CEREC-椅旁CAD-CAM-诊室技术25-年的研究进展

39120121[]2010-09-14[]2011-09-12[]2010502310-91[]1978—[]Tel[phone]computer-aideddesign/computer-aidedmanufacturingCAD/CAMCercon、Lava、ProceraEverestCAD/CAM[1]CAD/CAMCERECE4D。CEREC1985CAD/CAM。CERECCEREC1、CEREC2、CEREC3、CERECin-LabCERECAC。CERECin-LabCERECCAD/CAMCERECAC2009。CAD/CAM———E4D2008。CERECACE4DCAD/CAM。CAD/CAMCERECACCAD/CAMCERECAC。1CAD/CAM。CAD/CAM、、、。1.1CEREC1CEREC1VitablocsMarkCERECCAD/CAM25（430070）[]25CAD/CAMCAD/CAM、、。CAD/CAMCEREC、。CERECCAD/CAMAC。[][]R783.2[]A[doi]10.3969/j.issn.1673-5749.2012.01.034Researchprogressonchair-sideCAD/CAMin-officetechnologyaboutCERECduring25yearsWangLinhu,GuoJiaping.Dept.ofStomatology,WuhanGeneralHospitalofGuangzhouCommand,Wuhan430070,China[Abstract]Thein-officeapplicationofcomputer-aideddesign/computer-aidedmanufacturingCAD/CAMhasevolvedcontinuallyduring25years,andmaterialenhancementsmadeinconjunctionwiththisevolutionhaveim-provedthespeedandprecisionwithwhichdentistscanplacehigh-quality,estheticrestorationsforalmosteverydentalapplication.OnthebasisofthegrowthofCAD/CAM,themanufacturerhasmadesubstantialimprovementstoallaspectsoftheCERECsystem,includinghardware,softwareandmaterials.Dentistscancreatelaboratory-graderestorationsintheirofficeswithlittledisturbancetowork-flowpatternsformostdentalpractices.Heretheauthorspresentanoverviewofthechair-sideCAD/CAMsystemandavailablematerials.[Keywords]computer-aideddesign/computer-aidedmanufacturingworkflowceramicslithiumdisilicate124--39120121。1987VitablocsMarkVitablocsMark。VitablocsMark[2]。VitablocsMark、130MPa160MPa。2007CERECVitablocsMark。1.2IPSEmpressProCAD40%。ProCAD。IPSEmpressProCAD[3]。EmpressCADIvoclarVivadentCEREC3D15。20033M30%ParadigmC“C”。2006IvoclarVivadent———IPSe.maxCAD360MPa。1.33MParadigmMZ100。ParadigmMZ10085%~90%A-。、、。ParadigmMZ100。[4]。2CERECACCERECAC、、、CAD/CAM、、[5]。CERECAC、CAD、CAM3。2.1CERECAC。14mm。。CERECAC。CERECAC[6]。CERECAC。。。CEREC。2.2CADCERECAC。520s5。60～90s[7]。5～7min[7-9]。“”。CERECAC。。。125··39120121。CERECAC“”、。“”。2.3CAMCERECCEREC3CERECMCXL。CEREC3、。CERECMCXL、、。MCXL5min[10]。。364μm。“”。12min。、。。。。。3、、、。。IPSEmpressCADIPSEmpressCAD。IPSEmpressCAD。IPSEmpressCAD。。IPSEmpressCAD。IPSEmpressCADIPSEmpressCAD。。“”、。。IPSe.maxCADIPSEmpressCADIPSe.maxCAD。IPSe.maxCAD。IPSe.maxCAD。Vita3。IPSe.maxCAD、。。IPSEmpressCAD12minIPSe.maxCAD19min。IPSe.maxCAD、126--39120121。Fasbinder[11]IPSe.maxCAD。4CAD/CAM、[12]。CERECAC、。5[1],,.CAD/CAM[J].,2008,93227-229.[2]FasbinderDJ.ClinicalperformanceofchairsideCAD/CAMrestorations[J].JAmDentAssoc,2006,137Sup-pl22S-31S.[3]FradeaniM,RedemagniM.An11-yearclinicalevalua-tionofleucite-reinforcedglass-ceramiccrownsAretro-spectivestudy[J].QuintessenceInt,2002,337503-510.[4]ChenHY,HickelR,SetcosJC,etal.EffectsofsurfacefinishandfatiguetestingonthefracturestrengthofCAD-CAMandpressed-ceramiccrowns[J].JProsthetDent,1999,824468-475.[5]BindlA,RichterB,M觟rmannWH.Survivalofceramiccomputer-aideddesign/manufacturingcrownsbondedtopreparationswithreducedmacroretentiongeometry[J].IntJProsthodont,2005,183219-224.[6]MehlA,EnderA,M觟rmannW,etal.Accuracytestingofanewintraoral3Dcamera[J].IntJComputDent,2009,12111-28.[7]GedosevM.TheperfectcompanionCerec3DsoftwareupgradeV3.40[J].IntJComputDent,2009,12159-70.[8]MehlA,BlanzV,HickelR.Anewmathematicalpro-cessforthecalculationofaverageformsofteeth[J].JProsthetDent,2005,946561-566.[9]MehlA,BlanzV.Newprocedureforfullyautomaticoc-clusalsurfacereconstructionbymeansofabiogenerictoothmodel[J].IntJComputDent,2005,8113-25.[10]SchneiderW.NocompromisesthenewCERECMCXLandinLabMCXLmillingmachines[J].IntJComputDent,2007,101119-126.[11]FasbinderDJ,DennisonJB,HeysD,etal.AclinicalevaluationofchairsidelithiumdisilicateCAD/CAMcro-wnsAtwo-yearreport[J].JAmDentAssoc,2010,141Suppl210S-14S.[12]McLarenEA,TerryDA.CAD/CAMsystems,materials,andclinicalguidelinesforall-ceramiccrownsandfixedpartialdentures[J].CompendContinEducDent,2002,237637-641.ImplantDentRelatRes,2010Epubaheadofprint.[28]ZitzmannNU,Sch覿rerP,MarinelloCP,etal.AlveolarridgeaugmentationwithBio-OssAhistologicstudyinhumans[J].IntJPeriodonticsRestorativeDent,2001,213288-295.[29]ChenST,DarbyIB,ReynoldsEC.Aprospectiveclinicalstudyofnon-submergedimmediateimplantsClinicalou-tcomesandestheticresults[J].ClinOralImplantsRes,2007,185552-562.[30]BotticelliD,BerglundhT,LindheJ.Resolutionofbonedefectsofvaryingdimensionandconfigurationinthema-rginalportionoftheperi-implantbone.Anexperimentalstudyinthedog[J].JClinPeriodontol,2004,314309-317.[31]BotticelliD,BerglundhT,LindheJ.Hard-tissuealtera-tionsfollowingimmediateimplantplacementinextrac-tionsites[J].JClinPeriodontol,2004,3110820-828.[32]Iplik觭ioˇgluH,Ak觭aK.Comparativeevaluationoftheef-fectofdiameter,lengthandnumberofimplantssuppor-tingthree-unitfixedpartialprosthesesonstressdistribu-tioninthebone[J].JDent,2002,30141-46.[33]ElZohairyAA,DeGeeAJ,MohsenMM,etal.Micro-tensilebondstrengthtestingoflutingcementstoprefa-bricatedCAD/CAMceramicandcompositeblocks[J].DentMater,2003,197575-583.[34]UoM,Sj觟grenG,SundhA,etal.Cytotoxicityandbon-dingpropertyofdentalceramics[J].DentM