Patroni Stefano, Cocconi Renato
Int J Esthet Dent. 2017;12(4):504-522.
Several treatment options are described in the literature to solve the microdontia-related problems of maxillary anterior teeth. These options are often focused on an orthodontic rather than a restorative approach. The case presented here started with an orthodontic phase followed by a restorative one. The aim of the orthodontic phase was to achieve the correct spacing, respecting ideal average tooth proportions. This was done using a digital setup to restore the six anterior teeth, so that an optimal esthetic and functional result was achieved by the end of the orthodontic treatment. The purpose of the restorative phase was to contribute to the esthetic outcome and occlusal stability. The 12-year-old patient was treated utilizing a CAD/CAM procedure, which took advantage of the mechanical properties and reasonable cost of the chosen resin matrix ceramic material (Vita Enamic). Once stability has been attained and proper periodontal tissue maturation has been reached at the end of the patient's growth, there will then be the option of improving the esthetics by replacing these restorations with ceramic veneers.
文献中描述了几种治疗方案来解决上颌前牙与过小牙相关的问题。这些方案通常侧重于正畸方法而非修复方法。此处呈现的病例先是正畸阶段,随后是修复阶段。正畸阶段的目标是获得正确的牙间隙,同时遵循理想的平均牙齿比例。这是通过数字化排牙来修复六颗前牙实现的,以便在正畸治疗结束时达到最佳的美学和功能效果。修复阶段的目的是提升美学效果和咬合稳定性。这位12岁的患者采用了CAD/CAM程序进行治疗,该程序利用了所选树脂基陶瓷材料(维他耐美瓷)的机械性能和合理成本。一旦患者生长结束时达到稳定状态且牙周组织发育成熟,届时可以选择用瓷贴面替换这些修复体来改善美观。