推荐回答(2个)
烤瓷冠(牙)多用于前牙的修复和美容,目前首先的是氧化锆冠,氧化锆冠几乎成了全瓷冠的代名词,其质感和强度都适中,且刺激性小,边缘密合度稳定,是不错的前牙修复烤瓷冠种类。
而患者只能从材质上区分好坏,而实际上材质对于烤瓷冠质量所占比重不足5%,关键就是操作细致和程序严谨才占九成以上。而众多的烤瓷冠种类中,的确是有一定差异的,金属烤瓷冠优势在于韧性和强度高,全瓷优势在于美观度和毒性低。但这其中的差别只有设备检验,才可见到,肉眼和身体感觉是不易察觉的。其中钛合金烤瓷冠,我们不建议做,虽说我们并不注重材质,但钛合金烤瓷冠因为二次铸造钛丢失过大,但收费却高于镍铬烤瓷冠,实际就是镍铬冠的原因,不建议选择。
至于费用,氧化锆冠还有很多品牌,地方上如果选择国产氧化锆制作的,费用可以在1500左右,进口锆块的在3000-5000之间。你说的一般的烤瓷冠,多用钴铬烤瓷冠,每颗在1000左右。
而工艺问题,患者很难考量,而且当冠戴入后,就算是有数十年经验的医生也无法判定制作的是不是真正合乎要求了,因为我们要看的是烤瓷冠是不是点点、线线、面面都贴合。这就像同样的牛仔裤布料,或者是少有不同的布料,不同的版型是相差甚远的。
所以说,如果能找到一个制作细致,精通解剖的口腔医生,不管做什么材质的烤瓷冠都可以。
烤瓷冠的价格其中最大的一部分其实是医生的劳作,这也是很多人说烤瓷冠成本才几十或几百,为什么动辄上千的原因。因为人本身是最值钱的。
说道你的具体问题,我个人还是建议多考虑工艺细致,如果选了最好的材质,但制作的操切,其实是南辕北辙的。部分医生都会在材质上颌患者说上大半天,可实际上材质的差别,就像我回答你前一个问题一样,都是理论的,实际上临床上远期观察,无论是钴铬,金钯,还是锆冠,精工细作的才是重要的衡量标准。
其实,说这么多,患者是很迷茫的,你可能远在千里之外,我又无法帮你做,不过到有一个好处,就是相对公正。或帮你中间制作过程进行监督,很多专业名词说了也不会搞得懂。所以我们有一个比较简单的判定原则---烤瓷有一个试戴过程,如果试戴时外观,松紧度,边缘圈线,都满意的,在没有粘固的时候,戴入不脱落,又不觉的紧胀的,就是满意作品,无论它是什么冠。然后你再选择粘好固定
现在钛合金的烤瓷牙好多加工厂都不做了,金惠康义齿也已经早就不做这类产品了,建议做钴铬以上的产品啦,全瓷牙更好,找个好的大夫也非常重要
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