Feng Xingmei, Oba Tomoko, Oba Yasuo, Moriyama Keiji
Department of Orthodontics and Dentofacial Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
Angle Orthod. 2005 Nov;75(6):1061-70. doi: 10.1043/0003-3219(2005)75[1061:AIAFIF]2.0.CO;2.
In contemporary dental care, an increasing number of adult patients are seeking orthodontic treatment. In such adult patients, a combined orthodontic and other specialized therapy often offers the best option for achieving a predictable outcome to solve complex clinical problems. This case report demonstrates a combined therapy with orthodontic, periodontic, and implant-prosthodontic treatments in a 56-year six-month-old female patient with mild diastemata in the maxillary anterior region and a missing left maxillary second premolar caused by a periodontal disease with medium bone loss. The patient had improved her oral hygiene condition through periodontal treatment before orthodontic treatment. The patient was orthodontically treated with a maxillary lingual arch and a maxillary edgewise orthodontic appliance. Active orthodontic treatment was completed in 18 months, and an implant-supported prosthesis was placed with a single crown in the region of the left maxillary second premolar. The treatment outcomes, including the periodontal condition and the dental implant treatment, were stable at two years after the active orthodontic treatment. We demonstrate that combined orthodontic-periodontic-implant-prosthodontic treatment can achieve an improved masticatory function, esthetics, occlusion, and periodontal condition.
在当代牙科治疗中，越来越多的成年患者寻求正畸治疗。对于这类成年患者，正畸与其他专科治疗相结合通常是实现可预测结果以解决复杂临床问题的最佳选择。本病例报告展示了对一名56岁6个月大的女性患者进行正畸、牙周和种植修复联合治疗的过程，该患者上颌前部有轻度牙间隙，因中度骨量丧失的牙周疾病导致左上颌第二前磨牙缺失。在正畸治疗前，患者已通过牙周治疗改善了口腔卫生状况。患者使用上颌舌弓和上颌方丝弓正畸矫治器进行正畸治疗。主动正畸治疗在18个月内完成，并在左上颌第二前磨牙区域植入了单冠种植支持式修复体。在主动正畸治疗两年后，包括牙周状况和牙种植治疗在内的治疗结果保持稳定。我们证明，正畸-牙周-种植-修复联合治疗可改善咀嚼功能、美观、咬合和牙周状况。
