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幼儿未萌出恒牙冠折:病例报告及修复方案

Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol.

作者信息

Kamanski Deise, Tavares Julieta G, Weber Joao Bb, Feldens Carlos A, Reston Eduardo G, da Cunha Patrícia Fjs, Kramer Paulo F

机构信息

Department of Pediatric Dentistry, School of Health and Life Science, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

Department of Pediatric Dentistry, School of Dentistry, Universidade Luterana do Brasil (ULBRA), Canoas, Rio Grande do Sul, Brazil.

出版信息

Int J Clin Pediatr Dent. 2022 Sep-Oct;15(5):636-641. doi: 10.5005/jp-journals-10005-2437.

Abstract

AIM

This case report describes a protocol for restoring a crown fracture of an unerupted permanent incisor in a child.

BACKGROUND

Crown fractures are an important concern in pediatric dentistry due to the negative impact on oral health-related quality of life (OHRQoL) in children and adolescents resulting from functional limitations as well as consequences related to social and emotional well-being.

CASE DESCRIPTION

An enamel and dentin fracture of the crown of unerupted tooth 11 due to direct trauma is being presented in a 7-year-old girl. The restorative treatment involved minimally invasive dentistry, including computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and direct resin restoration.

CONCLUSION

The treatment decision was essential for maintaining pulp vitality and continued root development, as well as ensuring esthetic and functional results.

CLINICAL SIGNIFICANCE

Crown fracture of an unerupted incisor may occur in childhood, requiring a long-term clinical and radiographic follow-up. Predictable, positive, and reliable esthetic outcomes can be achieved using CAD/CAM technology combined with adhesive protocols.

HOW TO CITE THIS ARTICLE

Kamanski D, Tavares JG, Weber JBB, Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol. Int J Clin Pediatr Dent 2022;15(5):636-641.

摘要

目的

本病例报告描述了一种修复儿童未萌出恒切牙冠折的方案。

背景

由于功能受限以及与社会和情感福祉相关的后果对儿童和青少年口腔健康相关生活质量(OHRQoL)产生负面影响,冠折是儿童牙科领域的一个重要问题。

病例描述

一名7岁女孩因直接外伤导致未萌出的11号牙冠釉质和牙本质骨折。修复治疗采用微创牙科技术,包括计算机辅助设计(CAD)/计算机辅助制造(CAM)技术和直接树脂修复。

结论

治疗决策对于维持牙髓活力和牙根持续发育以及确保美观和功能效果至关重要。

临床意义

未萌出切牙的冠折可能发生在儿童期,需要长期的临床和影像学随访。使用CAD/CAM技术结合粘结方案可以实现可预测、积极且可靠的美学效果。

如何引用本文

卡曼斯基D,塔瓦雷斯JG,韦伯JBB,幼儿未萌出切牙冠折:病例报告及修复方案。《国际临床儿科牙科杂志》2022年;15(5):636 - 641。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c456/9973103/3320f64069f3/ijcpd-15-636-g001.jpg

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