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用于在裂牙症和上颌骨缺损中使用微型螺钉辅助扩弓器进行最小化截骨术、植入术和腭部牵张的多功能模板。

Multifunctional Templates for Minimized Osteotomy, Implantation, and Palatal Distraction with a Mini-Screw-Assisted Expander in Schizodontism and Maxillary Deficit.

作者信息

Nilius Manfred, Hess Katrin, Haim Dominik, Weiland Bernhard, Lauer Guenter

机构信息

Niliusklinik, Londoner Bogen 6, D-44269 Dortmund, Germany.

Department of Oral and Maxillofacial Surgery, University Hospital "Carl Gustav Carus", Technische Universität Dresden, Fetscherstr. 74, D-01307 Dresden, Germany.

出版信息

Case Rep Dent. 2020 Sep 9;2020:8816813. doi: 10.1155/2020/8816813. eCollection 2020.

DOI:10.1155/2020/8816813
PMID:32963840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7499279/
Abstract

PURPOSE

Schizodontism is complete separation of a dental germ. It results in a twin tooth and supernumerary teeth. The treatment of transverse constriction in combination with supernumerary dental germs and impacted central incisors can pose a challenge, especially in young patients, when the number of permanent teeth is not adequate to ensure secure anchorage. The use of navigation templates based on three-dimensional X-ray images allows for precise insertion of temporary mini-implants for the acquisition of palatal distractors. In addition, templates allow for minimally invasive biopsies and osteotomies.

METHODS

The treatment of schizodontism, dentitio tarda, and transverse constriction is to be assessed as an interdisciplinary method by using mini-screw-assisted devices. Minimized osteotomy of impacted supernumerary teeth or dental implantation can be carried out in a one-step-procedure based on digital preplanning and prefabrication of orthodontic devices.

RESULTS

Multifunctional templates allow for early planning, preoperative fabrication, and intraoral fixation of orthodontic appliances. In the case of an adolescent patient, a sustainable, interdisciplinary treatment concept could be demonstrated that shows age-appropriate gnathological development and stable growth conditions over a follow-up period of 10 years.

CONCLUSION

One can likely assume that multifunctional templates allow for minimally invasive one-step surgeries as an interdisciplinary tool between orofacial surgery and modern orthodontics.

摘要

目的

裂牙症是牙胚的完全分离。它会导致双生牙和多生牙。当恒牙数量不足以确保稳固的支抗时，联合多生牙胚和埋伏正中切牙的横向缩窄的治疗会构成挑战，尤其是在年轻患者中。基于三维X线图像使用导航模板可精确植入临时微型种植体以获取腭部牵张器。此外，模板还可用于微创活检和截骨术。

方法

裂牙症、出牙延迟和横向缩窄的治疗将通过使用微型螺钉辅助装置作为一种跨学科方法进行评估。基于数字化预先规划和正畸装置的预制，可在一步操作中对埋伏多生牙进行最小化截骨或植入牙齿。

结果

多功能模板可用于正畸矫治器的早期规划、术前制作和口内固定。对于一名青少年患者，可证明一种可持续的跨学科治疗理念，该理念在10年的随访期内显示出与年龄相符的颌学发育和稳定的生长状况。

结论

人们可能可以认为多功能模板作为口腔颌面外科和现代正畸学之间的一种跨学科工具，允许进行微创一步手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a898/7499279/ac26b93ec0d3/CRID2020-8816813.019.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a898/7499279/da188b579d17/CRID2020-8816813.011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a898/7499279/75573a0ffdd8/CRID2020-8816813.012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a898/7499279/ac26b93ec0d3/CRID2020-8816813.019.jpg

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