Orthodontic department, CSERD, Centre Hospitalier Universitaire, University of Montpellier, Montpellier, France.
Oral surgery department, CSERD, Centre Hospitalier Universitaire, University of Montpellier, Montpellier, France.
Int Orthod. 2023 Jun;21(2):100729. doi: 10.1016/j.ortho.2023.100729. Epub 2023 Feb 11.
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.
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。
