或无创的方式实现最终的治疗目标。
You’ll also give an overview of the changes in treatment concepts in fixed prosthodontics due to the spectrum of ceramics available today. How have these changes affected the professional life of dental practitioners?
您还将介绍当前种类丰富的全瓷材料对改变口腔固定修复治疗理念影响,那这些变化对口腔医生专业诊疗会有哪些影响呢?
The development of dental ceramics, following the introduction of the first all-ceramic crown by John W. McLean, includes many important milestones. Not all of the first glass-ceramic systems showed a high, long-term clinical reliability. However, with the introduction of lithium (di)silicate, scientists could finally identify a very satisfying long-term survival rate for tooth-colored, single-tooth restorations like anterior and posterior full crowns, partial coverage restorations, veneers, and occlucal onlays. What’s more, oxide ceramics have experienced very significant development through the introduction of high-strength zirconia materials. Initially, zirconia ceramic represented one main material type; later, “zirconia” became a term for a whole family of materials, covering a high diversity of restorations, from implants and implant abutments, to over-crowns and fixed dental prostheses (FDPs), to cantilevered, resin-bonded FDPs. For many of these indications, promising and clinical long-term data are available today.
John W. McLean推出首款口腔全瓷冠以来,口腔陶瓷材料的发展迎来了许多重要的里程碑。并非只有最初推出的玻璃陶瓷材料表现出良好的长期临床可靠性。随着二硅酸锂增强型玻璃陶瓷的引入,科学家们终于找到了令人满意且耐用的与牙体同色的单冠修复体(用于前、后全冠、部分覆盖修复体,瓷贴面、高嵌体和(牙合)贴面)。此外,高强度氧化锆的使用推动了氧化物陶瓷的重大发展。氧化锆陶瓷最初仅代表一种主要的材料种类;现在“氧化锆”一词成了整个修复材料系列的术语,其用途涵盖了多种多样的修复体,从种植体、种植体基台,到全冠和固定义齿(FDPs)和基于树脂粘接固位的单端固定桥修复体(FDPs)。上述许多适应证都表现了良好的长期临床效果。
Modern all-ceramics have become an important part of the daily treatment concept of dental practitioners all over the world.
现代口腔全瓷修复已成为全球口腔医生日常诊疗理念的重要组成部分
As you reflect on your career in prosthodontics, what kinds of changes or evolutions have you been most struck by?
回顾您的口腔修复从业生涯,哪些变化和进展使您印象深刻?
The treatment concepts in fixed prosthodontics have significantly changed over the last decades.
近几十年来,口腔固定修复的治疗理念发生了巨大变化。
Three main developments have strongly influenced these changes: Firstly, minimally invasive options have become increasingly feasible, due to the introduction of reliable adhesive techniques in combination with restorative materials with translucent properties similar to those of natural teeth. Mechanical anchoring of restorations via conventional cementation as a predominantly subtractive treatment approach is gradually being superseded by a primarily defect-oriented additive method. Secondly, modifications of conventional treatment procedures have led to the development of an economical approach regarding the removal of healthy tooth structure. After the planned treatment outcome is defined in an initial wax-up, the treatment begins and this wax-up is subsequently used as a reference during tooth preparation. Thirdly, high-strength lithium (di)silicate and novel zirconium oxide ceramics have been introduced, which has opened up an expanded range of indications like cantilevered, resin-bonded FDPs and demonstrates reliable, long-term clinical results.
这些变化主要受三大发展的影响:首先,与天然牙半透明度相接近的材料,以及可靠粘接技术引入,使得口腔微创修复治疗日趋可行。传统基于机械固位力,采用水门汀粘接修复的减法治疗,已逐渐被以缺陷为主导加法治疗所取代。其次,通过改进治疗方法的改进,减少对于健康牙组织的磨除。在最初制作蜡型,以作为治疗预期效果的参考,在治疗过程中,这个蜡型也将作为牙体预备量的参考。最后,高强度的二硅酸锂增强型玻璃陶瓷和新型氧化锆陶瓷的引入扩展了适应证范围,如基于树脂粘接固位的单端固定桥修复体,并表现出可靠的远期临床效果。
Are your lectures geared only toward prosthodontists, or do you think other specialists might also find value in attending?
您的演讲仅适用于口腔修复专业医生聆听?还是对从事其他专长的口腔医生也有所助益?
My lectures will show complex rehabilitations based on interdisciplinary approaches including orthodontics, operative dentistry, endodontics, and orthognathic surgery.
我的演讲将展示如何使用跨学科治疗方法,包括联合口腔正畸、牙体修复、牙髓病学和正颌外科治疗进行复杂修复。