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一名牙釉质发育不全患者的功能与美学康复

Functional and esthetic rehabilitation of a patient with amelogenesis imperfecta.

作者信息

Ergun Gulfem, Kaya Bekir Murat, Egilmez Ferhan, Cekic-Nagas Isil

机构信息

department of prosthodontics, faculty of dentistry, Gazi University, Ankara, Turkey.

出版信息

J Can Dent Assoc. 2013;79:d38.

Abstract

Amelogenesis imperfecta (AI) is a hereditary disorder that causes developmental alterations in the structure of enamel. In addition, tooth sensitivity, missing or impacted teeth, taurodontism, altered dental esthetics and anterior open bite can also be associated with AI. This clinical report presents the diagnosis, treatment planning and prosthetic rehabilitation of a 19-year-old female patient with AI associated with a group of dental anomalies. Following clinical and radiographic examination, histologic evaluation of the teeth confirmed the diagnosis of rough pattern hypoplastic AI. The patient was rehabilitated with full-mouth zirconium oxide ceramic fixed bridges. Adaptation of the temporomandibular joints and masticatory muscles to the bridges was carefully observed over 3 years. At the end of this follow-up period, the patient was satisfied with the esthetics, function and phonation of her prostheses.

摘要

牙釉质发育不全(AI)是一种遗传性疾病,可导致牙釉质结构的发育改变。此外,牙齿敏感、牙齿缺失或阻生、牛牙症、牙齿美学改变和前牙开颌也可能与牙釉质发育不全有关。本临床报告介绍了一名19岁患有牙釉质发育不全并伴有一组牙齿异常的女性患者的诊断、治疗计划和修复康复情况。经过临床和影像学检查,牙齿的组织学评估证实了粗糙型发育不全性牙釉质发育不全的诊断。该患者采用全口氧化锆陶瓷固定桥进行修复。在3年的时间里仔细观察了颞下颌关节和咀嚼肌对修复体的适应情况。在这个随访期结束时,患者对其修复体的美学效果、功能和发声效果感到满意。

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