Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, USA.
J Esthet Restor Dent. 2010 Oct;22(5):297-312. doi: 10.1111/j.1708-8240.2010.00356.x.
Clinicians agree that, regardless of gender or race, tooth agenesis has become more prominent in recent societies. The congenital absence of one or more maxillary lateral incisors poses a challenge to effective treatment planning for the restorative dentist. However, the one-sided orthodontic approach of just moving canines mesially to eliminate restorative procedures leads to compromise. Adult patients presenting with malocclusions, missing lateral incisors, or anterior crowding but who fail to get proper orthodontic treatment, requesting instead esthetic solutions that do not establish a stable occlusion, proper alignment, and proper axial inclination of the teeth will have compromised esthetic and periodontal results. An evaluation of anterior smile esthetics must include both static and dynamic evaluations of frontal and profile views to optimize both dental and facial appearance. This article presents how orthodontics is combined with other specialties in treating a congenitally missing lateral incisor. One case is used to illustrate how orthodontic treatment is progressed in collaboration with other specialists.
Patients with missing teeth, crowding, midline deviation, unesthetic gingival contours, or other restorative needs may require the interaction between various specialists. For the successful treatment of orthodontic-restorative patients, an interdisciplinary team effort is vital.
临床医生一致认为，无论性别或种族如何，牙齿缺失在最近的社会中变得更加突出。上颌侧切牙先天缺失给修复牙医的有效治疗计划带来了挑战。然而，仅仅将尖牙向近中移动的单侧正畸方法会导致妥协。患有错位、缺失侧切牙或前牙拥挤但未能接受适当正畸治疗的成年患者，要求采用不建立稳定咬合、正确对齐和适当牙齿轴向倾斜的美观解决方案，将导致美观和牙周结果受损。对前牙微笑美观的评估必须包括正面和侧面视图的静态和动态评估，以优化牙齿和面部的外观。本文介绍了如何将正畸与其他专业相结合来治疗先天性侧切牙缺失。一个案例说明了如何在与其他专家合作的情况下推进正畸治疗。
缺失牙齿、拥挤、中线偏离、不美观的牙龈轮廓或其他修复需求的患者可能需要各种专家之间的相互作用。对于正畸修复患者的成功治疗，跨学科团队的努力至关重要。
