Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany.
Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery, University Hospital, Munich, Germany.
J Esthet Restor Dent. 2019 May;31(3):179-189. doi: 10.1111/jerd.12455. Epub 2019 Jan 4.
In severe congenital or acquired orofacial anomalies, both dental esthetics and function are usually compromised. In particular, the esthetic ideas of the final desired appearance may differ from patient to patient, as the human esthetic sensibility differs significantly. Especially in complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgical and prosthetic treatments, leading to a wide range of planning and pretreatment options.
This case report describes a patient-oriented interdisciplinary craniomaxillofacial surgical and prosthetic treatment with noninvasive tooth-colored splints, a Le Fort I osteotomy, and a full-mouth rehabilitation to meet the patient's demand for better function as well as orofacial esthetics and harmony.
By means of the digitally planned Le Fort I intervention and completion of the prosthetic rehabilitation, it was possible to optimize esthetics and facial harmony.
In complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgery and prosthetic treatments, leading to a wide range of planning and pretreatment options. Computer-aided design/computer-aided manufacturing technology enables the fabrication of tooth-colored flexible polycarbonate splints that offer a noninvasive, removable, functional, and esthetic solution. In intricate cases involving craniomaxillofacial anomalies, often together with necessary orofacial surgeries or prosthetic treatments due to moderate to severe tooth wear, such digital preprosthetic treatment and planning options represent an important enhancement with more predictable results.
在严重的先天性或后天性口腔颌面部畸形中，牙齿的美观和功能通常都会受到影响。特别是，由于人类的审美敏感性有很大的差异，最终期望的外观美观理念可能因患者而异。特别是在复杂的情况下，数字技术如今为颅颌面外科和修复治疗提供了出色的改进和简化，从而为广泛的规划和预处理方案提供了选择。
本病例报告描述了一种以患者为导向的颅颌面外科和修复科的跨学科治疗方法，采用非侵入性的牙色夹板、Le Fort I 截骨术和全口修复，以满足患者对更好的功能以及口腔美观和协调性的需求。
通过数字化计划的 Le Fort I 干预和完成修复，实现了美观和面部协调性的优化。
在复杂的情况下，数字技术如今为颅颌面外科和修复治疗提供了出色的改进和简化，从而为广泛的规划和预处理方案提供了选择。计算机辅助设计/计算机辅助制造技术使牙色柔性聚碳酸酯夹板的制造成为可能，为非侵入性、可移动、功能性和美观性提供了一种解决方案。在涉及颅颌面畸形的复杂病例中，通常需要进行口腔颌面手术或修复治疗，因为中度到重度的牙齿磨损，这种数字化的术前治疗和规划方案代表了一种重要的增强方法，可获得更可预测的结果。
