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创伤后颌骨重建:部分牙列缺失患者的治疗方案

Posttraumatic maxillomandibular reconstruction: a treatment algorithm for the partially edentulous patient.

作者信息

Baker Stephen B, Goldstein Jesse A, Seiboth Laura, Weinzweig Jeffrey

机构信息

Department of Plastic Surgery, Georgetown University Hospital, Chicago, Illinois 20007, USA.

出版信息

J Craniofac Surg. 2010 Jan;21(1):217-21. doi: 10.1097/SCS.0b013e3181c51104.

Abstract

Maxillofacial injuries in the partially edentulous patient present unique challenges that are best treated in conjunction with appropriate dental specialists. Many surgeons who treat complex maxillofacial injuries are not involved in the process of reconstruction of the occlusion and alveolus; however, dental rehabilitation is an important and often overlooked component of treatment of the partially edentulous patients. Working with dental specialists and understanding the role they play in perioperative planning, the plastic surgeon is in a position to optimize reconstruction and rehabilitation of these injuries. The appropriate dental specialists working with the plastic surgeon can provide the surgeon with the necessary orthodontic, prosthodontic, and radiologic expertise that is required to successfully treat these patients. In this article, the authors present their management algorithm for maxillomandibular rehabilitation in the partially edentulous patient and discuss the role of the appropriate dental specialists for obtaining optimal aesthetic and functional outcomes.

摘要

部分牙列缺失患者的颌面损伤带来了独特的挑战,最好与合适的牙科专家共同处理。许多治疗复杂颌面损伤的外科医生并不参与咬合和牙槽骨重建过程;然而,牙齿修复是部分牙列缺失患者治疗中一个重要且常被忽视的组成部分。整形外科医生与牙科专家合作并了解他们在围手术期规划中所起的作用,就能优化这些损伤的重建和修复。与整形外科医生合作的合适牙科专家可为外科医生提供成功治疗这些患者所需的必要正畸、修复和放射学专业知识。在本文中,作者介绍了他们针对部分牙列缺失患者进行颌骨修复的管理算法,并讨论了合适的牙科专家在获得最佳美学和功能效果方面的作用。

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