以纖維強化複合樹脂之樹脂黏合牙橋進行復之病例報告

Resin-Bonded Prosthesis with Fiber Reinforced Composite Resin-A Case Report

吳如惠(Ju-Hui Wu) ； 吳逸民(Yi-Min Wu) ； 李佳玲(Chia-Ling Lee)

《中華民國家庭牙醫學雜誌》 3卷2期 (2008/09) Pp. 36-41

https://doi.org/10.6566/JFD/2008.3(2).36

摘要

本病例報告為11歲的小朋友，因外傷而喪失左側上顎正中門齒及側門齒。發育期中與年紀輕的孩童若因外傷而導致前牙缺失，在臨床上要進行治療是較為複雜且具有挑戰性的。關於上顎前牙缺失的治療，在臨床上有許多治療計畫可以選擇。這些計畫包含可撤式局部義齒、傳統固定局部義齒、牙科植體或是有金屬支架的樹脂黏合牙橋（或稱馬里蘭牙橋）。而纖維強化複合樹脂材料則是有別於其他補綴物設計，具有保守性及美觀性。與傳統牙橋比較，其優點有費用少、操作時間短、操作容易、沒有金屬過敏問題且感覺自然。但其設計則受限於咬合及支台齒位置不恰當的情形而無法適用。本病例提出上顎前牙缺失，以纖維強化複合樹脂材料應用於樹脂黏合牙橋的設計，三年的觀察發現此設計非常成功。

關鍵字

樹脂黏合牙橋 ； 固定局部義齒 ； 纖維強化複合樹脂

並列摘要

This case report describes an 11-year-old girl with traumatic loss of the maxillary left central and lateral incisor. Traumatic loss of maxillary incisors during the active preadolescent and teenage years is a serious and challenging clinical situation. Several options exist for replacing a missing maxillary central incisor. These options may include a removable partial denture, conventional fixed partial denture, dental implant, or a resin-bonded appliance with a metal substructure (Maryland Bridge). The fiber reinforced composite (FRC) material offers a restorative solution that is conservative and esthetic when compared to other restorations. Advantages include reduction of cost compared to conventional bridges, saving of time, ease of application, absence of metal allergy, and naturalness of feel. Its limitations include occlusal factors, and the presence of unsuitable abutment teeth. This case report describes the resin-bonded prosthesis with FRC for replacement of anterior maxilla with good success in 3 years follow-up.

並列關鍵字

resin bonded prosthesis ； fixed partial denture ； fiber-reinforced composite