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通过腭中缝移动融合上颌中切牙的多学科管理：一例报告。

Multidisciplinary management of a fused maxillary central incisor moved through the midpalatal suture: A case report.

作者信息

Bulut Hakan, Pasaoglu Aylin

机构信息

Department of Orthodontics, Faculty of Dentistry, Ege University, Izmir, Turkey.

Private Practice, Istanbul, Turkey.

出版信息

Korean J Orthod. 2017 Nov;47(6):384-393. doi: 10.4041/kjod.2017.47.6.384. Epub 2017 Sep 29.

DOI:10.4041/kjod.2017.47.6.384
PMID:29090126
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5653687/
Abstract

Fusion of teeth is a developmental anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic problems. In this article, we report a rare case of a maxillary central incisor fused to a supernumerary tooth showing labial and palatal talon cusps, which was orthodontically moved across the midpalatal suture. A 13-year-old Caucasian boy sought treatment for the unesthetic appearance of his maxillary central incisor and anterior crowding. He was rehabilitated successfully via a multidisciplinary approach involving orthodontic, nonsurgical endodontic, periodontal, and prosthodontic treatments. After a 26-month treatment period, the patient's macroesthetics and microesthetics were improved. The overall improvement of this macrodontic tooth and its surrounding tissues through multidisciplinary treatment was documented using cone-beam computed tomography.

摘要

牙齿融合是一种发育异常。它发生在牙齿形成阶段，即决定牙冠形状和大小的阶段，此时一个或多个牙齿在牙胚形态分化过程中在牙本质水平融合。这类牙齿表现为巨牙症，可能导致牙列拥挤以及美观和牙髓问题。在本文中，我们报告了一例罕见病例，一名上颌中切牙与一颗多生牙融合，该多生牙有唇侧和腭侧尖牙尖，通过正畸方法将其移过腭中缝。一名13岁的白种男孩因上颌中切牙外观不美观和前牙拥挤前来寻求治疗。通过正畸、非手术牙髓、牙周和修复治疗的多学科方法，他成功得到了康复。经过26个月的治疗期，患者的宏观美学和微观美学都得到了改善。使用锥形束计算机断层扫描记录了通过多学科治疗对这颗巨牙及其周围组织的整体改善情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/15ac443b8d32/kjod-47-384-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/514d2366013b/kjod-47-384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/c9b354e6a193/kjod-47-384-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/ff731cc03222/kjod-47-384-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/92b23ab7a1e3/kjod-47-384-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/adc8aab63471/kjod-47-384-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/e15af08ccdfd/kjod-47-384-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/f546bd22721f/kjod-47-384-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/0fc31caccb3d/kjod-47-384-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/366ab73d29e9/kjod-47-384-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/69499d9ff1a0/kjod-47-384-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/15ac443b8d32/kjod-47-384-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/514d2366013b/kjod-47-384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/c9b354e6a193/kjod-47-384-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/ff731cc03222/kjod-47-384-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/92b23ab7a1e3/kjod-47-384-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/adc8aab63471/kjod-47-384-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/e15af08ccdfd/kjod-47-384-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/f546bd22721f/kjod-47-384-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/0fc31caccb3d/kjod-47-384-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/366ab73d29e9/kjod-47-384-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/69499d9ff1a0/kjod-47-384-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f289/5653687/15ac443b8d32/kjod-47-384-g011.jpg

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