Xie Cuiliu, Meng Yukun
Int J Periodontics Restorative Dent. 2016 Mar-Apr;36(2):e33-40. doi: 10.11607/prd.2034.
Maxillary protrusion usually requires orthodontic therapy and orthognathic surgery. However, for some exceptional cases, a prosthodontics-centered multidisciplinary approach could serve as an alternative. This case report describes a 53-year-old patient with protrusive and proclined maxillary incisors, compensatory eruption of mandibular incisors, color and morphologic abnormalities of anterior teeth lip incompetence, and gummy smile. Final esthetic improvement was achieved in this patient by means of a multidisciplinary approach involving endodontic and periodontal procedures before prosthodontic treatment. Accurate diagnosis, comprehensive communication, a sophisticated treatment plan, and state-of-the-art therapeutic processes are all important factors for achieving a predictable esthetic result.
上颌前突通常需要正畸治疗和正颌手术。然而,对于一些特殊情况,以修复学为中心的多学科方法可以作为一种替代方案。本病例报告描述了一名53岁的患者,其上颌切牙前突且前倾,下颌切牙代偿性萌出,前牙颜色和形态异常,唇部闭合不全以及露龈笑。通过在修复治疗前进行牙髓和牙周治疗的多学科方法,该患者最终实现了美学改善。准确的诊断、全面的沟通、完善的治疗计划以及先进的治疗过程都是获得可预测美学效果的重要因素。