American University of Beirut Medical Center, American University of Beirut, Beirut, Lebanon; Private Practice, Beirut, Lebanon.
American University of Beirut Medical Center, American University of Beirut, Beirut, Lebanon; Private Practice, Beirut, Lebanon.
Am J Orthod Dentofacial Orthop. 2021 Jan;159(1):108-124. doi: 10.1016/j.ajodo.2019.09.025.
This article reports the interdisciplinary treatment of a girl born with a complete bilateral cleft lip and palate. She had congenitally missing maxillary lateral incisors and canines and mandibular incisors, canines, and second premolars in addition to third molars. At age 11 years 2 months, she was treated with rapid maxillary expansion followed by bonding of the maxillary arch. Cranial harvested alveolar bone graft surgery was done at age 17 years 2 months. Mandibular arch treatment was started at age 19 years using single tooth implants initially as orthodontic anchorage devices and secondarily as prosthetic abutments. Teeth were placed in strategic positions for a 4 incisor fixed partial denture cemented on the 2 lateral incisor implants and screw-retained crowns on premolar implants. The maxillary arch was restored with screw-retained crowns on canine implants with lateral incisors in cantilever and pink ceramic. Two years posttreatment records at age 22 years 6 months showed long-term stability with good occlusion, facial balance, and smile esthetics.
本文报告了一例双侧完全性唇腭裂女孩的跨学科治疗。她先天缺失上颌侧切牙和尖牙，以及下颌切牙、尖牙和第二前磨牙，此外还有第三磨牙。在 11 岁 2 个月时，她接受了快速上颌扩张术，随后进行了上颌弓的粘接。17 岁 2 个月时进行了颅颌骨采集牙槽骨移植手术。19 岁时开始进行下颌弓治疗，最初使用单颗牙种植体作为正畸锚固装置，然后作为修复基台。牙齿被放置在战略位置，用于 4 颗门牙的固定局部义齿，固定在 2 颗侧切牙种植体上，螺丝固位冠固定在前磨牙种植体上。上颌弓用螺丝固位冠修复，犬牙种植体上有侧切牙悬臂和粉色陶瓷。22 岁 6 个月时的两年治疗记录显示，具有良好的咬合、面部平衡和微笑美学效果，长期稳定。
