Casula Luca, Gillone Alex, Musu Davide
Vita Salute University, Milan, Italy.
East Carolina University, Greenville, USA.
Case Rep Dent. 2020 Dec 14;2020:8830949. doi: 10.1155/2020/8830949. eCollection 2020.
Two female patients positive for human immunodeficiency virus and receiving antiretroviral treatment presented with esthetic concerns due to fixed dental prostheses in the anterior region. The patients had gingival recession and short clinical crowns in the esthetic zone. In both cases, the biologically oriented preparation technique was used to recreate ideal proportions between the teeth and gingivae. Since patients with human immunodeficiency virus experience a progressive deterioration of their immune systems and other significant comorbidities, a reduction in the number of traumatic clinical procedures is recommended. The use of this minimally invasive prosthetic protocol has not been previously reported in patients with human immunodeficiency virus. These cases demonstrate how short clinical crowns and gingival recession in the esthetic zone can be successfully treated with the biologically oriented preparation technique to avoid surgical procedures in patients with human immunodeficiency virus.
两名感染人类免疫缺陷病毒并接受抗逆转录病毒治疗的女性患者,因前牙区固定义齿出现美观问题前来就诊。患者在美观区域存在牙龈退缩和临床冠短的情况。在这两个病例中,均采用了以生物学为导向的预备技术来重建牙齿与牙龈之间的理想比例。由于感染人类免疫缺陷病毒的患者免疫系统会逐渐恶化且伴有其他严重的合并症,因此建议减少创伤性临床操作的次数。此前尚未有关于人类免疫缺陷病毒患者使用这种微创修复方案的报道。这些病例表明,对于感染人类免疫缺陷病毒的患者,采用以生物学为导向的预备技术可以成功治疗美观区域的临床冠短和牙龈退缩问题,从而避免手术操作。