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外胚层发育不全的综述:一例少牙症的治疗计划和种植修复的手术管理报告。

Review of ectodermal dysplasia: case report on treatment planning and surgical management of oligodontia with implant restorations.

机构信息

Department of Oral Implants, School of Stomatology, Fourth Military Medical University, Xi'an, China.

出版信息

Implant Dent. 2011 Oct;20(5):328-30. doi: 10.1097/ID.0b013e31822f7b24.

Abstract

Dental implants have proven to be a reliable modality for the rehabilitation of missing teeth. However, there are limited reports on managing anodontia related to ectodermal dysplasia in the scientific literature. The severely reduced bone quantity due to the congenital absence of multiple natural teeth is the biggest challenge for the surgeon. There are a variety of bone augmentation procedures to establish adequate bone quantity, and the surgical planning should be used on an individual case basis. This is a report of a 19-year-old male patient affected by hypohidrotic ectodermal dysplasia. Oligodontia associated with severe atrophy of jaws was the chief complaint for seeking treatment. Based on clinical and radiographic examinations, 2 bone augmentation procedures were used to obtain sufficient width of alveolus for implant placement by performing an onlay bone graft in the maxilla and vertical distraction osteogenesis in the mandible. The treatment planning was discussed and informed consent was obtained.

摘要

种植牙已被证明是修复缺失牙齿的可靠方法。然而,科学文献中关于治疗外胚层发育不良相关无牙症的报道有限。由于多个天然牙齿先天缺失,导致骨量严重减少,这对外科医生来说是最大的挑战。有多种骨增量手术可建立足够的骨量,手术计划应根据个体病例进行。这是一名 19 岁男性患者的报告,他患有少汗型外胚层发育不良。牙列稀疏伴颌骨严重萎缩是他寻求治疗的主要诉求。基于临床和影像学检查,通过在上颌骨进行骨板移植和在下颌骨进行垂直牵引成骨,使用 2 种骨增量手术来获得足够的牙槽骨宽度,以进行种植体植入。讨论了治疗计划并获得了知情同意。

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