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应用口腔内扫描仪评估犬牙列不齐的正畸治疗。

Use of an intraoral scanner to evaluate orthodontic treatment for dental malocclusion in a dog.

机构信息

1Saki Animal Hospital, Mukaino, Minami-ku, Fukuoka, Japan.

2Division of Infections and Molecular Biology, Department of Health Promotion, Kyushu Dental University, Manazuru, Kokurakita-ku, Kitakyushu, Fukuoka, Japan.

出版信息

J Am Vet Med Assoc. 2023 Nov 17;262(3):1-4. doi: 10.2460/javma.23.09.0532. Print 2024 Mar 1.

Abstract

OBJECTIVE

In human dental practice, intraoral scanners (IOSs) are increasingly used to evaluate the oral cavity. However, there have been no reports concerning evaluation of the canine oral cavity using IOSs in veterinary dentistry. In this case, optical impressions obtained with an IOS were used for 3-D evaluation of the orthodontic treatment outcome. Additionally, few reports have addressed the optimal orthodontic force for canine teeth. Therefore, this case explored whether sufficient tooth movement into the extraction site could be achieved with a lighter orthodontic force than previously reported.

ANIMAL

An 8-month-old spayed female dog.

CLINICAL PRESENTATION, PROGRESSION, AND PROCEDURES: A retained right maxillary third deciduous incisor (503) caused distoversion of the right maxillary third permanent incisor (103), leading to dental malocclusion that involved contact between 103 and the right mandibular canine teeth.

TREATMENT AND OUTCOME

All retained deciduous teeth were extracted. Mesial tipping movement of 103 into the extraction site of 503 was achieved with light orthodontic force using an elastomeric chain. An IOS was used to construct 3-D optical impression data from oral stone models taken before and after treatment, and tooth movement was evaluated. The results showed that 103 had sufficient tipping movement and no anchorage loss; comfortable occlusion was achieved. In addition to crown length extension, labioversion and mesioversion of maxillary incisors (other than 103) were observed.

CLINICAL RELEVANCE

Detailed intraoral evaluation with optical impressions was beneficial in the orthodontic treatment of a dog. Light orthodontic force may be sufficient for movement into the extraction site.

摘要

目的

在人类牙科实践中,口腔内扫描仪(IOS)越来越多地用于评估口腔。然而,兽医牙科中尚未有关于使用 IOS 评估犬口腔的报道。在本病例中,使用 IOS 获得的光学印模用于 3D 评估正畸治疗效果。此外,很少有报道涉及犬牙的最佳正畸力。因此,本病例探讨了是否可以使用比之前报道的更轻的正畸力实现足够的牙齿进入拔牙间隙的移动。

动物

一只 8 月龄去势雌性犬。

临床表现、进展和程序:右侧上颌第三乳切牙(503)滞留导致右侧上颌第三恒切牙(103)远中倾斜,导致牙齿错位,涉及 103 与右侧下颌犬齿接触。

治疗和结果

所有滞留的乳牙均被拔除。通过使用弹性链施加轻的正畸力,实现了 103 的近中倾斜移动进入 503 的拔牙间隙。使用口腔内扫描仪从治疗前后的口腔石模型构建 3D 光学印模数据,并评估牙齿移动情况。结果表明,103 有足够的倾斜移动且无支抗丧失;实现了舒适的咬合。除了冠长延长外,还观察到上颌切牙(除 103 外)的唇侧旋转和近中旋转。

临床相关性

使用光学印模进行详细的口腔内评估有助于犬的正畸治疗。轻的正畸力可能足以进入拔牙间隙移动。

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