Department of Orthodontics, Seoul National University Gwan-ak Dental Hospital, Seoul, Korea.
Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, Arizona, USA.
J Esthet Restor Dent. 2024 Nov;36(11):1502-1510. doi: 10.1111/jerd.13281. Epub 2024 Jul 16.
This case report presents a female adult patient who exhibits poor oral hygiene, a mutilated dentition with multiple missing teeth, and skeletal asymmetry.
Interdisciplinary treatment was necessary to maintain oral hygiene, treat caries, extract residual roots, and upright a horizontally impacted third molar using a miniplate. Additionally, orthodontic mini-implants were utilized as anchorage to improve sagittal relationship and space closing. Space management was completed with orthodontic treatment, followed by restoration of the multiple missing teeth with dental implants.
Consequently, an esthetic smile and functional occlusion were achieved by interdisciplinary treatment using orthodontic skeletal anchorage devices and dental implants.
Missing mandibular first molar spaces were closed with retraction of the anterior teeth and protraction of the mandibular second molars using orthodontic mini-implants. The mandibular right third molar, which should have erupted, was protracted with the second molar, while the horizontally impacted mandibular left third molar was uprighted using a miniplate and was protracted with an orthodontic mini-implant. The missing maxillary lateral incisors were replaced with the maxillary canines, and the maxillary canines were replaced with the maxillary first premolars. The missing maxillary right second premolar and first molar and left first and second molars were successfully restored with dental implants.
本病例报告介绍了一位成年女性患者，其口腔卫生状况较差，牙齿残缺不全，有多颗缺失牙，且存在骨骼不对称。
为了保持口腔卫生，治疗龋齿，拔除残留牙根，并使用迷你板将水平埋伏的第三磨牙直立，需要进行多学科治疗。此外，还使用正畸迷你种植体作为支抗来改善矢状关系和关闭间隙。通过正畸治疗完成间隙管理，然后用种植牙修复缺失的多颗牙齿。
通过使用正畸骨骼锚固装置和种植牙的多学科治疗，实现了美观的微笑和功能咬合。
通过使用正畸微型种植体，前牙内收，下颌第二磨牙远中移动，关闭缺失的下颌第一磨牙间隙。应萌出的下颌右侧第三磨牙与第二磨牙一起远中移动，而水平埋伏的下颌左侧第三磨牙则使用迷你板直立并使用正畸微型种植体远中移动。上颌侧切牙缺失用尖牙代替，上颌尖牙缺失用第一前磨牙代替。上颌右侧第二前磨牙、第一磨牙和左侧第一、二磨牙缺失，成功地用种植牙修复。
