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使用马里兰桥修复先天性双侧门牙缺失:病例报告

Rehabilitation of Congenitally Missing Bilateral Incisors With the Maryland Bridge: A Case Report.

作者信息

Kanojia Ekta M, Bhoyar Anjali, Dubey Surekha A, Sathe Seema, Khubchandani Sheetal R

机构信息

Prosthodontics and Crown and Bridges, Sharad Pawar Dental College and Hospital, Wardha, IND.

Prosthodontics, Sharad Pawar Dental College and Hospital, Wardha, IND.

出版信息

Cureus. 2024 Apr 15;16(4):e58349. doi: 10.7759/cureus.58349. eCollection 2024 Apr.

Abstract

Congenital partial hypodontia is a commonly encountered disorder, presenting a challenge for adolescents seeking treatment, as existing options often come with drawbacks. Among these options, the Maryland Bridge stands out for its accessibility and notable benefits in terms of both strength and aesthetics. This article explores the merits of this treatment modality, supported by a detailed case study demonstrating its successful application. An 18-year-old patient was referred to our hospital with a complaint of missing bilateral maxillary incisors. Upon clinical examination, it became apparent that the orthodontic treatment was done and exhibited the absence of bilateral incisors in the upper arch. Subsequent diagnosis confirmed congenital partial hypodontia. To address the missing teeth, a treatment plan centered around the use of a Maryland Bridge was devised. One of the persistent challenges faced by restorative dentists is devising solutions for congenitally missing lateral incisors. Despite the availability of numerous therapeutic alternatives, none are without their limitations. However, the outcome of the rehabilitation in this case proved to be notably aesthetically pleasing, effectively fulfilling the intended purpose. As a result, this article advocates for the Maryland Bridge as a viable option for patients facing similar dental challenges.

摘要

先天性部分牙缺失是一种常见的病症,对于寻求治疗的青少年来说是一项挑战,因为现有的治疗方案往往存在缺陷。在这些方案中,马里兰桥因其易于使用以及在强度和美观方面的显著优势而脱颖而出。本文探讨了这种治疗方式的优点,并通过一个详细的案例研究来证明其成功应用。一名18岁患者因双侧上颌切牙缺失前来我院就诊。临床检查发现,正畸治疗已经完成,上颌牙弓双侧切牙缺失。后续诊断证实为先天性部分牙缺失。为解决牙齿缺失问题,制定了以使用马里兰桥为核心的治疗方案。修复牙医一直面临的挑战之一是为先天性侧切牙缺失设计解决方案。尽管有众多治疗选择,但无一没有局限性。然而,该病例的修复效果在美观上非常令人满意,有效地实现了预期目的。因此,本文主张将马里兰桥作为面临类似牙齿问题患者的可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a234/11099493/fde3233314b6/cureus-0016-00000058349-i01.jpg

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