Guariza-Filho Odilon, Araujo Cristiano Miranda de, Schroder Angela Graciela Deliga, Tanaka Orlando Motohiro, Kern Ricardo, Ruellas Antonio Carlos
Departamento de Ortodontia, Faculdade de Odontologia, Pontifícia Universidade Católica, Curitiba, PR, Brazil.
Curitiba, Curitiba, PR, Brazil.
Dental Press J Orthod. 2018 Jan;23(1):87-96. doi: 10.1590/2177-6709.23.1.087-096.oar.
Treatment of maxillofacial injuries is complex and requires the establishment of a comprehensive and accurate diagnosis and correct treatment planning.
The objective of this case report was to describe the re-treatment of a 27-year-old woman who was involved in a severe car accident that resulted in the loss of five anterior teeth and alveolar bone, and whose previous orthodontic and surgical treatments had been unsuccessful.
In this case, the space for the missing mandibular molar was reopened to allow for rehabilitation. The positions of the mandibular incisors were improved. The right mandibular canine was moved to the mesial, allowing for correction of the Class II canine relationship on that side, and implants were placed to replace the maxillary anterior teeth.
Anterior aesthetic and functional rehabilitation using a multidisciplinary approach was essential to improve the patient's facial aesthetics, to obtain great improvement in function and to achieve occlusal stability after 2 years of follow-up.
颌面损伤的治疗较为复杂,需要建立全面准确的诊断并制定正确的治疗方案。
本病例报告的目的是描述一名27岁女性的再次治疗情况,该女性遭遇严重车祸,导致五颗前牙及牙槽骨缺失,其先前的正畸和外科治疗均未成功。
在本病例中,重新开辟了下颌磨牙缺失的间隙以进行修复。改善了下颌切牙的位置。将右下颌尖牙向近中移动,矫正了该侧的Ⅱ类尖牙关系,并植入种植体以替代上颌前牙。
采用多学科方法进行前牙美学和功能修复对于改善患者面部美观、在随访2年后实现功能的显著改善以及达到咬合稳定至关重要。