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正畸强制外推:无望之牙的实用疗法?病例报告。

Forced Orthodontic Extrusion: A Practical Therapy Method for Apparently Hopeless Teeth? A Case Report.

出版信息

Int J Prosthodont. 2020 Nov/Dec;33(6):684-688. doi: 10.11607/ijp.6561.

Abstract

The restoration of severely damaged teeth challenges dental practitioners because defects are often located at the subcrestal level. In these cases, surgical crown lengthening or orthodontic extrusion procedures are deemed necessary to maintain the biologic width and respect a sufficient ferrule design after preparation. Considering the negative effects of invasive surgical therapy-such as the reduction of alveolar bone support of the neighboring teeth-forced extrusion might be a valid therapeutic alternative. This clinical case report illustrates forced orthodontic extrusion with a minimally invasive appliance that is applicable in daily clinical routine.

摘要

严重受损牙齿的修复对牙科医生来说是一项挑战,因为缺损通常位于龈下。在这些情况下,为了维持生物学宽度并在预备后保证足够的牙冠内聚,需要进行外科牙冠延长术或正畸牙伸长术。考虑到侵入性外科治疗的负面影响,如邻牙牙槽骨支持的减少,强制牙伸长可能是一种有效的治疗选择。本临床病例报告介绍了一种微创应用装置的强制正畸牙伸长,该装置适用于日常临床常规。

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