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采用多学科团队方法对锁骨颅骨发育不全患者进行口腔修复,以实现功能与美学效果。

Multidisciplinary team approach in the oral rehabilitation of patients with cleidocranial dysplasia to achieve a functional aesthetic outcome.

作者信息

Patel D, Patel N, Brennan P A, Kwok J

机构信息

Department of Oral Surgery, Guy's Hospital, Great Maze Pond, London, SE1 9RT.

Department of Oral Surgery, Guy's Hospital, Great Maze Pond, London, SE1 9RT.

出版信息

Br J Oral Maxillofac Surg. 2017 Nov;55(9):932-936. doi: 10.1016/j.bjoms.2017.08.370. Epub 2017 Sep 28.

DOI:10.1016/j.bjoms.2017.08.370
PMID:28964668
Abstract

Cleidocranial dysplasia is a hereditary congenital disorder that results in delayed ossification of midline structures, and is caused by mutations in the RunX2 (runt-related transcription factor 2) gene located on the short arm of chromosome 6. Successful treatment depends on multidisciplinary assessment and a comprehensive staged treatment plan. We present a case series of 12 patients who were managed with a specifically tailored combination of surgery, orthodontics, and prosthodontics to provide a functional dentition and restore their smile and facial contour. Successful dental rehabilitation can be challenging in this group because patients often have multiple dental anomalies and a reduced quantity and density of alveolar bone. Rehabilitation with early intervention and a carefully planned multidisciplinary approach has been successful in the long term.

摘要

锁骨颅骨发育不全是一种遗传性先天性疾病,可导致中线结构骨化延迟,由位于6号染色体短臂上的RunX2( runt相关转录因子2)基因突变引起。成功的治疗取决于多学科评估和全面的分期治疗计划。我们报告了一个包含12例患者的病例系列,这些患者接受了专门定制的手术、正畸和修复治疗组合,以提供功能性牙列并恢复他们的笑容和面部轮廓。在这组患者中,成功的牙齿修复可能具有挑战性,因为患者通常存在多种牙齿异常,并且牙槽骨的数量和密度降低。通过早期干预和精心规划的多学科方法进行修复在长期来看是成功的。

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Multidisciplinary team approach in the oral rehabilitation of patients with cleidocranial dysplasia to achieve a functional aesthetic outcome.采用多学科团队方法对锁骨颅骨发育不全患者进行口腔修复,以实现功能与美学效果。
Br J Oral Maxillofac Surg. 2017 Nov;55(9):932-936. doi: 10.1016/j.bjoms.2017.08.370. Epub 2017 Sep 28.
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引用本文的文献

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Genetic Pattern, Orthodontic and Surgical Management of Multiple Supplementary Impacted Teeth in a Rare, Cleidocranial Dysplasia Patient: A Case Report.罕见的 cleidocranial 发育不全患者多发性额外埋伏牙的遗传模式、正畸和外科治疗:病例报告。
Medicina (Kaunas). 2021 Dec 10;57(12):1350. doi: 10.3390/medicina57121350.
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Prosthetic rehabilitation of a patient with cleidocranial dysplasia using dental implants-a clinical report.使用牙种植体对颅锁骨发育不全患者进行修复-临床报告。
Int J Implant Dent. 2021 Jan 22;7(1):5. doi: 10.1186/s40729-020-00287-7.
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Oral Rehabilitation with Removable Partial Denture of a Patient with Cleidocranial Dysplasia.
锁骨颅骨发育不全患者的可摘局部义齿口腔修复
Case Rep Dent. 2020 May 9;2020:8625842. doi: 10.1155/2020/8625842. eCollection 2020.
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Full-mouth rehabilitation of a patient with cleidocranial dysplasia using immediately loaded basal implant-supported fixed prostheses: A case report.使用即刻负重的基台种植体支持的固定修复体对锁骨颅骨发育不全患者进行全口修复:一例报告
Int J Surg Case Rep. 2019;65:344-348. doi: 10.1016/j.ijscr.2019.11.005. Epub 2019 Nov 8.
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Case of odontoma-related infection in a cleidocranial dysplasia.锁骨颅骨发育不全伴牙瘤相关感染病例
BMJ Case Rep. 2019 Jul 10;12(7):e228748. doi: 10.1136/bcr-2018-228748.