国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (6): 621-626.doi: 10.7518/gjkq.2020105

• 专家笔谈 •    下一篇

邻面成形系统的发展和临床应用

薛晶()   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院牙体牙髓病科 成都 610041
  • 收稿日期:2020-06-20 修回日期:2020-08-07 出版日期:2020-11-01 发布日期:2020-11-06
  • 通讯作者: 薛晶
  • 作者简介:薛晶,口腔医学博士,副主任医师。担任四川省口腔医学会牙体牙髓专业委员会委员,四川省口腔医学会口腔美学专业委员会常务委员。在牙体牙髓病学领域一直致力于医、教、研工作,对牙髓病的诊治和龋病有较深入的研究和丰富的临床经验。致力于牙体牙髓疾病的基础与临床研究,口腔微生物菌群研究及牙体硬组织早期病变的修复研究。已在国内外相关牙体牙髓专业学术刊物发表论著20余篇,参编牙体牙髓专业相关专著7部,主译专著《流动复合树脂修复》和《牙髓病诊疗原理与实践（第5版）》。

Development and clinical application of proximal matrix system

Xue Jing()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-06-20 Revised:2020-08-07 Online:2020-11-01 Published:2020-11-06
  • Contact: Jing Xue

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摘要：

邻面成形系统是一套在进行邻面洞型充填修复时,用于代替缺失的牙体侧壁,形成邻面生理外形以达到良好的邻牙接触关系的工具,主要包括成形片、形片夹、分牙环及楔子。邻面成形系统的诞生和发展提高了邻面充填修复的成功率,更好地适应了复合树脂修复材料的进步,并逐步衍生出了两大类,环周式邻面成形系统和分段式邻面成形系统。本文从邻面成形系统的历史发展出发,对目前临床上主要的几类邻面成形系统的设计及使用进行梳理,简述其适应证及主要的优势与不足,并对其未来的发展方向做出展望。

关键词: 邻面成形系统, 分段式邻面成形系统, 环周式邻面成形系统, 复合树脂, 邻接触

Abstract:

The proximal matrix system is a set of tools used in replacing the side wall of missing teeth and forming the physiological shape of interproximal teeth for the purpose of achieving good contact relationship. These tools mainly include a shaping sheet, retainer, split ring, and interproximal wedge. The creation and development of the proximal matrix system increased the successful rate of adjacent surface filling and restoration and facilitated the progress of composite resin repair materials. It is gradually derived into two categories: the sectional matrix and circumferential matrix systems. Starting from the historical development of the proximal matrix system, this paper describes the design and application of several kinds of proximal matrix systems that are mainly used in clinics, their indications, and main advantages and disadvantages and makes a prospect for the future.

Key words: proximal matrix system, sectional matrix system, circumferential matrix system, resin filling, proximal contact

中图分类号: 

  • R781.05
[1] 李卓仑, 武峰, 李琳琳, 等. 邻接紧密型食物嵌塞的发病机制与诊疗技术研究进展[J]. 中华口腔医学杂志, 2019,54(4):278-281.
Li ZL, Wu F, Li LL, et al. Etiology and clinical te-chnology of the food impaction with tight proximal contacts[J]. Chin J Stomatol, 2019,54(4):278-281.
[2] 李可冰, 王晓红, 胡万宁. 固定义齿修复后食物嵌塞的原因分析及扩隙树脂修复治疗[J]. 华西口腔医学杂志, 2016,34(4):395-397.
Li KB, Wang XH, Hu WN. Cause of food impaction after fixed denture restoration and therapeutic effect of gap expansion and resin repair[J]. West China J Stomatol, 2016,34(4):395-397.
[3] Chuang SF, Su KC, Wang CH, et al. Morphological analysis of proximal contacts in class Ⅱ direct resto-rations with 3D image reconstruction[J]. J Dent, 2011,39(6):448-456.
pmid: 21504778
[4] Bauer JG, Crispin BJ. Evolution of the matrix for Class 2 restorations[J]. Oper Dent, 1986,Suppl(4):1-37.
[5] Saber MH, El-Badrawy W, Loomans BA, et al. Creating tight proximal contacts for MOD resin composite restorations[J]. Oper Dent, 2011,36(3):304-310.
pmid: 21740239
[6] Ilić DV, Zagradjanin D. Creative work of Greene vardiman black[J]. Srp Arh Celok Lek, 2011,139(5/ 6):409-414.
[7] Strauss K. A matrix band retainer incorporating two interdental wedges[J]. Br Dent J, 1949,87(5):126.
pmid: 18134615
[8] Millstein PL, Mowry RC. Benjamin franklin toffle-mire (1896—1983)[J]. Quintessence Int, 1985,16(11):791-795.
pmid: 3909205
[9] Brackett MG, Contreras S, Contreras R, et al. Resto-ration of proximal contact in direct Class Ⅱ resin composites[J]. Oper Dent, 2006,31(1):155-156.
pmid: 16536208
[10] Wirsching E, Loomans BA, Klaiber B, et al. In-luence of matrix systems on proximal contact tightf-ness of 2- and 3-surface posterior composite restora-tions in vivo[J]. J Dent, 2011,39(5):386-390.
doi: 10.1016/j.jdent.2011.03.001 pmid: 21414384
[11] Wolff D, Hahn P, Ding P, et al. Proximal contact tightness between direct-composite additions in the posterior dentition: an in vitro investigation[J]. Oper Dent, 2012,37(3):272-280.
pmid: 22313273
[12] Politi I, McHugh LEJ, Al-Fodeh RS, et al. Modifica-tion of the restoration protocol for resin-based com-posite (RBC) restoratives (conventional and bulk fill) on cuspal movement and microleakage score in molar teeth[J]. Dent Mater, 2018,34(9):1271-1277.
doi: 10.1016/j.dental.2018.05.010 pmid: 29857989
[13] de Assis FS, Lima SN, Tonetto MR, et al. Evaluation of bond strength, marginal integrity, and fracture strength of bulk- vs incrementally-filled restorations[J]. J Adhes Dent, 2016,18(4):317-323.
doi: 10.3290/j.jad.a36516 pmid: 27419244
[14] Kalmowicz J, Phebus JG, Owens BM, et al. Micro-leakage of Class Ⅰ and Ⅱ composite resin restora-tions using a sonic-resin placement system[J]. Oper Dent, 2015,40(6):653-661.
pmid: 26237636
[15] Veloso SRM, Lemos CAA, de Moraes SLD, et al. Clinical performance of bulk-fill and conventional resin composite restorations in posterior teeth: a sys-tematic review and meta-analysis[J]. Clin Oral Investig, 2019,23(1):221-233.
doi: 10.1007/s00784-018-2429-7 pmid: 29594349
[16] Fabianelli A, Sgarra A, Goracci C, et al. Microlea-kage in Class Ⅱ restorations: open vs closed centripetal build-up technique[J]. Oper Dent, 2010,35(3):308-313.
doi: 10.2341/09-128-L pmid: 20533631
[17] El-Shamy H, Saber MH, Dörfer CE, et al. Influence of volumetric shrinkage and curing light intensity on proximal contact tightness of Class Ⅱ resin composite restorations: in vitro study[J]. Oper Dent, 2012,37(2):205-210.
doi: 10.2341/11-269-L pmid: 22313267
[18] El-Shamy H, Sonbul H, Alturkestani N, et al. Proximal contact tightness of class Ⅱ bulk-fill composite resin restorations: an in vitro study[J]. Dent Mater J, 2019,38(1):96-100.
doi: 10.4012/dmj.2017-279 pmid: 30381630
[19] Loomans BA, Opdam NJ, Roeters JF, et al. Influence of composite resin consistency and placement technique on proximal contact tightness of Class Ⅱ restorations[J]. J Adhes Dent, 2006,8(5):305-310.
pmid: 17080878
[20] Loomans BA, Opdam NJ, Roeters FJ, et al. Com-parison of proximal contacts of Class Ⅱ resin com-posite restorations in vitro[J]. Oper Dent, 2006,31(6):688-693.
pmid: 17153978
[21] Durr-E-Sadaf, Ahmad MZ, Gaikwad RN, et al. Com-parison of two different matrix band systems in re-storing two surface cavities in posterior teeth done by senior undergraduate students at Qassim University, Saudi Arabia: a randomized controlled clinical trial[J]. Indian J Dent Res, 2018,29(4):459-464.
doi: 10.4103/ijdr.IJDR_26_17 pmid: 30127197
[22] Loomans BA, Opdam NJ, Roeters FJ, et al. Restora-tion techniques and marginal overhang in Class Ⅱ composite resin restorations[J]. J Dent, 2009,37(9):712-717.
doi: 10.1016/j.jdent.2009.05.025 pmid: 19524348
[23] Loomans BA, Opdam NJ, Roeters FJ, et al. Proximal marginal overhang of composite restorations in re-lation to placement technique of separation rings[J]. Oper Dent, 2012,37(1):21-27.
doi: 10.2341/10-286-L pmid: 21942287
[24] Bittar DG, Murakami C, Hesse D, et al. Efficacy of two methods for restorative materials’ removal in primary teeth[J]. J Contemp Dent Pract, 2011,12(5):372-378.
pmid: 22269199
[25] Demarco FF, Cenci MS, Lima FG, et al. Class Ⅱ composite restorations with metallic and translucent matrices: 2-year follow-up findings[J]. J Dent, 2007,35(3):231-237.
doi: 10.1016/j.jdent.2006.07.011 pmid: 17034926
[26] Cenci MS, Demarco FF, Pereira CL, et al. One-year comparison of metallic and translucent matrices in Class Ⅱ composite resin restorations[J]. Am J Dent, 2007,20(1):41-45.
pmid: 17380807
[27] Graham DA, Daniels JA, Kahl EA, et al. Pre-con-toured matrix bands for Class Ⅱ amalgam restora-tions[J]. Gen Dent, 1980,28(3):52-57.
pmid: 6936329
[28] Arhun N, Cehreli SB. Do adhesive systems leave resin coats on the surfaces of the metal matrix bands? An adhesive remnant characterization[J]. Int J Perio-dontics Restorative Dent, 2013,33(2):e43-e50.
[29] Farah RI, Al-Harbi KS. The use of sectional matrix in direct restoration of a structurally compromised posterior tooth: a clinical technique[J]. Quintessence Int, 2019,50(9):680-684.
pmid: 31463481
[30] Kampouropoulos D, Paximada C, Loukidis M, et al. The influence of matrix type on the proximal contact in Class Ⅱ resin composite restorations[J]. Oper Dent, 2010,35(4):454-462.
doi: 10.2341/09-272-L pmid: 20672731
[31] Liebenberg WH. The proximal precinct in direct posterior composite restorations: interproximal inte-grity[J]. Pract Proced Aesthet Dent, 2002,14(7):587-594, 596.
pmid: 12373946
[32] Patras M, Doukoudakis S. Class Ⅱ composite re-storations and proximal concavities: clinical im-plications and management[J]. Oper Dent, 2013,38(2):119-124.
pmid: 22788722
[33] González-López S, Bolaños-Carmona MV, Navajas-Rodríguez de Mondelo JM. Individualized wedge[J]. Oper Dent, 2006,31(3):390-393.
doi: 10.2341/05-58 pmid: 16802649
[34] Sherwood IA, Rathakrishnan M, Savadamaoorthi KS, et al. Modified putty index matrix technique with mylar strip and a new classification for selecting the type of matrix in anterior proximal/incisal com-posite restorations[J]. Clin Case Rep, 2017,5(7):1141-1146.
doi: 10.1002/ccr3.1006 pmid: 28680613
[35] Kwon SR, Oyoyo U, Li Y. Influence of application techniques on contact formation and voids in anterior resin composite restorations[J]. Oper Dent, 2014,39(2):213-220.
pmid: 23875789
[36] Brackett MG, Ryan JM, Haddock FJ, et al. Use of a modified matrix band technique to restore subgin-gival root caries[J]. Oper Dent, 2018,43(5):467-471.
pmid: 29570028
[37] Bailey O, O’Connor C. Papilla management in sub-gingival, interproximal, direct composite restoration: a key step to success[J]. Br Dent J, 2019,226(12):933-937.
pmid: 31253910
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