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使用多个环形连接器的美学修复。

Aesthetic rehabilitation with multiple loop connectors.

作者信息

Kalra Ashish, Gowda Mahesh E, Verma Kamal

机构信息

Division of Prosthodontics, Army Dental Centre, R and R Delhi Cantt, New Delhi, India.

出版信息

Contemp Clin Dent. 2013 Jan;4(1):112-5. doi: 10.4103/0976-237X.111632.

Abstract

Patients with a missing tooth along with diastema have limited treatment options to restore the edentulous space. The use of a conventional fixed partial denture (FPD) to replace the missing tooth may result in too wide anterior teeth leading to poor esthetics. The diastema resulting from the missing central incisors can be managed with implant-supported prosthesis or FPD with loop connectors. An old lady reported with chief complaints of missing upper anterior teeth due to trauma. Her past dental history revealed that she was having generalized spacing between her upper anterior teeth. Considering her esthetic requirement of maintaining the diastema between 12, 11, 22, and 21, the treatment option of 06 units porcelain fused to metal FPD from canine to canine with intermittent loop connectors between 21, 22, 11, 12 was planned. Connectors basically link different parts of FPDs. The modified FPD with loop connectors enhanced the natural appearance of the restoration, maintained the diastemas and the proper emergence profile, and preserve the remaining tooth structure of abutment teeth. This clinical report discussed a method for fabrication of a modified FPD with loop connectors to restore the wide span created by missing central incisors.

摘要

伴有牙间隙的缺牙患者恢复无牙间隙的治疗选择有限。使用传统的固定局部义齿(FPD)来替换缺失牙可能会导致前牙过宽,影响美观。因中切牙缺失导致的牙间隙可以通过种植体支持的修复体或带有环形连接体的FPD来处理。一位老年女性因外伤导致上前牙缺失前来就诊。她过去的牙科病史显示,她的上前牙普遍存在间隙。考虑到她希望保持12、11、22和21之间牙间隙的美观需求,计划采用从尖牙到尖牙的6单位烤瓷熔附金属FPD,并在21、22、11、12之间设置间断环形连接体的治疗方案。连接体主要连接FPD的不同部分。带有环形连接体的改良FPD增强了修复体的自然外观,保持了牙间隙和合适的龈缘外形,并保留了基牙的剩余牙体结构。本临床报告讨论了一种制作带有环形连接体的改良FPD的方法,以恢复因中切牙缺失而产生的宽间隙。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a5/3703682/889250ab0d71/CCD-4-112-g001.jpg

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