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病例报告:通过颅颈下颌和咬合稳定的牙科治疗和物理治疗来矫正前牙开咬。

Case report: Anterior open bite correction treatment by dental treatment and physical therapy through craniocervical mandibular and occlusal stabilization.

机构信息

Facultad de Ciencias de la Rehabilitación, Universidad Andrés Bello, Santiago, Chile.

Clinica Dr. Roberto Gutierrez y Asociados, Santiago, Chile.

出版信息

Cranio. 2024 Sep;42(5):507-512. doi: 10.1080/08869634.2021.2014168. Epub 2021 Dec 10.

DOI:10.1080/08869634.2021.2014168
PMID:34890299
Abstract

BACKGROUND

The opinion on whether a patient with an anterior open bite should be treated surgically or not is controversial. These patients generally suffer from associated discomfort due to their occlusal instability and musculoskeletal pain.

CLINICAL PRESENTATION

A 60-year-old woman visited the clinic with dental mobility of her upper central incisors as her chief complaint. She had a severe anterior open bite, with a history of continuous grinding and multiple dental restorations in poor condition. Additionally, she suffered neck pain with movement restrictions.

CONCLUSION

Dentists can evaluate and treat patients with an anterior open bite using this integrative model (physical therapy/dentistry) as a possible alternative as part of the treatment for anterior open bite patients.

摘要

背景

对于是否应该对患有前牙开颌的患者进行手术治疗,存在争议。这些患者通常由于咬合不稳定和肌肉骨骼疼痛而遭受相关不适。

临床呈现

一位 60 岁的女性因上门牙松动前来就诊,这是她的主要诉求。她有严重的前牙开颌,有持续磨牙的病史,且有多个状况不佳的牙修复体。此外,她还伴有颈部疼痛和活动受限。

结论

牙医可以使用这种综合模型(物理治疗/牙科)评估和治疗前牙开颌患者,作为前牙开颌患者治疗的一种可能替代方法。

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