Omeish Nadine, Nassif Ali, Feghali Sara, Vi-Fane Brigitte, Bosco Julia
Université de Paris Faculté d'Odontologie Site Garancière Paris France.
Assistance Publique-Hôpitaux de Paris Hôpital Pitié-Salpêtrière Service Odontologie Paris France.
Clin Case Rep. 2022 Mar 1;10(3):e05507. doi: 10.1002/ccr3.5507. eCollection 2022 Mar.
Peg-shaped maxillary lateral incisors cause many functional and esthetic major consequences in affected patients. Their esthetic and functional rehabilitations are often multidisciplinary, involving different clinical procedures like periodontal, orthodontic, or prosthodontic procedures. No exhaustive protocol has been established to improve their comprehensive management by general dentists or specialists. The aim of this article is to elaborate a simplified clinical protocol of complete management of peg-shaped maxillary lateral incisors by a multidisciplinary team (general practitioners, orthodontists, and prosthodontists). A clinical case of two peg-shaped maxillary lateral incisors completely rehabilitated with multidisciplinary approaches including orthodontic treatment and restoration by veneers and direct composite resin, according to the established protocol. Extraoral, intraoral, and smile clinical analysis are crucial to ensure optimal rehabilitation. Treatment results previsualization via wax-up and/or mock-up play a key role in the communication between practitioner and patient to help the latter make decision. These options also facilitate the achievement of a multidisciplinary approach by accurately estimating the number of dental movements and the type of restorations that are most suitable to the presenting clinical situation.
钉形上颌侧切牙给患牙患者带来诸多功能和美观方面的严重后果。其美观和功能的修复通常需要多学科协作，涉及不同的临床操作，如牙周、正畸或修复治疗。目前尚未制定出详尽的方案来指导普通牙医或专科医生对其进行全面管理。本文旨在阐述一个由多学科团队（全科医生、正畸医生和修复医生）对钉形上颌侧切牙进行全面管理的简化临床方案。文中介绍了一个临床病例，按照既定方案，采用包括正畸治疗以及贴面和直接复合树脂修复在内的多学科方法，成功使两颗钉形上颌侧切牙完全康复。口外、口内及微笑的临床分析对于确保最佳修复效果至关重要。通过蜡型制作和/或试戴进行治疗效果预可视化，在医生与患者沟通中发挥关键作用，帮助患者做出决策。这些方法还通过准确预估牙齿移动的数量和最适合当前临床情况的修复类型，促进多学科治疗方案的实施。
