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上颌侧切牙缺失伴双侧尖牙内陷:一种非侵入性的多学科方法。

Agenesis of a maxillary lateral incisor associated with bilateral canine inclusions: A noninvasive multidisciplinary approach.

机构信息

Private Practice, Brescia, Italy.

SBiBiT Department, University of Parma, Parma, Italy.

出版信息

J Esthet Restor Dent. 2019 Nov;31(6):542-552. doi: 10.1111/jerd.12515. Epub 2019 Jul 30.

DOI:10.1111/jerd.12515
PMID:31364261
Abstract

OBJECTIVE

The treatment of congenitally missing maxillary lateral incisors is often complex and requires a multidisciplinary approach, which demands continuous collaboration among the different specialists involved in the rehabilitation. In young patients, implant therapy or the preparation of intact teeth for fixed prostheses is not indicated.

CLINICAL CONSIDERATIONS

Two complex cases of double maxillary canine inclusion were treated with combined surgical, orthodontic, and conservative prosthetic treatments. Orthodontic therapy allowed the creation of the necessary interocclusal space to fabricate the all-ceramic resin-bonded fixed partial dentures without the preparation of the abutment teeth.

CONCLUSIONS

Carefully planned and meticulously executed orthodontic and prosthetic therapies allowed for a noninvasive rehabilitation of patients with maxillary lateral incisor agenesis.

CLINICAL SIGNIFICANCE

This article provides clinicians with a noninvasive solution for agenesis of lateral incisors associated with canine inclusions. Indications for the choice of material of all-ceramic resin-bonded fixed partial dentures are discussed and presented.

摘要

目的

先天性上颌侧切牙缺失的治疗往往较为复杂,需要多学科方法,这要求参与修复的不同专家不断协作。对于年轻患者,不建议采用种植体治疗或完整牙齿预备固定义齿。

临床注意事项

本文报告了 2 例上颌双尖牙埋伏阻生的复杂病例,采用联合手术、正畸和保守性修复治疗。正畸治疗创造了必要的咬合间隙,以制作全陶瓷树脂黏结固定局部义齿,而无需预备基牙。

结论

精心计划和精心执行的正畸和修复治疗允许对无牙患者进行非侵入性修复。

临床意义

本文为临床医生提供了一种非侵入性的解决方案,用于治疗伴有尖牙埋伏的侧切牙缺失。讨论并提出了全陶瓷树脂黏结固定局部义齿材料选择的适应证。

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