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成人安氏Ⅱ类 2 分类伴多个前磨牙先天缺失的牙周-正颌-修复多学科治疗:1 例报告。

Ortho- perio- prosthetic interdisciplinary approach of an adult class II division 2 with multiple premolar agenesis: A case report.

机构信息

Orthodontic department, CSERD, Centre Hospitalier Universitaire, University of Montpellier, Montpellier, France.

Oral surgery department, CSERD, Centre Hospitalier Universitaire, University of Montpellier, Montpellier, France.

出版信息

Int Orthod. 2023 Jun;21(2):100729. doi: 10.1016/j.ortho.2023.100729. Epub 2023 Feb 11.

Abstract

The aim of this case report is to illustrate the fixed orthodontic, surgical and periodontal implant management of a young adult with multiple agenesis associated with a class II division 2 malocclusion. The challenge here was the multidisciplinary synchronisation in order to achieve a coordinated treatment with the best possible aesthetic, prosthetic and functional prognosis. The patient suffered from a total of 10 agenesis including third molars and underwent implant replacement with bone grafting and periodontal planning of the 6 missing premolars. The orthodontic treatment lasted 22months and was followed by a period of just under a year for periodontal and implant prosthetic completion. The 3-year follow-up after the orthodontic phase showed an excellent prognosis in terms of aesthetics, function and stability.

摘要

本病例报告的目的是说明一位年轻成人的固定正畸、外科和牙周植体管理,该患者有多颗牙齿缺失,伴有 II 类 2 分类错颌畸形。这里的挑战是多学科的同步,以实现最佳的美学、修复和功能预后的协调治疗。患者共缺失 10 颗牙齿,包括第三磨牙,并进行了植骨和 6 颗缺失前磨牙的牙周规划的种植体替代。正畸治疗持续了 22 个月,随后进行了近一年的牙周和种植体修复完成期。正畸阶段 3 年后的随访显示,在美学、功能和稳定性方面具有良好的预后。

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