Dhima M, Salinas T J, Cofer S A, Rieck K L
Department of Dental Specialties, Division of Prosthetic and Esthetic Dentistry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Department of Dental Specialties, Division of Prosthetic and Esthetic Dentistry, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Int J Oral Maxillofac Surg. 2014 Mar;43(3):301-4. doi: 10.1016/j.ijom.2013.08.004. Epub 2013 Sep 12.
The functional and aesthetic needs of a 17-year-old patient afflicted with ectodermal dysplasia, chronic long-term immunosuppression, cleft palate, velopharyngeal insufficiency, hypernasality, maxillary hypoplasia, and oligodontia were met with a multidisciplinary team approach. Predictable functional and aesthetic outcomes were obtained with a combination of injection augmentation of the soft palate and nasopharynx and rigid fixation maxillary external distraction with immediate placement and immediate load protocols. No biological or prosthetic complications were noted after definitive rehabilitation with a mandibular implant-retained fixed prosthesis and a maxillary implant-retained detachable prosthesis.
一个患有外胚层发育不良、慢性长期免疫抑制、腭裂、腭咽闭合不全、鼻音过重、上颌发育不全和少牙症的17岁患者的功能和美学需求，通过多学科团队方法得到了满足。通过软腭和鼻咽部注射填充以及上颌骨外固定牵张并采用即刻植入和即刻负重方案相结合的方式，获得了可预测的功能和美学效果。在用下颌种植体固位的固定义齿和上颌种植体固位的可摘义齿进行最终修复后，未发现生物学或修复并发症。
