Izdelava polnokeramičnih zobnih nadomestkov s tehnologijo CAD/CAM, podprta z videopredstavitvijo : diplomsko delo

Pušavec, Matija (author), Ficzko, Jelena (mentor), Zagoričnik, Mirjana (co-mentor)

Uvod: Keramični materiali se zaradi biokompatibilnosti in visoke estetike pogosto uporabljajo kot zobni nadomestki v zobozdravstvu. Postali so glavni materiali za restavracije, ki se lahko izdelajo po tradicionalni laboratorijski metodi ali s tehnologijo CAD/CAM. Cirkonijeva oksidna keramika in litijev disilikat sta dentalna keramična materiala, ki prevladujeta pri izdelavi polnokeramičnih zobnih nadomestkov s tehnologijo CAD/CAM. Izdelava zobnih nadomestkov je za učeče sprva velik izziv. Izsledki raziskav dokazujejo, da segmentacija z vstavljanjem videoposnetkov v učni proces poveča pomnjenje in pripomore k boljšemu razumevanju tematike v učnem procesu. Videoposnetki z izobraževalnim kontekstom so se izkazali za učinkovito metodo pri razumevanju vsebine. Prikaz delovnih postopkov s sliko in zvokom je zelo nazoren in posledično lažje razumljiv. Namen: Namen je izdelati videopredstavitev za izobraževalne namene, ki bo čim bolj natančno predstavila izdelavo polnokeramičnega zobnega nadomestka z uporabo tehnologije CAD/CAM. Metode dela: Teoretične osnove diplomskega dela temeljijo na pregledu strokovne literature. To smo iskali v slovenskem in angleškem jeziku. Praktični izdelek, polnokeramično prevleko in polnokeramični most, smo izdelali v zobnem laboratoriju s tehnologijo CAD/CAM ter izdelavo dokumentirali tako s slikovnim kot videogradivom. Arhiv videoposnetkov smo pridobivali skozi celoten postopek izdelave izdelka in zmontirali s programom Adobe Premiere Pro. Rezultati: Izdelava kakovostnih polnokeramičnih zobnih nadomestkov zahteva ustrezno strokovno znanje. Poleg tega potrebujemo še ustrezne stroje, programsko opremo, orodja in varnostno opremo. S tehnologijo CAD/CAM smo izdelali monolitno keramično prevleko na zobu 23 iz litijevega disilikata in polnokeramični most, slojen na ogrodje cirkonijeve oksidne keramike, od zoba 24 do 26. Izdelava zobnega nadomestka je podprta z štirimi videopredstavitvami v skupnem trajanju 17 minut, ki smo jih naredili s programom Adobe Premiere Pro CS6. Razprava in sklep: Tako cirkonijeva oksidna keramika kot litijeva disilikatna keramika sta biokompatibilni. Z obema materialoma lahko dosežemo zelo lep videz. Cirkonijeva oksidna keramika je zaradi svojih izrednih mehanskih lastnosti primerna za mostovne konstrukcije do dveh členov. Izdelana videopredstavitev bo, kot priprava na laboratorijsko delo, podprla učni proces, pripomogla pa bo tudi k popestritvi in pridobivanju pozornosti učečih na klasičnih predavanjih. Z dobro izdelanim videoposnetkom lahko hitreje in razumljiveje prikažemo želene informacije oziroma v našem primeru postopke dela.

• Language: Slovenian
• Keywords: Premiere Pro, Adobe, CAD/CAM, cirkonijeva oksidna keramika, polna keramika, videopredstavitev, monolitna polnokeramična prevleka
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-103519
• COBISS.SI-ID: 5488235
• Publication date in RUL: 19.09.2018

Secondary language

• Language: English
• Title: Production of all-ceramic dental restauration with CAD/CAM technology, supported by video presentation : diploma work

Abstract

Introduction: Zirconium oxide ceramics and lithium disilicate are dental ceramic materials that predominate in CAD/CAM technology in the production of full ceramic dental substitutes. Zirconium oxide is extremely homo-compatible and has good mechanical properties. The advantage of lithium disilicate is its high aesthetics. Formation of dental replacements is quite challenging for the beginners. Video presentations that are available on the internet are helpful in the learning process and can also be used to enrich lectures, but they can only be found in foreign languages and rarely show the entire manufacturing process. The display of work procedures is easier and more accurate through image and sound. There are many software programs for creating video, but Adobe Premiere Pro is the dominant one and satisfies even the most demanding customers. Purpose: Through our video presentation of the production of full ceramic dental replacements, we would like to explicitly, quickly and efficiently demonstrate the procedures of making dental restoration with CAD/CAM method. Methods: The descriptive method was used when reviewing the professional literature. We searched for informations in Slovenian and English language. Practical products, the full ceramic crown and the full ceramic bridge, were made in a dental laboratory according to the CAD/CAM method, documented with both, image and video material. Video archive was stored through the entire production and was modified in Adobe Premiere Pro software. Results: Both full ceramic dental restaurations aesthetically and functionally satisfy the standards. We achieved high aesthetics of zirconia bridge with after cheramic build up effect. We made a monolithic lithium dislicate crown on tooth 23 and zirconium bridge from teeth 24 to 26. The production itself is supported with video presentation, which was created in Adobe Premiere Pro CS6 software for better understanding of the process by students and patients. Discussion and conclusion: Zircon and lithium disilicate ceramics are biocompatible. With both materials we can achieve high aesthetic effects. Zirkon is with its exceptional mechanical properties suitable for bridge structures up to two pontic. Video presentation helps in the learning process and in attracting attention. By making a good video, we can present the desired information (or work procedures in our case) in a quicker and more comprehensible way.

• Keywords: Premiere Pro, Adobe, CAD/CAM, Zirkonia, All-ceramic, presentation, lithium disilicate