Lies C, Fernandez S, Limme M, Vanheusden A
Service de Prothèse Fixée, CHU de Liège, Belgique.
Rev Med Liege. 2008 Oct;63(10):609-14.
This clinical case underlines the importance of a multidisciplinary approach, prosthetic and orthodontic, for the achievement of an oral rehabilitation treatment plan. Preliminary orthodontic treatment has significantly improved, the position of some natural teeth, which can serve or not as a prosthetic abutment. This has produced a direct prosthetic benefit by limiting tissue reduction for preparation and by giving a better biomechanical and functional context to the restoration.Thus, after an orthodontic treatment step, lasting a year and a half, using both removable appliance and fixed appliance, prosthetic rehabilitation was possible. This included a fixed prosthesis and a removable prosthesis that gave a very satisfying an esthetic result and good masticatory function.
这个临床病例强调了修复和正畸多学科方法对于实现口腔修复治疗计划的重要性。初步正畸治疗显著改善了一些天然牙的位置,这些天然牙可作为或不作为修复基牙。这通过限制预备时的组织减少,并为修复提供更好的生物力学和功能环境,产生了直接的修复益处。因此,在经过一年半的正畸治疗阶段,同时使用可摘矫治器和固定矫治器后,进行修复康复成为可能。这包括一个固定修复体和一个可摘修复体,获得了非常令人满意的美学效果和良好的咀嚼功能。