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上颌阻生牙及复杂牙瘤的治疗:文献综述与病例报告

Management of Maxillary Impacted Teeth and Complex Odontome: A Review of Literature and Case Report.

作者信息

Dehis Heba M, Fayed Mona S

机构信息

Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.

出版信息

Open Access Maced J Med Sci. 2018 Oct 7;6(10):1882-1887. doi: 10.3889/oamjms.2018.395. eCollection 2018 Oct 25.

Abstract

BACKGROUND

Teeth impaction has become a common problem faced by orthodontic clinicians with the greatest incidence reported among third molars and maxillary canines. The great challenge lies in successfully treating these cases without deleteriously affecting the impacted as well as adjacent teeth while achieving acceptable functional and esthetic results. Several etiological factors have been associated with impactions including the presence of an odontome which is an asymptomatic odontogenic hamartomatous lesion.

CASE REPORT

This article presents a detailed orthodontic assessment and treatment of a 16 years old female having impacted right maxillary lateral incisor and canine caused by complex odontome.

CONCLUSION

Successful orthodontic treatment of multiple impactions can be achieved with minimal side effects even when odontomes are associated, through 3D radiographic examination, detailed evaluation as well as proper biomechanical control.

摘要

背景

牙齿阻生已成为正畸临床医生面临的常见问题,其中第三磨牙和上颌尖牙的发生率最高。巨大的挑战在于成功治疗这些病例,同时又不会对阻生牙及相邻牙齿造成有害影响,还要取得可接受的功能和美学效果。多种病因与阻生有关,包括牙瘤的存在,牙瘤是一种无症状的牙源性错构瘤病变。

病例报告

本文介绍了一名16岁女性因复杂牙瘤导致右上颌侧切牙和尖牙阻生的详细正畸评估和治疗情况。

结论

即使存在牙瘤,通过三维影像学检查、详细评估以及适当的生物力学控制,也能够以最小的副作用成功进行多颗阻生牙的正畸治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b49e/6236032/6296b1936483/OAMJMS-6-1882-g001.jpg

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