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生长发育期严重牙列缺损患者口腔修复中垂直距离的确定

Determination of vertical dimension in prosthodontic rehabilitation of a growing patient with severe oligodontia.

作者信息

Cassi D, Di Blasio A, Gandolfini M

机构信息

Section of Orthodontics, University Dental Center, S.Bi.Bi.T. Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy.

出版信息

Eur J Paediatr Dent. 2015 Mar;16(1):61-4.

PMID:25793956
Abstract

This report describes the oral rehabilitation of a young boy with severe oligodontia of primary dentition and complete anodontia of permanent dentition, treated by complete maxillary and partial mandibular removable dentures. Since the determination of a proper occlusal vertical dimension in paediatric patients is often difficult, treatment was achieved by means of a multidisciplinary approach involving conventional prosthodontic principles combined with cephalometric analysis and growth prediction. After a follow-up of two years a second lateral cephalogram was taken to evaluate the developmental changes in craniofacial morphology and the superimpositions method was performed, showing an improvement of both sagittal and vertical relationship between basal bones. In this case, the early prosthetic treatment resulted in enhanced aesthetics and masticatory function as well as skeletal growth changes.

摘要

本报告描述了一名乳牙严重少牙症且恒牙完全无牙症的小男孩通过全上颌和部分下颌可摘义齿进行口腔修复的情况。由于确定儿科患者合适的咬合垂直距离通常很困难,因此采用了多学科方法进行治疗,该方法将传统的修复原则与头影测量分析和生长预测相结合。随访两年后,拍摄了第二张侧位头影测量片以评估颅面形态的发育变化,并进行了重叠分析,结果显示基底骨之间的矢状和垂直关系均有改善。在该病例中,早期的修复治疗改善了美观和咀嚼功能,同时也带来了骨骼生长的变化。

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