一名连续三颗阻生牙的年轻患者恢复美学和功能的多学科方法:一例18个月随访的病例报告。

IF 3 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Angle Orthodontist Pub Date : 2023-09-01 DOI:10.2319/110222-748.1
Luciana Quintanilha Pires Fernandes, Mariana Caires Sobral de Aguiar, Vera Lúcia Cosendey, Jonas Capelli Junior
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引用次数: 0

摘要

本病例报告描述了一名11岁患者的正畸治疗,该患者右侧有三颗上颌阻生牙。锥形束计算机断层扫描显示,这些牙齿靠得很近,侧切牙位于较低位置,其次是中切牙,犬齿位于更顶端的位置。治疗包括对这些牙齿进行牵引。使用经腭弓作为锚定装置,并对侧切牙进行手术暴露,用弹性链向焊接在0.017×0.025英寸钢分段弓上的钩子进行牵引。随后,通过手术暴露中切牙,使用弹性链,以及0.016英寸的带箱形环的钢弓,用于矫正牙齿位置。犬类开始自发爆发,并使用带靴环的0.017×0.025英寸TMA分段弓来控制犬类在远端化过程中的旋转和扭矩。一旦这三颗牙齿进入牙弓,就按照通常的方式完成治疗。为了美观,在上颌弓处进行了牙龈成形术。18个月的随访显示,正畸治疗可以保留自然牙齿、牙龈支撑轮廓,避免假体康复,重建患者的美学和功能,并具有令人满意的稳定性。
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Multidisciplinary approach to restore esthetics and function in a young patient with three consecutive impacted teeth: a case report with 18-month follow-up.

This case report describes the orthodontic treatment of an 11-year-old patient with three maxillary impacted teeth on the right side. Cone-beam computed tomography showed that these teeth were close together, with the lateral incisor in a lower position, followed by the central incisor, and the canine in a more apical position. Treatment included applying traction to these teeth. A transpalatal arch was used as an anchorage device, and surgical exposure of the lateral incisor was performed for traction with an elastic chain toward the hook welded to the 0.017 × 0.025-inch steel segmented arch. Subsequently, the central incisor was surgically exposed, elastic chains were used, along with a 0.016-inch steel arch with a box loop for correcting the tooth position. The canine spontaneously began to erupt, and a 0.017 × 0.025-inch TMA segmented arch with boot loop was used to control rotation and torque of the canine during its distalization. Once these three teeth were in the arch, treatment was finished in the usual manner. For esthetic improvement, gingivoplasty was performed in the maxillary arch. Eighteen-month follow-up showed that orthodontic treatment allowed preservation of the natural teeth, the contour of gingival support, and avoidance of prosthetic rehabilitation, reestablishing the patient's esthetics and function, with satisfactory stability.

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来源期刊
Angle Orthodontist
Angle Orthodontist 医学-牙科与口腔外科
CiteScore
6.40
自引率
5.90%
发文量
95
审稿时长
3 months
期刊介绍: The Angle Orthodontist is the official publication of the Edward H. Angle Society of Orthodontists and is published bimonthly in January, March, May, July, September and November by The EH Angle Education and Research Foundation Inc. The Angle Orthodontist is the only major journal in orthodontics with a non-commercial, non-profit publisher -- The E. H. Angle Education and Research Foundation. We value our freedom to operate exclusively in the best interests of our readers and authors. Our website www.angle.org is completely free and open to all visitors.
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