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在进行修复前使用微型螺钉支抗压低上颌后牙过度萌出：一例报告

Direct usage of miniscrew anchorage to intrude overerupted maxillary posterior teeth before prosthodontic preparation: a case report.

作者信息

Acar Yasemin Bahar, Ates Mustafa

机构信息

Department of Orthodontics Faculty of Dentistry Marmara University Turkey.

Private Practice, Istanbul Turkey.

出版信息

J Istanb Univ Fac Dent. 2016 Jan 12;50(1):43-50. doi: 10.17096/jiufd.24271. eCollection 2016.

DOI:10.17096/jiufd.24271
PMID:28955554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5573452/
Abstract

Overeruption of maxillary molars due loss of opposing teeth creates occlusal and functional interferences. Before reconstruction can be initiated, intrusion of overerupted molars becomes essential. This report illustrates treatment of overerupted maxillary premolar and molar via direct use of miniscrew anchorage. A 24-year old female had lost first and second left mandibular molars due to pulpal necrotizing agents, resulting with a large alveolar bone defect and overerupted maxillary premolar and molar. She had a history of unsuccessful alveolar distraction of mandibular left premolars to increase the alveolar bone height prior to implant placement. Patient was satisfied with her smile and refused comprehensive orthodontic treatment. Maxillary premolar and molar were intruded segmentally for 4mm in 8 months, using a combination of a mini-implant and partialfixed edgewise appliances. Biological responses of teeth and surrounding bony structures to intrusion appeared normal and acceptable in radiographic and clinical examination.

摘要

由于对颌牙缺失导致上颌磨牙过度萌出会产生咬合和功能干扰。在开始重建之前，压低过度萌出的磨牙变得至关重要。本报告阐述了通过直接使用微型螺钉锚固来治疗上颌前磨牙和磨牙过度萌出的情况。一名24岁女性因牙髓坏死剂导致左侧下颌第一和第二磨牙缺失，造成较大的牙槽骨缺损以及上颌前磨牙和磨牙过度萌出。她曾有过在种植体植入前对左侧下颌前磨牙进行牙槽骨牵张但未成功增加牙槽骨高度的病史。患者对自己的笑容满意，拒绝接受全面的正畸治疗。使用微型种植体和部分固定方丝弓矫治器相结合的方法，在8个月内将上颌前磨牙和磨牙分段压低了4毫米。在影像学和临床检查中，牙齿及周围骨结构对压低的生物学反应看起来正常且可接受。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/2b61994f3d75/jiufd-050-043-e007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/357ca663cc4a/jiufd-050-043-e001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/3fbb8929296b/jiufd-050-043-e002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/055d676eb529/jiufd-050-043-e003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/86aaf4d02879/jiufd-050-043-e004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/b81adbbcc407/jiufd-050-043-e005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/7a916209c2f3/jiufd-050-043-e006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/2b61994f3d75/jiufd-050-043-e007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/357ca663cc4a/jiufd-050-043-e001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/3fbb8929296b/jiufd-050-043-e002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/055d676eb529/jiufd-050-043-e003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/86aaf4d02879/jiufd-050-043-e004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/b81adbbcc407/jiufd-050-043-e005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/7a916209c2f3/jiufd-050-043-e006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b105/5573452/2b61994f3d75/jiufd-050-043-e007.jpg

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本文引用的文献

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