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颏部植入物下的骨吸收:正畸医生在其诊断和处理中的作用。

Bone resorption under chin implants: The orthodontist's role in its diagnosis and management.

作者信息

Polo Mario

机构信息

Private practice, San Juan, Puerto Rico; Post-Graduate Program, Department of Orthodontics, School of Dental Medicine, University of Puerto Rico, San Juan; consultant, San Jorge Children's Hospital/Plastic and Reconstructive Institute, San Juan, Puerto Rico.

出版信息

Am J Orthod Dentofacial Orthop. 2017 Jan;151(1):201-208. doi: 10.1016/j.ajodo.2016.06.035.

Abstract

Alloplastic chin implants have been a valuable treatment modality for the correction of microgenia. Their use has provided satisfactory esthetic results by improving facial balance. However, bone resorption under these implants can occur. Case reports of 4 patients with the incidental radiographic finding of the presence of chin implants are presented. All 4 subjects had lateral cephalograms and panoramic x-rays taken as part of their orthodontic evaluation. One had a normal mandibular symphyseal contour, and 3 had bone resorption under the implants. One subject had severe resorption. In addition to panoramic and cephalometric x-rays, the subject with severe resorption also had magnetic resonance imaging and computerized tomography as part of the evaluation workup.

摘要

异体下巴植入物一直是矫正小颌畸形的一种重要治疗方式。它们的使用通过改善面部平衡提供了令人满意的美学效果。然而,这些植入物下方可能会发生骨吸收。本文报告了4例偶然通过影像学检查发现存在下巴植入物的病例。所有4名受试者都进行了头颅侧位片和全景X光检查,作为正畸评估的一部分。其中1名受试者下颌联合轮廓正常,3名受试者植入物下方存在骨吸收。1名受试者骨吸收严重。除了全景和头影测量X光检查外,骨吸收严重的受试者还进行了磁共振成像和计算机断层扫描作为评估检查的一部分。

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