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多学科方法提升正畸美学——病例报告

Multi-disciplinary approach for enhancing orthodontic esthetics - case report.

作者信息

Kalia Ajit, Mirdehghan Nasim, Khandekar Sonali, Patil Wasu

机构信息

Department of Orthodontics, MA Rangoonwala Dental College, Pune, India.

出版信息

Clin Cosmet Investig Dent. 2015 Aug 13;7:83-9. doi: 10.2147/CCIDE.S84401. eCollection 2015.

DOI:10.2147/CCIDE.S84401
PMID:26316821
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4542410/
Abstract

BACKGROUND

In contemporary dental care, an increasing number of adult patients are now seeking orthodontic treatment with the primary motive of improvement in appearance and achievement of esthetic smile. Proper recognition of the dental and facial defects at the outset of treatment is the most important key to esthetic success and is essential in satisfying the patient's needs. By following the rules of Golden proportion smiles can be made attractive, harmonious, symmetrical, and proportionate.

METHODOLOGY

Consisted of 22-year-old girl who came for treatment of crowding in maxillary and mandibular arches, abnormal overjet and overbite and had unesthetic peg lateral.

RESULTS

Non-extraction therapy was carried out since the patient had good soft tissue drape, alignment was achieved by expanding the arches and moving teeth in ideal axial inclination. Esthetic smile was attained using composite buildup of upper right peg lateral and minor adjunctive surgery (full thickness periodontal graft) on lower right central incisor.

CONCLUSION

The present case report orchestrates interrelationship between various branches of dentistry and orthodontics. It exhibits how multidisciplinary approach can be used to achieve ideal dental esthetics in a 22-year-old girl who was successfully treated for peg shaped lateral incisor, gingival recession, and unesthetic smile.

摘要

背景

在当代牙科治疗中，越来越多的成年患者寻求正畸治疗，其主要动机是改善外观并获得美观的笑容。在治疗开始时正确识别牙齿和面部缺陷是美学成功的最重要关键，对于满足患者需求至关重要。遵循黄金比例规则，笑容可以变得有吸引力、和谐、对称且比例协调。

方法

该病例为一名22岁女孩，前来治疗上颌和下颌牙弓拥挤、异常覆盖和覆合，以及有不美观的钉状侧切牙。

结果

由于患者软组织覆盖良好，采用非拔牙治疗，通过扩弓和使牙齿移动到理想的轴向倾斜度实现了排齐。通过右上钉状侧切牙的复合树脂修复和右下中切牙的小辅助手术（全厚牙周移植）获得了美观的笑容。

结论

本病例报告阐述了牙科和正畸学各分支之间的相互关系。它展示了如何采用多学科方法为一名成功治疗钉状侧切牙、牙龈退缩和不美观笑容的22岁女孩实现理想的牙齿美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/15749f2b9601/ccide-7-083Fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/b3c4eb1babde/ccide-7-083Fig1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/894befe23f03/ccide-7-083Fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/15749f2b9601/ccide-7-083Fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/b3c4eb1babde/ccide-7-083Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/733eb6bdc1f9/ccide-7-083Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/b2bf85fdaa84/ccide-7-083Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/432fe467cfa9/ccide-7-083Fig4.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e7/4542410/15749f2b9601/ccide-7-083Fig8.jpg

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